DISASTER RISK

REDUCTION
& MANAGEMENT
FOR HEALTH PLAN
 HAZARD
INVENTORY
DISASTER RISK REDUCTION AND
CLIMATE CHANGE ADAPTATION
 R.A. 9729, otherwise known as the “Climate Change Act of 2009”
 adopted the Philippine Agenda 21 framework which espouses sustainable development, that is,
providing current human needs without sacrificing the future generation.

 Hyogo Framework for Action

 it emphasized the importance of adopting strategic goals towards building national and local resilience
to climate change-related disasters by mainstreaming the concept of climate change adaptation in
various phases of policy formulation, development plans, poverty reduction strategies and other
development tools and techniques both in the national and local governments.
 Same principles and advocacies are emulated under R.A. 10121 or the “Philippine Disaster
Risks Reduction and Management Act of 2010”.
 This law laid down the strategies and actions to be adopted by the government in reducing the risks of
disasters. It institutionalized risk reduction management in the national and in the local level which
required the local government units to create a local office (Local Disaster Risk Reduction and
Management Office), formulate a comprehensive Local Disaster Risk Reduction and Management
Plan and ensure its integration in the Comprehensive Development Plan and Comprehensive Land
Use Plan, and establish Local Disaster Risk Reduction Management.
FLOOD
The most common hazard in
Koronadal is flooding. It is a result
of uncontrolled surface water runoff.
In the downstream area, urbanization
is one of the major contributory
causes of overbank flooding. Urban
areas have lesser natural ground that
could absorb rainwater. Surface
water runoffs in urban areas are
directed to drainages or storm
drainages that are also drained in
Blok Creek. The accumulation of
rainwater and the silted condition of
Blok Creek allows it to overflow
inundating residential, commercial
and agricultural areas in Koronadal.
The Digitized map of the City of Koronadal was
generated from the hazard map provided by the
DENR- Mines and Geosciences Bureau Region XII.
Of the 27 barangays of the city, 23 barangays are
high to moderately susceptible to flooding. The
highly susceptible areas to flooding, covering vast
tracts of land, are Barangays Concepcion,
Namnama, Sto. Nino and Morales. The 3
barangays except for Morales which is being crossed
by Bulok Creek are being traversed by either one or
both of the rivers of Taplan and Marbel . Although
the area flooded in the urban center, specifically
barangays Zones I, II, III, and Gen. Paulino Santos is
not so extensive, the impact of flooding is greater
due to its high population and dynamic economic
activities. The national highway, particularly the
round ball area and the sections along Carpenter Hill
and Saravia are also often inundated which is
attributed to poor infrastructure design. The DPWH
has initiated the formulation of the city’s Flood
Control and Drainage Master to address the problem.
The Flood Hazard Map visualizes the location of
high risks areas. It illustrates the vulnerability to
flooding of areas near river bodies. (Land Use Plan
Comprehensive Land Use Plan, 2012-2021 City of
Koronadal)
DE
In the Upstream area of Koronadal,
flooding is oftentimes inter-correlated
with the rain-induced landslide.
Rainwater runoff coming from the
Roxas Mountain Range during an
extreme downpour of rain carries a
heavy load of sediments or debris
from the slope areas of the mountain.
Sloping surface with no defined
channels and the inability of the land
to absorb rainfall causes an increase
in the amount of surface runoff
generated, in effect flooding is always
associated with rain-induced
landslides or flashfloods destroying or
damaging anything in its path.
Thirteen (13) of the city’s 27
barangays were identified by DENR
Region XII as highly and
moderately susceptible to
landslide. These Barangays are
Assumption, Cacub, Carpenter
Hill, Esperanza, Mabini,
Mambucal, Paraiso, San Isidro,
SanJose, Saravia, Sta. Cruz,
Topland and Zone IV. An
alarming record of about 8,984.27
hectares or 32.43% of the total land
area of the city is highly exposed to
landslide. The top three (3)
barangays in terms of area are
Cacub, Assumption and Saravia
which cover about 6,348.40
hectares.
HAZARD ASSESSMENT
HAZARDS AFFECTED AREAS
Landslide Cacub Mabini The city has two main recurring
Assumption Mambucal
Paraiso Morales hazards of flooding and landslides
Topland San Jose in both high and low, lying areas
Esperanza Zone Iv
Sta. Cruz San Isidro
near river banks, and watersheds.
Carpenter Hill Saravia 23 Barangays were identified as
Flooding Zone 2 Sto.Nino susceptible to flooding and 13
Zone 4 Zone 3 barangays are high risk in
Capenter Hill Sta. Cruz
Caloocan Namnama
developing landslides in the future.
Avanceña Gps A series of mitigating measures
Zone 1 San Isidro was implemented to address the
New Pangasinan Concepcion
San Roque Saravia situation and make necessary
Magsaysay San Jose interventions in these areas.
Earthquake Koronadal City Area Through The Barangay
Fire City Proper Empowerment Program of the City
All Barangays
Mayor, the construction of
Armed Conflict San Jose Saravia
Mabini Cacub drainage canals system and slope
Paraiso protection projects prevents severe
Epidemic (Dengue Outbreak) Sta. Cruz Sto. Nino impact from this hazard.
Gps Zone 1
Zone 2 Zone 3
Zone 4 Morales
Erosion Mountainous Areas
Vehicular Accident Along National Highways (Gensan Drive, Tacurong Drive,
Matulas, Alunan Ave. And Brgy. Sto.Niño)
Terrorism City Proper
Vehicular Accidents Barangay Saravia and City Proper
 A.VULNERABI
HAZARD VULNERABLE
AREAS
VULNERABILITIES

PEOPLE PROPERTIES SERVICES ENVIRONMENT LIVELIHOOD

LITY AND
LANDSLIDE 13 BARANGAYS Vulnerable
populations:
Houses made of
light materials and
disruption of
transportation/
The
predominance of
Farmland
located in low- RISK
infants, dilapidated; communication loam soil lying areas,
preschoolers,
school children,
Destruction of
Buildings/
systems and
essential health
classification,
heavy rainfall,
fish ponds,
farmers, ASSESSMENT
women of Residences/ services poor drainage
reproductive age, schools, package system, The vulnerability and risk
AUDs (persons with government agricultural land
disabilities), facilities, and converted into a assessment identifies the factors
elderly, pregnant privately owned residential
women, lactating institutions not house
that increase the risks arising
women and those compliant to from specific hazards. The
with chronic building code;
illnesses warehouses located presence of vulnerable people,
in low-lying areas
properties, services,
environment, and livelihoods
decreases the ability of the LGU
FLOOD 23 Houses made of disruption of to cope with the hazards. This
BARANGAYS
all age groups
light materials,
buildings located in
transportation/
communication
drainage system,
agricultural land
process tries to anticipate the
especially the low areas, vehicles systems and converted into harm dealt to the LGU and
extreme ages, health services; the residential
people living in no available house; areas determines the health needs
low-lying areas,
riverbanks, bridges,
PPEs, people
wading in
with a poor
drainage system
before, during, and after an
and upland areas floods because emergency or disaster.
of lack of health
information
INTEGRATED
CODE ALERT
SYSTEM
GUIDELINES FOR IMPLEMENTING THE
CODE ALERT
 The Regional Code Alert shall be declared by the Secretary of Health or Director of HEMS for
emergencies with national implications; Regional Director and RHEMS Coordinator for
internal (regional) emergencies.
 Regional Directors to automatically declare Code White during national events and activities,
especially with the potential of an MCI.
 The alert is raised, lowered, or suspended by the Secretary of Health,
 HEMS Director for emergencies with national implications, or by the respective Regional
Director or RHEMS Coordinator for internal (regional) emergencies.
 Each region shall prepare its own procedures for declaring and lifting the Code.
 Conditions to raise or suspend the alert level depend on the threat – whether it is increased or
is no longer present.
INTEGRATED CODE ALERT SYSTEM FOR
THE CITY HEALTH OFFICE AS PER A.O.
2008-0024
CODE WHITE
•1. Conditions for adopting Code White:
 Strong possibility of a military operation, e.g., coup attempt within the region
 Presence of hazards that pose a public threat such as epidemics, chemical, biological and
radiological threat, etc.
 Notification of ongoing epidemic by LGU, with adequate measures by local health personnel
 Any planned mass action or demonstration in the area
 Forecast typhoons (Signal No. 2 up) the path of which will affect the region
 National or local elections and other political exercises
 National events, holidays or celebrations with potential for MCI
 Any emergency with potential 10-50 casualties (deaths, injuries)
 Any other hazard that may result in emergency
 Unconfirmed report of reemerging diseases, e.g., bird flu, SARS
•2. Human Resource requirements for responding to the Code:
 2 Emergency Officers on Duty
 Driver
 City HEMS Coordinator on call and on proactive monitoring
 One Rapid Assessment Team ready for dispatch to include the following:
-DOH Representative
-Nurse
-Driver

•3. Other requirements

 The CHO Operations Center should be activated on 24 hours and continuously report and
coordinate with PHO and Regional HEMS Operations Center
 Do proactive monitoring for any deployment
 Report to HEMS-OpCen daily and as necessary
 Require update from field as necessary
 Finance Division to ensure availability of funds in cases of emergency purchases and the like
 Supply section to coordinate possible suppliers for additional requirements
 Transport section to ensure availability of vehicles.
 Monitor and assess continuously for requirements of other teams (medical, surveillance,
environmental, health promotion, psychosocial etc.). These teams are on standby/on call for
immediate mobilization.
 Intensify IEC campaign through health advisories.
 Coordinate regularly with affected barangay LGUs.
 Coordinate with provincial, regional and private hospitals for backup teams.
 Monitor stock level of needed drugs/supplies, pre-position as needed.
 Activate Bird Flu Plan.
 Mobilize the CESU team to conduct an investigation for outbreaks.
CODE BLUE
•1. Conditions for Adopting Code Blue:
Any of the following conditions:
 50-100 casualties irrespective of tags for MCI.
 Declaration of the epidemic.
 Declaration of the calamity in any barangay in the city.
 Presence of evacuation centers is estimated to last for more than a week
which has public health implications.
 Magnitude of the disaster based on geographic coverage and a number
of the affected population (more than 30%).
Any conditions that would require the mobilization of resources of the
entire city.
•2. Human Resource requirements for responding to the Code:
 CHEMS Coordinator to be physically present at OPCEN.
 Rapid Assessment Teams and other appropriate teams (RAT)
 Three (3) teams on standby (environmental/ surveillance/medical)
 EOD 1 and 2
 Logistics Officer
 Finance Officer as necessary
 Health Promotions Officer as necessary
 Driver
 All other CHO staff on standby for immediate mobilization
 DOH Representative in the affected area should be available at the LGU.
• 3. Other requirements:
 All those mentioned in Code White plus:
 Activate the City Emergency Incident Command System (CEICS).
 Operations Center on 24/7 with adequate personnel and logistical
support to receive, evaluate and analyze all reports.
 Mobilize teams to affected areas for Rapid Assessment in coordination
with the DOH Rep.
 City Health Officer or his designate to make proper coordination with
CDCC and other agencies like CSWD, DepEd, etc. for networking and
other requirements.
 Incident Commander should assign needed staff in Operations,
Logistics, Planning and Administrative sections to assist affected LGUs.
 City Information Officer to prepare and have regular media conferences
or press releases.
 Continuous IEC campaign through health advisories, especially in
evacuation centers.
 May need to activate also a Field EOC as needed to coordinate health
activities.
 Oversee operation of Management of Mass Dead together with the
health unit of the LGU concerned.
 Lead in coordinative meetings of the cluster under the DOH: Health,
Nutrition and WASH.
 Provide technical support to LGUs.
 Mobilize other requirements as needed, such as psychosocial team, etc.
Regularly coordinate with DOH-HEMS OpCen for reports and other
needs.
CODE RED
•1. Conditions for Adopting Code Red:
Any of the following is present:
 Conditions resulting in mass dead and missing.
 Disaster declared in 2 or more provinces in the region or 30% of the
cities in Metro Manila.
 Major facilities or hospitals, such as the provincial/city hospital, in area
are not able to provide optimal services due to damages or 50% of staff
are affected.
 Mobilization of entire regional resources not enough thus requiring
external support.
 Uncontrolled epidemic/ outbreak.
Uncontrolled human to human transmission of SARS/avian flu.
•2. Human Resource requirements for responding to the Code:
 Mobilize all regional staff as needed on rotation basis.
 Establish surveillance system in all evacuation centers.
 All other teams deployed in affected area.

• 3. Other requirements:
 All those mentioned in Code Blue plus:
 The CHD Director can cancel all types of leaves and can order all
personnel to report to the CHD.
 The CHD Director can stop all operations not related to the disaster.
 The CHD Director should anticipate requests for additional manpower and
specialists not available in his CHD. He is further authorized to accept
volunteers and other professionals to augment the CHD’s manpower based
on some agreements.
 Continue networking with RDCC and its clusters (Health, Nutrition,
WASH).
 Public information campaign.
 Handles queries from media.
 For reemerging diseases, to provide leadership together with the LGU in
decisions like quarantine of the area and other decisions in preventing
spread of the epidemic.
 Provide updated report to HEMS Central OPCen.
HEALTH
EMERGENCY
RESPONSE PLAN
PRE-DISASTER:
the objectives during this phase are as follows:
1. Preventing injuries
2. Saving lives
3. Minimizing disability
4. Preventing the victims’ health condition from worsening
A. Management of Information
 Activate OpCen.
 Collect and gather data about the hazard/event and possible effect/impact.
 Conduct of risk assessment using pre-disaster information
 Active monitoring and coordination with other stakeholders
CESU
 Monitor, validate and generate surveillance reports
 Provide status report of surveillance teams deployed

Management of the event

 CHO-HEMS:
 Activate Code Alert System.
 Activate Incident Command System (ICS).
 Activate Early Warning Alert. Response System (EWARS).
 Conduct Coordination Meetings (inter, intra and inter-sectoral).
 Issue a Memorandum raising an alert code.
 Activate Command Center and schedule meetings as the need arises
 Organize respective ICS teams.
Management of the Population
 Prepare for the health services in the evacuation centers.
 Check inventory and mobilize as necessary.
 Preposition of logistics/checking of all other logistics requirements.
 Set Identify an alternative health facility
 Set-up and deploy stand-by medical teams
DURING A DISASTER (0-48
HOURS)
The objectives in this phase are as follows:
1. Providing emergency assistance for casualty (e.g., first aid, food and water, and
public information system).
2. Reducing the probability of secondary damage (e.g., shutting off contaminated water
supply sources
3. Providing public health services for a speedy recovery.
CHO-HEMS
 Coordinate with the CDRRMO in reviewing hazard maps and vulnerability assessments as a reference for
action planning.
 Facilitate action planning for health quad cluster interventions
 Disseminate updated and appropriate health advisory to the at-risk populations
 Monitor, validate and generate surveillance reports
 Conduct meetings to evaluate incoming reports, and information from quad media and appropriate agencies.
 Develop, approve and disseminate Initial Incident Action Plan for Implementation.
 Make strategic decisions and overall guidance to the implementing facilities/offices in the field.
 Map out operational area showing capacities (e.g., functional EOC, health commodities, and human
resource mobilization) and damage health facilities with functionality, extent of damages, and status of
lifelines
 •Consolidate, analyze, and generate the reports including: RHA reports, Logistical Report, Casualties, Team
Mobilization, Damaged Health Facilities, Rapid Damage and Needs Assessment (in coordination with
CDRRMO).
 Generate the following reports: Situation Reports, HEARS Plus and Flash Report as needed
 Update information board with the following details: Logistical Report, Mobilization of Human Resources,
Casualty Count, Damaged Health Facilities and Affected Population.
Cluster Focal Staff
 Report and document the operation.
 Conduct rapid assessment for Medical Public Health, Nutrition, WASH and MHPSS.
 Provide public health, pre-hospital, and hospital services (Health, WASH, Nutrition and
Mental Health and Psychosocial Services.)
 Coordinate with the IC or on-site coordinators for additional logistics needed in addition to
what have been previously prepositioned (in terms of additional quantity or other types of
drugs/medicines or supplies)
Management of victims:
 CHO-HEMS, Focal Staff, and Cluster
 Continue to provide public health, pre-hospital and hospital services (Health, WASH,
Nutrition and Psychosocial Services)
 Facilitate the conduct of evaluation on the status of health response operations (4Ws - Who,
What, When, Where).
 Facilitate the conduct of initial assessment of all damaged health care facilities.
 Facilitate the continuous provision of adequate and timely Medical and Public Health,
Nutrition, WASH and MHPSS services in the evacuation centers, communities and health care
facilities (Please refer to Essential Health Services Package - AO No. 2017-0007).
 Collaborate on the impending mainstreaming of health services to regular programs
 Facilitate, augment, and monitor the timely and adequate provision of Medical and Public
Health, Nutrition, WASH, and MHPSS services in the evacuation centers, communities and
healthcare facilities (Please refer to Essential Health Services Package (EHSP) AO No. 2017-
0007):
POST-DISASTER (MORE THAN
48 HOURS)
The objectives in this phase are as follows:
1. Providing continuity of public health services until “building back better” status is
achieved.
2. Providing continuity of emergency assistance for the casualty.
Management of victims:

CHO-HEMS, Focal Staff, and Cluster

 Continue to provide public health, pre-hospital and hospital services (Health, WASH,
Nutrition and Psychosocial Services)
 Facilitate the conduct of evaluation on the status of health response operations (4Ws - Who,
What, When, Where).
 Facilitate the conduct of initial assessment of all damaged health care facilities.
 Facilitate the continuous provision of adequate and timely Medical and Public Health,
Nutrition, WASH and MHPSS services in the evacuation centers, communities and health care
facilities (Please refer to Essential Health Services Package - AO No. 2017-0007).
 Collaborate on the impending mainstreaming of health services to regular programs.
Management of HUMAN RESOURCE

 Continue monitoring the progress of the attainment of mission objectives through regular
submission of reports.
 Continue monitoring the movement and security of Health Cluster Response Team from the
time of activation, en-route, and engagement in the field.
 Demobilize Health Emergency Response Team based on the criteria indicated in the
Administrative Order No. 2018-0018 on the National Policy on the Mobilization of HERTs.
 Conduct psychosocial processing and Post Incident Evaluation of the team deployment and
performance.
Management of Logistics

Cluster Leads/ Supply Officer

 Provide an inventory of all resources for replacement, repair or reconstruction.
 Evaluate logistics assistance provided during the Response Phase, covering adequacy of the
logistics, timeliness of delivery, quality of commodities, prioritization, wastage incurred and
how this can be minimized in the future, alternative measures undertaken, contributions and
sharing from other sources, and condition of warehouses/ storage areas.
 Update inventory of resources and submit the inventory to DRRMH MANAGER
 Replenish utilized resources and endorse remaining logistics to concerned facilities/offices
 Reposition resources for an emergency.
 Document the logistics management process and outcome and submit report to IC
ESSENTIAL HEALTH
EMERGENCY COMMODITIES
 Assorted Medicines  Personal Protective Equipment
 First aid kit  Emergency Go Bag
 Hygiene kit  Dedicated Ambulance or patient transport
vehicle for mass casualty incident and
 WASH Kit (water drinking container and
during emergencies/disasters
disinfectant) and WASH Equipment
(portable water testing)  Generator set/s
 Nutrition in Emergencies Supplies  Tents
 Medical Supplies and Equipment
HEARS FIELD
REPORT