HURRICANE MATTHEW Situation Report No.7 Date: 06 October 2016 (18:00 EST)

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HURRICANE MATTHEW Situation Report No.7 Date: 06 October 2016 (18:00 EST) This report is produced by PAHO/WHO in collaboration with PAHO Country Offices, Ministries of Health, and with inputs from official organizations. This report covers the period from 05-06 October 2016 at 18:00 EST. HIGHLIGHTS Matthew is a Category 4 Hurricane with maximum sustained winds near 140mph (220 km/h) A Hurricane Warning is in effect for: Central and Northern Bahamas, and Florida, Georgia, and South Carolina; Matthew is supposed to affect these countries in the next 24 hours In Haiti, the most affected areas are Jérémie and Les Cayes In the United States: 4 states (Florida, North Carolina, South Carolina, and Georgia) have declared a state of emergency Mandatory evacuations for an estimated 2 million people are in effect and there are 84 shelters with 3766 occupants across the four states SITUATION OVERVIEW On October 4, At 7:00am, Matthew made landfall near Les Anglais, Haiti (estimated pop. 27, 182) PAHO has deployed a total of 11 Regional Response Team Experts to 4 countries (see table below) Country PAHO Deployees Haiti Bahamas Jamaica Cuba WASH HEALTH COORD DANA LOG EMT COORD RESPONSE ACTIONS: HAITI Approx. 122 persons dead; more than 152,000 people in 204 shelters; an estimated 220 persons are injured, preliminary evaluations are ongoing, however, access to other areas remain difficult Over 29,000 houses and public infrastructure are destroyed or severely damaged The majority of port infrastructures in the Sud Department are damaged 1

Collapse of Petit Goave Bridge has isolated communities in South, Nippes and Grande Anse. No telephone communication either. Technicians from DINEPA Tepac are evaluating the water quality Other NGOs (MDM Argentina, Red Cross Haiti, ACF, and ADEMA are evaluating the situation in Nord Ouest, Sud Est, and Centre departments PAHO/WHO: 4 PAHO-HTI field teams are on the ground as well as a Rapid Response Emergency Unit, in addition 2 more teams will have a presence in Jérémie and Les Cayes 3 PAHO experts deployed to complement nearly 50 PAHO-HTI team members supporting hurricane operations PAHO has delivered essential medicines and supplies to several departments St. Boniface Hospital (Fond des Blancs) is fully functional Haiti Air Ambulance will travel to Les Cayes tomorrow to transfer patients PAHO RRT preliminary assessment revealed in 4 Haitian departments that of 7 hospitals: 3 are intact 2 have severe damage or flooded 1 is incommunicable 2

BAHAMAS/TURKS AND CAICOS ISLANDS PAHO/WHO: PAHO-BHS are providing support for NEOC operations Several shelters and health facilities have reported structural damage and have relocated occupants 3 persons affected; 730 persons in shelters There are reports of structural damage to the Meteorology Department at the Old Airport, the Fire Department, and the Sir Lindon Pindling Airport The MoH has reported leaks and roof damage and Health EOC has been relocated All PAHO and UN staff in Nassau has been under periodic monitoring from PAHO-BHS EOC. All 17 persons have reported safe today around noon, including PAHO-BHS staff, PAHO-PHE staff, one staff from UNNP and one from UNHCR. Post-event assessments in the 12 Bahamian Islands revealed that of 22 health facilities: 8 are intact 5 are incommunicable 9 have no power and in some cases, water damage and roof leaks have occurred Island Health facility October 05, 2016 5:00 PM Cooper s Town Abaco Green Turtle Cay Hope Town Inagua Matthew Town Clinic No water or power Mayaguana Abrahamas Bay Clinic Long Cay Long Cay Ragged Island Duncan Town Clinic No power, no generator. Water affectation in walls Long Island Deadman s Cay Exuma George Town No power, using generator. Leaks Rum Cay Port Nelson Clinic No power San Salvador Cockburn Town Clinic No power, access to generator Cat Island Old Bight No power Hatchet Bay, roof leaks Governor s Harbor Lower Bogue Eleuthera Harbour Island Wemyss Rouck Sound Tarpum Bay Tarpum Bay No power Spanish Wells No water Crooked Island Colonel Hill CUBA 38 medical brigades responding affected areas Medical warehouse in Guantanamo was damaged Assessments are ongoing JAMAICA 2 shelters remain open with 900 occupants Airports, schools, and public transportation is functioning normally 3

DOMINICAN REPUBLIC 35,019 people affected; 1,522 people in 10 shelters; 4 deaths 3,174 homes and 4 bridges affected 10 provinces, including National District under red alert, 11 provinces under yellow alert due to possible flash flooding 33 health facilities affected Three main hospitals at Independence province are only functioning as emergency centers 17 primary care centers have been affected, 16 of them with infrastructure damage, medications needs, and lack of communication Vicente Noble s Hospital (in Barahona) has severe damage to infrastructure, equipment and supplies, in addition there is flooding Government: INAPA informed that as preventive measure 84 aqueducts are out of service Electrical systems were severely affected COLOMBIA Government: An estimated 15,000 families have been affected 13,000 liters (approx. 3400 gallons) of potable water has been delivered by the Civil Defense as part UNGRD NEEDS Bahamas: Vector control supplies Jamaica: Water and sanitation supplies Haiti: Petit Goave Hospital requested essential medicines and supplies Acronyms ACF- Action Contre La Faim BHS- Bahamas COORD- Coordination DANA- Damage Analysis and Need Assessment DINEPA- Direction Nationale de l Eau Potable et de l Assannissement EMT- Emergency Medical Team EOC- Emergency Operations Center HTI- Haiti INAPA- Instituto Nacional de Aguas Potables y Alcantarillados LOG- Logistics MDM- Médicos del Mundo Argentina NGO- Non-Governmental Organization 4

NEMA- National Emergency Management Agency NEOC- National Emergency Operations Center PAHO- UNGRD- Unidad Nacional para la Gestión del Riesgo de Desastres WASH- Water, Sanitation, and Hygiene WHO- World Health Organization RRT: Regional Response Team Sources: CDEMA; OCHA; PAHO-HTI; PAHO-CUB; PAHO-BHS; PAHO-JAM; NOAA-NHC; DC COLOMBIA; FEMA; MPH-OEA; NEMA FOR MORE INFORMATION PLEASE CONTACT: eoc@paho.org Or visit: www.paho.org To be added or removed from this distribution list of situation reports, please email: eoc@paho.org 5