I: PLAN DEFINITION:

In its desire to prevent possible occurrence of any disasters and to lessen the impact of these
unforeseen events in the lives of the victims and their families, the Southern Leyte Health
Emergency Preparedness, Response and Recovery Plan (HEPRR) was conceptualized to render a
pro-active health management stance and deliver direct medical health services in response to
disasters and other emergencies. This Health Emergency Management Plan was meant to operate
within the context of primary health care with the coordination and collaboration among the
different government agencies and other development partners.

The following objectives were laid down in order to guide and steer the health sector in
responding to any event that may endanger the lives of the people of Southern Leyte.

1. To organize a well-coordinated and systematic response team for emergencies and disasters
2. To capacitate team members and other health personnel in disaster preparedness, response
and recovery procedures.
3. To minimize the impact of disaster and calamities in people’s lives through immediate
Response and mobilization of health human resources and logistics.

II: LOCAL POLICY, GUIDELINES, PROCEDURES and PROTOCOLS

a. POLICY STATEMENT: Organizational Structure and Human Resource

1) All health facilities should have an Emergency Preparedness, Response and Recovery
Plan. Such office/ facilities shall be under the supervision of the Provincial Health
Officer, Chief of Hospitals and Municipal Health Officer to ensure faster decision
making during emergencies and disasters.

2) All health facilities shall organized health emergency cluster team (HEALTH,
WASH, NUTRITION, MHPSS, SPEED/SURVEILLANCE) to manage and res-
pond in emergencies and disasters.

3) All health facilities shall designate a HEMS coordinator. He shall coordinate directly
with other officials/agencies for technical assistance during emergencies. He shall be
given adequate support (personnel/logistics).

4) All health facilities shall designate a spokesperson responsible for the release and
dissemination of proper, accurate and updated health information.

5) All health workers should receive basic training on health emergency management.
6) Safety/security of the health workers is of prime importance; before deployment they
should be provided with proper identification, uniform and necessary personal protec-
tive equipment. Furthermore they should be given proper orientation/briefing on the
risks and hazards involve in any operations.
 7) A system for rewards/ incentives/ compensatory leave should be given to all health
personnel who have rendered services during emergencies and disasters.

8) Physical and psychological capacity of health workers is an important factor for the
success of health emergency management. Physical as well as mental fitness of all
personnel shall be maintained at all times through drills, simulation exercises, stress
management and respite from work after an operation.

b. POLICY STATEMENT: Support System and Program Component

1) A Mass Casualty Management System shall be established to address the needs in

cases of mass casualty incidence.
2) National Policy on Hospital Emergency Incident Command System (HEICS) shall be
adopted to conform with the standards and protocols in dealing with emergencies and
disasters.
3) National Policy on Incident Command System (ICS) shall be adopted in order to
manage emergencies and disasters properly.
4) Code Alert System of the Department of Health shall be adopted and shall serve as a
guide in the activation and the deployment of personnel in emergencies and disasters.
5) Resource pooling/sharing among the different health units and other stakeholders shall
be institutionalized.
6) Information management system during emergencies should be developed to ensure
timely, appropriate and relevant information dissemination.
7) Flow of information and proper documentation should also be established.
8) Communication system should be developed/improved at all levels to improve
monitoring and response during emergencies and disasters.
9) All municipal government are encourage to established a health emergency
response team and coordination mechanism to link up with the PHO HEMS and
the Provincial Disaster Risk Reduction Management Council.

c) POLICY STATEMENT: Finance

1) All health facilities in the province should allot at least 1% from the calamity fund for
preparedness and response activities, trainings, drills and advocacy.
and response activities, trainings, drills and advocacy.

2) In an event of emergencies and disasters, all health facilities are authorized to tap
other/all resources in their respective units in responding to the emergency.

III: SCOPE AND COVERAGE

This policy shall apply to the health sector of the province. It shall likewise apply to all
disciples and institutions, whether government, non-government or private entities whose
functions and activities contribute to disaster risk reduction management – health.
 IV. MANAGEMENT STRUCTURE

GOVERNOR

PHO II

Information HEMS
Officer Coordinator PHTL

PHO I/COH Admin.

Officer

Operations Planning Admin/Logistics

Emergency Public Health Technical

Staff Budget Officer
Medical Services Services

Section Heads HRMO

Hospital WASH
Response Team

ILHZ
Nutrition Supply Officer
Managers
Field Response
Team

Psychosocial Chief of Hospitals Pharmacy

Field Response
Mobile
Team
Response Team
Transportation Utility
MDM

PESU
 IV. MANAGEMENT STRUCTURE

Gov. Mercado

Dr. Matibag

G. Buslon J. Duarte
Ms. Leticia Tan

Dr. Lumen/ Mr. Acasio

Dr Rodriguez

Operations Planning Admin/Logistics

Emergency Public Health Technical

Staff Mr. A. Galos
Medical Services Services

Section Heads Mr. A. Gono

Hospital Mr. Logroño
Response Team aaLaraga

ILHZ
Ms. N. Rich Ms. Poricallan
Team B Managers

L. Gonzalo Chief of Hospitals Ms. Tomol

FieldTeam
Response
A
Team

Mr. Acasio
Engr. Rubio

Mr. Napuli
V. DUTIES AND RESPONSIBILITIES

Provincial Health Officer II

1. Shall act as the Incident Commander.

2. Initiate the Incident Command System/ calls for the deployment of
HEMS team to the disaster area.
3. Initiate / activate the code alert system.
4. Designates a command post, staging points other areas needed for the operations.
5. Makes assessment of the situation, number of casualties and magnitude of damages
to health facilities.
6. Conducts routine briefings with the HEMS team, agencies and other stakeholders.
7. Assume overall control and supervision of the command post to include its personnel,
victims and logistics.
8. Approves media releases.
9. Make/approve a schedule of rotation of the team in the field in the event of prolonged
operation.
10. Review and approves plans for the institutionalization of HEMS in the province.
11. Coordinate and communicate the status of the post to higher authorities.
12. Performs other functions he deems necessary to achieve appropriate positive results.

Provincial Health Officer I

1. For and in the absence of the PHO II, shall assume as the Incident Commander.
2. Shall be responsible Operations and Planning
3. As head of the Technical Section, shall lead in the deliberation and proceedings of the
TWG.
4. Assist and coordinate with the PHO II for the implementation of the HEPRR Plan.

FIELD MEDICAL OFFICER

1. Highest medical personnel dispatched to respond to emergencies and disaster areas.

2. Identify suitable site for the medical post.
3. Designate a mobile medical officer to be sent to impact site.
4. Makes assessment of the situation, the extent of casualties and plans for actions to be
taken.
5. Responsible for running the medical post making sure that needed medical resources are
available and properly mobilized.
6. Perform/supervise medical procedures in the medical post and refer cases to higher
facility if and when necessary.
7. Report and coordinate with the Incident Commander, attend meetings and press
conferences.
8. Ensure the welfare and safety of the members of the team.
MOBILE MEDICAL OFFICER

1. Identify suitable site for the medical post.

2. Ensure that necessary medical resources are available on site.
3. Responsible for delivering emergency medical services on site.
4. Report and coordinate with the Field Medical Officer regarding the status of
their work in the impact site.
6. Make sure that all patients/victims are properly tagged before transporting them to the
medical post or any other facility.
7. Brief ambulance driver/transport crew as to the condition of the patient, care required and
to where the victim is to be transported.
8. Ensure the welfare and safety of the members of his team.

HEMS Coordinator

1. Prepares the HEPRR Plan of the province duly approved by the PHO II and the
Governor.
2. Coordinate in the implementation of the plan and disseminate information to other health
personnel and partner agencies.
3. Prepares the annual work and financial plan and takes lead in its implementation
4. Ensure the availability of prepositioned drugs, medicines, supplies and other equipment
for emergencies and disasters.
5. Coordinates with other health teams and agencies in planning and responding to
emergencies.
6. Documents all related activities and keep an inventory of personnel, responding
volunteers, logistics and keep pertinent records of the organization.
7. Submits reports to the Incident Commander.

Assistant HEMS Coordinator

1. Assist the HEMS Coordinator in all his activities.

2. Acts on behalf of the Coordinator in the letter’s absence.
3. Acts as training officer in relation to health emergencies and disasters.
4. Shall be responsible for keeping tab of all materials and logistics.

VI. EMERGENCY MEDICAL SERVICES

This will be composed of three (3) teams:

1) Hospital Response Team --- This will be headed by the Chief of Hospital and his
support staff. With the hospital as their base facility they should equip themselves and
be ready to answer the health needs of the all the victims referred into their facility.

2) Field Response Team ---- Is headed by the Field Medical Officer. Using the nearest
Municipal Health Office as their Medical Post or any other safe and suitable place
 nearest to the disaster site as may be designated by the Incident Commander or the Field
Medical Officer shall conduct emergency medical response during disaster and other
health emergencies. Triage by sorting and tagging of cases using color codes and other
modalities should be done as a guide in the order of priority in the management and
treatment of patients and in referring cases to higher facilities if and when necessary.

3) Mobile Response Team --- Appointed/designated by the Incident Commander or by the

Field Medical Officer from among the members of the responding team, the Mobile
Medical Officer shall lead in responding and management of emergency cases on the
impact site. As such, this team shall render immediate emergency treatment of cases on
the disaster site. Triage by sorting should be observed. Transport of victims to the
Medical Post or to other facility should be handled properly.

VII. PUBLIC HEALTH SERVICES --- Public Health Service is headed by the Chief of the
Technical Section. Delivery of services under this team begins immediately upon dispatch into
the disaster area. Public Health undertakes preventive/promotive and curative measures on health
problems especially in the evacuation centers such as mass immunization, availability of potable
water supply, proper waste management and construction of toilet facilities among others. It also
conducts rapid assessment of the nutritional status and food supply of the evacuees particularly
the children and the most vulnerable groups, pregnant mothers and the older persons.

Monitoring and disease surveillance is critical for early detection of possible disease outbreaks
and psychosocial first aid is of outmost important in order to lessen the impact of the disaster
among the victims and survivors. Likewise management of the dead and missing persons shall be
undertaken in coordination with other cluster agencies.

WATER SANITATION and HYGIENE (WASH)

1. Provision of safe and potable water supply in the evacuation centers (15 liters/day/person)
2. Water quality surveillance, monitoring and control
- inspection of all water supply /sources
- water sampling
- disinfection of water supply/source found (+) after water sampling
- household container disinfection
- coordinate with the BFP for regular supply of water for domestic use
3. Provision of sanitary toilet facilities (1 sanitary toilet/25 persons)
4. Assist in the construction of sanitary toilets(with adequate water supply for water sealed toilet)
5. Conduct health education on proper utilization and maintenance of sanitary toilet
6. Ensure proper solid/liquid waste management in the camp/evacuation site
7. Assist / coordinate with the Municipal Engineer
- in the selection of site/construction of final disposal of all solid waste except human waste
- in the construction of blind drainage in all evacuation centers
- in the provision of garbage receptacles/bins with tight covers
8. Control of insects and vermin
- search and destroy harborage of insects and vermin
- regular spraying of insecticides for mosquitoes and flies breeding places
9. Promotion of health education and personal hygiene
- conduct mother’s class
- conduct food handlers’ class
- ensure proper hand washing techniques

MENTAL HEALTH and PSYCHOSOCIAL SERVICES (MHPSS)

1. conduct mental health and psychosocial services.

2. ensure that the victims can vent out their feelings and assist them leading a normal life.
3. evaluate / monitor any signs and symptoms of psychosocial disturbance among the evacuees.
4. ensure proper referral of identified evacuees needing psychiatric medical intervention.
5. conduct MHPSS to health care responders.

NUTRITION

Resource Augmentation:
1. Conduct nutritional status assessment especially the children in the evacuation sites.
2. Provide food assistance (fortified foods), relief/ and conducts supplementary feeding.
3. Provide micronutrient supplementation (Vitamin A/multiple micronutrient)
4. Conduct nutrition rehabilitation (therapeutic nutrition)
5. Conduct nutrition advocacy IEC, promotion of food production and IGP’s.
6. Promotion of breastfeeding and complimentary feeding.
7. Enforce the no milk formula for children in the evacuation centers.
8. Conduct capability building, networking and coordination with cluster agencies.

SURVEILLANCE / PESU

1. Establish functional data bank.

2. Conduct and monitor day to day health assessment in all evacuation centers.
3. Provide daily health assessment information to OPCEN/ Incident Commander.
4. Provide control measures / technical assistance in the prevention of outbreaks.

MANAGEMENT OF DEAD AND MISSING PERSONS ( MDM )

1. Coordinate with the NBI/PNP in the management of MDM

2. Ensure that dead bodies are properly identified/tagged/recorded
3. Manage the mortuary area (ensure proper sanitation)
4. Manage the transport of dead bodies from the collection area to the mortuary
5. Coordinate in the management of the collective grave site
6. Inform the MHO on the number of identified bodies (for issuance of death certificate)
 7. Inform the MHO/OCD on the number of unidentified body and missing persons(for
issuance of certificate of presumptive death)
8. Coordinate with DSWD/LGU in the release of dead bodies
9. Request/procure personal protective equipment(PPE’s) and other equipments
10. Submits report to the Incident Commander

HEALTH

1. Conduct consultation and medical treatment

2. Provide basic health services
3. Referral of high risk patients
4. MHO/PHO to activate SPEED
5. Conduct immunization
6. Conduct DANA/RAHA

VIII. TECHNICAL WORKING GROUP

The Technical Staff of the Provincial Health Office shall serve as the Technical Working
Group and thus shall evaluate and review existing policies, protocols and guidelines in relation to
health emergency management. It shall be the duty of the TWG to formulate if necessary, a
viable plan and contingency measures to be adapted in order to institutionalize HEMS in the
province, taking into account it’s sustainability; in addition the TWG shall identify key persons
to lead in the different committees/teams. Likewise the TWG shall submit their Health
Emergency Preparedness Response and Recovery Plan (HEPRR Plan) to the Provincial Health
Officer II and the governor for approval.

IX. ADMINISTRATIVE SERVICE --- The Administrative Service is headed by the

Administrative Officer and is composed of the following members:

1. Budget/ Finance Officer

2. HRMO
3. Supply Officer
4. Pharmacy
5. Security Personnel
6. Transport/ Utility

The functions of the Administrative Committee are the following:

1. Purchase and stock pile of medicines, medical supplies and other equipm.ent needed
during emergencies and disasters.
2. Provide cash advances necessary for emergency purchase of supplies and logistics.
3. Mobilizes ambulances and other vehicles in responding to emergencies and disasters.
4. Coordinate and assist the HEMS Team in all the activities
ADMINISTRATIVE OFFICER

1. Coordinate with Operations, Planning section regarding administrative and logistical

support requirement.
2. Responsible for the provision of all administrative support during disaster operation.
3. Orient and supervises the security personnel on the protocol of information during
disasters, the incident command and code alert system as well.
4. Conduct monitoring and supervision of the level of preparation of concerned
administrative sections and providing support for the disaster operation.

LOGISTICS/SUPPLY OFFICER

1. Responsible for the establishment of logistics section within the medical post.
2. Obtain/procure needed supplies with the assistance of the finance officer.
3. Anticipate needed logistical requirements.
4. Responsible for keeping all logistics including drugs and medicines making sure of the
proper stocking, storage and inventory.
5. Attend meetings and inform other members of the team on the status of supplies, drugs
and medicines.
6. Perform other functions as maybe assigned to him by the Incident Commander or the
Field Medical Officer.

LIAISON OFFICER/ PIO

1. The Liaison/ Public Information officer should always be.

knowledgeable on the following: 1.) the number of immediate and delayed patients that
can be accommodated and treated immediately (patient care capacity), also the status of
all other victims; 2.) Any current or anticipated shortage of personnel and supplies, etc.;
number of patients transported/transferred to other facilities; 3.) Any resources that are
needed and requested by each section/area.
2. Ensure that all news releases have the approval from the Incident Commander or the
Field Medical Officer.
3. Responsible for obtaining/collecting and storing relevant information and data.
4. Keep abreast with the updates, changes and/or development of affairs.
5. Respond to requests and complaints from other members of the team and relays these to
the ones concerned and Incident Commander.
6. Regularly updates and gives feedback to the Incident Commander, Field Medical Officer.
7. Liaise / coordinate with other government/private agencies.
BUDGET / FINANCE OFFICER
1. Monitors the utilization of financial assets.
2. Oversee the acquisition of supplies and other services necessary for the mobilization
and delivery of emergency services.
3. Make a financial status relative to personnel, supplies and other expenses.
4. Confer with the Incident Commander and other section heads on matters related to
financing / procurement

HUMAN RESOURCE MANAGEMENT OFFICER

1. Responsible for making inventory of human resources which can / shall serve as health
responders during emergencies and disasters.
2. Make sure manpower and other support personnel are available in responding to
emergencies.
3. With the concurrence of the Incident Commander; he shall be responsible for the granting
compensatory leave to personnel rendering extra hours during emergencies and disasters
in lieu of the meritorious service rendered by the health personnel.
4. Prepares a plan / initiate activities and trainings for the purpose of enhancing the
capability of the health responders.

TRANSPORT/UTILITY
1. These consist of the drivers and other support personnel.
2. Responsible for the transfer of victims from the field to the medical post or to other
higher facilities for referral.
3. Coordinate and supervise the transport of victims from the field to the medical post.
4. Responsible for keeping the vehicle on a running condition especially in times of
emergencies and disasters.
5. Coordinate with the logistics officer for the supplies and materials to be brought on
disaster site.
6. Transport the health responders to and from the operation site.
7. Coordinate with the Incident Commander and other section heads on matters where his
services is needed.

X: HAZARD ASSESSMENT

HAZARD Severity Frequency Extent Duration Manageability Total

(a) (b) (c) (d) (e)
Natural 5 2 5 3 2 13
Biological 1 2 1 1 4 1

Technological 1 1 2 1 3 2

Societal nil nil nil nil nil nil

*** TOTAL = a + b + c + d - e
XI: HAZARD PREVENTION PLAN

HAZ ACTIVITIES TIME FRAME/ FUND RESPONSIB INDICATOR

TARGETS SOUR LE
ARD CE PERSON
1.ID vulnerable groups/areas DSWD, CHU, Vulnerable groups &
PHO, areas identified
DRMMC

T 2.Early dissemination of As soon as PAG- LGU, PNP, concerned people

weather forecast ASA releases its Brgy.Officials, informed on incoming
first bulletin typhoon
Y
3.Conduct inventory of Regular/periodic Inventory of supplies
P logistics, supply & done
manpower manpower identified

H 4.Procurement of supplies, After inventory Calamit LGU,

drugs & medicines y funds, DSWD,CHO,P
Regular HO
O budget
5.Make arrangements with As early as MOA w/drugstores &
drug stores & other suppliers posible Calamit LCEs, CHO, other suppliers signed
O for emergency procurement y fund, PHO
regular Evacuation sites
6.Early identification of budget identified
N evacuation sites LCEs, DSWD
People informed on
7.Strengthen the warning warning system
system in each barangay Year round Brgy. Officials in their locality
tanods, DILG,
PNP

F 1.Construction/repair of river As soon as LGU, DPWH River control

controls along the river banks possible constructed and needed
L repairs done
O
O Canals cleaned/
D 2.Dredging of Regular, as LGU, DPWH Dredging done
I canals/sewarage needed
N
G
Trees planted
3.Tree Planning DENR, /reforestation done
DepEd, Local
employees
F 1. Urban Zoning Periodic LGU,DPWH,
Urban
Zoning conducted /
implemented/reviewed
Planners
Informal settlers
I 2. Control, prevention of Year round LGUs, controlled, resettled
squatting DSWD,

R Fire code implemented

3.Strict implementation of Year Round BFD, LGU’s
the fire code
E
Tri – Media Campaign on 4s Year round Regular PHO, CHO, Media plugs conducted,
budget LCEs IEC materials distributed
D PHO MESU/PESU capability
I in disease surveillance
S Enhancement of Surveillance PHO, S.I. IV enhanced
E MESU/PESU officer, S.I.,
A Sentinel nurse New treatment
protocols,guidelines
S disseminated, concerned
E Therapeutic T.A. from staff properly oriented
Re-orientation on the new Comm., clinical DOH
O management and treatment staff, HEPO, Seminars conducted,
U protocols on DENGUE, surveillance community awareness
SARS, AVIAN officers hightened
T INFLUENZA ( h5n1 ) etc.
B All health MESU/PESU,
R Community awareness thru personnel , Sanitary
E seminars, lectures, posters community Inspectors, Essential drugs and
A and IEC materials HEPO medicines, materials and
other personal equipment
K readily available at the
Based on the hospital
Provision of necessary drugs inventory, buffer pharmacy/central supply/
and medicines stock should be PLGU stock room.
available at all PHO
times Pharmacist
Budget officer
Supply Officer

Provision of personal
protective equipment
XII: VULNERABILITY REDUCTION PLAN

HAZ VULNERABILITY ACTIVITIES PERSON INDICATORS

ARD RESPONSIBLE

People: pregnant women, 1.Relocate people in LGUs, People moved

T children, PWD, people in low low lying areas to DSWD, PNP, to safer
lying areas, farmers, fishermen, safer grounds Brgy. Tanods grounds,
informal settlers
Y
2.Early evacuation, Early
Property: farmlands, fishing enforcement of evacuation
P gears, livestock, houses made of evacuation conducted
light materials, personal protocols, Regular
H belongings, Health Facilities, conduct of Drills
Schools, establishments other evacuation drills, Conducted
infrastructures early activation of
O
warning system DOH, CHO,
Services: Transport, Education, MHO, Health
O Lifelines, Service Utilities, 3.Improve the health Staff
Basic Govt. Services conditions of the Routine Health
N people thru Programs
routine/basic health delivered to the
programs community

F People: pregnant women, 1.Relocation of DSWD, PNP, People moved

children, PWD, people near the people to higher LCEs to safer
L
river banks, informal settlers, areas, grounds
O
O Property: personal properties, 2.Distribution of DOH , CHO, People
D documents, houses, Health IEC materials, MHO , PHO informed of the
I facilities , Schools risks
N associated with
Services: Transport, Lifelines, flooding
G
Education, Utilities, Services

D O Students and
I U Students, children, elderly, Information DOH, RSI, other
S T people in densely populated dissemination, 4s Dengue vulnerable
E B areas, informal settlers campaign, provision Brigade, groups well
A R of treated nets and Dep-Ed informed on
S E
ovitrap dengue, treated
E A
K nets procured
 L 1.Capacity training DOH-CHD, Health
for trauma cases, PHO, MHO, Responders
People: Young, old, pregnant BLS, EMT, Basic LGU trained in
A
women, PWD, people living First Aid handling
w/in the danger zone, people trauma cases
N living near sink holes 2.Information RSI, & other
campaign/IEC MHO, PHO injuries
Dep-Ed
D Property: Houses, schools, materials on
health facilities, Personal landslides, Information
effects, Shanties, farmlands, properly
S Brgy. Officials,
crops 3.Early activation of Brgy. tanods disseminated
Livestock, infrastructures the warning system IEC materials
L LGU, distributed
Services: Health, Service 4.Relocation of DSWD,PNP
I Utilities, Education, Transport people in danger Early warning
zone to safer areas LGU, DepEd, system
Brgy. Officials activated
D
5.Tree planting
activities DENR, Concerned
E PNP,DILG people moved
6.Enforcement of to safer areas
S total log ban
Trees planted
to prevent soil
erosion

Log ban
strictly
enforced

XIII: RISK ASSESSMENT

HAZARDS VULNERABILITIES RISKS

Lack of health facilities & Probability of death, serious

Natural equipment, inadequate
medical supplies drugs &
medicines, inadequate
trainings in handling
emergencies, lack of
equipment to be used for
surveillance system, lack of
forecasting equipment
injuries, spread of diseases,
contamination.
Displacement of vulnerable
groups’
Possible damage to lifelines
XIV: CAPACITY DEVELOPMENT PLAN
RISKS Preparedness Time Required Fund RESPONSIBL INDICATOR
Activities Frame Source E PERSON
Injuries Set up Last Q Equipment & 100T OPCEN
Death OPCEN 2011 supplies( laptop, HEMS DOH –EV established,
Diseases fax machine, S.A. HEMS Coor. Equipment &
tables, filing funds other supplies
cabinets, pre- procured,
positioned drugs, PLGU Prepositioned
first aid kits ) drugs & first
aid kits in
place
Trainings:
Capacitate Year BLS, EMT, DOH- DOH –EV Health
Health round Basic First Aid, EV personnel
Personnel Hospital HEPRR, PHO trained on:
thru trainings Public Health PLGU
HEPRR,PHEMA HEMS Coor. BLS
P, SPEED, EMT
MHPSS, Basic FA
Nutrition in PHEMAP
Emergencies, Sub-PHEMAP
WASH, MDM, NIE
ICS, MCI, WASH
Epidemiology, MCI
Policies, ICS
guidelines,protoc MDM
ols, office order

Institutionali- Policies, PHO

zation of guidelines, office Adm. Officer
HEMS in the 2012.. orders, trainings, PLGU Section Heads HEPRR Plan
province Response teams, HEMS Coor. formulated/app
HEPRR Plan DOH roved, policies/
guidelines
disseminated

Provision of PHO Prepositioned

equipment, Year Emergency drugs/ PLGU Budget O. drugs & other
drugs & round medicines/supplie Supply O. supplies are
medicines in s/equipment DOH PLGU available
the hospitals
 XV: RESPONSE PLAN

1. Activation of OPCEN R OPCEN, ICS, Code Alert System

2. Activate ICS E
3. Activation of Code Alert System activated.
S
4. Implement the HEPRR Plan
5. Provision of basic health services P Basic & Emergency Health Care
6. Follow protocols in handling emer- O Services are provided
gencies /disasters N
7. Triaging & prompt referral S Information, communications
8. Coordination & networking with E
other agencies properly managed
9. Information Management
10. Conduct MHPSS P Documentation of the activities
11. Conduct MDM H conducted to identify gaps
12. Conduct WASH/ Epidemio- A
logical survey S
13. Conduct Nutrition in Emergencies E
13. Proper documentation
XVI: RECOVERY AND REHABILITATION

DAMAGES ACTIVITIES TIME REQUIRED FUND PERSON INDICATOR

FRAM SOURCE RESP.
E

Health Conduct DANA, P Repair of PHO Health facilities

facilities RAHA O infrastructure & PLGU LCE’s repaired
S damaged health DOH
T facilities
PHO Procurement of
Equipment Conduct inventory D Medical MHO’s new equipments
I equipments and PLGU LCE’s done
S other supplies DOH
A
Direct & Provide MHPSS & S MHPSS PHO Physiological
indirect other form of T Physiological MHPSS and phycholo-
victims assistance, provide needs Cluster gical needs of the
incentives, P MHO victims are met
compensatory leave H DSWD
A DRRMC Documentation
Systems Post mortem S OCD updated, HEPRR
evaluation, E Plan revisited
documentation NBI,PNP,
review, updating of PHO,
HEPRR Plan HEMS

XVII: CODE ALERT SYSTEM

The code alert status shall be declared either by the Secretary of Health, the HEMS Director,
And the Provincial Health Officer II. The alert status shall continue to be in effect until cancelled
by the aforementioned personnel.

CODE WHITE

Alert Mode is called with any of the following conditions:

1. a strong possibility of a military operation ( e.g. coup attempt )
2. any planned mass action or demonstration within the area
3. forecasted typhoons, the path of which may affect the area
4. national or local elections or plebiscites
5. national holidays or celebrations (e.g. Yuletide Season, Holy Week, etc )
6. others which shall be declared as a disasters by the persons stated above
The following shall be on-call:
1. surgeons
2. anesthesiologist
3. internist
4. o.r. nurses
5. e.r. nurses
6. x’ray personnel
7. administrative personnel residing near the hospital for immediate mobilization

CODE BLUE

Partial / selective activation is proclaimed when 20-50 casualties (red tags) are expected.
This may require activation of the hospital network or at the judgement of concerned offi-
cials may involve only the hospital nearest the emergency site.

The following should respond once CODE BLUE is on:

1. on scene response team
2. emergency room personnel
3. surgeons
4. operating room personnel
6. surgical personnel on duty for the day
7. anesthesiologist
8. O.R. nurses
9. nurses living within or in the vicinity of the hospital
10. administrative personnel residing near the hospital for immediate mobilization
11. public health service personnel

CODE RED

Full activation is put into effect when more than 50 (red tag) casualties are anticipated,
expected or suddenly brought to the hospital. The situation may require more than one
hospital to respond .

The following should respond once CODE RED is on:

1. all persons enumerated under code blue
2. all nurses and nursing attendants
3. all institutional workers
4. all administrative personnel whose services are deemed needed for the operation

In the event that there is a need to change the alert status from code white to blue to red,
the Provincial Health Officer or next highest officer under the structure is authorized to:
 1. cancel all leave of personnel and order them to report to work
2. put back-up teams on standby within the hospital for rapid deployment
3. take other steps necessary to respond to the emergencies (e.g. cancel elective surgi-
ries, etc.)

XVIII: TRIAGING ( COLOR TAGS )

Triaging in done if there are more than victims than the health responders. Hospital per –
sonnel are thus advised to be guided by the patient’s color tags upon their arrival.

RED TAG 1ST priority: Life threatening ---- needs to be treated within 1-3 hours
a) obstruction / damage to airway
b) breathing disturbance ( RR= 30/min or RR <10/min )
c) circulation disturbance
d) altered level of consciousness
e) external bleeding with CVS collapse

YELLOW TAG 2ND priority: Urgent ----------- needs to be treated within 4 – 6 hours
a) major burns, involving hands, feet or face, complicated by
major soft tissue trauma.
b) spinal injuries; long bone or pelvic fractures
c) environmental injuries (heat/cold exposures)

GREEN TAG 3RD Priority : Walking victims ------ treatment can be delayed
a) minor injuries not threatened by ABC instability
b) minor fractures/ soft tissue injuries and burns

BLACK TAG Last priority ---- death or in morbid state

 DISASTER COMMITTEE

Over-all Chairman (Representative to DRRMC) - DR. FELICIANO JOHN M.

MATIBAG JR
Vice – Chair - DR. NOEL P. LUMEN

TEAM A TEAM B
(MOBILE TEAM) (STATIONARY TEAM)

Team Leader DR. IMELDA RODRIGUEZ DR. REYNALDO TAN

Members:

Medical / Nursing / Paramedical Services

DR. WENCESLAO RICH LYNDO CALVA

RALPH MADREDIJO GERRY BUSLON
ROWEL ALBAN EMMA GONO
SHIELA BYRNE MA. ISABEL CADAVOS
GERARDO TOBIAS FELICIDAD ARTIGO
TERESITA GARCES ROLANDO ORIT
JOSELITO GAVIOLA MARIO MACEDA
RICKY MECATE
SHEREE SALVE

Administrative Services

AMANTE GONO FERNANDO ACASIO

CATALINA SIBUD FELIPE NERI OCTOT
NORA AIDA PORICALLAN NESTOR OBRA
DOMINADOR ZAMORA ROLITO SAUSA
TEODORO BERMOY

Technical Services

JULIUS DUARTE
LUTHGARDA RUBIO VICTORIA GENERAN
FELIZARDO RAMOS NILDA RICH
DAVID ESPINA ERWIN MALAZARTE
 SALVACION OPPUS YNIGUEZ MEMORIAL
PROVINCIAL HOSPITAL ( SOYMPH )

XIX: HAZARD ASSESSMENT:

HAZARD SEVERITY FREQUENCY EXTENT DURATION MANAGEABILITY TOTAL
(a) (b) (c) (d) (e)

FIRE 3 1 3 3 4 6
DISEASE 3 1 2 3 3 6
OUTBREAK
TYPHOON 2 2 3 2 4 5
EARTHQUAKE 2 1 3 1 3 4
LANDSLIDES 1 1 1 1 2 2
FLOODING nil nil nil nil nil nil
*** Total = a + b + c + d – e

XX: HAZARD PREVENTION PLAN:

ACTIVITIES TIME FUND RESPONSIBLE

HAZARD FRAME/T SOUR PERSON INDICATOR
ARGETS CE
1.Preventive maintenance / Y Maintenance per- Elec. wirings well
regular check-up of elec. E sonnel, electri – Maintained.
F wirings. P cians
A regular inspection
2. Periodic inspection of fire R of fire extinguishers
I extinguishers . R L Adm. Officer, conducted.
3. Installation/maintenance of O Supply Officer, Fire alarms/sprin-
fire alarm and springlers. U BFP klers installed &
R 4. Staff education & training G functional.
N
on fire prevention/control. BFP, Increase awareness
D
E among hospital staff
5. Conduct fire drill 2 x a year U BFP, OCD on fire prevention
and control.

Disease 1. Community awareness thru Y Increase community

Outbreak seminars, lectures and E P Prov. Health awareness on the
IEC materials. A Officer hazards brought
2. Reproduction of IEC mate- R L H about by the diff.
rials . E HEPO diseases.
3. Provision of Personal Pro – R h G M IEC materials
tective Equipments (PPEs). O e S Technical Staff available,distributed,
4. Updating of guidelines and U a U
SOP for disease preven – N l S PESU Adoption/enforceme
tion and control. D t A nt of guidelines &
5. attendance to seminars and h P All Health per – protocols on disease
trainings on disease mngt. F sonnel management.
6. Enhancement of hospital s L U
surveillance & infection t N Adm., Budget & PPEs made available
control system. a G D Supply Officer for health staff.
7. Provision of drugs and f S Drugs & medicines
medicines. f U DOH – EV are available
T
Y E 1. Compliance to the SAFE Regular PHO
P A Q HOSPITAL Program. Year Adm. Officer Passed the SAFE
H R U round Section Heads HOSPITAL
O T A 2. Conduct regular evacuation Periodic HEMS standards
O H K drills BFP
N E

XXI: VULNERABILITY ASSESSMENT PLAN

Vulnerabilities
Vulnerable PEOPLE PROPERTIES SERVICES ENVIRONMENT
HAZARD Areas

FIRE Laboratory Lack of Volatile/flammable No alternate place of Lack of proper

knowledge reagents/gases and service delivery waste management,
Central on proper other chemicals in /disruption/breakdown
Supply storage routine laboratory of essential health
Room of reagents procedures services
and other
chemicals

All areas hospital no signages,

in the staff escape route not
hospital on proper properly marked,
evacuation
procedures,
sick,
elderly,
morbid
patients
 XXII: VULNERABILITY REDUCTION PLAN

HAZ VULNERABILITY ACTIVITIES PERSON INDICATORS

ARD RESPONSIBLE

PEOPLE: (1.) hospital staff Conduct info. drive BFP, Adm. Conduct fire safety
lacks training on fire safety/pre- on fire prevention, Officer, seminars
vention and control.(2.) No fire distribute IEC Section heads, and trainings,
drills being conducted . (3.) No materials HEPO IEC materials
F fire brigade/fire team among the Organize & train posted, distri-
I hospital personnel. (4.) Sick/el- rescue team among buted.
R derly/children patients hospital staff to
E assist these group of
people during
emergency

PROPERTIES: (1.) Dilapida – Inspection of Adm. Officer, Electrical wirings

ted buildings. (2.) electrical buildings, regular Electricians, should be checked
wirings not properly maintained maintenance/check- Maintenance regularly.
All (3.) Improper storage of com – up of electrical personnel, Fire extinguishers
Areas bustible materials. (4.) No fire wirings, segregate Supply should always be
In extinguishers /water sprinklers/ combustible & non Officer, Stock avail. for use in
The smoke detectors.(5.) No proper combustible room cases of fire
Hospi- signages materials personnel,
tal Laboratory
SERVICES: (1.) no other staff
government hospital in the area,
Disruption in the delivery of
health services.

ENVIRONMENT: (1.) Proxi-

mity to the residential area, (2.)

D O Students, children, elderly, Information DOH, RSI, Students and other

I U people in densely populated dissemination, 4s Dengue vulnerable groups
S T areas, informal settlers campaign, provision Brigade, well informed on
E B of treated nets and DepEd dengue, treated
A R ovitrap nets procured
S E
E A
K
XXIII: HOSPITAL SERVICES
NURSING SERVICE

1. Establish control and command over the nursing staff and services
2. Identify the areas where the victims will be placed through tagging system
3. Inform the medical service personnel about the situation
4. Assist in the performance of emergency procedures and treatment including in the
admission of the victims
5. Organize patient transfer to designated care facility
6. Collect and properly dispose of used medical supplies and biohazard waste from the
incidence
7. Listing and documentation of patients

MEDICAL SERVICES:

Upon the activation of the Incident Command System (ICS)

The Chief of Hospital:

1. Activates the two (2) teams
i.Hospital response team leader alerts all team members
ii.Field response team leader also alerts it’s members; but will standby in-
case of internal disaster. If in case of external disaster, the field
response team leader should be dispatched and mobilize.
a. Notifies all the heads/supervisors of the concerned departments
i. X-ray department = doctor in-charge sees to it that all x-ray personnel are
on standby and materials are available
ii. Laboratory department = doctor in-charge should alert all personnel, keep
them on standby and ensure that necessary materials are available. All
requests should be considered “stat “

2 .The Chief of Hospital should coordinate with the Chief Nurse who is responsible in
alerting
members of the nursing services
3. The Chief of Hospital will gather reports from different departments and submit it to the
PHO the Information Officer for proper dissemination

INFORMATION / COMMUNICATION
1. Responsible for the veracity and accuracy of incoming and outgoing information
2. Manages the incoming and outgoing information concerning the disaster upon the
instruction of the incident commander.
3. Conducts Risk Communication
4. Ensure / designate a place for the media
SAFETY AND SECURITY
1. Responsible for the security of the area and the safety of disaster victims as well.
2. Provide safety and security of health responders, equipments, instruments and other
logistics.
3. Responsible to inform the AO and incident commander of the occurrence of internal and
external disaster
4. Responsible for announcing through the paging system the activation of the Code Alert
System as instructed by the Incident Commander.

LOGISTICS / SUPPLY
1. Responsible for the provision of supplies, medicines and other materials needed during
the disaster rescue operation
2. Manages the actual distribution of these supplies and materials at the affected area
3. Anticipate needed logistical requirement, make requisitions and maintain buffer stock of
needed supplies, medicines and materials for an emergency
4. Responsible for the establishment of logistics section within the medical post
5. Perform other functions as maybe assigned to him by the Incident Commander or
Administrative officer

TRANSPORTATION/UTILITY SERVICES
1. Responsible for the road worthiness of the vehicles at all times
2. Sees to it the vehicle/ambulance have enough fuel to be used especially during
emergencies and disasters
3. Ensure the safety of the health responders deployed to the disaster areas
4. Provides utility /manpower resources needed during the rescue operation

PHARMACY

1. Responsible for keeping drugs and medicines making sure of the proper stocking, storage
and inventory.
2. Responsible for the proper distribution of drugs, medicines and other supplies.
3. Coordinate with the HEMS Coordinator regarding the availability of drugs, medicines and
Other supplies for emergency use
4. Attend the meetings and informs the team on the status of drugs and medicines

BUDGET

1. Speedy allocation of budgetary funds in response of a disease outbreak and other

emergencies and disasters.

HRMO

1. With the approval of the PHO, he be responsible for the granting of compensatory leave
to personnel rendering extra hours during emergency/disaster in lieu of the meritorious
 services rendered by the personnel.
2. Responsible for making inventory of human resources which shall serve as health
responders during emergencies and disasters.
3. Shall coordinate with other section head for the deployment of personnel and other
matters that would lead to the success of every operations.

XXIV: REPEALING CLAUSE

The provisions from previous issuances and other related orders that are inconsistent
or contrary to this order are likewise amended and modified accordingly.

XXV: EFFECTIVITY

This order shall take effect immediately.

Prepared by: Noted:

JULIUS A. DUARTE, D.M.D. NOEL P. LUMEN, M.D., M.P.H

HEMS Coordinator Provincial Health Officer I

Noted:

FELICIANO JOHN M. MATIBAG JR MD-RN MPH DPA FPAMS

Provincial Health Officer II

Approved:

HON. ROGER G. MERCADO

Provincial Governor
HEALTH EMERGENCY PREPAREDNESS,
RESPONSE, RECOVERY
( HEPRR ) PLAN
ANNEXES : GEOGRAPHICAL BACKGROUND

Southern Leyte is located within the Philippine Rift Zone. The major fault line traverses
the municipaliyies of Sogod, Libagon, St. Bernard, Liloan ,San Francisco. Pintuyan and
San Ricardo. Other structures which indicate its vulnerability to earthquakes are likewise
found in the municipalities of Silago, Hinunangan, Bontoc, Tomas Oppus, Malitbog, Padre
Burgos, Limasawa, Macrohon and Maasin City.

The province is prone to the following disasters:

1. FLOODS, TSUNAMI and STORM

The province has eleven major rivers. The largest of these is the Subangdako
in the town of Sogod which is considered a braided river with several channels
forming an alluvial fan with wide flood plain. It becomes hazardous during heavy
rains affecting agriculture, transport, economic activities and the general conduct of
living and delivery of basic services.

2. LANDSLIDES

The province is susceptible to landslides owing to four major factors: (1) unusual
heavy rains (2) it has numerous faults and badly broken rocks, (3) steep slopes and
 (4) absence of effective vegetation cover. From the DENR-MGB study, 83% of ba –
rangays are at risk:

1. 104 brgys. with HIGH landslide susceptibility

2. 102 brgys. with MEDIUM landslide susceptibility
3. 208 brgys. with LOW landslide susceptibility

Based on the report of the Mines and GeoSciences Bureau, 104 barangays or 21% of the
total barangays in Southern Leyte is highly susceptible to landslides that would likely affect
about 36, 341 hectares and around 75,633 people.

# of
MUNICIPALITY Brgys. TOTAL
High Moderate Low None Assessed
1. MALITBOG 37 14 6 17 37
2. SOGOD 45 12 15 14 41
3. ST. BERNARD 30 12 5 7 24
4. MAASIN CITY 70 11 23 17 51
5. LILOAN 24 10 9 5 24
6. PINTUYAN 23 8 6 9 23
7. SAN FRANCISCO 22 8 6 8 22
8. MACROHON 30 7 10 13 30
9. HINUNANGAN 40 5 3 16 14 38
10. SAN RICARDO 15 4 8 3 15
11. BONTOC 40 3 18 17 1 39
12. TOMAS OPPUS 29 3 13 14 30
13. PADRE BURGOS 11 3 3 5 11
14. LIMASAWA 6 2 3 1 6
15. LIBAGON 14 1 6 7 14
16. SAN JUAN 18 1 2 15 18
17. HINUNDAYAN 17 0 2 15 17
18. SILAGO 15 0 2 13 15
19. ANAHAWAN 14 0 2 12 14
TOTAL 500 104 142 208 15 469
3. EARTHQUAKE

The province lies within the Philippine Rift Zone, making the entire province vulnerable to
earthquakes. It experienced major earthquakes in the past, notably in 1907, 1948 (magnitude
6.9), and July 1984 (magnitude 6.4) with reported damages to properties and facilities.

4. THYPHOONS

Since the Philippines experiences an average of 20 typhoons per year (9 landfalls), Southern
Leyte remains vulnerable, owing to it’s geographical location. Of the 27 devastating strong
typhoons from 1940 to 2000, 11 or 41% directly affected the province. It is noteworthy to
mention that a series of strong typhoons occurred in the 1970s. Moreover typhoons can hit
the province in any month of the year as reflected in the PAGASA data

List of Typhoons that hit Southern Leyte (1972 to Present )

No./ Name of typhoons that

Months # of strong typhoons that hit hit So.Leyte
the Phil.
January 2 Asiang 1972
Auring 1975
February nil nil
March 1 Bising 1972
April 2 Atang 1978
Bebing 1979

May 2 Didang 1978

June 2 Nil
July 2 Nil
August 2 Nitang 1984
September 2 Nil
October 2 Nil
November 5 Sisang 1987
Ruping 1990
December 2 Asiang 1972
Auring 1975
TOTAL 27 11

Southern Leyte Disaster Risk Reduction Management

WORKSHEET 4: WASH Emergency Preparedness Plan

Risks Capacity Strategies/ Time Resources Requirement Person Indicators

(10P’s) Activities Frame Req’d Avail Sourc Respon-
e sible
Diseases/Illness 1. Policies, Adoption of Q3 of Budget LGUs WASH WASH
Displacement, protocols, existing laws 2012 for Team Policies
Environmental guidelines, in WASH & meeting adopted
Contamination, Procedures making of
Loss of life line, Local
Loss of life, Ordinances in
property and support of
happiness, WASH
Breakdown of
services
2. Plans Formulation Q3 of Planning CHD- WASH Plans
of WASH 2012 workshop HEMS Team formulated
Plan

3. People Organization Q3 of Partner- WASH WASH Organized

of WASH 2012 ship Team, Team WASH
Team meeting Inter- team
Agency

4.Partner- Strengthenin Year Forms CHD- WASH Strengthen

ship building g of round and tev LGUS Team, -ed
networks Inter- partner-
among Agency ship
 cluster
agency in
WASH

5. Program Integrate Year IEC DOH- WASH Wash

develop- WASHactiviti Round Materials, LGUS TEAM activities
ment es to local LGUS integrated
health Plan in local
health
plan;
evacuation
center
identified;
survey
conducted
Identification ;advocacy
of evacuation conducted
center, ; operation
conduct linis
survey of conducted
existing ; health
WASH teachings
facilities and on proper
conditions housekeep
ing and
sanitation
conducted

6. Physical Year Colilert, DOH- WASH logistic

infrastructur Round Chlorine, LGUS, TEAM materials,
-ral Incubator DONO AND drugs and
develop- , Non- RS , COMMUN non food
ment food CHTF ITY items
items, preposition
Drugs ed;
Container needed
s, Water equipment
analyzer and
materials
procured

DOH- WASH food

7. Practices Conduct Year IEC LGUS/ TEAM handlers
advocacy on Round materials SPONS class
Hygiene ,Training ORS done; IEC
Promotion funds & materials
materials developed
and
Conduct distributed
operation ; trainings
“LINIS”, conducted
conduct
Health Monitoring
Teaching and on water
proper quality and
housekeepin potablity
g and conducted
 sanitation Disinfectio
n and
inspec-
tion done.

8. Peso & Repositioning Year Colilert, DOH/ WASH

Logistics of logistics Round incubator LGUS/ TEAM
materials, s, water SPONS
drugs and analyzer, ORS
Non Food Chlorine,
items forms

Procurement Year Tevs and LGU WASH

of needed Round meetings TEAM
equipment
and materials

9.Promotion Conduct food Year DOH/L WASH Monitoring

of health handlers Round GU TEAM and
class reporting
Development done
of IEC
materials for
WASH

Integrate Year WASH

solid & liquid Round TEAM
waste
management

10. Package plan in WASH

of services at the mun.
at the level
community,
evacuation Conduct
center, reg’l periodic
offices monitoring
on water
quality &
potability

Conduct
periodic
disinfection &
inspection