Daily Emergency and Response Situational Information Report 15 March, th March

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Regina Silvia Wells
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1 15 th March

2 NOTE immap compiles these reports from the specified data sources and endeavors to get the most uptodate and accurate figures available. immap and USAID do not take any ownership or responsibility of the data accuracy in this report. Abbreviations AJK AWD ARI BD CDCP CMAM CVH CL EPI FDMA FATA FFW FFT GFD GB IDP IOM KPK MUAC MAL MAM NFIs OAD OTH PDMA PRCS PS PLC PN PUO SWA TLC UC Azad Jammu and Kashmir Acute Watery Diarrhea Acute Respiratory infections Bloody Diarrhea Citizen s Damage Compensation Programme Community Management of Acute Malnutrition Chronic Viral Hepatitis Cutaneous Leishmaniasis Expanded Programme for Immunization Fata Disaster Management Authority Federally Administered Tribal Areas Food For Work Food For Training General Food Distribution GilgitBaltistan Internally Displaced Persons International Organization for Migration Khyber Pakhtunkhwa Mid Upper Arm Circumference Confirmed Malaria Moderate Acute Malnutrition NonFood Items Other Acute Diarrhea Other diseases Provincial Disaster Management Authority Pakistan Red Crescent Society Protection Services Protective Learning and Center Pneumonia Pyrexia Unknown Origin South Waziristan Agency Temporary Learning Centers Union Council

3 Contents Tharparkar Drought Situation Updates... 4 Tharparkar District... 4 Affected Area of Tharaparkar... 4 Overview of the Drought Situation as of 14 March, Relief Provided in Tharparkar as of 14 March Medical Relief... 5 No. of Persons Treated In Different Talukas of District Tharparkar... 5 VETERINARY... 5 Relief Tharparkar Drought 2014 as of 14 March 2014 (1500 Hrs)... 6 Tharparkar Drought Relief Activities Map as on 14 March, Drought Situation Update By Rehabilitation Department, Government of SINDH as of 14 March, Tharparkar Drought Situation Report as of 14 March, Tharparkar Drought Situation Report Map as on 14 March, Consolidated Statement of Relief Goods Dispatched to Drought Affected Districts (as of ) Relief Provided By Rehabilitation Department, Sindh Government Drought Condition Status Report (2030 Hours) Daily Report of District Health Office Tharparkar at Mithi as of 14 MARCH, Death Detail as of 14 March Daily Report of Deputy Director Livestock Tharparkar at Mithi as of 14 MARCH, Updates and Activities of Different Organizations in Tharparkar as of 14 March, Response by HANDS in Tharparkar as of 15 March, Data from THQ Hospital Nagarparkar Rapid Assessment Done By HANDS as Of 15 March Merlin activities in District Tharparkar as of 14 March, Morbidity Pattern Nationwide Emergency Response Situation Confirm Polio Cases in Pakistan as of 15 March, Weather Forecast (1617 March 2014)... 17

4 Tharparkar Drought Situation Updates Tharparkar District District Tharparka lies in to east longitudes and to north latitudes. This district is bounded by India on the East, Rann of Kuch on the South, district Umerkot on the north and district Badin and Mirpurkhas on the west. The district is mostly desertlike and consists of barren tracts of sand dunes covered with thorny shrubs. Since the district is a desert, sweet water is scarce and is available only in some areas of Nagarparkar and Chachro while, in rest of the areas, people consume brackish water. The taluka of Nagarparkar is relatively fertile. No of Talukas 06 No of Union Councils 44 No of Mouuzas 166 Source: Deputy Commissioner Officer, Tharparkar Nowadays, Tharparkar is facing intense drought situation which has affected livelihood, livestock and population of the district. PM Nawaz Sharif has declared Tharparkar district as a Calamity hit district. Area of Tharparkar affected Affected Area of Tharaparkar (19,638 Sq. Km) Affected Areas Mithi Islamkot, Dahli Source: National Disaster Management Authority as of 13 March, 2014 Diplo, Chachro, Overview of the Drought Situation as of 14 March, 2014 NDMA is coordinating the National Response comprising all agencies. 24 Composite mobile teams, including health officials, Army personnel, livestock representatives and individuals undertaking ground assessment are reaching out to all the UCs. A Joint Coordination Centre has been established at Mithi, which is jointly manned by NDMA, PDMA Sindh, and District Administration along with representation from the Army. Source: National Disaster Management Authority (Prime Minister s Office) ISLAMABAD as of 14 March, 2014

5 Relief Provided in Tharparkar as of 14 March 2014 Prime Minister of Pakistan announced relief package of Rs. 1 Billion for the affectees Govt. of Sindh mobilized 120,000 wheat bags (50 kg each) worth Rs. 429 Million Compensation announced by the Provincial Government for Rs 200,000 each child having died during the calamity Source: National Disaster Management Authority (Prime Minister s Office) ISLAMABAD as of 14 March, 2014 Medical Relief 40 Medics & Paramedics from Hyderabad District along with 2 trucks of Medicine have reached the area 10 Doctors from various Hospitals / Medics / Paramedics from Neighboring districts have also been deputed for Emergency duties Fund released by the Provincial Government to District Rs 30 million Hospital Mithi for facilities and medicine. Number of medical camps established by the Army 06 (with one each at Diplo, Chachoro, Mithi, Nagarparkar, Khinser and Islam Kot) Number of doctors employed in these medical camps 10 doctors (including lady doctors and child specialists) Number of Nursing staff employed 42 Medicine distributed 16.5 Source: National Disaster Management Authority (Prime Minister s Office) ISLAMABAD as of 14 March, 2014 No. of Persons Treated In Different Talukas of District Tharparkar Taluka No. of Persons Treated Male Female Children Total Mithi 1,258 1, ,456 Chachro 1,363 1,942 1,100 4,405 Dahli ,674 Diplo ,173 Islam Kot ,604 Nagar Parkar ,284 Total 5,206 6,479 3,911 15,596 Source: National Disaster Management Authority (Prime Minister s Office) ISLAMABAD as of 14 March, 2014 VETERINARY Animal Deaths 2,011 Major Causes of Animal Death Sheep Pox No of mobile vaccination teams employed 15 Animals treated/vaccinated 2,141,881 Source: National Disaster Management Authority (Prime Minister s Office) ISLAMABAD as of 14 March, 2014

6 Planned Enroute Reached Planned Enroute Reached Planned Enroute Reached Planned Enroute Reached Planned Enroute Reached Planned Enroute Reached Planned Enroute Reached Daily Emergency and Response Situational Information Report 15 March, 2014 Relief Tharparkar Drought 2014 as of 14 March 2014 (1500 Hrs) Items NDMA PDMA Sindh PDMA Balochistan PDMA Punjab PDMA KP Armed Forces Total CSOs Wheat bags 120,000 bags (6,000 ) 60,824 bags (3, ) 10,000 bags (200 ) 10,000 bags (200 ) 6,200 3,241.2 Food packs Rice 97,000 bags (4,850 ) 5,350 bags (267.5 ) 30,000 bags (1,500 ) 320 (50 kg bags) 13,000 bags (650 ) 320 (50 kg bags) 1,000 (50 kg bags) 1,000 (50 kg bags) 11,600 (249.4 ) 75 6,400 (137.6 ) 5,200 (111.8 ) Miscellaneous food items Mineral 14,000 14,000 40,000 40,000 Water bottles bottles bottles bottles Biscuits/HE Biscuits/ Cerelac /ORS/Milk packs 75 Source: National Disaster Management Authority (Prime Minister s Office) ISLAMABAD as of 14 March, ,00 0 bottles 35,000 packs ,00 0 bottles 35,000 packs 20,000 bottle s 12,000 packs 7, ,000 bottles 47,000 packs 1, ,000 bottles 47,000 packs

7 Tharparkar Drought Relief Activities Map as on 14 March, 2014

8 Drought Situation Update By Rehabilitation Department, Government of SINDH as of 14 March, 2014 Source: PDMA, Sindh as of 14 March, 2014 Number of persons treated in fixed and mobile hospitals today Number of persons treated in Tharparkar 7,951 Number of persons treated in Umerkot 1,299 Number of persons treated in Sanghar 371 Number of cattle heads treated/vaccinated today Number of cattle heads treated/vaccinated in 8,817 Tharparkar Number of cattle heads treated/vaccinated in 4,328 Umerkot Number of cattle heads treated/vaccinated in Sanghar 3,955 One child in Mithi expired today due to Pneumonia. PDMA Sindh dispatched 1,000 family ration bags to Islamkot. Supply of another 5,000 family ration bags will be made tomorrow. Total number of families provided wheat bags in 146,674 Tharparkar till to date 5 trucks carrying relief goods like ration and mineral water dispatched yesterday for Umerkot drought affectees have reached Umerkot for their distribution amongst drought affectees. Today, another consignment of relief goods received at Relief Collection Camp at Karachi has been dispatched to Umerkot with the following composition Wheat Flour (10 kg) Family Ration Bags Ghee (2.5 kg) Mineral Water (0.51) Mineral Water (6.01) Juice & Milk Biscuits & Rusk PDMA Camp Office at Mithi and PEOC at Head Office Karachi are functional round the clock. The Secretary Rehabilitation visited the drought affected areas of Tharparkar and Umerkot districts. 735 Bags 876 Bags 55 Packs 70 x 48 bottles 470 bottles 51 Packs 40 Packs

9 COPD, Pneumonia, fever, Bullousdis Copa Taluka No of persons affected No. of Families Affected Male Female Children Total Causes of Death Male Female Children Total Affected Perished Treated/ Vaccinated Daily Emergency and Response Situational Information Report 15 March, 2014 Tharparkar Drought Situation Report as of 14 March, 2014 No. of Person Died from to No. of Persons Treated Cattle head from to District No. of Persons Migrated Mithi 40, , ,537 11, ,018 Tharparkar Diplo 38, , ,596 Islamkot 46, , ,754 Chachro 46, , ,660 5, ,175 Dahli 45,141 4, ,795 N. Parkar 43, ,062 7, ,964 SubTotal 259, ,781 3,259 1,911 7,951 42,511 2,011 2,188,302 Umerkot Umerkot (25 dehs only) Sanghar khipro Sanghar 167,229 33, ,299 4,328 As on As on ,258 1,697 SubTotal ,955 GrandTotal 293, ,671 3,938 2,334 9,943 42,511 2,011 2,196,585 Source: PDMA, Sindh as of 14 March, 2014

10 Tharparkar Drought Situation Report Map as on 14 March, 2014

11 Consolidated Statement of Relief Goods Dispatched to Drought Affected Districts (as of ) Relief Goods Tharparkar Umerkot Total POMA Sindh Family Ration Packs 10,500 10,500 Rice (50Kg bags) Donations Raised by PDMA Sindh at Relief Collection Camp Karachi Family Ration Packs 876 bags 876 bags Family Ration Packs 5 Tons 5 Tons Mineral Water 20 Tons 20 Tons Wheat Flour (10 Kg Bags) 735 Bags 735 Bags Ghee (2.5 Kg) 55 Packs 55 Packs Mineral Water (0.5 Ltr) 3,360 Bottles 3,360 Bottles Mineral Water ( 6 ltr) 470 Bottles 470 Bottles Milk and Juice 51 Packs 51 Packs Biscuits and Rusk 40 Packs 40 Packs PDMA KP Rice (10Kg bags) 60 Tons 60 Tons Wheat Flour 10,000 Bags Bags Sugar 30 Tons 30 Tons Pulses 60 Tons 60 Tons Black Tea 10 Tons 10 Tons Cooking Oil 5000 Tin 5000 Tin Mineral Water 100,000 Bottles 100,000 Bottles Salt 1ton 1ton Dates Biscuits 15,000 Packs 15,000 Packs ORS 10,000 Packs 10,000 Packs Dry Milk 2,000 Packs 2,000 Packs Cerelec 5,000 Packs 5,000 Packs High Energy Biscuits 5,000 Packs 5,000 Packs PDMA Balochistan Rice (50 Kg bags) 10,000 10,000 Armed Forces Family Ration Packs Tons Tons Family Ration Packs 5,350 N D M A C I v I l S o c I e t y O r g a n I z a t I o n Mineral Water (KCCI) 20,000 (bottles 20,000 (bottles High Energy Biscuits (LU) 12,000 Packs 12,000 Packs 5,350 Source: PDMA, Sindh as of 14 March, 2014

12 Tharparkar Daily Emergency and Response Situational Information Report 15 March, 2014 Relief Provided By Rehabilitation Department, Sindh Government Drought Condition Status Report (2030 Hours) District Taluka Allocation Wheat b a g s previous Distributed Wheat b a g s Distributed on Total Distributed No. of families entertained Balance Mithi Islamkot Diplo Chachro Dahli N. Parkar 1 6, , , , ,232 1, , , , , , ,137 10, ,770 5,138 14, ,9 22 2, , , , ,3 85 1, ,,175 28, , , ,100 7, , ,6 1 9 Total 87,500 60,824 12,513 73,337 14, ,163 Source: PDMA, Sindh as of 14 March, 2014

13 Under 5 years Above 5 years Total Under 5 years Above 5 years Total Under 5 years Above 5 years Total Total No of malnourished cases under 5 years No of children admitted Nutrition stabilizing center (NSC) Under 5 years Above 5 years Total Fixed Mobile Fixed Mobile ASV ARV Sufficient stock of essential Medicines available Yes/No Daily Emergency and Response Situational Information Report 15 March, 2014 Daily Report of District Health Office Tharparkar at Mithi as of 14 MARCH, 2014 Name of Health Facilities Total Admissions No. of cases attended OPD No. of cases referred Total No of Deaths No of camps No. of Patients treated Stock position of vaccines CH MITHI y THQ Diplo y THQ y Nagerparkar THQ Chachro y RHC Islamkot y Mobile y Camps TOTAL ,377 3, ,169 2, Source: District Health Office Tharparkar as of 14 March, 2014 Death Detail as of 14 March 2014 Health Facility Name Age Adress Cause of Death CH Mithi Baby boy 02 day Shahmir Vikya Sepsis + Pneumonia Bachan bai W/o Umer 60 year Mithi Cor Pulmonle CH Mithi Bhamro S/o Chndo 55 years Neniser COPD Source: District Health Office Tharparkar as of 14 March, 2014

14 Daily Report of Deputy Director Livestock Tharparkar at Mithi as of 14 MARCH, 2014 Kind of Livestock Total Population Kind of Vaccine Total Population 4,593,598 Grand Total Animals Benefitted Source: Deputy Director Livestock Tharparkar at Mithi as of 14 March, 2014 Treated/Vaccinated Previously Treated/Vaccinated on 14/03/2014 G. Total Work Done Died Previous Today Total Small Animals Sheep Pox 526,801 6, ,450 Sheep 1,185,122 PPR 663,581 4, ,122 1, ,707 Goats 2,217,876 CPP 487,389 11, , Total 3,402,998 ETV 242, ,371 Large Animals Anthrax. 19, ,578 Animals Treated 27, ,554 Drench 80, ,345 Sub Total 2,047,891 22,966 2,070,857 Cattle 752,265 H.S 59, , Buffalo 46,328 Black Quarter Camel 135,356 FMDHS 29, ,802 Horses & Mules 9,994 Animals Treated 14, ,736 Ass 246,657 Drench 35, , Total 1,190,600 Sub Total 140,416 1, ,456 Village Covered 1, ,055 2,188,307 24,006 2,212,313 2, ,019

15 Daily Emergency and Response Situational Information Report 15 March 2014 Updates and Activities of Different Organizations in Tharparkar as of 14 March, 2014 Response by HANDS in Tharparkar as of 15 March, 2014 In response to the emergency HANDS teams started gathering second hand information about the drought situation. Following points were observed; As per DHQ hospital record, a Total of 22 deaths were recorded in the Last one month. Mostly neonatal deaths occurred and the major cause was Sepsis/ Birth asphyxia. Out of 22, 05 deaths of preterm babies probably caused maternal malnutrition. Other cases were: 1 case of NNT, 06 Pneumonia, 02 VSD & 02 Diarrhea Month / Year Data of Children < 5 Years age A dmitted and Deaths at CIVIL HOSPITAL MITHI from January 2014 to February, 2014 Total Admission (Adults/Children) Admission of Children Under 5 years Death of Children Under 5 years JAN FEB MARCH 2014 (till 15 th March) No Data No Data 08 Total (2014) 1, Source: Data taken from EDO Health by focal person Raheem Mari of HANDS org Age/Year Cases Age/Year Cases Under 6 Above Source: Data taken from EDO Health by focal person Raheem Mari of HANDS org Data from THQ Hospital Nagarparkar Date Malnutrition Cases Labor Room Cases LBW Mortality Dec Dec No Data Jan Jan Feb Feb Source: Data taken from THQ Nagarparka by focal person Raheem Mari of HANDS org Rapid Assessment Done By HANDS as Of 15 March 2014 Low rainfall has caused crop failure, which coupled with outbreak of sheep pox epidemic in small livestock, has affected household food security. A huge loss of livestock is being reported in the areas, that is one of the biggest sources of livelihood for the people. Although food is available in the nearest markets but people don t have adequate power of purchase. People are also facing high cost of transportation in most of the areas; therefore they are unable to reach health facilities. Cases of mortility of Peacock are also reported due to rani Khaet disease, which was also reported last year. As per focus group discussions conducted at different villages: Villagers are unable to pay for the transport to buy food or to reach hospital. It costs about 8005,000/ to reach District Headquarter or nearest hospital facility where they could get proper treatment. Livestock being main source of income was used either to get food supplies or was sold in such situations. 15

16 Daily Emergency and Response Situational Information Report 15 March 2014 HANDS Tharparkar team has established mobile medical camps under HANDS CMAM Project funded by Unicef, with intervention areas in 20 Union Councils of Taluka Mithi including islam Kot and Diplo Talukas in collaboration with District Health department. With essential medicines, till date a total of1,332 patients were treated through mobile medical camps. Screening Results under HANDS CMAM Project, funded by UNICEF No of Villages Screening SAM SAMComplicated MAM PLW 11 1, (With LBW Anemic & Fever) Source: HANDS organization Merlin activities in District Tharparkar as of 14 March, 2014 Communitybased Management of Acute Malnutrition (CMAM) CMAM activities were carried out in 06 Union Councils: Diplo, Chacro, Chelar, Khensar, Nagarparkar and Pillu Total number of children screened 32 No of children with Moderate Acute Malnutrition (MAM) 10 No of children with Severe Acute Malnutrition (SAM) 3 No of malnutrition children cured by treatment, given by 11 Merlin 10 MAM children were registered in SFP program and supplies were provided 3 SAM children were referred for further management 83 already registered malnourished children were provided Follow ups and due supplies Villages that received Medical care through Merlin Bhorilo, Sukharo, Kanahari Paro (Kamarhar), Sabhari, Onero and Mal Ji Wandhiyo Total no of Children examined 156 (<05) Children suffering from Fever 30% Children having Respiratory Infection 55% Children suffering from Diarrhea 13% Other problems 2% Merlin provided Medical Care to all these examined children and treated them Source: Merlin focal person Dr.Zahida (project cocoordinator) information shared on 15 March, 2014 Morbidity Pattern Worms, 2% Fever, 30% Respiratory infection, 55% Diarrhea, 13% 16

17 Daily Emergency and Response Situational Information Report 15 March 2014 Nationwide Emergency Response Situation Confirm Polio Cases in Pakistan as of 15 March, 2014 Province/ Region/ Agency Number of Infected Total Cases Districts/ Area Baluchistan FATA 2 23 Khyber Pakhtunkhwa 2 3 Punjab Sind Gilgit Baltistan Total 26 Source: EPI Weather Forecast (1617 March 2014) Cities Sunday Monday Karachi Mostly Sunny Partly Cloudy Lahore Mostly Sunny Partly Cloudy Thunder Rain Islamabad Partly Cloudy Partly Cloudy Thunder Rain Peshawar Partly Cloudy Thunder Rain Partly Cloudy Thunder Rain Quetta Partly Cloudy Thunder Rain Mostly Sunny Gilgit Baltistan Partly Cloudy Thunder Rain Partly Cloudy Thunder Rain Source: Pakistan Metrological Department 17

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