Update: Health Sector Response: Mega Earthquake 21 th Baisakh, 2072 (4 th May, 2015)

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1 Update: Health Sector Response: Mega Earthquake 21 th Baisakh, 2072 (4 th May, 2015)

2 SN Districts Total Health Workers Death Injured Death Injured Missing Remark 1 Sindhupalchowk Kathmandu Nuwakot Personnel came in contact 4 Dhading Gorkha Kavre Rasuwa Bhaktapur Lalitpur Dolakha Makwanpur Ramechhap Okhaldhunga Sindhuli Other districts Total Source: Government of Nepal, Disaster Risk Reduction Portal, NEOC, MOHA Overview of injuries and losses: Reported deaths and injuries status

3 Overview of injuries and losses: Household Losses SN Districts Damaged Completely Partially 1 Sindhupalchowk NA NA 2 Kathmandu Nuwakot Dhading Gorkha Kavre Rasuwa Bhaktapur Lalitpur Dolakha Makwanpur Ramechhap Okhaldhunga Sindhuli Others Distircts Source: Government of Nepal, Disaster Risk Reduction Portal

4 Overview of injuries and losses: Health Facilities Districts Total Health Faciliti es Complet ely damaged Hospitals PHCC S/HP Partially damaged Completely damaged Partially damaged Completely damaged Partially damaged Auurvedic Health Facilities Completely damaged Partially damaged Private and others Completely damaged Partially damage d Remarks Sindhupalchowk Kathmandu Nuwakot Dhading Gorkha Kavre Rasuwa Bhaktapur DPHO PD Lalitpur Dolakha Makwanpur Ramechhap Okhaldhunga Sindhuli Total

5 Health Sector Response : Treatment and care Total Cases SN District Total Treated Total Admitted Total Referred 1 BHAKTAPUR DHADING* DOLAKHA GORKHA KATHMANDU KAVRE LALITPUR MAKWANPUR NUWAKOT OKHALDHUNGA RAMECHHAP RASUWA SINDHULI SINDHUPALCHOK Total *Not updated for Dhading today.

6 Health Sector Response : Hospital Based Post Earthquake Surveillance District No. of hospitals OPD patients treated IPD patients treated Deaths Referred Surgical cases Major Makwanpur 3 (private) Dolakha 3 (private) Kathmandu 31 (6 public+19 private+3 community+1ngo+2 temporary) Minor Lalitpur 5 (1 public+4private) Bhaktapur 9 (1 public+5 private+3 temporary)

7 Health Sector Response : Hospital based surveillance for outbreak prone diseases District Trauma ARI Watery diarrhoea Bloody Diarrhoea Fever of unknown cause Makwanpur Dolakha Kathmandu Lalitpur Bhaktapur Note: Trends analysis will be performed after receiving data of at least three days.

8 Health Sector Response : Outbreak surveillance S.No. Districts Reported Disease/syndrome Affected VDCs Number of cases Date of report (To HEOC) Date of Response by RRT Response status 1 Kathmandu No 2 Bhaktapur No 3 Lalitpur No Conjunctivitis, Diarrhoea, fever Khaltebazaar Baisakh (2 May) 17 Baisakh (30 April) RRT mobilized, 161 cases treated. Controlled 4 Dhading Diarhhoea Sunaula bazaar Baisakh (2 May) 19 Baisakh (2 May) RRT mobilized, 30 cases of diarrhoea including 5 cases of dysentery treated. No surge in cases. 5 Nuwakot Diarrhoea Samundratar, Kaule and Halekalika NA 21 Baisakh (4 May) 21 Baisakh (4 May) RRT mobilized, rumor verified. No outbreak 6 Rasuwa No 7 Kavre Diarrhoea Balthali, Salal, Sunthan, Mithinkot, Panchkhal, Rabi Oti, Baluwa, Banepa, Kusadevi, Nala Baisakh ( 2 May) 18 Baisakh (1 MAy) RRT mobilized, 136 sporadic cases of mild diarroea treated. Controlled. Diarrhoea Falametar Baisakh (4 May) 21 Baisakh (4 May) Under verification

9 Health Sector Response : Outbreak surveillance S.No. Districts Reported Disease/syndrome Affected VDCs Number of cases Date of report (To HEOC) Date of Response by RRT Response status 8 Sindhupalchok No 9 Dolakha diarrhoea Baandare, Alampu, 55 Baisakh 19 ( ) 12 Baisakh RRT and FMT mobilized, all cases treated. Controlled. 10 Ramechhap Unknown Lakhanpur Not available Baisakh 20 ( ) 20 Baisakh ( ) RRT mobilized. HF damaged, health camp organized, 100 cases of minor injuries and general illness were treated. No outbreak detected. 11 Makwanpur Diarrhoea/Fever Thaha municipality and Namtar VDC 50 Baisakh 18 ( ) Baisakh 19 ( ) RRT mobilized, 5 cases treated. Event closed. 12 Gorkha Flu like and Diarrhoea Barpak-1, Saurpani- 8, Kharibot--3, Kashigaun, Klok Baisakh 18 ( ) Baisakh 18 ( ) District RRT, FMT and EDCD teams mobilized, and cases treated. Controlled. 13 Sindhuli Diarrhoea/Fever Kapilakot-2, 3, 4, 5, Baisakh 18 ( ) Baishakh 15 ( ) RRT mobilized, 463 cases of diarrhooea, ARI and general cases treated. Controlled. Event closed. 14 Okhaldhunga No

10 Medical team mobilization: Foreign Medical Team Deployment (to date) Districts Number of Foreign Medical Team Number of Doctors Number of Nurses Number of other team members Total team members Bhaktapur Chitwan Dhading Dolakha Gorkha Kathmandu Kavrepalanchowk Lalitpur Makawanpur Nuwakot Ramechap Rasuwa Sindhupalchowk Note: Grand Data Total only for whose registered and 85 most complete information: 829 About with very limited information 528 and 1600 unknown status, about 20 with missing registration documents, and a few which are yet to arrive but have been mapped.

11 Follow up on Foreign Medical Team Only 18 foreign Medical team were contacted in the field today (others could not be due to connection problem with the mobile) Most of the contacted Foreign Medical Team have been working and/or started to work in the deployed areas. Some FMTs have completed their agreed duration and returning back from areas of deployment (eg.dhaap, Jambu, Maniswara VDC). Some of the FMT have increased the duration of stay There are minor discrepancies among the deployed and their working area.

12 National Medical Team (NMT) Mobilization Districts Total NMT teams deployed Total Number of Doctors Total Number of Nurses Total Allied Health Personnel Total NMT Members Bhaktapur Gorkha Kathmandu Dhading Ramechap Sindhupalchok Dolakha Kavre Lalitpur Rasuwa Nuwakot Makwanpur Total Remarks One team will also be mobilized in Sindhupalchowk, Gorkha and Dolakha One team will also be mobilized in Sindhupalchowk, Gorkha and Dhading

13 Temporary hospital establishment SN Field Hospital location Support 1 Lagankhel India 2 Patan Stockpile 3 Army - Chhauni Israel 4 Bhaktapur Pakistan 5 Singhadurbar China 6 Teaching Hospital Stockpile 7 APF Hospital Stockpile 8 Nuwakot Bhutan 9 Sinamangal Indian Army 10 Barhabise, Sindhupalchowk Japan, JICA 12 Melamchi, Sindhupalchowk Czech Republic + Japan 13 Chautara, Sindhupalchowk Norway 14 Sipaghat (15 bed), Sindhupalchowk Thailand 15 Jalbire, Sindhupalchowk Germany 16 Dhulikhel, Kavre China 17 Gorkha Turkey 18 Arughat, Gorkha MSF France 19 Kharanitar, Nuwakot Qatar Redcross 20 Dhunche, Rasuwa (50 Bed) Canada + Norway

14 Logistics support medicine and other Districts Demand categories Status of Supply Remarks Bhaktapur 3,000 ORS packets were requested 18 common medicines and supplies were shipped by LMD, including 5200 ORS packets Gorkha Kathmandu 78 Special tents 20 tents 60 equipment sets of (BP set, stethoscope, ENT set, thermometers) 100,000 masks 1,000 Piyush Common medicines and supplies were shipped Total demands for tents were not met due to unavailability Limited equipment were supplied by UNICEF Limited supply of masks and Piyush were shipped due to low stock quantities Dhading 132 tents 1 large shipment of 72 types of medicines and supplies shipped by LMD 2 large tents supplied by UNICEF Kits for emergency medicines, equipment and surgery & 1 large tent supplied by UNICEF 18 items of medicines and supplies were shipped to APF Hospital Kits for emergency medicines, equipment and surgery supplied by UNICEF

15 Logistics support medicine and other Districts Demand categories Status of Supply Remarks Ramechap 60 tents 60 tents were not shipped due to unavailability Sindhupalchok 60 tents Large number of emergency medicines are requested 1 large shipment of 76 types of medicines and supplies were made by LMD Kits for emergency medicines, equipment and surgery & 7 large tents supplied by UNICEF Dolakha 200 tents HMIS recording and reporting forms 200 tents were not shipped due to unavailability Kavre 300 tents 300 tents were not shipped due to unavailability Ramechhap 60 tents 1 large tent supplied by UNICEF Kits for emergency medicines, equipment and surgery were supplied by UNCIEF

16 Logistics support medicine and other Districts Demand categories Status of Supply Remarks Lalitpur 23 tents 17 types of medicines and supplies were 10,000 masks shipped by LMD 10,000 gloves Tents were not shipped due to limited supply Masks and gloves were not shipped due to short supply Rasuwa Nuwakot None Makwanpur None Okhaldhunga Tents: 50 Mattresses: 50 1 large shipment of 69 types of common medicines and supplies were shipped by LMD Tents and mattresses were not supplied due to unavailability Kits for emergency medicines, equipment and surgery & 46 small tents supplied by UNICEF

17 Top twenty medicines and supplies shipped by Logistics Management Division as of 20-Baisakh-2071 (3 rd May) Quantities Drugs and Supplies distributed ORS 181,760 Tab Paracetamol 500 mg Cap Amoxycilin 250 mg Metronidazole 500 mg Tab. Diclofen Tab. B Complex Aquatab Metronidazole 400 mg Tab Domperidom Cap Amoxycilin 500 mg Tab. Ciprofloxin Tab. Cetrizine Amoxycillin 250 mg Tab Metronidazole 400 mg Cap Doxycycline Tab. Antispasmodic bandage Cap. Omeprazole 21910

18 THANK YOU

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