26
ESF-8 PLANNING AND RESPONSE PROGRAM UPDATE (HAITI EARTHQUAKE) Background Current Situation GOVERNMENT OF HAITI Government of Haiti website: www.haiti.org Government of Haiti Information Center INTERNATIONAL ORGANIZATIONS Pan American Health Organization RELIEFWEB UNICEF One Response World Food Programme Global Logistics Cluster Shelter Cluster IRIN US GOVERNMENT ORGANIZATIONS The Department of State U.S Embassy in Haiti State Dept.'s DipNote on Twitter State Dept. Background Note U.S. Agency for International Development OFDA USAID Country Profile CIA World Fact Book The Department of Defense US Southern Command The Department of Homeland Security U.S. Coast Guard The Department of Health and Human Services Centers for Disease Control and Prevention RELIEF ORGANIZATIONS AmeriCares American Red Cross CARE Charity Navigator Doctors Without Borders Mercy Corps OXFAM Partners in Health Save the Children KEY LINKS AS OF: 1200 EST 2 MARCH 2010 Logistics Water And Sanitation Hospitals and Clinics Shelters Public Health Food Health Cluster GoH Haiti Haiti in the Media Cluster Information Coordination Links Protection

(HAITI EARTHQUAKE) - PAHO

Embed Size (px)

Citation preview

ESF-8 PLANNING AND RESPONSE PROGRAM UPDATE

(HAITI EARTHQUAKE)

Background

Current SituationGOVERNMENT OF HAITI

Government of Haiti website wwwhaitiorg

Government of Haiti Information Center

INTERNATIONAL ORGANIZATIONS

Pan American Health Organization

RELIEFWEB

UNICEF

One Response

World Food Programme

Global Logistics Cluster

Shelter Cluster

IRIN

US GOVERNMENT ORGANIZATIONS

The Department of State

US Embassy in Haiti

State Depts DipNote on Twitter

State Dept Background Note

US Agency for International Development

OFDA

USAID Country Profile

CIA World Fact Book

The Department of Defense

US Southern Command

The Department of Homeland Security

US Coast Guard

The Department of Health and Human Services

Centers for Disease Control and Prevention

RELIEF ORGANIZATIONS

AmeriCares

American Red Cross

CARE

Charity Navigator

Doctors Without Borders

Mercy Corps

OXFAM

Partners in Health

Save the Children

KEY LINKS

AS OF 1200 EST

2 MARCH 2010

Logistics

Water And Sanitation

Hospitals and Clinics

Shelters

Public Health

Food

Health Cluster

GoH Haiti

Haiti in the Media

Cluster Information

Coordination Links

Protection

BACKGROUND

UN Office of the Special Envoy for Haiti ndash 01 MAR 2010

Direction de la Protection civile Rapport de situation 14 ndash 28 FEB 2010

Note this situational report was translated and

information used may not represent the original information

bull A series of major earthquakes struck Haiti on 12 January in

the area around the capital Port-au-Prince The strongest of

these occurred at around 1700 hrs local time and was

reported at 7 on the Richter scale

bull The earthquake is estimated to have killed 230000 people

and displaced more than 12 million people into spontaneous

settlements and an additional 76800 people into organized

sites 597801 people have migrated from Port-au-Prince to

outlying departments with the majority an estimated

162509 going to Artibonite and an estimated 160000

persons to the border area with the Dominican Republic

bull The most affected cities are Port-au-Prince Carrefour and

Gressier (40-50 destroyed) Jacmel (50-60) and Leogane

(80-90) Major damage had been reported to buildings

infrastructure hospitals and schools Communications are

difficult roads and bridges have been considerably

damaged as well as roads connecting rural areas to cities

bull According to a study by the Inter-American Development

Bank (IDB) the cost of rebuilding Haitis homes schools

roads and other infrastructure could be nearly $14 billion

bull The United Nation multi-national response to this disaster

has been organized into Clusters that are similar in

construct though not the same as Emergency Support

Functions (ESF) in the US National Response Framework

A US Sailor plays patty cake with a

young girl at the New Life Childrens

Home in Port-au-Prince Source MC2 Kim Williams from USSOUTHCOM

Workers with the Bouddhiste Tzu Chi

Foundation hand out 2000 blankets and

tarps to Haitian citizens Source MCC Robert Fluegel from USSOUTHCOM

CURRENT ASSESSMENT

HAITI

NotA Major ConcernCurrently

Working ButInadequate

GenerallyIneffective

Non-FunctionalorDestroyed

SITUATION

Unknown

BR

PUBLIC HEALTH

MEDICAL OPERATIONS

PUBLIC HEALTH

A R BG

HAITI

OVERALL PHMEDICAL ASSESSMENT

G G G G GAAAA A

A A A A AR R RR

bull During his 01 MAR call with UN Cluster heads President

Clinton encouraged the provision of shelter and sanitation

for larger numbers of Haitians the development of

hurricane-proof safe houses in each temporary camp and

the expansion of cash-for-work programs to involve more

Haitians in relief operations

bull President Clinton also highlighted specific ideas to

strengthen agriculture in advance of the rapidly-

approaching planting season provide fuel-efficient stoves

for Haitian households that use recycled materials for fuel

and employ Haitian women in the assembly of the stoves

and the recycling process strengthen the protection of

women children and other vulnerable groups procure

more tents and latrines and expedite the payment of

Haitian doctors and civil servants

bull This week two new aftershocks of magnitudes 47 have

been recorded 22 and 23 FEB by the United States

Geological Society Because of these shocks already

damaged structures will weaken further Aftershocks

could continue for months Reconstruction should take

this threat into account Individuals and authorities must

act to protect themselves

NOTES

bull Systems that will help get rid of debris while

covering a basic need such as stove construction

should be developed and implemented Care should

be taken to teach what materials are safe to burn

bull Reconstruction provides the unique opportunity to

rebuild Haitian cities in ways that will protect the

inhabitants in the future Adherence to as many

building codes as is possible will help create an

earthquake-ready city

URBAN SETTLEMENTS NEED AND NUTRITION SERVICE DELIVERY RESPONSE

HIGH RESOLUTION

THE GOVERNMENT OF HAITI

bull Haitis government says the quake described by some experts as the deadliest natural disaster in

modern times may have killed up to 300000 people and left more than a million homeless

bull The Government is working closely with Health Cluster partners on the health aspects of the

Governmentrsquos Post Disaster Needs Assessment (PDNA) The Ministry of Health has joined the PDNA

meetings and all departments are participating actively The PDNA draft will be reviewed at a meeting of

partners on 16-17 March in the Dominican Republic This will be followed by a final meeting in New York

on 21 March of all the major partners including the Government of Haiti the World Bank the Inter-

American Development Bank the UN and the European Commission

bull The Ministry of Health and the National Crisis Commission are working with Health Cluster partners on a

primary health care strategy that will outline a basic package of services for provision of primary health

care

bull The Ministry of Health has requested that the Health Cluster assemble clearer information on the health

situation in the country The Information Cell formed in response to this request held its first meeting on

19 February and began work on 25 February The aim is to gather all available health information in a

central location and to identify gaps The type of information will include epidemiological surveillance

the availability of health services (ie what is up and running what is damaged) and where displaced

people can access these services

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

THE GOVERNMENT OF HAITI (CONT)

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray

machines and other radiology equipment have been received in Haiti and will be

distributed to hospitals The equipment was formally handed over to the Ministry of Health

at a press conference at Friday 26 February This is a joint effort between the International

Atomic Energy Agency and PAHOWHO to re-establish and reinforce basic radiology

services in public facilities or institutions closely working with the Ministry of Health

bull The European Commission is making euro100 million available for early non-humanitarian

assistance focusing notably on restoration of governments capacity to operate

effectively Together with the Haitian authorities the team has made proposals for priority

areas of support which cover reconstruction of government buildings support for

education and governance budget support and strengthening disaster preparedness

mechanisms First payment of 5 Meuro budget support to pay public administration salaries

was foreseen before the end of February

NOTE As demonstrated by the provision of radiology equipment lessons learned from previous

disasters are important to study and reflect on in each phase of recovery Lessons learned during this

crisis should also be analyzed and corrected for constantly allowing more effective aid and recovery

efforts to be provided

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

BACKGROUND

UN Office of the Special Envoy for Haiti ndash 01 MAR 2010

Direction de la Protection civile Rapport de situation 14 ndash 28 FEB 2010

Note this situational report was translated and

information used may not represent the original information

bull A series of major earthquakes struck Haiti on 12 January in

the area around the capital Port-au-Prince The strongest of

these occurred at around 1700 hrs local time and was

reported at 7 on the Richter scale

bull The earthquake is estimated to have killed 230000 people

and displaced more than 12 million people into spontaneous

settlements and an additional 76800 people into organized

sites 597801 people have migrated from Port-au-Prince to

outlying departments with the majority an estimated

162509 going to Artibonite and an estimated 160000

persons to the border area with the Dominican Republic

bull The most affected cities are Port-au-Prince Carrefour and

Gressier (40-50 destroyed) Jacmel (50-60) and Leogane

(80-90) Major damage had been reported to buildings

infrastructure hospitals and schools Communications are

difficult roads and bridges have been considerably

damaged as well as roads connecting rural areas to cities

bull According to a study by the Inter-American Development

Bank (IDB) the cost of rebuilding Haitis homes schools

roads and other infrastructure could be nearly $14 billion

bull The United Nation multi-national response to this disaster

has been organized into Clusters that are similar in

construct though not the same as Emergency Support

Functions (ESF) in the US National Response Framework

A US Sailor plays patty cake with a

young girl at the New Life Childrens

Home in Port-au-Prince Source MC2 Kim Williams from USSOUTHCOM

Workers with the Bouddhiste Tzu Chi

Foundation hand out 2000 blankets and

tarps to Haitian citizens Source MCC Robert Fluegel from USSOUTHCOM

CURRENT ASSESSMENT

HAITI

NotA Major ConcernCurrently

Working ButInadequate

GenerallyIneffective

Non-FunctionalorDestroyed

SITUATION

Unknown

BR

PUBLIC HEALTH

MEDICAL OPERATIONS

PUBLIC HEALTH

A R BG

HAITI

OVERALL PHMEDICAL ASSESSMENT

G G G G GAAAA A

A A A A AR R RR

bull During his 01 MAR call with UN Cluster heads President

Clinton encouraged the provision of shelter and sanitation

for larger numbers of Haitians the development of

hurricane-proof safe houses in each temporary camp and

the expansion of cash-for-work programs to involve more

Haitians in relief operations

bull President Clinton also highlighted specific ideas to

strengthen agriculture in advance of the rapidly-

approaching planting season provide fuel-efficient stoves

for Haitian households that use recycled materials for fuel

and employ Haitian women in the assembly of the stoves

and the recycling process strengthen the protection of

women children and other vulnerable groups procure

more tents and latrines and expedite the payment of

Haitian doctors and civil servants

bull This week two new aftershocks of magnitudes 47 have

been recorded 22 and 23 FEB by the United States

Geological Society Because of these shocks already

damaged structures will weaken further Aftershocks

could continue for months Reconstruction should take

this threat into account Individuals and authorities must

act to protect themselves

NOTES

bull Systems that will help get rid of debris while

covering a basic need such as stove construction

should be developed and implemented Care should

be taken to teach what materials are safe to burn

bull Reconstruction provides the unique opportunity to

rebuild Haitian cities in ways that will protect the

inhabitants in the future Adherence to as many

building codes as is possible will help create an

earthquake-ready city

URBAN SETTLEMENTS NEED AND NUTRITION SERVICE DELIVERY RESPONSE

HIGH RESOLUTION

THE GOVERNMENT OF HAITI

bull Haitis government says the quake described by some experts as the deadliest natural disaster in

modern times may have killed up to 300000 people and left more than a million homeless

bull The Government is working closely with Health Cluster partners on the health aspects of the

Governmentrsquos Post Disaster Needs Assessment (PDNA) The Ministry of Health has joined the PDNA

meetings and all departments are participating actively The PDNA draft will be reviewed at a meeting of

partners on 16-17 March in the Dominican Republic This will be followed by a final meeting in New York

on 21 March of all the major partners including the Government of Haiti the World Bank the Inter-

American Development Bank the UN and the European Commission

bull The Ministry of Health and the National Crisis Commission are working with Health Cluster partners on a

primary health care strategy that will outline a basic package of services for provision of primary health

care

bull The Ministry of Health has requested that the Health Cluster assemble clearer information on the health

situation in the country The Information Cell formed in response to this request held its first meeting on

19 February and began work on 25 February The aim is to gather all available health information in a

central location and to identify gaps The type of information will include epidemiological surveillance

the availability of health services (ie what is up and running what is damaged) and where displaced

people can access these services

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

THE GOVERNMENT OF HAITI (CONT)

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray

machines and other radiology equipment have been received in Haiti and will be

distributed to hospitals The equipment was formally handed over to the Ministry of Health

at a press conference at Friday 26 February This is a joint effort between the International

Atomic Energy Agency and PAHOWHO to re-establish and reinforce basic radiology

services in public facilities or institutions closely working with the Ministry of Health

bull The European Commission is making euro100 million available for early non-humanitarian

assistance focusing notably on restoration of governments capacity to operate

effectively Together with the Haitian authorities the team has made proposals for priority

areas of support which cover reconstruction of government buildings support for

education and governance budget support and strengthening disaster preparedness

mechanisms First payment of 5 Meuro budget support to pay public administration salaries

was foreseen before the end of February

NOTE As demonstrated by the provision of radiology equipment lessons learned from previous

disasters are important to study and reflect on in each phase of recovery Lessons learned during this

crisis should also be analyzed and corrected for constantly allowing more effective aid and recovery

efforts to be provided

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

CURRENT ASSESSMENT

HAITI

NotA Major ConcernCurrently

Working ButInadequate

GenerallyIneffective

Non-FunctionalorDestroyed

SITUATION

Unknown

BR

PUBLIC HEALTH

MEDICAL OPERATIONS

PUBLIC HEALTH

A R BG

HAITI

OVERALL PHMEDICAL ASSESSMENT

G G G G GAAAA A

A A A A AR R RR

bull During his 01 MAR call with UN Cluster heads President

Clinton encouraged the provision of shelter and sanitation

for larger numbers of Haitians the development of

hurricane-proof safe houses in each temporary camp and

the expansion of cash-for-work programs to involve more

Haitians in relief operations

bull President Clinton also highlighted specific ideas to

strengthen agriculture in advance of the rapidly-

approaching planting season provide fuel-efficient stoves

for Haitian households that use recycled materials for fuel

and employ Haitian women in the assembly of the stoves

and the recycling process strengthen the protection of

women children and other vulnerable groups procure

more tents and latrines and expedite the payment of

Haitian doctors and civil servants

bull This week two new aftershocks of magnitudes 47 have

been recorded 22 and 23 FEB by the United States

Geological Society Because of these shocks already

damaged structures will weaken further Aftershocks

could continue for months Reconstruction should take

this threat into account Individuals and authorities must

act to protect themselves

NOTES

bull Systems that will help get rid of debris while

covering a basic need such as stove construction

should be developed and implemented Care should

be taken to teach what materials are safe to burn

bull Reconstruction provides the unique opportunity to

rebuild Haitian cities in ways that will protect the

inhabitants in the future Adherence to as many

building codes as is possible will help create an

earthquake-ready city

URBAN SETTLEMENTS NEED AND NUTRITION SERVICE DELIVERY RESPONSE

HIGH RESOLUTION

THE GOVERNMENT OF HAITI

bull Haitis government says the quake described by some experts as the deadliest natural disaster in

modern times may have killed up to 300000 people and left more than a million homeless

bull The Government is working closely with Health Cluster partners on the health aspects of the

Governmentrsquos Post Disaster Needs Assessment (PDNA) The Ministry of Health has joined the PDNA

meetings and all departments are participating actively The PDNA draft will be reviewed at a meeting of

partners on 16-17 March in the Dominican Republic This will be followed by a final meeting in New York

on 21 March of all the major partners including the Government of Haiti the World Bank the Inter-

American Development Bank the UN and the European Commission

bull The Ministry of Health and the National Crisis Commission are working with Health Cluster partners on a

primary health care strategy that will outline a basic package of services for provision of primary health

care

bull The Ministry of Health has requested that the Health Cluster assemble clearer information on the health

situation in the country The Information Cell formed in response to this request held its first meeting on

19 February and began work on 25 February The aim is to gather all available health information in a

central location and to identify gaps The type of information will include epidemiological surveillance

the availability of health services (ie what is up and running what is damaged) and where displaced

people can access these services

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

THE GOVERNMENT OF HAITI (CONT)

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray

machines and other radiology equipment have been received in Haiti and will be

distributed to hospitals The equipment was formally handed over to the Ministry of Health

at a press conference at Friday 26 February This is a joint effort between the International

Atomic Energy Agency and PAHOWHO to re-establish and reinforce basic radiology

services in public facilities or institutions closely working with the Ministry of Health

bull The European Commission is making euro100 million available for early non-humanitarian

assistance focusing notably on restoration of governments capacity to operate

effectively Together with the Haitian authorities the team has made proposals for priority

areas of support which cover reconstruction of government buildings support for

education and governance budget support and strengthening disaster preparedness

mechanisms First payment of 5 Meuro budget support to pay public administration salaries

was foreseen before the end of February

NOTE As demonstrated by the provision of radiology equipment lessons learned from previous

disasters are important to study and reflect on in each phase of recovery Lessons learned during this

crisis should also be analyzed and corrected for constantly allowing more effective aid and recovery

efforts to be provided

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

URBAN SETTLEMENTS NEED AND NUTRITION SERVICE DELIVERY RESPONSE

HIGH RESOLUTION

THE GOVERNMENT OF HAITI

bull Haitis government says the quake described by some experts as the deadliest natural disaster in

modern times may have killed up to 300000 people and left more than a million homeless

bull The Government is working closely with Health Cluster partners on the health aspects of the

Governmentrsquos Post Disaster Needs Assessment (PDNA) The Ministry of Health has joined the PDNA

meetings and all departments are participating actively The PDNA draft will be reviewed at a meeting of

partners on 16-17 March in the Dominican Republic This will be followed by a final meeting in New York

on 21 March of all the major partners including the Government of Haiti the World Bank the Inter-

American Development Bank the UN and the European Commission

bull The Ministry of Health and the National Crisis Commission are working with Health Cluster partners on a

primary health care strategy that will outline a basic package of services for provision of primary health

care

bull The Ministry of Health has requested that the Health Cluster assemble clearer information on the health

situation in the country The Information Cell formed in response to this request held its first meeting on

19 February and began work on 25 February The aim is to gather all available health information in a

central location and to identify gaps The type of information will include epidemiological surveillance

the availability of health services (ie what is up and running what is damaged) and where displaced

people can access these services

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

THE GOVERNMENT OF HAITI (CONT)

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray

machines and other radiology equipment have been received in Haiti and will be

distributed to hospitals The equipment was formally handed over to the Ministry of Health

at a press conference at Friday 26 February This is a joint effort between the International

Atomic Energy Agency and PAHOWHO to re-establish and reinforce basic radiology

services in public facilities or institutions closely working with the Ministry of Health

bull The European Commission is making euro100 million available for early non-humanitarian

assistance focusing notably on restoration of governments capacity to operate

effectively Together with the Haitian authorities the team has made proposals for priority

areas of support which cover reconstruction of government buildings support for

education and governance budget support and strengthening disaster preparedness

mechanisms First payment of 5 Meuro budget support to pay public administration salaries

was foreseen before the end of February

NOTE As demonstrated by the provision of radiology equipment lessons learned from previous

disasters are important to study and reflect on in each phase of recovery Lessons learned during this

crisis should also be analyzed and corrected for constantly allowing more effective aid and recovery

efforts to be provided

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

THE GOVERNMENT OF HAITI

bull Haitis government says the quake described by some experts as the deadliest natural disaster in

modern times may have killed up to 300000 people and left more than a million homeless

bull The Government is working closely with Health Cluster partners on the health aspects of the

Governmentrsquos Post Disaster Needs Assessment (PDNA) The Ministry of Health has joined the PDNA

meetings and all departments are participating actively The PDNA draft will be reviewed at a meeting of

partners on 16-17 March in the Dominican Republic This will be followed by a final meeting in New York

on 21 March of all the major partners including the Government of Haiti the World Bank the Inter-

American Development Bank the UN and the European Commission

bull The Ministry of Health and the National Crisis Commission are working with Health Cluster partners on a

primary health care strategy that will outline a basic package of services for provision of primary health

care

bull The Ministry of Health has requested that the Health Cluster assemble clearer information on the health

situation in the country The Information Cell formed in response to this request held its first meeting on

19 February and began work on 25 February The aim is to gather all available health information in a

central location and to identify gaps The type of information will include epidemiological surveillance

the availability of health services (ie what is up and running what is damaged) and where displaced

people can access these services

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

THE GOVERNMENT OF HAITI (CONT)

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray

machines and other radiology equipment have been received in Haiti and will be

distributed to hospitals The equipment was formally handed over to the Ministry of Health

at a press conference at Friday 26 February This is a joint effort between the International

Atomic Energy Agency and PAHOWHO to re-establish and reinforce basic radiology

services in public facilities or institutions closely working with the Ministry of Health

bull The European Commission is making euro100 million available for early non-humanitarian

assistance focusing notably on restoration of governments capacity to operate

effectively Together with the Haitian authorities the team has made proposals for priority

areas of support which cover reconstruction of government buildings support for

education and governance budget support and strengthening disaster preparedness

mechanisms First payment of 5 Meuro budget support to pay public administration salaries

was foreseen before the end of February

NOTE As demonstrated by the provision of radiology equipment lessons learned from previous

disasters are important to study and reflect on in each phase of recovery Lessons learned during this

crisis should also be analyzed and corrected for constantly allowing more effective aid and recovery

efforts to be provided

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

THE GOVERNMENT OF HAITI (CONT)

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray

machines and other radiology equipment have been received in Haiti and will be

distributed to hospitals The equipment was formally handed over to the Ministry of Health

at a press conference at Friday 26 February This is a joint effort between the International

Atomic Energy Agency and PAHOWHO to re-establish and reinforce basic radiology

services in public facilities or institutions closely working with the Ministry of Health

bull The European Commission is making euro100 million available for early non-humanitarian

assistance focusing notably on restoration of governments capacity to operate

effectively Together with the Haitian authorities the team has made proposals for priority

areas of support which cover reconstruction of government buildings support for

education and governance budget support and strengthening disaster preparedness

mechanisms First payment of 5 Meuro budget support to pay public administration salaries

was foreseen before the end of February

NOTE As demonstrated by the provision of radiology equipment lessons learned from previous

disasters are important to study and reflect on in each phase of recovery Lessons learned during this

crisis should also be analyzed and corrected for constantly allowing more effective aid and recovery

efforts to be provided

Reuters ReliefWeb Article 1 MAR 2010EU Fact Sheet on Haiti 1 MAR 2010Health Cluster Bulletin 24 - 1 MAR 2010

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

CLUSTER INFORMATION(AS OF 28 FEBRUARY 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

CLUSTER INFORMATION MANAGEMENT FOCAL POINTS(AS OF 28 FEBRUARY 2010)

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

MEETING SCHEDULE (1-7 March 2010)

CLUSTER LEAD CONTACT LIST3W GENERAL CONTACT LISTCONTACT LIST BY CLUSTER

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

HEALTH CLUSTERHEALTH CLUSTER

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

PAHO HEALTH CLUSTER BULLETIN No 24 ndash 1 MAR 2010

UNICEF PRESS RELEASE- 27 FEB 2010

Lead Agency PAHOWHO

PAHOWHO has established a website with information and

press releases on the Haiti health response as well

as archives of situation reports and health facility

assessments The Health Cluster can be contacted

at haiclustersantepahoorg specific contact

information can be found on the right hand bottom of this

page

Cluster Partners UNAIDS UNICEF UNFPA IOM Save the

Children World Vision International Medical Corps (IMC)

Medical Emergency Relief International USA (Merlin)

Meacutedecins du Monde (MDM) International Rescue Committee

(IRC) and others

Objectives To save lives and prevent further deterioration

of public health conditions in the affected areas

Point of Contacts in Haiti

Jorge Castilla (WHO) mobile 3612 5351 +507 6677 6401

email haiclustersantepahoorg

bull The launch of the revised Flash Appeal extends

humanitarian planning to 12 months and calls for

$134 million for health

bull Health Cluster partners are working closely with

the government on the health aspects of the Post-

Disaster Needs Assessment which will lay the

groundwork for reconstruction

bull One of the challenges in coming weeks will be to

move patients who remain in hospitals to external

locations where they can continue to receive care

bull A representative from LrsquoHocircpital de la Communauteacute

Haiumltienne reported that treatment will be offered

free of charge for victims of the earthquake for the

next 6 months

The health cluster meets two times a week as of 1

March The meetings take place on Tuesday and

Friday at 1600 in the OCHA Tent 1 Logbase

Subgroups continue to meet according to their own

schedules at the Emergency Operations Center in

Port-au-Prince

NOTES Special attention needs to be paid to a rise in sexually

transmitted infections among women in girls This could indicate a

likely rise in sexual violence including rape Health organizations

should provide counseling and medical services to victims of

sexual violence Due to social stigma and fear cases of rape and

sexual violence are likely to be underreported Health

organizations should work with community members to develop

creative ways to gain womenrsquos trust and encourage women to use

services that are offered

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

PUBLIC HEALTH

bull The epidemiological surveillance system (based on

information from sentinel sites) does not show an

increase in infectious diseases Respiratory

infections are the main cause of illness followed by

traumainjury diarrhea and suspected malaria

bull Between 25 Jan-23 Feb cases of suspected Malaria

increased from 5 to 10 of all medical

consultations at sentinel sites Watery diarrhea

remained constant at 15 Consultations due to

injury reduced from 35 to 5

bull Cluster partners are actively gathering information

for the Post-Disaster Needs Assessment (PDNA) a

government-led initiative that will lay the

groundwork for reconstruction

bull The Ministry of Health has requested that the Health

Cluster assemble clearer information on the health

situation in the country The Information Cell in

response is working to gather all available health

information in a central location and to identify

gaps

EU FACT SHEET - 01 Mar 2010

HEALTH CLUSTER BULLETIN 24 1 March 2010

NOTE Many of the 396 health NGOs working in Haiti are

due to depart in the coming weeks without sufficient

capacity planned to arrive There is a risk of a large scale

outbreak of diarrhea given the present overcrowding

poor sanitation and lack of effective waste disposal

systems in spontaneous settlement sites

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

bull One of the challenges in coming weeks will be to move patients who remain in hospitals to external

locations where they can continue to receive care

bull There are now 160 sites where primary care is provided by 55 international NGOs This includes both fixed

sites and mobile clinics A survey will be done by Management Science for Health (MSH) with PAHOWHO

and International Rescue Committee (IRC) to identify sites where there is a need for mobile clinics

bull A representative from LrsquoHocircpital de la Communauteacute Haiumltienne reported that treatment will be offered free of

charge for victims of the earthquake for the next 6 months

bull While the initial emergency treatment and hospitalizations have passed the need for continued medical

assistance is still significant As a result the need for all physicians -- within the disciplines of primary

care surgery and rehabilitation -- will continue over the following months

SOURCE AMERICAN MEDICAL ASSOCIATION 1 MARCH 2010PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

HOSPITALS AND CLINICS

NOTE The establishment of rehabilitation clinics will be essential to meet the need of the individuals

leaving hospitals Communication as to the location and scope of these establishment is critical in order to

set up a functioning referral process

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

MEDICAL LOGISTICS

For Emergency Medical Humanitarian Parole Requests

bull Section 212(d) (5) of the Immigration and Nationality Act (Act) provides the Secretary of Homeland Security with

the discretion to ldquoparole into the United States temporarily under such condition as [s]he may prescribe only on

a case-by-case basis for urgent humanitarian reasons or significant public benefit Specific circumstance noted

under the Act reference aliens arriving for a medical emergency such as MEDEVAC (land and air ambulance)

cases

bull The decision to grant a parole request is a matter of agency discretion US Customs and Border Protection

(CBP) makes a determination on a case-by-case basis for each parole request at the port of entry CBP requires

that all emergency medical humanitarian parole requests be initiated from an official source (Embassy or

Government) and coordinated through the Miami Field Office Requests must be submitted to MFO-BORDER-

SECURITYdhsgov

bull NGOrsquos through the official source should forward the following information to the email above

‒ Biographic information for the patient and any escort

‒ Medical documentation from US government entity to include whether treatment is available in Haiti and

the length of time needed for treatment in the US

‒ Name of facility accepting the patient for treatment

‒ Commitment from the NGO

bull To provide round-trip transportation for the patient and any escort

bull To cover all medical expenses to patients while in the United States

bull To provide for extended care for patient and any escort

bull To ensure the patient and any escort return to Haiti upon completion of the medical treatment

‒ ParentalGuardian consent and permission for minors

‒ Government of Haiti authorization for minors as needed

HACC SITREP ndash 27 FEB 2010

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

MEDICAL LOGISTICS

bull Based on lessons learned from previous earthquakes and an expressed need eight X-ray machines and

other radiology equipment have been received in Haiti and will be distributed to hospitals The

equipment was formally handed over to the Ministry of Health at a press conference at Friday 26

February This is a joint effort between the International Atomic Energy Agency and PAHOyenWHO to re-

establish and reinforce basic radiology services in public facilities or institutions closely working with

the Ministry of Health

bull In response to an assessment made by Haitirsquos national blood program the American Red Cross sent a

fourth shipment of 300 units of blood from donations made in the US Bolivia the Dominican Republic

and Ireland have also made blood donations To date more than 2000 units have been received The

most recent shipment is in response to a request from the national blood program and is based on their

assessment of local needs

PAHO HEALTH CLUSTER BULLETIN 24 1 MARCH 2010

NOTE Functioning X-ray and imaging equipment should help doctors identify patients who may need to

have corrective surgeries because initial life-saving surgeries may have been performed under unfavorable

conditions and in a timely matter

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

NOTE Handling responsibilities have been returned to the

commercial sector As they establish their routine capacity is

expected to decrease And with paperwork discrepancies the

whole process is in danger of stalling Paperwork must be

completely filled out communication must be timely and clear

LOGISTICSAIR OPERATIONSSEA TRANSPORT

bull To date the helicopters have performed 283 sorties for

assessment missions and cargo deliveries These assets

remain available to the humanitarian community for

deliveries to hard-to-reach areas Organizations wishing to

use the service should file a request with the LogCluster

bull All offloading services provided by the US Military at PAP

airport ended 28 FEB security and handling is to be

provided by commercial agents

bull The humanitarian cargo village closed on 28 FEB

bull Due to mechanical problems with the helicopter the

assessment missions out of Leogane were not completed

and will resume in the coming days

LOGCLUSTER BULLETIN 2- 25 FEB 2010

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

bull Rio Haina is the main port in Santo Domingo and is the busiest

It has facilities to handle bulk breakbulk and containerized

cargo with facilities available on both banks of the Haina River

Caucedo container port is just east of Santo Domingo located

by Boca Chica There is a 3000m3 warehouse for storage of

interagency cargo

bull The documentation requirements for cargo entering Santo

Domingo are particularly important when sending sea freight

Incoming cargo not accompanied by the proper paperwork is

not allowed out of the port and is penalized

bull Furthermore if the shipping line is not aware or has not

accepted that the containers are destined for Haiti they may

either not allow onward transport or ask for a deposit until the

container is returned The size of the deposit differs from 2000

ndash 4500 USD per container Organizations are advised to

transfer the goods into local containers before transporting

them to Haiti

bull The transition of port management back to the APN and

commercial operators is underway and the handover of port

operations and security will be complete by 1 MAR The US will

continue support in a coordination and management role for

the coming month

bull The Clinton Foundation has donated 32 Penske trucks of 11-15

mt capacity which will replace the current fleet of M6 trucks for

urban use The M6 trucks can now be used for difficult road

areas outside of PaP

bull According to the LogCluster transition from US Military

assets to commercial handling at the port and airport are well

underway Following the transition we can expect a decrease

in the capacity to handle cargo at both locations

bull The LogCluster is preparing a suppliers list of useful services

including construction materials clearing agents transporters

etc Organizations have been requested to provide the details

of trusted suppliers to assist the humanitarian community

bull A list of trucking rates has been drawn up to establish a

benchmark of costs This is being shared among participating

organizations

CIVIL MILITARY COORDINATION

SURFACE TRANSPORT

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

LOGISTICS (CONT)

CUSTOMSBORDER CROSSING

bull According to the LogCluster there is no plan for a permanent

warehouse in Jimani due to the possibility of access problems

across the border once the rainy season begins Barges and

landing craft from Santo Domingo may be an option in some

cases however this requires additional handling and cost The

current plan is to establish a staging area within Haiti to store

cargo where it can then be called forward

bull To increase capacity two 3000 m2 hurricane-proof mobile

storage units are being constructed The facilities will be for

joint WFP and Logistics Cluster use

Vehicle registration in PAP is proving a challenge for

many organizations

HACC SITREP ndash 27 FEB 2010

MEETING MINUTES-PORT AU PRINCE ndash 26 FEB 2010

The registration request must be submitted to the Ministry of

Foreign Affairs with proper documentation of the chassis

number vehicle details etc One registration number per

vehicle will be issued (Prior to the earthquake the process

took about two weeks)

A copy of this registration must be given to the DGI which

makes the license plates Long lineups can be expected due

to a large influx of vehicles

An insurance request must then be sent to OAVCT (national

insurance company) with the registration numbers The

OAVCT will then arrange for technicians to check the

vehicles An attestation will be provided

The National Police then performs an inspection and

provides documentation

Once this has been completed the organization must return

to the DGI to collect the plates

Organizations are strongly advised to have external country

insurance to complement this third party coverage This also

applies to rental cars

WAREHOUSING

bull A meeting with the Director of Customs in PAP clarified that

organizations should go through the Direction of Civil

Protection (DPC) to register in Haiti

bull The requirement to provide an updated quarterly Quitus Fiscale

has been suspended until 30 APR

bull The standard declaration form for goods entering the border

was reestablished A single declaration can list multiple

truckloads accompanied by proper documentation (bill of

lading packing list etc) This applies even to split shipments if

each convoy has copies of the required paperwork The

originals can be submitted at final customs clearance with a

broker The price of the form is about 1 USD

bull Organizations from Santo Domingo who are not under the

LogCluster should have a representative at the border to meet

the convoy and facilitate the process

bull The LogCluster has a staff member in Jimani to facilitate

movement and will place someone on the Haitian side of the

border to assist with customs issues

NOTES

bull A forward staging area must be chosen and established in

Haiti prior to the rainy season to prepare for continued aid

assistance

bull A list of Customs Clearance Agents for Santo Domingo is

found here

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

LOGISTICSFLOODING RESPONSE TO THE NIPPES REGION

HACC SITREP ndash 28 FEB 2010

bull Per the JOTC the DPC reported a total of eight people were killed (in Cavaillon and Les Cailles) and that two were

missing (in Cavaillon) with 3428 evacuated (3210 in Nippes and 218 in Sud) Mud-slides had blocked the road near

Arniquet on the Ti Crique road (Sud)

bull OCHA reports that the affected populations particularly those in shelters were in need of food water as well as

hygiene kits The road between Arniquet to Carrefour Joute (Sud) requires clearance

bull In Nippes MINUSTAH U2 and OCHA conducted a helicopter reconnaissance mission along the Northen coast of

Nippes on 28 FEB to assess the damage The mission was not able to proceed beyond Baradegraveres to survey Les

Cayes due to the weather conditions

bull While Baradegraveres was assessed to have sustained significant flooding floods in the other areas covered by the

mission appeared to have already subsided There was no evidence of significant blockage along the main roads

bull In Sud URUBAT 1 in Les Cayes reported most drains had collapsed in the city forcing most of the inhabitants to

climb on their roofs or evacuate to shelters on 27 FEB Material damage included the destruction of small vendor

posts and the flooding of homes The road 200 from Les Cayes to Miragoane that was initially blocked in two

places is now cleared The bridge near Saint Louis du Sud previously covered by water and not passable is no

longer blocked

WAREHOUSING

bull As of 28 FEB the offloading services provided by the US

Military for incoming humanitarian cargo ended The

humanitarian cargo area closed down and all security and

handling is provided by commercial contractors The US

redeployment will continue as Air Traffic decreases and

infrastructure projects are completed

bull The LogCluster currently has 6700 square meters of

warehouse space in PaP dedicated to interagency use To

increase this capacity two 3000 square meter hurricane

proof mobile storage units are being constructed The

facilities will be for joint WFP and Logistics Cluster use

NOTES

bull The flooding that occurred on 27 FEB caused

major disruptions to the relief work in southern

Haiti With hurricane season approaching more

durable shelter solutions needs to be

considered while plastic sheeting is being

distributed

bull Equipment for clearing roads has proven to be a

critical tool for the oncoming rainy season

bull The drains in Les Cayes need to be reinforced

before the rainy season fully begins

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

WATER SANITATION AND HYGIENE (WASH)

HACC SITUATION REPORT ndash 27 FEB 2010USAID FACT SHEET 40 ndash 25 FEB 2010

bull As of 25 February 11 million people in need of water sanitation and hygiene interventions

bull More than 1311600 people are being provided with 5 liters of waterperson daily however coverage remains

uneven in different geographical areas

bull The USAIDDART WASH advisor notes that although the piped network is providing approximately 50 percent

more water than prior to the earthquake some areas of Port-au-Prince maintain limited access to piped water

due to infrastructure damage To bridge the gaps in water supply WASH Cluster water trucking operations

are providing approximately 4 million liters of water per day to earthquake-affected individuals

bull Sanitation remains inadequate in spontaneous settlement sites WASH Cluster partners had constructed

more than 2600 latrines benefiting approximately 130250 people Sanitation partners aim to set up 12950

latrines in the short term (before the end of March) and an additional 21000 latrines in the mid term (before

the end of June)

bull In Gressier Petit Goave and Grand the USAIDDART notes that spontaneous settlements in downtown Port-

au-Prince have poorer hygiene and sanitation practices than settlements outside the downtown area Despite

the issues no significant disease outbreaks have been reported from any settlement to date

bull WASH leads assessing Champs du Mars were pleased to see hand washing stations being used in the

vicinity of toilets and also reported that none of the observed toilets were filled to capacity indicating regular

pumping of waste Action Contre la Faim (ACF) had trained individuals to monitor the cleanliness of the

facilities and encourage hand washing at the sites with great success

NOTE Organizations should assess their latrines for vulnerability to overflow due to rains and flooding in

low lying areas further consideration should be given to latrine proximity to drinking water sources given

rainy conditions

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

EMERGENCY FOOD ASSISTANCE AND FOOD SECURITY

bull CNSA and FEWS NET estimate that approximately 25 million people are food insecure of which 1 million

require emergency food and non-food assistance The remainder require long-term assistance to address

chronic poverty and food insecurity Most of the food insecure population is located in PaP the Northwest and

in isolated and degraded mountainous areas

bull Local availability of basic commercial food stocks is good in metropolitan area of PaP augmented by the large-

scale distribution of food aid rice (approx 10000 MT) over the last 2 weeks However the commercial supply of

imported foods is insufficient which could create shortage and price hikes in the months ahead

bull EFSA indicated that there is an increase in sharing of food and communal eating Marginalized groups and

street children are reportedly often taken care of by other families

bull The hunger period in rural areas normally in April-May may start earlier due to the impact of the earthquake

bull WFP is in the final stage of concluding agreements for phase 2 of its emergency operation which will aim to

assist 300000 families in the PaP area with a full food basket of commodities (corn-soy blend oil salt beans

and rice)

bull Schools with stable infrastructure including water and toilet facilities started a school-meals program on 25

February School-aged children will receive alternating meals of porridge and rice with beans for 2 months In

areas where school buildings have collapsed but other facilities are intact WFP will undertake cashfood-for-

work activities including rubble removal In schools that have been completely destroyed high-energy biscuits

will be distributed

GOVERNMENT OF BARBADOS CNSA AND FEWS NET 26 - FEB 2010 OCHA SIT REP ndash 25 FEB 10

NOTES

bull Focus should not only be placed on food aid but also on non-food items such as materials for shelter A

comprehensive aid program will be most effective at meeting the needs of the population

bull The Agriculture sector remains only 8 funded More resources are needed to ensure seeds can be purchased

ahead of the planting season in March to prevent longer-term dependency on food aid

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

NUTRITION

CNSA AND FEWS NET 26 - FEB 2010

OCHA SIT REP24- 25 FEB 2010

bull The extremely poor sanitation and hygiene

conditions in temporary shelters are a major

concern and could encourage the spread of disease

and increased malnutrition and mortality

bull The nutrition drive jointly rolled out by WFP UNICEF

WHO and UNFPA with support from UNPOL

targeting 53000 children under five and 16000

pregnant and breastfeeding mothers with specialized

food all over Port-au-Prince is continuing

bull To date more than 15000 beneficiaries have been

reached Under the blanket supplementary feeding

children under 3yrs at risk of malnutrition receive

supplemental plumpynut while children aged 3-5

years and pregnant and lactating women receive

high-energy biscuits

bull A nutrition surveillance system including a feeding

centre database (in March) and nutrition survey (in

June) has been agreed upon the discussion for

establishing sentinel sites in ongoing with CDC to

facilitate allocation of partners in areas in need of

support

NOTE As the second phase of food distribution begins

nutritional needs will be targeted through BSF programs

Targeting is key to ensure the biggest impact

bull On 24 February USAIDDART staff met with three

NGOs working to scale up blanket supplementary

feeding (BSF) programs During the meeting

participants discussed details regarding BSF

distribution plans utilization of community workers

and training responsibilities Partners plan to

conduct registration screening deworming and

BSF distributions until the a survey is completed in

May to confirm the need for future blanket or

targeted supplementary food distributions

bull There is still limited capacity of staff in mobile

clinics to identify treat and refer acutely

malnourished children

bull The coverage of outpatient therapeutic programs

targeting severe acute malnutrition remains low in

Port-au-Prince and surrounding areas according to

the USAIDDART During a February 22 Community-

Based Management of Malnutrition (CMAM) Sub-

Cluster meeting participants focused on plans to

expand coverage through CMAM trainings and

program mapping

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

SHELTERS amp NON FOOD ITEMS

bull Joint planning by the Government humanitarian

organizations military contingencies service providers

and engineers is aiming at a coherent approach to the

registration of displaced people selection of sites for

debris removal building damage assessments as well as

planning for relocation sites for those who will not be able

to return to their damaged or destroyed houses

bull Over the past few days the International Committee of the

Red Cross (ICRC) has distributed 3050 sets containing

tarpaulins and rope blankets mosquito nets kitchen

items soap and jerrycans to earthquake-affected families

in Martissant one of the poorest most violence-prone

neighborhoods of PaP

bull The ShelterNFI Cluster identified the following gaps or

constraints as of 25 Feb 10 the lack of identified land for

shelter the movement of beneficiaries between

spontaneous sites creating difficulties for agencies to plan

for distribution the lack of fixings being distributed along

side tarpaulins and the identification of land for

constructing test transitional shelter

SOURCE OCHA SIT REP ndash 25 FEB 10 SHELTERNFIs CLUSTER UPDATE 25 FEB 10 ICRC BULLETIN NO 15 ndash 01 MAR 10

NOTES

bull Problems caused by the weekendrsquos flooding highlight

the need for transitional shelters to be created quickly

to protect the displaced as the rainy season

approaches

bull The decongestion the existing spontaneous

settlements needs to be addressed as a vital step in

disease prevention

bull There are 21 sites that have a population of over 5000

people each including two spontaneous sites that the

Government has designated as transitional camps

These sites are prioritized by the Government for

decongestion The total combined population in those

sites is 217960 individuals (44470 families) Among

these sites Camp Boulos and Canape Vert have a

population of 9000 and 12000 individuals respectively

and need urgent service provision in WASH Shelter

NFIs and Food

bull The CCCM cluster estimates that between 450 and 500

hectares of land are needed to decongest the identified

21 priority sites (exceeding 5000 people)

Canapeacute Vert residents living in improvised tentsSource Marko Kocic ICRC

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

PROTECTION

SOURCE OCHA SIT REP ndash 25 FEB 10

OAS RECONFIRMS ITS COMMITMENT TO WOMEN IN HAITI

UNICEF DIRECTOR BRIEF - 26 FEB 10

bull UNFPA has released its complete list of centres

and police stations with the capacity to respond to

the needs of victims of sexual violence The Police

Department in affected areas has accepted a

proposal from UNFPA to enhance and more closely

patrol camps so that women and girls can report

gender-based violence as quickly as possible

bull Marjorie Michel Haitis Minister of Womens Affairs

said that Gender must be taken into account in all

emergencies what happens to women and girls

cannot be left to chance We must care for the

most vulnerable and keep them in safe places

According to the Haitian government violence

against women has grown in the camps there has

been a rise in rapes and prostitution is often the

sole means of obtaining food

bull The earthquake destroyed more than 3000 school buildings

around the country In response UNICEF the Ministry of

Education and other partners have begun to set up learning

spaces supported by the distribution of 600 school-in-a-box

1414 Early Childhood Development Kits and 866 recreation

kits

bull Persons with disabilities continue to be one of the most

vulnerable groups Monitoring shows that in host

communities and particularly in Les Cayes persons with

disabilities coming from PaP have not been reached by

assistance The situation in Les Cayes mirrors that of other

regions that have received significant numbers of displaced

namely that host families have to date received no to little

assistance nor been informed of possible assistance to come

Displaced populations are contemplating return to PaP as

assistance structures are concentrated in the capital

Haitian children at the Foyer of Patience

orphanage in PaP prepare for dinner Source Lynsey Addario New York Times

bull To date UNICEF has distributed 1571 Child Protection Kits

(Operation Protect Now) to residential childcare centres

child friendly spaces and other critical community points

benefiting up to 37704 children More than 126000 litres of

water have been delivered to the same facilities along with

829 ECD kits

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

SAFETY AND SECURITY

bull On 27 FEB 2010 heavy rains washed more than

15 meters (60 inches) of water into Les Cayes

flooding the citys hospital and prison

bull UN peacekeepers and Haitian police evacuated

500 inmates from the local prison while hospital

staff moved patients to the safety of higher

floors

bull Exius said five people were killed in Les

Cayess Gelee district when rising waters

flipped their vehicles Another three were killed

in the nearby village of Torbeck

bull Women and girls in Haiti face special problems

ranging from incidents of rape and sexual

exploitation to shortages of food and lack of

access to basic obstetric services

lsquoGraversquo Flooding in Quake-Hit Haiti Kills 11 ndash 27 FEB 2010

Haiti Seeks More Support for Womenrsquos Health Needs ndash 26 FEB 2010

NOTES Having to evacuate prisons and hospital patients

due to heavy rains should be a lesson for the coming

rainy season Each prison hospital and similar institution

should make plans for evacuating prisoners or patients in

case of floods

It is essential that the safety of women and girls be

considered in all situations especially in areas where they

are most vulnerable to rape This includes insecure camp

settings or living on the street

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

CURRENT MEDIA COVERAGE OF HAITI

NEWS AGENCY WITH LINKS STORY DESCRIPTION

TIME

Can Workfare Help Resurrect Quake-Ravaged Haiti ndash Most if not all the laborers working as part

of the UN Development Programs cash-for-work project lost a family member in the temblor

Nothing can erase that hurt but they say cash-for-work has helped to ease it not only by paying a

wage but by making them more than just bystanders in the Haiti recovery process ndash 01 MAR 2010

ORLANDO SENTINEL

Artificial limbs next wave of help for Haiti earthquake victims ndash Hanger a national company

has teamed with Physicians for Peace a Virginia-based nonprofit to collect and ship donated

prostheses for the estimated 2000 to 4000 Haitians who had limbs amputated after the 12 JAN

earthquake ndash 01 MAR 2010

REUTERS

Haitian-Americans aid quake recovery eye future ndash Over the years about one in eight Haitians

has settled outside the chaotic and impoverished Caribbean nation seeking better opportunities or

escape from repression and violence Since the catastrophic quake Haitians living abroad have

thrown themselves vigorously into the international recovery effort ndash 01 MAR 2010

ASSOCIATED PRESS

Clinton Haiti needs tents toilets before rains ndash Bill Clinton says the needs of many Haiti

earthquake survivors are not being met The UN special envoy for Haiti is urging UN officials to

provide better shelter and sanitation for hundreds of thousands living in temporary camps at risk

from floods and landslides Clintons press office says he asked for more tents latrines and

hurricane-proof dwellings during a Monday phone conference with UN officials He also called for

strengthening job and agricultural programs ndash 01 MAR 2010

MIAMI HERALD

Aid groups ready to help if needed mdash International aid agencies faced with back-to-back natural

disasters in Haiti and Chile say they are well-equipped to manage both -- if they are asked Theres

no need to shift priorities away from Haiti just six weeks after it was shattered by a 70 magnitude

earthquake following Saturdays 88 temblor in Chile representatives of several aid agencies said ndash

01 MAR 2010

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS

All Partners Network (APAN) - was developed to foster communication collaboration and

situational awareness across the global community Note Site requires login

Global Disaster Alerts Coordination System (GDACS) - Provides near real-time alerts about

natural disasters around the world and tools to facilitate response coordination including

media monitoring map catalogues and Virtual On-Site Operations Coordination Centre

(OSOCC) Note Must have an account to get alerts

HARMONIEWeb provides an unclassified internet accessible environment for the exchange of

information across the civil-government boundary associated with Stability Security Transition

and Reconstruction Operations or Humanitarian Assistance and Disaster Relief

One Response ndash A collaborative inter-agency website designed to enhance humanitarian

coordination within the cluster approach and support the predictable exchange of information

in emergencies at the country level The website will support Clusters and OCHA fulfill their

information management responsibilities as per existing IASC guidance

ReliefWeb ndash Premier site from humanitarian information it is a UN Office for the Coordination

of Humanitarian Affairs (OCHA) sponsored website that provides information to humanitarian

relief organizations

The Civil Military Fusion Center is an information knowledge management organization

focused o improving civil ndashmilitary interaction facilitating information sharing and enhancing

situational awareness through the web portal

COORDINATION LINKS