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Java Earthquake WHO update, 28 May 2006 As an update on our first message of Saturday 27 May 2006, we can provide the following information: The current figures indicate about 3,500 dead and around 7,000 injured; reportedly at least 1,500 very serious patients need medical evacuation (all figures are still to be confirmed). There are no exact numbers on the displaced. However, prior to the earthquake, in the province there were 29,000 IDPs/Evacuees as precautionary measure against the possible eruption of Merapi. New and more solid figures are expected to come from OCHA later. The Bantul District, south of Yogyakarta, with a population about 790,000, is the worst hit with 80% of houses (approximately 4,000) destroyed. At least one of the six hospitals in the District is destroyed. Hospitals and health facilities are overwhelmed. The priority needs in terms of medical skills are surgeons, both general and orthopaedics surgeons. The Ministry of Health (MoH) has started mobilizing medical and health teams from various parts of the country to address needs. Some are already in Yogyakarta and others are on standby. The MoH plans to deploy more than 200 doctors and nurses to the affected areas. At a meeting in Djakarta, today at 13:30, the Minister of Health provided a brief on the following: 1. The emergency phase is expected to last for seven days only, starting from yesterday, Saturday 27 May. 2. Mass measles immunizations will start in two days. Vaccines are available and easily mobilized. 3. As a matter of Government policy: Indonesia does not need human resources from other countries. Medicine and supplies are welcome. International partners that are already in the country, even the Malaysian and Singapore teams that have just arrived on site are welcome, but nobody else at this stage at least. 4. There is an urgent need to evacuate the 1,500 severe patients (see above) to other cities. Ambulances are needed. 5. Precise information on residual hospital capacities, etc, is not yet available. Field hospitals are needed and the Government may ask for additional equipment, but, again no personnel to go with it. 6. With WHO assistance, MOH will replicate in Yogyakarta the disease surveillance system that proved very effective last year in Aceh. 7. Ten mobile clinics are needed and doctors and nurses are overwhelmed and need substitutes. MoH is already taking action and WHO is providing financial support. The relevant units will compile a clear statement of the need of human resources to avoid duplication in sending doctors, nurses from different provinces. 8. A "Mini-MOH" is being established in Yogya (in RS Sardjito). The team will consist of senior staff from each Health Directorate and focal points/coordinators from each affected district. WHO will support operational costs. 9. Line ministries will start tomorrow an inter-sectoral, cross-level (local, district, province, Central) need assessment. MoH is developing its own tools and the MoH team will be dispatched in the next 2 days. 10. Attention should be put on environmental health and sanitation, especially for IDPs. Watsan is poor and WHO is assisting in this area. As of now, WHO-Indonesia has already made available to the Ministry of Health its experts, supplies - three new emergency health kits and two surgical kits that are being moved into the affected area by military flights and by road, by WHO itself. Three WHO 4x4 vehicles moved to Yogyakarta today, loaded with medicines and carrying also communication equipment. Two national WHO staff are in Yogyakarta. Others, national and international are on stand-by in Jakarta. More medical and surgical supplies are in stock in WHO warehouse in Medan. At this stage, WHO's need for additional external assistance seems to consist in funding, to replenish local stocks and to pay for local recruitments, contractual services and operational costs. CONTACTS: in Jakarta: WR - Dr Georg Petersen, phone 62215201166; Dr Vijai Nath, phone: 62 811 933 821; M. Tomaszek, GPN: 23943 Mobile: +62 811 892 607. In Delhi: Dr Luis Jorge Perez, Regional Adviser EHA, phone: 91 9810 295949; Dr Roderico Ofrin, technical officer, phone 91 98186 88089. In Geneva: Dr Alessandro Loretti, Coordinator, HAC/ERO,GPN 12750 Mobile 41 79 218 98 00.
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