A. Cluster Details
1 . Lead Organization:  Department of Health / World Health Organization
2 . Cluster Website:
3 . Focal Point Contact Details: 
Dr Gerardo P Medina
Technical Officer Emergency and Humanitarian Action WHO
Mobile # 0908 863 3163
Landline 02 528 9765
Email: medinag@wpro.who.int
B. Reporting Period
1 . Report Number:  HC Sit Rep No. 19 
2 . Report Date: 3 April 2013
3 . Time Period Covered: 18-31 March 2013  
C. Humanitarian Situation 
From the DOH Health Emergency Alert Reporting System (HEARS) Update as of 26 March 2013, the casualties from Typhoon Pablo remain at 1,146 deaths, 2,956 injured, and 834 still missing. No new fatalities were added to the official list of the DOH for this reporting period.
In Compostela Valley:
Five identified priority municipalities for Typhoon Pablo response remains Compostela, Laak, Montevista, Monkayo and New Bataan. According to the Camp Coordination and Camp Management Cluster, there are still 48 evacuation centers existing: New Bataan (16 EC, housing 711 families), Compostela (8 EC, housing 343 families), Monkayo (13 EC, housing 118 families), and Laak (4 EC, housing 23 families).
Of the 102 damaged health facilities in the province, only two have been reported to have been rehabilitated- New Bataan’s RHU and its Cabinuangan BHS. All the other reported damaged health facilities from Compostela, Laak, Montevista, Monkayo and New Bataan, remain under temporary or partial repair. Some 10 health facilities remain non-functional: Laak (7- BHS in Aguinaldo, II Papa, Kidawa, Langtud, Melale, Sto Nino, and Kagawasan); Monkayo (Tubo-tubo and Baylo BHS), and; BHS Panasalan in Compostela municipality. The Andap BHS in New Bataan is now providing health services with local health staff supported by the IOM. The WHO and the Philippine Red Cross (PRC) have committed to provide basic medicines, medical and non-medical supplies to pre-identified BHS.
All health services in the community are currently provided by the local health staff, complemented by IOM and PRC who adopted evacuation centers in Compostela and New Bataan. These health services include medical consultations; pre- and post-natal checkups; deliveries; EPI and tetanus toxoid vaccinations; Vitamin A supplementation. Referral system continues to function as patients needing higher level of care have been taken in from the BHS to the RHU. Compared to the first two months after Typhoon Pablo wherein only 60% to 80% of the barangays were visited at least twice a month, for the month of March 90% of the barangays (except for areas with no access to transportation) in the five priority municipalities recorded to have been visited at least once a week by the local health staff.
Davao Oriental:
Health services in the Boston-Cateel-Baganga (BBC) area are steadily being rendered more and more by local health staff, assisted by mobile health teams in rendering healthcare in more far-flung areas. A number of key health facilities are undergoing repair supported by the LGU, DOH, and cluster partners like MERLIN, ICRC, and IOM. The RHUs have gone back to rendering OPD consultations at the beginning of March, which most likely increase the demand for in-patients services at Cateel District Hospital. There are already noted cases of patients needing secondary/tertiary psychiatric interventions from BBC. The closest referral facility is in Davao City SPMC Mindanao Centre for Psychiatry and Behavioural Medicine.
Disease Surveillance:
Surveillance in Post Extreme Emergencies and Disasters (SPEED) reporting continues to be used for monitoring health conditions in the affected areas. Top health conditions prompting consultation in Compostela Valley and Davao Oriental continue to be acute respiratory infections, high blood pressure, fever, wounds and bruises, acute watery diarrhea, and skin diseases. Partners likewise report other reasons for consultation which include myalgia, UTI, gastritis, among others. Health conditions reported via SPEED warranting special attention include acute malnutrition, suspected measles, suspected meningitis.
For the reporting period, the three leading causes of admission in the Cateel District Hospital are acute respiratory infections, acute gastroenteritis with dehydration, and normal spontaneous vaginal deliveries (NSVD).