assessment report – heavy rains in district mirpur khas · 2015-02-05 · assessment report on...

2011

Dr.Kamran Ahmed

Dr Wali Raheemoon

Mr. Asim

(WHO DEWS TEAM)

Assessment Report – Heavy Rains in District Mirpur Khas

Assessment Report on Situation of Heavy Rains in Mirpur Khas District

To assess the situation of heavy rains in district of 1.6 million population, District Mirpur Khas, WHO

DEWS team visited 17 IDP camps and 10 UCs in three taluka of district Mirpur Khas on August 14, 2011,

where more than 5796 IDPs were observed in poor condition. In addition, there are many small camps

(estimated 4-15 families/camp) along road side on 50 km Mirpur Khas – Jhudo road. Roughly estimated,

more than 10,000 IDPs are residing in all IDP camps in three talukas of district Mirpur Khas, and need

support by humanitarian community.

Collapsed houses observed in Taluka Jhudo, Mirpurkhas and Digri

Due to heavy rains and breaches in the canals, 5/6 Talukas of district Mirpur Khas have been affected

badly. Most of the population from these talukas has been displaced from their homes, and shifted to

government buildings, roadside areas, and their relative’s houses in safe places. UC. Dolatpur, UC

Mirwah Gorchani, UC Makhan Samoo, UC Bhelarho, UC Paban, Digri town, UC .Kangni, UC Sofan Shah,

UC Mir Khudabux, Jhudho, UC Fazal Bhambhro, UC Faiz Mohammaad Bilalani, UC Dengan Bhurgri, UC

Turk Ali Mari and UC Jhudho are among the worst affected UCs due to breaches in the canals.

Health facilities in affected areas:

Seven health facilities including (DHQ, 3 RHCs and 4 BHUs) were visited whereas 1 RHC (Mirwah) was

not accessible due to breach in the nearest canal. Of these, four HFs were closed due to

National/Sunday holiday. Two health facilities (1 BHU and 1 RHC) were under water. Health staff of RHC

Jhudo was running OPD outside the hospital on the road side. They were provided with 1 ambulance by

EDOH to visit affected areas for health coverage. Few snake bite cases, cases with minor head injuries

and wounds due to roof collapse and diarrhea/vomiting cases were the main conditions treated during

the day.

During visits of HFs, OPD registers were checked and health staff was interviewed but no communicable

disease of significance was reported. Medical supplies were found satisfactory in visited functional HFs.

In all visited areas, only two ambulances (1 at RHC Tando Jan Muhammad and 1 at RHC Jhudo) were

found supporting IDPs in term of medical care. No medical camp was observed/reported in any visited

IDPs camp.

BHU Makkan Samoon and RHC Jhudo are under water. OPD has been arranged on roadside of RHC Jhudo (Taluka Jhudo)

Humanitarian Response:

All schools and health facilities have been temporarily converted into IDPs camps with poor support

from District Government. Only local community and few political/religious parties were found in the

field providing some relief support to IDPs, mainly in term of food. Response of International and local

NGOs was missing in the field. WHO team met IOM officials in DCO office, who informed the team that

they have provided some relief items for 300 families to DCO office on August 13, including tents, kitchen

sets, hygiene kits, plastic sheets, blankets, mats, ropes and jerry cans, but DCO office could not provide

them list of IDPs camps/information or any relevant data regarding distribution plan. By 13:00, DCO

office could not provide any information to WHO DEWS team and IOM regarding emergency situation

due to heavy rains.

Local community arranged machine to pump water from villages into canal. Food is being prepared for IDPs by religious party.

Jerry Cans, aqua tabs and hygiene kits distribution by WHO DEWS team.

Coordination:

During visit of EDOH office, District Monsoon rain control room was found closed due to national

holiday. No EDOH staff was there in the control room. On contact, it was informed by EDO-H verbally

that estimated 0.3 million population is affected due to heavy rains but it was a rough estimate based on

his observation. No official documents could be provided. WHO team visited DCO office and met few

officials including DDO-Revenue in absence of DCO. No emergency control room was established in DCO

office.

IOM team joined WHO DEWS team in DCO office and jointly requested DDO-Revenue a detailed

information regarding camps, support provided and needs of the district government. But no data was

available or provided by DCO officials. Lack of coordination among district authorities was observed.

Meetings with DDO-Revenue and IOM. Non functional District Monsoon rain control room in the last photo.

Assessment of IDPs Camps:

The situation of camps was miserable with no health support from any organization except in Tando Jan

Muhammad (RHC T.J.Muhammad). No special arrangements for clean drinking water were observed.

Mostly camps were congested and open defecations in camp latrines were frequent. Poor sanitation

and drainage issues were common in these camps. In very few camps, TMA tankers provided water from

surface sources without chlorination. Samples have been collected from different sources in camps for

lab investigations. Overall environmental health condition was poor.

There was no increase in the number of AWD and other notifiable communicable diseases, however,

diarrhea, skin diseases mostly skin infections and scabies were a common complaint among the patients

visiting the health centers in the camps.

Main Challenges:

Poor health care support by district government.

Poor sanitation and drainage in IDPs camps.

Lack of clean drinking water in the camps.

Continuous provision of food supply and Shelter for IDPs.

Actions taken:

During camp visits, 150 jerry cans, 16,000 aqua tabs and 30 hygiene kits were distributed. Health

education was also imparted regarding importance of safe drinking water, personal and domestic

hygiene, safe use of latrines, proper hand washing and to keep environment healthy. Drinking water

samples were also collected from IDP Camps for microbial analysis.

Health care providers in HFs were sensitized regarding DEWS diseases and timely reporting. Data

compiled after assessment of IDPs camps has been shared with district officials and IOM for their future

interventions. There is a need of food, clean drinking water, aqua tabs/pure sachets, jerry cans, hygiene

kits, shelter, food items and medical cover for IDPs in the camps on urgent basis. On EDO-H and DCO

request, one DDK kit has been provided to district health authority.

Highlights:

IDP camps on road side of Mirwah Town

IDP camps on road side of Doulat Pur UC

Effort to protect village from rain water

In search of shelter

Health education imparted

Digri-Jhudo road is under water

City Park is under water Health education in roadside IDP camp

Daily attendance of relief camp in Jhudo

Water sampling for microbial analysis

Health education imparted in all visited IDP camps.

Assessment Report on Situation of Heavy Rains in Mirpur Khas District

S.No Camp No. of IDPs No. of Families Children Male Female Rooms available Person/Room No.of Latrines Communicable Diseases Services provided Source of Water Services requested Minimum expected stayEnvironmental

ConditionActions Taken

1 BHU Doulat Leghari 27 4 9 8 10 3 10 1 NilFood by local

communityWater Supply Clean water, Food, Fans 7 days Poor

Aqua tabs, Jerry Cans, Hygiene Kits, Health

Education

2 Govt.Boys High School, Doulat Leghari 300 50 135 67 98 12 10 1 NilFood by local

communityWater Supply Clean water, Food, Fans 7 days Poor Aqua tabs, Jerry Cans, Health Education

3 Doulat Leghari-Missan Road 360 60 172 81 107 0 -Nil (Open

Defecation)Nil Nil Hand Pump Shelter, Clean water, Food, Fans 7 days Worst Aqua tabs, Jerry Cans, Health Education

4 Sem Nala Road Camp (Mirwah Road) 146 24 62 38 46 Nil -Nil (Open

Defecation)Nil Nil Hand Pump Shelter, Clean water, Food, Fans 7 days Worst Aqua tabs, Jerry Cans, Health Education

5 BHU Makan Samoon 63 10 38 12 13 7 8 3 NilFood by local

communityHand Pump Clean water, Food, Fans 7 days Worst Aqua tabs, Jerry Cans, Health Education

6 Dr Naromal 1130 200 470 270 390 - - - NilFood by local

communityHand Pump

Clean water, Food, Medical

support7 days Worst Aqua tabs, Jerry Cans, Health Education

7 BHU Khumbri 57 9 25 15 17 4 9 2 NilFood by local

communityHand Pump Clean water, Food, Fans 7 days Poor Aqua tabs, Jerry Cans, Health Education

8Government Girls Degree College Tando Jan

Muhammad1308 218 548 320 440 13 Blocks 15 6 Nil

Food by local

communityTMA Tankering Clean water, Food, Fans 10 days Poor Aqua tabs, Jerry Cans, Health Education

9 Govt High School Jhudo 1005 161 230 245 530 31 30 7 Nil

Food by local

community,

Political/Religious

Parties

TMA Tanker Clean water, Food, Fans 10 days Poor Aqua tabs, Jerry Cans, Health Education

10 Govt Primary School, Jhudo Main 60 15 14 17 29 8 5 1 Nil

Food by local

community,

Political/Religious

Parties

Water Supply Clean water, Food, Fans 10 days Poor Aqua tabs, Jerry Cans, Health Education

11 Govt Girls College, Jhudo 160 30 46 39 75 12 11 2 Nil

Food by local

community,

Political/Religious

Parties


12 Govt.Primary School, Sagheer Colony, Jhudo 70 15 21 13 36 6 - 1 Nil

Food by local

community,

Political/Religious

Parties


13 Govt. Girls High School, Jhudo 100 15 30 22 48 12 - 2 Nil

Food by local

community,

Political/Religious

Parties


14 Muhd.Khan Talpur School, Jhudo 100 17 - - - 15 - 3 Nil

Food by local

community,

Political/Religious

Parties


15 Govt. Girls Primary School,Jhudo 60 10 - - - 4 - 2 Nil

Food by local

community,

Political/Religious

Parties


16 Crescent Model School, Jhudo Town 250 100 - - - 22 - 6 Nil

Food by local

community,

Political/Religious

Parties


17 Belaro Shah Road, Mirpurkhas taluka 600 150 270 134 196 Nil - Nil (Open Nil Food by local Water Supply Clean water, Food, Fans 7 days Poor Aqua tabs, Jerry Cans, Health Education

assessment report – heavy rains in district mirpur khas · 2015-02-05 · assessment report on...

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