Sector Status

Logistics

WFP is the designated lead for the logistics cluster.

Coordinated In-Country Response (For more detailed Situation Reports for each cluster please check the HIC website http://myanmar.humanitarianinfo.org/ )

Myanmar logistics cluster website: http://www.logcluster.org/mm08a/

Yangon Airport remains the primary hub. Myanmar officials have requested one day’s notice be given for clearance of airlifts through the airport. All chartered flights require landing permission at Yangon International Airport (RGN) from the MOFA. The template for all procedures is available at http://www.logcluster.org/mm08a. The Cluster Lead continues to call upon partners to provide cargo forecasts. Capacity at the airport to receive, process and clear flights still limited. (DFID, May 18). Yangon remains main entry point for aid primarily by air, but road and sea access is reopening.

ASEAN has agreed to lead the international assistance effort. An ASEAN/UN donor conference will be held in Yangon on May 25. (DFID, May 22)

ASEAN, the UN and junta will jointly set up a nine-member core group to run what ASEAN Secretary-General Surin Pitsuwan called a “coalition of mercy.” The three parties will commission three officials each into the core group. The core group will begin operations after the May 25 conference. (Nation, May 22)

The logistics cluster is now operating a 4,000 square meter warehouse in Yangon (managed by DHL), along with a fleet of 30 trucks, four barges (200-800 MT) with four barge pushers, and two boats (300 and 600 MT). In five local hubs, (Pyapon, Bogale, Mawlamyinegyun, Labutta and Pathein) six Mobile Storage Units have been or are being constructed. (OCHA, May 22)

State media New Light of Myanmar reported that up to 20 May, 1,450 tons of foodstuffs, 1,577 tons of non-food items, and 2,089 tons of construction materials had been supplied to 21 locations in Ayeyarwady Division. The bulk of supplies have been to Pyapon, Mawlamyinegyun, Bogale, Labutta and Dedaye townships, which are the locations of official “middle camps”. (OCHA, May 22)

The national NGO Metta is providing relief to people affected by the cyclone in four locations in the delta with 42 staff and over 115 volunteers. By May 20, Metta was assisting about 115,000 people in eight townships of Maubin, Pathein, Myaungmya, and Pyapon Districts. Metta has been present in the area since the aftermath of the tsunami, and this has enabled a quick response, as well as for it to mobilize local communities and people to help. Its medical team has been working in Bogale since May 7. In Pyinhkayaing Island, where it was replanting mangroves, Metta is providing services with six staff members, three of whom had received Disaster Management and Preparedness training. Metta sent out boats into the flooded areas of Myaungmya in the days after the cyclone to search for survivors, and rescued 500 people from the lowest part of delta region. In addition to its one Early Childhood Development (ECD) teacher, Metta was able to mobilize six more ECCD teachers, and train 16 volunteers to run child-friendly activities in temporary relief settlements. Metta has also been providing clothes, footwear, blankets and essential non-food items to survivors, diesel for generators, and has prepared temporary rainwater collection tanks made of plastic sheets. (OCHA, May 22)

UN says more boats and trucks are needed in the delta areas. (UN, May 22)

OCHA estimates around 123 relief aircraft have landed in Myanmar to date, consisting of 71 flights from foreign governments, 40 USAID flights and 5 UK flights. (OCHA, May 22)

Thailand has approved the use of the Don Muang former international airport as a staging area for cargo. The operations hub will be managed by WFP. WFP is taking Cargo Movement Requests (CMRs). (UNJLC, May 19) The Cluster has secured the use of the hub for 3 months, or the duration of the special operation. The Cluster says that all cargo must be palletized and have a fumigation certificate. (LC, May 22)

Update on logistics hubs in Myanmar:

Labutta: Four warehouses in place - one for logistics cluster and three for WFP

Bogale: Identified space, building up two wikhalls

Pyapon: Identified one space close to the river and looking for a second

Pathein: Identified space, under negotiation

Mawlamyinegyun: under assessment (OCHA, May 21)

Aid agencies report customs clearance in Yangon is improving and relief consigned to NGOs is arriving without government obstruction. (USAID, May 21)

The capacity to transport goods to the delta increased with the contracting of three barges and fleet of thirty trucks. (OCHA, May 21) Cluster signed a contract for additional barges. (LC, May 22)

The Cluster has organized two inland waterways transport rotations. The first barge to Bogale was loaded with ACF supplies (25 MT of BP5 high-energy biscuit and 5 MT of NFIs including WASH, kitchen sets, cooking sets, hygiene sets and plastic sheeting) and WFP cargo (5 MT of vegetable oil). The second (800 MT capacity) is loading in Yangon and will depart for Labutta carrying 700 MT of food for WFP and 24.5 MT of NFIs for Merlin. (OCHA, May 21)

To date 25 RCRC flights have arrived in Yangon carrying 302 tons of essential relief items including 42,000 mosquito nets, 36,000 tarpaulins, shelter kits for around 35,000 people, over 20,000 jerrycans and over 7,000 kitchen kits. This week additional flights are planned from the Kuala Lumpur and other regional hubs, carrying 8,000 shelter kits, 50,000 jerrycans, 7,000 kitchen sets, 20,000 hygiene parcels, 45,000 blankets and 18,000 tarpaulins. (OCHA, May 21)

The 22-mile long road from Pyapon to Bogalay is narrow and in poor condition. In places, village families have moved to small temporary huts along the edge of the road, which is on higher ground, and wet provisions are spread on the road to dry. Trucks carrying relief cargos were recommended not to travel at night, but make a night stop in Pyapon instead. (OCHA, May 21)

The first flight of the Bangkok - Yangon airbridge was scheduled to depart Bangkok Don Muang airport this afternoon at 1830 local time, carrying UNHCR and Save the Children cargo to Yangon. (OCHA, May 21)

Myanmar has allowed 10 WFP helicopters to deliver emergency supplies. The first helicopter will be sent to Yangon Thursday, but the remaining nine may face several days of delays as they are flown in from various locations. (DPA, May 21)

The humanitarian community says 500,000 people received some form of international assistance. This is substantially less that the 2.4 million estimated to be affected of whom more than half (1.4 million) are in severely affected areas requiring prioritized assistance. It is clear that the emergency phase is set to continue for some time. Some people are moving back to their places of origin where they will need assistance to restart livelihoods. (OCHA, May 19)

Heavy rains are continuing and the conditions for road transportation remain poor in delta areas. (OCHA, May 20) UN cautions that roads affected by the cyclone will deteriorate as monsoon rains increase. (OCHA, May 22)

A number of key roads are reported to be in bad condition, including Kyayklat to Bogale and Myaungmya to Labutta. The two bridges previously reported as damaged between Yangon and Bogale have been repaired. (WFP, May 18)

The Logistics Cluster in Yangon has secured a dedicated fleet of 30 trucks for inland road transport in Myanmar. Furthermore, three barges with a capacity of 200 - 800 MT will be operating out of the ports of Yangon and Pathein, covering the eastern and the western parts of the Irrawaddy delta respectively. (OCHA, May 20)

There are currently 109 national UN staff present in affected areas, and 72 international UN staff in Yangon. No international UN staff have been authorized to work in the affected areas. (OCHA, May 18)

A 3,000 square meter warehouse close to the Yangon airport is being managed by the DHL Disaster Response Unit, which has hired 10 local staff, and obtained forklift and generators. (OCHA, May 17)

Agility, TNT and UPS have provided a temporary 4,000 MT warehouse space at the Suvanabhumi airport. (OCHA, May 15)

World Vision reported the following traveling times to reach population centers in some affected areas:

Yangon – Kyaiklat: 3 hours by road

Yangon – Bogale: 4.5 hours by road

Yangon – Pyapon: 3.5 hours by road

Pyapon –Mawlamyinegyun: 1.5 hours from Pyapon by river by motorized boat (OCHA, May 16)

Road conditions on the border crossing at Mae Sot/Myawaddy are said to be good for 25 MT trucks, and the road will be passable throughout the rainy season. The road to Labutta may be closed due to seasonal flooding. Two bridges damaged on the way to Bogale have been repaired but road conditions still not good. (UNJLC, May 15)

WFP is using up to 30 local trucks for delivery. A key limiting factor is that most bridges in Irrawaddy can only handle a 5-ton truck and heavy vehicles will severely damage existing roads. (WFP, May 14)

Main road from Yangon to Pathein is in good condition. (UN, May 15) The Kyayklat – Bogale and the Myaungmya – Labutta roads are in poor condition. (UNJLC, May 15)

As many as 90 percent of boats in the affected area may have been destroyed.

Food

WFP’s Emergency Operation for Myanmar with a budget of US$69.5 million aims to deliver a complete food basket to a total of 750,000 people in need of immediate food assistance. (WFP, May 16) So far, WFP's operation has received US$8.5 million in confirmed contributions, including over US$5 million from the UN’s CERF. (OCHA, May 16)

WFP has dispatched food to eight townships in and around Yangon and seven (Bogale, Labutta, Pyapon, Kyaiklat, Maubin, Ngaputaw and Pathein) in the Irrawaddy delta. WFP dispatched 117.4 MT of food today to Irrawaddy Division WFP has now dispatched enough food to the affected areas to feed over 340,000 people with a two-week ration of rice. High energy biscuits for over 107,000 children and beans have also been dispatched. WFP now estimates that 304,000 people have received a first ration of food since the cyclone struck. Ready-to-eat meals - made predominantly from rice and beans and sufficient to feed 7,000 people - have arrived in Yangon and have been received by WFP. A large quantity has already been dispatched by barge to Labutta and to some of the worst-affected parts of the delta. (WFP, May 22)

The Ministry of Social Welfare, Relief and Resettlement – which is spearheading the national relief response – approved the Food Cluster Response Plan that delineates the geographical coverage and beneficiary numbers for cluster partners. (OCHA, May 22)

Update from the Bogalay local food cluster: Food cluster partners agreed on field-level geographical coverage and beneficiary caseload for food distribution in both Bogalay and Pyapon. Partners in the area include ACF, CARE, GAA, MRCS, WV, and UNDP/PACT. 271 MT of rice arrived to Bogalay jetty on 20 May, of which 197 MT was immediately allocated among cluster partners for distribution, to cover 33,000 beneficiaries in 2 towns and 27 villages. Farmers tell of their need for paddy seed before the planting season. The needs for shelter, kitchen equipment and clothing are also still significant. Renting light vehicles and trucks for distribution is a challenge in Bogalay as too few are available and handcarts have been used instead. Sufficient space has not been identified yet for erection of 10 wikhalls. (OCHA, May 22)

UN estimates that 70 percent of those affected by the storm have not received food aid. (May 21, UNICEF)

USAID/DART and US DoD have completed 40 airlifts of relief goods from Utapao to Yangon. (USAID, May 22)

After Myanmar approved the use of 10 helicopters by the WFP, the food agency said that it has purchased an additional 10,000 tons of rice for distribution. (AFP, May 22)

The Minister of Commerce has granted WFP permission to buy an initial 10,000 MT of rice through its usual suppliers, as part of the agreement for delivery of food assistance for 6 months in the delta. This complements the 1,909.5 MT of rice delivered to the affected areas as of 20 May. To feed the 750,000 people for 3 months, as planned in the Flash Appeal, will require 55,000 MT of rice of which only 50 percent may be procured in country. Given the Food Cluster has been awaiting the approval of the Government to import rice, pulses and vegetable oil, this is a breakthrough and the beginning of increased provision of food to the affected areas. However, this remains a fraction of the amount needed. (OCHA, May 21)

The Labutta local food cluster has prepared a food distribution plan through 12 frontier outposts for 51 entire village tracts, and direct distribution to camps. WFP, UNDP and UNICEF will collaborate in the distribution. WFP sub-office has identified the first ten community distributors to start on 22 May. 13,799 beneficiaries in 15 villages around Labutta were reached with food distributions. WFP, UNDP, PACT, MSF-Holland and Merlin distributed 12.4 MT of rice, 0.6 MT of high-energy business and 0.072 MT of vegetable oil. (OCHA, May 21)

While the Food Cluster is providing food assistance in six townships of Ayeyarwady Division (Bogale, Labutta, Kyaiklat, Maubin, Ngapudaw, Pyapon), there are still villages the assistance has not be able to reach due to transport and access constraints. 15. 65,615 MT of food commodities are needed to support beneficiaries within the 6-month Emergency Response Operation. Importation of rice is needed to provide for the planned number of beneficiaries while avoiding negative impact on supply and prices for the domestic market. (OCHA, May 21)

The cluster is working with the local authorities in Labutta to transport food to the government stations where it is distributed to beneficiaries. Two monitors will be deployed to each station where the distributions will be organized and monitored by the local relief committee and WFP.

WFP emergency food assistance rations will be composed of:

Rice 400g per day per person

Pulses 100g per day per person

Vegetable oil 30g per day per person

Iodized salt 5g per day per person

The monthly relief food basket for a family of five includes 60 kg of rice, 15 kg of pulses, 4.5 kg of oil and 0.75 kg of iodized salt. High-energy biscuits are to be provided for children under five years of age. (OCHA, May 20)

The daily ration will meet a minimum daily requirement of 2,100 kilocalories, composed of rice, pulses, vegetable oil, and salt. Ready-to-eat food (e.g. high energy biscuits, rice-lentil mix and supplementary foods for young children). (OCHA, May 16)

Once one of the largest rice exporters in Asia, Myanmar currently faces difficulties in providing adequate food to poor and vulnerable families. (WFP, May 20)

The number of WFP staff deployed to the country since the cyclone is 10. WFP has 220 local staff and 15 foreigners on the ground.

WFP is establishing three sub-offices in the Irrawaddy region and has relocated national staff members from the north to the affected areas in the south. Two sub-offices have been established in Labutta and Bogale.

Shelter

UNHCR is the designated lead for the shelter cluster. UNHCR will support the IFRC, which has been designated as the in-country lead for the Shelter Cluster.

OCHA says early estimates suggest that temporary settlements may now be sheltering over 550,000 people in Irrawaddy and Yangon Divisions. (OCHA, May 16) Initial estimates indicate 150,000 people in about 120 settlements in the delta. This is a mixture of both official and unofficial temporary settlements. (OCHA, May 18)

Out of the US$187 million Flash Appeal, UNHCR is asking for some US$6 million to help some 250,000 people with temporary shelter materials.

Of the 2.4 million affected by Cyclone Nargis, it is estimated that 1.4 million are located in the most severely affected townships of the delta region. However, Yangon was also badly hit with some 680,000 living in severely affected areas. Various assessment reports confirm these estimated figures, although assessments of all affected areas have not been possible as yet. (OCHA, May 21)

In the Irrawaddy delta, 150,000 people are living in 120 temporary settlements. (DFID, May 22)

An independent source estimates that 110,000 persons are living in temporary settlements in 14 townships. Of these, 70% are sheltering in monasteries, 28% in public buildings and 2% in tented camps. The highest numbers of homeless people in temporary settlements are in Labutta (34,000), Bogale (15,500), Myaungmya (12,000) and Pyapon (9,700) townships in Irrawaddy, and Kungyangon township (20,000) in Yangon Division. (OCHA, May 22)

State media today reported that arrangements are being made for storm survivors in relief camps who wish to return to their places. Survivors from 54 villages in Mawlamyinegyun township had arrived back to their native villages. A ship carrying relief supplies and medical specialists called at Shaukchaung and Myattha Ywama village-tracts where relief supplies were distributed to over 9,000 storm survivors. Specialists provided treatment on the ship to 200 patients. Three 1000 KW generators were donated to monasteries. (OCHA, May 22)

Additional assessment data reinforce previous assessments informing of an estimated 239 temporary formal and informal settlements in the worst affected areas of Yangon and the delta region. It is important to note that the majority of temporary settlements are in Buddhist monasteries, while the minority are in tented camps. Official tented camps are in Labutta, Bogale, Pathein, Maubin, and Myaungmya. The remainder of settlements are in other public buildings, including schools. The formal camps are being serviced by the Government, while non-formal camps are variously receiving services from Government, MRCS, INGO, NGO, local CBOs, faith-based organizations and private citizens. In the Irrawaddy delta, it is estimated that 91,000 people are sheltered in settlements in their townships of origin, while 25,000 have been displaced to settlements in other townships. In such cases, movements are from Labutta to Myaungmya and Pathein, from Bogale and Pyapon to Maubin, and from Ngaputaw to Pathein. (OCHA, May 21)

In Labutta, the authorities announced that there are now 12 tented relief settlements, which plan to operate for 6 months, and that all other temporary shelters in Labutta town would be closed down by 9 June. (OCHA, May 21)

The IOM-led Temporary Settlements working group met for the third time on Tuesday 20 May. Organizations with a presence in the delta provided updates on services that continue to be offered to populations in temporary settlements at select locations. The group agreed to develop terms of reference during this week. (OCHA, May 21)

The population of Mawlamyinegyun before the cyclone was 346,000 and 4,463 persons were killed, 6,075 are still missing, and 76,277 have been made homeless. 125 tons of rice and 450 tons of other supplies have been distributed to survivors. (OCHA, May 18)

Initial assessments were hampered by limited access, including difficult weather conditions. In some areas, estimates are still difficult to obtain.

Areas were classified by priority in four categories by partners:

a. Areas most severely affected by the cyclone where the levels of damage exceed 75%.

b. Areas severely affected but where the cyclone’s intensity was less and access to services is slightly better.

c. Areas less affected but where there are official and unofficial temporary settlements of displaced people

d. Areas less affected in Yangon Division.

There are varying needs within these categories, with those for example in most severely affected areas lacking access to adequate shelter, clean water and sanitation. This is the case in most of the Irrawaddy Division. South of Yangon the intensity of the cyclone was less and access to services slightly better, while the temporary settlements are found in the townships north of the Irrawaddy Division. (OCHA, May 18)

The government has moved a considerable number of people (the current estimate is 12,000), by truck and boat, to Myaing Mya, which was unaffected by the cyclone and is around two hours drive from Laputta proper. (UNICEF, May 18)

Shelter cluster has standardized three types of kits among partners. The high number of affected households cannot all be covered with traditional kits that include tools. There is close coordination with the WASH cluster to avoid duplication. The first kit is primarily a tool kit. This will contain tools needed for fixing or rebuilding a shelter. This kit is to be distributed to a group of 10 or more households, to be shared among the households. The second kit is a basic building material kit and will consist of tarpaulin, rope etc. This is to be distributed one per household. The third kit will be a Non-Food Items kit. (OCHA, May 17)

Shelter cluster has use of a warehouse at old International Airport in Bangkok, one warehouse outside the airport and one warehouse in Yangon.

The cluster plans to reach 200,000 households in a 2-3 week timeframe out of an estimated 300,000 affected households. (OCHA, May 14)

In Ngaputaw, 46 percent of the population in the township was affected by the cyclone and 49 percent of houses suffered some damage. Sixteen temporary shelters were opened near affected areas in Ngaputaw township and four in Pathein. (WHO, May 17)

Health

The World Health Organization (WHO) leads the health cluster, which comprises 22 international NGOS and other UN agencies. Sixteen WHO surveillance officers have been deployed to Irrawaddy and Yangon, including 11 international staff. Cluster projects submitted to the CERF amount to US$4 million. (OCHA, May 15)

The Ministry of Health reports that 90,000 outpatients and 10 000 inpatients have been treated in the cyclone-affected areas till May 18. There have been 2887 mild and 124 severe diarrhea cases. In a population of 1.5 million, approximately 200 diarrhea cases per day is within the range seen in previous years. (WHO, May 20)

Current MoH efforts are focusing on prevention of waterborne diseases by providing clean water, food and shelter. Immunization for measles and polio is ongoing in the relief shelters. In view of the lack of transport facilities for many health workers, MOH invited partners to assist in transporting midwives to outlying areas for regular childhood vaccination services. Health care services are being provided by MOH staff at hospitals, in 12 relief settlements, and through mobile teams. Three medical boats with 34 doctors are now providing health services in the delta area, and 390 mobile teams are in the field to improve access to and coverage of health care. Teams provide medical care, referral of severely injured patients and provision of WASH supplies.

Five international medical teams are providing medical care and support to national health-care staff in the affected areas of Irrawaddy and Yangon Divisions. The Thai team is in Myaungmya, the Indian team in Bogale and Pyapon, the Chinese team in Kungyangon and Dedaye, the Bangladeshi team in Wakema and the Lao team in Kyauktan. The sixth team, from Singapore, is expected to arrive today. (OCHA, May 22)

A 30-member Thai medical team that flew to Myanmar on May 17 expects to stay for 14 days. The team took with them 8 tons of equipment and materials. (TRC, May 22)

Two medical teams were sent on Thursday (May 22) under the coordination of ASEAN and will stay for two weeks. (DPA, May 22)

The community organizations Pyi Gyi Khin and AFXB are organizing support for people affected by HIV through self-help groups in the delta. The Myanmar Positive Group in collaboration with local community organizations such as Phoenix group (and with support from the International HIV/AIDS Alliance, UNDP and AFXB) are following all their members and organizing to ensure that relief supplies, including shelter rehabilitation, are being provided. (OCHA, May 22)

UNICEF currently has 12 public health professionals deployed in seven townships in Ayeyarwady (Labutta, Bogale, Maubin, Myaungmya, Wakema, Pyapon, Mawlamyinegyun) and seven public health professionals to eight townships in Yangon (Hlaingtharya, Dala, Kyauktan, Kungyangon, Kawhmu, Kayan, Thongwa, Kyeemyindaing) for ongoing assessment, provision of health and sanitation supplies, responding to emerging needs and monitoring of UNICEF assistance. Many NGOs, through their national staff, are active in the affected areas. Merlin continues to expand its services in Labutta. It currently covers 20 villages and has 11 mobile teams in place as well as four static clinics. In order increase coverage, Merlin has added a boat to serve as a mobile operations base. Prior to the cyclone, Merlin had a large network of 570 community workers some of whom perished and many are still missing. The community workers are trained in basic disease surveillance. Merlin will also focus efforts on reactivating sub-rural health centres in their existing project areas. In conjunction with distribution of relief supplies to affected areas, WHO is providing survival kits of basic items to health volunteers working in affected areas. There is regular coordination of health activities in Labutta where the Township Medical Officer is actively engaged with partners. (OCHA, May 22)

For the last week IOM has had two mobile health teams in Bogale Township treating survivors, with each team reaching on average 100 persons per day. Teams have been able to access areas by boat that had not been reached by other relief workers, including Malawt and Magoo village tracts, and Thakan village, where a mobile clinic treated survivors from neighbouring villages. Pale and Myankagon village tracts were also reached. IOM transported three severely ill patients to private clinics in Bogale town, two of whom were evacuated to Yangon for emergency blood transfusions. Patients in a temporary settlement in Bogale were also treated. The Department of Health and UNICEF have been providing IOM teams with emergency medical supplies as needed. IOM also received a shipment of 13 tons of essential drugs on 18 May and is dispatching three additional medical relief teams to Bogale and Mawlamyinegyun. (OCHA, May 21)

Update on supplies

Additional essential medicine and diarrhea management drugs (ORS, Zinc, Ringer lactate and Doxycycline) procured by UNICEF to treat 100,000 diarrhea cases including 15,000 severe cases arrived in Yangon and currently preparing for distribution. UNICEF distributed additional supply of 3,000 family kits and essential drugs to treat 2,500 children with common diseases to the affected people in nine townships in Yangon (Hlaingthayar, Dala, Kyauktan, Kungyangon, Kawhmu, Kayan, Thongwa, Thanlyin and Shwepyitha). (OCHA, May 21)

The national professional membership organizations the Myanmar Medical Association, Myanmar Nurse and Midwife Association and Myanmar Health Assistant Association are acting as auxiliaries to the national response and providing primary medical care and public health measures in cyclone-affected areas. The Government is taking the responsibility for rehabilitation of damaged public buildings, including health facilities. However, support could be provided from partners for equipment, instruments and supplies to replace those damaged. (OCHA, May 21)

International medical teams from Thailand, India, China and Lao PDR are now working with national health professionals in affected areas. NGOs have proposed to train village-level volunteers in prevention and surveillance of communicable diseases. Partners were requested to share any information on disease occurrence with the Township Medical Office, Public Health Specialist Teams or Regional Surveillance Officers. (OCHA, May 21)

MOH highlighted the importance of coordination as the cornerstone for relief efforts and for planning at township level. At township level, information sharing and communication could be improved between Township Medical Officer, the Public Health Specialist Team, local NGOs and local partners at field level and INGO partners. A shared information system that compiles information at township level and reports this to the central level is needed, especially for surveillance and longer term planning. (OCHA, May 21)

Mental health and addressing mental-health needs continue to be a concern for cluster partners. MOH has assigned mental-health professionals to some of the areas, and specialists from Thailand have also been mobilised. IOM will also take an active role. Child Protection cluster partners’ Child-Friendly Spaces provide some support to children in affected areas. (OCHA, May 21)

Dedaye Township Hospital was badly damaged but the hospital is still functioning. All eight Rural Health Centers and 20 Sub-Centers were also seriously damaged. CESVI has distributed emergency kits to the Township Hospital and will provide to the Maternal and Child Health Centre, four Rural Health Centers and eight Sub-Centers. (OCHA, May 21)

Reliable reports of severe watery diarrhea continue, but the number of cases is still within the normal seasonal range. A reliable early warning system has been put in place by the MoH, UN and NGOs in the affected areas. The water supply system has been compromised in many areas forcing people to collect water from ponds and rivers which seem to be widely contaminated. Every possible action to prepare for a potential outbreak is being taken as all risk factors are present. With the upcoming rainy season dengue fever is also expected, however the current situation poses a more serious outbreak. The MoH has begun preparing prevention activities with the support of the Cluster. (OCHA, May 20)

Myanmar health authorities are providing daily reports on disease cases from the affected townships. These are being provided by Divisional Health Directors to the MOH Central Epidemiological Unit (CEU). MOH has a team of high level officials working out of Yangon General Hospital responsible for planning, managing and coordinating the overall emergency response in health. MOH is expanding coverage beyond hospitals to outlying affected areas by sending health assistants and midwives to the delta region. Reports coming in highlight the need for this and stress the need for health workers who can tackle health promotion and disease prevention activities. NGOs continue to send health teams to the affected areas as reports are still coming in of the need for trauma care and wound care. Several reports coming back from affected areas also describe apathy and resignation among the people in temporary shelters. Social and moral support is needed and while a few NGOs are providing psychosocial support, their capacity to respond is limited. (OCHA, May 20)

The Ministry of Health (MoH) is focusing on cross-sectoral prevention measures, such as ensuring clean water, food and shelter, to reduce the risk of disease outbreaks, as water-borne diseases routinely peak in the months of May and June. (WHO, May 20)

The MoH has invited cluster partners to establish and support the surveillance system. The sources of information will extend to the community and not be limited to health workers, in order to strengthen surveillance work and rumor verification. (WHO, May 20)

The cluster has procured more than 350 MT of medical supplies and equipment to date. Supplies include 3 million water purification sachets, 90,000 water containers, more than 50,000 insecticide-treated mosquito nets, shelter equipment, emergency health kits and essential medicines. (OCHA, May 20)

Health supplies continue to reach key hospitals in the major centers, yet delivery of this assistance beyond the hospitals remains a challenge. At least 50% of health structures are damaged or destroyed and restricted access continues to hamper efforts. (OCHA, May 20)

According to an ongoing assessment, there is an urgent need to provide safe and clean delivery space within settlements for pregnant women. UNICEF is working to provide temporary safe delivery space and has already sent delivery kits to the affected townships. (OCHA, May 20)

WHO has supplied one emergency health kit to the Maubin Hospital, which is functioning as a referral hospital for the affected areas. MOH has redeployed 10 medical doctors and 12 nurses from Mandalay and Yangon General Hospital to Maubin Hospital as well as three Public Health Officers. Public health activities such as chlorination, vaccination, mobile teams and disease surveillance are being carried out by health workers. (OCHA, May 20)

Three medical ships with 34 doctors are providing health services in the delta area. Another 390 mobile teams are in the field to improve access to health services. (WHO, May 20) Government Health professionals are also providing services in 12 ‘forefront’, ‘middle’ and ‘rear’ relief camps. (WHO, May 20)

The MoH has assigned mental health professionals to some areas. Mental health specialists from Thailand have also been deployed. (WHO, May 20)

Polio and measles immunization in temporary shelters continue. Sufficient measles vaccines are in stock. (WHO, May 20)

In Dedaye township, the hospital is functioning even though its roof was blown away. All eight rural health centers and 20 sub-centers were badly damaged according to an INGO report. (WHO, May 20)

International medical teams from Thailand, India, China and Laos are now working in the affected areas with national health professionals. (WHO, May 20)

WHO has provided more than 65 MT of medical drugs, supplies and equipment. This includes more than 3 million tablets of various antibiotics, 15 emergency health kits to cover 450 000 people for a month, 20 000 insecticide treated bed-nets, 15 000 tubes of mosquito repellent cream, 12 800 kg of bleaching powder and 36 000 tablets of chlorine tablets. (WHO, May 20)

MoH has invited health cluster partners to assist in transportation of midwives to outlying areas for immunization activities. (WHO, May 20)

Health partners are to train up to 2000 volunteers in the field of disease prevention and surveillance of communicable diseases.

Cluster reports have expressed concern on the referral of complicated mental health cases. WHO, which has an ongoing program for mental health in the country, is developing a plan of action. The agency has already distributed guidelines in this subject, translated into the local language. IOM also plans to have an active role in providing mental health and psychosocial support.

The Cluster has now developed a “Who, What, Where” matrix, to facilitate a more efficient and coordinated response by health sector partners.

UNAIDS reports that in spite of the cyclone, all anti-retroviral therapy (ART) services are functioning and providing the necessary services to the HIV-positive community. Most service points delivering ART are taking special measures to track and assess patients' needs and drug supplies. The Myanmar Positive Group in collaboration with local community organizations such as Phoenix group and with support from HIV/AIDS Alliance and UNDP and other organizations working with self-help groups such as AFXB are tracking all their members and organizing to ensure that relief supplies, including shelter rehabilitation, are being provided. (WHO, May 18)

The Health Cluster is supporting, with medical supplies, 200 extended first-aid posts run by doctors from the Myanmar Ministry of Health and Myanmar Red Cross volunteers in the cyclone-affected areas. (WHO, May 18)

The health partners are supplying 80 basic health units to the health centers in rural areas. This is in addition to the basic malaria treatment module which is also being supplied. UNICEF has received 30 emergency health kits and therapeutic food. (WHO, May 18)

IFRC has mobilized four basic health clinics (emergency response units).

Five out of six station hospitals in Ngaputaw township are reported destroyed. However, the township hospital is functional. Referral cases are being sent to Pathein township hospital. (OCHA, May 17)

The hospital in Maubin is being used as a referral hospital for Pyapon, Bogale, Kyaiklat and Dedaye townships in Irrawaddy Division. WHO dispatched emergency supplies to Pathein hospital for the management of diarrhea. Some cases of snakebite have been reported.

In Ngaputaw township the most common conditions reported after the cyclone are injuries, followed by acute respiratory infections (ARIs), gastroenteritis, dysentery and malaria. Local authorities have alerted the population on larvae control to control dengue. (OCHA, May 16)

The health cluster has established three operations centers in the townships of Pathein, Labutta and Bogale. (WHO, May 17)

WHO reports 50 percent of rural and township health centers in affected areas have been damaged.

The Ministry of Health (MoH) has begun measles vaccination campaigns for children in relief camps between the ages of 9 months to 5 years. Those injured are being immunized by tetanus-toxoid (TT) vaccine. (OCHA, May 15) In Laputta, UNICEF has vaccinated around 1,000 children between the ages of nine months and five years against measles. UNICEF says nearly 30 percent of the township are suffering from diarrhea or dysentery. (UNICEF, May 21)

Nutrition

Before Cyclone Nargis, the hard-hit Irrawaddy region had around 30 percent chronic and 9 percent acute malnutrition. (May-11, OCHA)

The National Nutrition Centre of the Ministry of Health now participates in the Nutrition Cluster. A qualitative rapid assessment of infant feeding in temporary shelters in Labutta found high acceptability of wet nursing and low rates of exclusive breastfeeding in infants up to 6 months. Technical resource materials were shared with cluster members and a joint statement signed by many agencies on use of breast milk substitutes was presented to the Ministry. (OCHA, May 21)

Save the Children says that some 30,000 children under the age of five in cyclone-affected areas were acutely malnourished before the cyclone hit, of those the NGO believes several thousand are at risk of death in the next two to three weeks due to a lack of food. (DFID, May 18)

MSF-Switzerland has been carrying out nutritional screening of under-five children in Twantay township. Results indicate an approximate 3 percent rate of severe malnutrition. (OCHA, May 15)

The National Nutrition Center and Ministry of Health have planned a Vitamin A supplementation campaign for all children aged from 6 to 59 months in cyclone-affected areas, in collaboration with UNICEF. (OCHA, May 15)

Myanmar currently faces difficulties in providing adequate food to poor and vulnerable families. Despite being a food-surplus country, one-third of children remain malnourished; one-fifth are born underweight. High chronic malnutrition rates indicate a worsening of the food security situation due to insufficient nutritious food, poor access to health facilities, inadequate water and sanitation facilities, poor maternal and child care and limited livelihood opportunities. In the 2007/08 UNDP Human Development Index, Myanmar is placed 132nd out of 177 countries. (WFP, May 16)

Water, Sanitation and Hygiene (WASH)

UNICEF leads the water/sanitation cluster and has launched an appeal for an initial US$8.2 million. The agency is carrying out needs assessments in water/sanitation with 16 NGOs.

Cluster partners are distributing chlorine solution sufficient to disinfect 6 million liters of water per day. Challenges have been encountered in the construction of sanitation facilities due to high water table in the delta areas. (OCHA, May 19)

WHO continues to respond to requests for support for water purification in affected areas of Yangon Division, and has provided bleaching powder and national staff to demonstrate its proper use to local health personnel. (OCHA, May 22)

Agencies have agreed to be WASH cluster focal points for each township. For Ayeyarwady Division: Bogale (GAA), Dedaye (CESVI), Kyaiklat (MRCS/IFRC), Labutta (Merlin), Mawlamyinegyun (MRCS), Pyapon (CDA). For Yangon Divison: Dala (AMI), Dagon (WV), Khawmu (UNICEF), Kungyangon (CDA), Seikgyikanaungto (AMI), Kyauktan (CDA), Hlaingtharyar (WV), Twantay (AMI). (OCHA, May 21)

The Health and WASH clusters are strengthening their collaboration to ensure rapid response to cases of severe diarrhea. The Health cluster receives rumors and information from different sources, and these are discussed with the WASH cluster lead to agree on suitable action. The WASH cluster is ready to send ORS and chlorination supplies with its teams to the areas where cases have been reported. (OCHA, May 21)

WASH cluster partners recommended the following contents for a standard family hygiene kit: soap 1,250 g (250g/person/month), soap bar for laundry 1,000 g (200g/person/month), bucket with lid 50 litres, jerrycan 10 litres, mug 1 unit, toothbrush 5 units, toothpaste 150g, nail clipper 1 unit, mappies for infants 3 units, potties 1 unit, towels big (1.5' x 3') 2 units, towel small (1.5' x 1') 3 units and sanitary napkins (self supporting) 30 units.

There is shortage of sanitary facilities and water containers in Labutta and Myaungmya townships. Coverage of WaterGuard disinfectant solution appears to be good. (OCHA, May 19)

IFRC will start operating a water and sanitation unit for 40 000 people.

2 trucks filled with pipes of various sizes for the distribution of water were sent to Laputta. (UNICEF, May 18) In Laputta, a portable water treatment plant was providing treated water to displaced people in 228 tents. The team report that the situation in outlying villages in Laputta Township, where reports indicate significant numbers of people remain, is even worse than in Laputta proper, where the team is stationed. (UNICEF, May 18)

The number of latrines is increasing, but is still insufficient and personal hygiene is poor, with a lack of soap and hand-washing facilities. Water continues to be available, as there is (at least, for the moment) sufficient water in 10 ponds, which can be effectively treated by water purification chemicals, which are being provided by UNICEF and the Disaster Management Committee (DMC). (UNICEF, May 19)

The Cluster has finalized a 4-month initial response action plan based on an assumption of 1.5 million affected people, including 0.5 million in temporary relief settlements.

The Cluster agreed, in this phase, to adopt the following indicators: Safe drinking water: 3 liters per capita per day, “Clear and fresh” water (bathing, general purpose, not necessarily bacteriologically pure): 10 liters per day in temporary settlement settings. Latrines (or safe excreta disposal facility): 1/100 people in 60 days time, 1/50 in 90 days, 1/36 persons per day after 120 days, and thereafter at a rate of 5,000 latrines provided per month until the target of 1 latrine for 20 persons is reached. Hygiene promotion: 1 community per Hygiene Promoter per 2,000 persons in 60 days, and 1 per 500 persons in 90 days. (OCHA, May 17)

25 water treatment plants with a combined capacity of 50 cubic meters per hour are on standby to be deployed, pending staff visas. (OCHA, May 17)

Agriculture

The rice planting season starts in a few weeks and the UN Food and Agriculture Organization (FAO) estimates need for 50,000 tons of rice and 15,000 tons of fertilizer, covering 250,000 hectares. (OCHA, May 14)

While Agriculture and Early Recovery remain separate clusters, both are collaborating closely and strategic planning is done jointly. The most affected areas are predominantly rural and normally produce a significant proportion of the country’s agricultural output. (OCHA, May 20)

The planting of rice requires significant land preparation within the next few weeks, before the monsoon is advanced. As the affected area is the nation’s granary, food security in the country and especially in the cyclone-affected area is of major concern. (OCHA, May 21)

UNDP and FAO are in discussion with Ministries of Agriculture, Livestock, Fisheries, and Cottage Industry Department and Department of Development Affairs for assistance activities. UNDP hopes that this process will also facilitate access of NGOs to the field. (OCHA, May 20)

The Irrawaddy delta, which bore the brunt of the storm, is known as the country's granary and has an extensive fishery industry along its coast. Much of the recent harvest was already complete, but rice stored for household consumption has most likely been lost in the most affected areas. The loss of crops, shrimp farms, fishing ponds, nursery hatcheries, fishing boats and other productive assets has led to increased unemployment of the extreme poor who depend on wage labor for their livelihood. (WFP, May 20)

OCHA reports time is of the essence with the fast approaching monsoon season. Extensive damage to the agriculture production risks the loss of the November harvest given the planting season ends within five to seven weeks. If this planting season is lost then assistance would be required for some months to come. In addition this could also potentially disrupt the local economy and livelihood opportunities for the communities in the delta. It is estimated that over US$10 million worth of seeds is needed. (OCHA, May 18)

The Ministry of Agriculture and Irrigation reports that the current loss of rice is only 2.3% (718,400 MT) of total production in 2007/2008. Wet season rice production will be seriously and significantly affected due to urgent need of seeds, fertilizers, farm machinery, draught animals, the loss of labor in rice farming communities, and salt water intrusion. Ministry says detailed assessment is in progress and a significant reduction of rice production could be expected unless wet season rice crop can be grown in a timely manner. (MAI, May 16)

130,000 farming households were affected in Irrawaddy Division and 117,000 in Yangon Division. (MAI, May 16)

FAO estimates agriculture rehabilitation will cost $243 million plus $20 million to replace livestock. The five worst-affected areas account for 65 percent of rice production, 20 percent of rubber plantations, 50 percent of poultry, 40 percent of pigs and 80 percent of fish. The FAO estimates that 20 percent of rice fields – 650,000 of 3.2 million hectares – in the five disaster zones were damaged.

FAO has confirmed that there are enough seeds for wet season planting in-country, though fertilizers will need to be imported.

Child Protection

UNICEF leads the protection cluster.

Pre-cyclone statistics indicated that about one-third of children under five suffer from some form of malnutrition. While the food supply to the affected areas has improved over the past few days, clearly huge infusions of food assistance are urgently required. Children are among the most vulnerable in any disaster and with so many children already in a weakened state, lack of nutrition, water, sanitation and shelter, can be a lethal combination. (OCHA, May 20)

UNICEF estimates that one million children may be in need of immediate assistance. (UNICEF, May 22)

The Director General of the Department of Social Welfare (DSW) invited representatives from UNICEF, Save the Children and World Vision on 21 May to discuss Child Protection issues in response to the impact of Cyclone Nargis. All partners agreed that the principle of family unity and community-based care and support for all children, should be the foundation for any strategy and action plan for children. The Department asked UNICEF to lead a national action plan for child protection in emergencies in partnership and with the direct involvement of DSW. A taskforce has been formed with representatives from DSW, UNICEF, Save the Children and World Vision. DSW will liaise with the Minister and higher officials in this regard. (OCHA, May 22)

In response to concerns about the institutionalization of orphaned, separated and unaccompanied children, the Protection of Children and Women Cluster has produced an advocacy document on "Preventing Family Separation". The key message is that family-like care should be promoted and supported above orphanages and other residential facilities. Families and communities are better able to provide children with social connections, familiarity, affection, and attention. A version of the one-page advocacy document in Myanmar language will soon be ready for distribution. Regarding the task force and plan for protection of children in emergencies mentioned in the highlights above, the agencies will provide update on the response to DSW by Thursday 22 May and will provide an outline of the plan to DSW by Friday 23 May. (OCHA, May 22)

Cluster partners agreed to rename the cluster to reflect the protection of women included in the response plan. The cluster has established a systematic data collection method and finalized a tool for common use by cluster partners. A Cluster Response Plan has been shared on which cluster partners will provide feedback by this

Friday. (OCHA, May 21)

Child Protection Cluster Working Group partners have identified the following priorities: Availability of information on the situation of children and services provided in the affected areas, for coordination and information sharing: Collation and mapping of information on which agencies are working where. Use of a tool to collect information from individual child protection agencies on a more systematic basis. (OCHA, May 21)

MRCS will maintain a database on family tracing with technical assistance from the ICRC. One of the Child Protection cluster lead agencies (UNICEF/SC) will host a database to collect information on separated and unaccompanied children, and other child protection issues, provided by all agencies working on Child Protection. The cluster leads will pass this information on to MRCS. An agreement will be entered into between MRCS and Cluster Leads on data exchange. Child Protection partners will continue to monitor interim care and provide follow up to known cases. Cluster partners are now running 64 Child-Friendly Spaces (CFS). Save the Children plans to run 180 CFS, World Vision 60, and EMDH 20, across Yangon and Ayeyarwady Divisions. Core guidelines and principles relating to CFS, including use of CFS tools, will be addressed by the cluster. (OCHA, May 21)

Cluster partners have established 55 functioning Child-Friendly Spaces (CFS) to date, with 92 more being set up. In Yangon Division there are 51 functioning CFS and 75 being set up, while in Irrawaddy Division four are functioning and 17 are being set up. The CFS are supported by World Vision, UNICEF, Save the Children, EMDH, MRCS and local NGOs. (OCHA, May 20)

The Cluster has now finalized the Myanmar language versions of the Code of Conduct to prevent sexual abuse and exploitation for staff, humanitarian workers, partners and volunteers, and the Ethical guidelines on photography, interviewing and reporting on children in emergencies. (OCHA, May 20)

Of the affected populations across Yangon and Irrawaddy Divisions one third to 40% are estimated to be children. The teams stationed in both Laputta and Bogalay report that they have seen large numbers of children in the camps. (UNICEF, May 18)

Several UNICEF Child Protection staff members are still in the field, in Laputta, Myang Mya and Bogalay. The situation in Laputta is of serious concern. 648 children are reported as separated. In Pawain village, where 250 people (of which 100 are children) have been moved from Bogalay, a child-friendly space is being established, in partnership with MRCS. (UNICEF, May 18)

UNICEF estimates 40 percent of the hardest-hit are children. UNICEF estimates 2 million children need “urgent assistance.” Other aid groups say children are vulnerable to abuse and recruitment as laborers, sex workers or child soldiers.

A local NGO cluster partner re-established 870 "Caregiver Circles" in Yangon Division after the cyclone. These provide integrated early childhood development including a feeding program to more than 9,000 children aged 0-3, and provide a support mechanism for the families. They are usually held in people’s homes, and the cyclone damaged many of these. After the cyclone, many had to be shifted to non-damaged houses to provide some kind of normality to these young children's lives. (OCHA, May 21)

Education

UNICEF leads the education cluster. Immediate priorities have been assessing damages to schools and planning for education to resume on June 1.

Ministry of education says 3,000 primary schools have been destroyed or damaged affecting some 500,000 children. OCHA says that it is estimated that some 2,400 primary schools have been damaged, affecting the education of 360,000 students. UNICEF says 85 percent of educational buildings have been destroyed or damaged.

The Education Cluster has made a rapid assessment of the education needs based on the group’s collective information on the situation to date. The major needs identified concern provision of learning materials to affected children and schools and need for reconstruction of school buildings. Most organizations report that affected communities are still dealing with the survival issues and that the need for basic necessities is still dire. A deeper analysis of this assessment will be made later with the group. (OCHA, May 21)

To streamline data collection, UNICEF will centralize information from cluster partners on the formal education sector while Save the Children will collate information on non-formal education activities, such as early childhood development and support to monastic schools and temporary settlements. Partners will meet on Friday to finalize the Education cluster strategy. (OCHA, May 21)

Pre-cyclone data on the number of schools, children and teachers in affected townships are now complete, but compilation of data on damaged primary, middle, and high schools is ongoing. Now assessments on the education needs of children in temporary settlements will be done, to guide the cluster’s response in setting up education services. (OCHA, May 21)

UNICEF says an unknown number of teachers were killed or missing and focus is on training volunteer teachers, providing as many as 300,000 school kits and setting up temporary schools.

Data on the status of schools in the affected Townships in Yangon and Irrawaddy Divisions continues to be collected by UNICEF field and Yangon based staff. The Education team in Bogalay has contacted the Township Education Office and is currently compiling information regarding the r