Republic of he Philippines Department of Health Cagayan Valley Center for Health Development ADVISORY DATE: October 20, 2020 FROM: rio. DMAGPANTAY, MD, PHSAE, CESO Il Director 1 To: ALL LGUs, DEVELOPMENT MANAGEMENT OFFICER IV AND V, PDOHOs, HEALTH EMERGENCY RESPONSE TEAMS, AND OTHER CONCERNED PERSONNEL SUBJECT: USE OF THE REVISED RAPID HEALTH ASSESSMENT (RHA) FORM ACTION: FOR YOUR COMPLIANCE To ensure a more specified and instantaneous response in the different municipalities affected by Tropical Depression “PEPITO" the Health Emergency Management Unit has revised the Rapid Health Assessment (RHA) form based on the history of previous emergencies and disasters experienced in the region to provide a more adept response. Hence, you are hereby advised to use the Revised RHA form and send a copy of the accomplished form to the Health Emergency Management Operation Center (OpCen). For issues and concerns regarding this matter, you may contact CV CHD OpCen to the following hotline numbers: 0917-6596959/ 09175115463/ 09175215463/ 09175315463. Thank you and God bless! ‘Maharka Highway, Care Norte, Tuguegarao Cty. Telephone Number 34-6585, 204-8737, 846-7261, & 8457230. E-mail address chdcwdoh®yahoo.com/dohregionalofice2@amai.com Telefax ne. 304-6523REPUBLIC OF THE PHILIPPINES DEPARTMENT OF HEALTH CAGAYAN VALLEY- CENTER FOR HEALTH DEVELOPMENT DISASTER RISK REDUCTION AND MANAGEMENT FOR HEALTH Rapid Health Assessment Form Event: Date: Province: Gity/Municipality: Name of Evacuation Center: Category of Evacuation Center: O inside C1 Outside ‘Type of Evacuation Center: Gymnasium O School Barangay Hall Total Number of Displaced Families: Total Number of Displaced Individuals: Address: D1 Church 11 others: (please specify): rofile of Displaced Families/ Individuals E Category # of individuals Individuals with Comorbidities # of individuals (0-11 months Cardiovascular Disease 12. 59 months Hypertension. G years old and above Cancer (all form) Total number of rooms in the evacuation center: Total/Average number of individuals per room: Source of Water and Level of water source: Domestic: Drinking: Food Preparation: (e.g ration/ food packs) Have access to toilet facility? YES = wo Type of toilet facility Glevel |; specify: Level Il; specify: Waste Disposal Management: > Type: O CollectionC compost Pit Pregnant, Renal /Chronic Kidney Disease Lactating Chronic Obstructive Pulmonary tlimseeeeet Disease Senior Citizen Cerebrovascular Accident/Disease PW. Diabetes _others Number of toilet facili Burning others (specify): Level ii; specify > Frequens Electricity: available Not Available Health Situation Top 10 Leading Causes of Consultation with number of cases Priority Health NeedsQUAD CLUSTERS ACTIVATION/ TEAM AVAILABLE QUAD CLUSTER AVAILABLE TEAM) NO AVAILBALE | | TEAM/POINT __ PERSON DEPLOYMENT StAtUs. Mental Health and Psychosocial Support Water and Sanitation Hygiene | Nutetion in | |__Emergencies Medical (Surveillance ~~ Senvicés PROVIDED ~~ ead ciuster Mental Heath and Psychoso Hof individuals Nutrition in Emergencies “Medica Others SUPPUESTLOGSIICS Remarks: Assessed by: SUPPLIES/ LOGISTICS PROVIDED Noted by:REPUBLIC OF THE PHILIPPINES DEPARTMENT OF HEALTH ‘CAGAYAN VALLEY CENTER FOR HEALTH DEVELOPMENT DISASTER RISK REDUCTION AND MANAGEMENT FOR HEALTH Province: City/ Municipality; bate ._ IMPACT OF THE EVENT ON HEALTH FACILITIES NUMBER OF HEALTH FACILITIES: NAME OF DAMAGED FUNCTIONAL | NON REMARKS FACILITY infrastructure Equipment FUNCTIONAL [Totally [Partially ffotally [Partially Facility type: 'BHS, RHUs/ CHOs, Infirmaries, Hospital (Level 1,2,3) Community Isolation Unit, Quarantine Facility “Totally-Structures, equipment, educational materials, etc. which are visibly completely destroyed or unusable and need replacement. Included also are structures that have suffered irreparable structural damage and need total rebuilding or ‘ew construction, Partially. Affected structures, equipment, educational materials, etc. that can be repaired or reused and whose structural integrity has not been compromised. Examples are for Instance windows or desks that are repairable; wet books that can be used after drying, ete. B.HEALTH PERSONNEL FACILITY TYPE NAME OF % of personnel reporting ‘W OF HUMAN RESOURCE AVAILABLE FACILITY 350% | <50% MD [RN [DENTIST [MIDWIFE | WRH [OTHERS C.LOGISTICS Name of Facility Type of facility: ESSENTIAL DRUGS AND MEDICINES ‘AVAILABLE DRUGS/MEDICINES ‘ADEQUATE INADEQUATE NEEDED (QUANTITY) Cotrimoxazole ‘Amoxicilin ‘Mefenamic Acid Paracetamol ‘ORESOL ‘Lagundi Vitamin A Skin Ointment Gauge pad Plaster strip Surgical tape ‘Metformin Sulfur ointment Fusidate Imidazole Losartan ~ Vitamin & Doxycycline Amlodipine Povidone lodine Cotton Zinc Hygiene Kits" "Alcohol ce Mask Disinfectants Footbath Yellow bas. Fece sisi Jerry cans “quo tabs Remarks: Assessed by.Republic of the Phippines ‘Department of Heath Regional Offce 02 HEALTH EMERGENCY MANAGEMENT STAFF REPORTING UNIT: RAPID HEALTH ASSESSMENT ‘As of (mndayyyy) Event: Aree: 10 ernment sn ree eth rot apc ase spe insctom: Ta om sae mies win hous pareeamone oa tae ae Completa all the necessary fies. Please attach photos if available ‘of Hazard (OLOGICAL, aL Tonscon Rane Tipring | Possning Fre Mant among “Ambush Asan LPAIALPA, \oleanc Eng Disease Outrak hemcst Spi Accent ‘med Confit Teron Actes Tropic Depression Lanar— [ape aacase Ton waste" Air Acide war Hostage Taking ‘Typhoon Taunami clear tana Mass paring Coup detat Sto Suge Lanai Damaged Transporation epatiaion Freeing omer, specty nastactie Accident Com Urest Eamquaee je snc Trash sige One, spect Explosion (Unintentional Others, spect ‘ate cf Occurence iace of Occurrence (adi [earangayiLandmark ime of Oocumence MunespantyiCiy ‘et Bescnpben: ‘eines [status ammunition [Landine —|o,_avaiabie 1 Not Avaliable vnvices [Cetpnone—[c” Avaliable 0 Not Avaiabie jternet _[c"Avaiable 01 Not Available Availabe Partaly Avaliable 1 Total black out Avatabie Not Avarabie [bPassableO” Not Passabie Functional 00, Net Functional Fungtonal — GG Not Functional ‘eaneiy Sovices Sei ip RadarNon ProvinooiCity jor Functional pena: Remarks: ‘DOF ‘Bo [ow Lau Lou Gu itary Iaitary Iitary Private lPrivate lPivate HE ane lon _lomners lon Bors erontofpersonetrarening | Conmand System in Pereant oi parsarcel openness Commend Sem 9 IPO. ica. — Yes No jess than SOpercent | Yes 1: No less than 50 parent ‘more than 59 percent ‘more than 80 parcent lcHo Lou. Yes No TessthanfDpercant | Yes No less than 50 percent ‘more than 80 porcent mote than 50 percent Lou. Leu, | Yes No Teasthan SO percent | Yes No ‘more than 0 parcant | mote tnan 50 percent fess than 50 percant key__ HEE Lov { yes No iassthan 50 percent | Yes No 1 mare than 50 percent ‘more than 50 percent less than 50 percent Leubetteceeee eee HEE Leu. | Yes No iss tan 50 percent Yes i No ‘reve than 50 parcent t ‘moro tran 60 percent less than 50 percent office fo Essential rugs and Mediones, save cas = | Foren many da wi [acou z Taquaie__Novadeuaie lusu “adequate "Not edequaie [Hospaais TFateuite Not adrauale — PLGU CMLGU, REGIONAL OFFICE, ‘Esablaed Command Genter | Fabushed Exablshed Comma! ‘Operation Transeo to Hospitals |commansiOperation Carter Contor mth atten areas ‘amesion 10 HospAals Teanspot to Hospaals Deployed Resnonse Teams Ouipatent Care Agmnssion to Hospitals Rapid Heath Assesemer Prowded Dring water Outpavent Care Mobiized Logistics Evacuates Aectes Hopulanon | Mobized Lopes Prowdea Potable Drinking water Misnagemert ofthe Deo 8 the | Cepinynd Response Teams No datas on actions taken hasing Provided Dorking water Raped Heath Assessment Raped Heath Assessment Npwetate nn arhions taken Naot on actin taken Cry ROME vias ‘BOR REGIONAL OFFICE, wa Propared and Submited by ate Prepared [rable No Prntea Nome | cee Lendine: : ‘SosgoawonOfice Fax no. 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