Health Situation Report: Pakistan Earthquake Issue # 4|October

Health Situation Report 3, 2013

#4
Pakistan Earthquake
October 3, 2013

Map of Health facilities damaged/destryoed in district Awaran

Situation updates:
Provincial Disaster Management Authority (PDMA) Baluchistan reported that earthquake caused
376 (330 from Awaran and 46 from Kech) deaths with 594 injuries reported from Awaran and 240
from Kech. The official data reveals 160,000 people affected in district Awaran and 25,000 people in
Kech. The updates also include 32,000 affected families in Awaran and 5,000 families in Kech
whereas 20,000 houses in Awaran and 1000 houses in Kech are partially or completely damaged.
PDMA Balochistan has declared UCs Awaran, Teertaij, Gishkore, Gajjar, Nokjo & Parwar “Calamity hit
areas” in Awaran while Dandar and Hoshap in Kech. PDMA Baluchistan has allowed all United Nation
Agencies for localized response, however, all national and local NGOs have to obtain NOC from
government before implementing any project.

In Tehsil Mashkai and Awaran, most of the health facilities are damaged and non-functional; DHQ
Awaran is providing health care services to the affected people. In Awaran 7 BHUs are affected, 3
BHUs are fully damaged and 2 partially damaged while 2 BHUs are intact. Eight Civil Dispensaries in
Tehsil Awaran are damaged and no proper health care services are available. Another request of
medicines received from DG Health Services, asking for 1 Inter Agency Emergency Health Kit (IEHK)
and 3 Diarrheal Disease Kits (DDKs) along with anti-malarial medicines, Bed nets, and
Environmental Health related items for the affected districts of Balochistan. District Health Officer
Awaran requires urgent support of LLINs and RDTs for malarial medicines.

Page 1 of 3
Health Situation Report: Pakistan Earthquake Issue # 4|October 3, 2013
Health Response:
The first Health Cluster Coordination Meeting has been scheduled on Monday 7th October, 2013 in
DGHS office, Link Saryab road Quetta from 11:00 am till 12:30 pm.
The consultation of diarrheal disease is revealing a prominent rise from 26th Sep to 2nd Oct-2013
from the affected locations followed by a sudden rise in the consultation of Suspected Malaria which
is twice the %age of suspected malaria reported few days before.
The NGOs staff trained on mini MIRA have completed the assessment which shows 6 UCs out of 8
were severely damaged as assessed by the assessment teams. 245 villages were covered during
assessment and assessment findings will be available soon.
Pakistan Red Crescent, Muslim Hands, Helping Hands, Pakistan Relief, Al-Khidmat Foundation,
Khidmat-e-Khalq foundation, EDHI foundation and NRSP are providing health care and other relief
services to the affected people. 46 Doctors and 63 Paramedics are serving in Awaran district at
Mashkey and Awaran town whereas 6 doctors and 8 paramedics are working at Dandaar district
Kech.
Disease Early Warning System is functional at both the affected districts. DEWS team is keeping close
coordination with DOH, local NGOs and INGOs. Daily data collection, from both districts, has started
and being shared since 26th Sep-2013 in form of daily bulletin. The WHO Daily DEWS report reveals
a total of (11,851) consultations from both the districts of which injuries are contributing
remarkable proportion i.e. (605) followed by ARI 2167 (18%), Acute Diarrhea 1,612 (14%) and
Suspected Malaria 1020 (9%).
AWARAN Daily Data from 26th Sep to 2nd Oct-2013
29- 30- 2-
Disease Name 26-Sep % 27-Sep % 28-Sep % % % 1-Oct % % Total %
Sep Sep Oct
Acute Respiratory tract
80 6% 41 14% 237 20% 234 18% 475 25% 372 18% 576 23% 2015 19%
Infection
Bloody Diarrhea 0 0% 0 0% 0 0% 0 0% 0 0% 1 0% 0 0% 1 0%
Acute Diarrhea 55 4% 27 9% 168 14% 133 10% 301 16% 536 26% 332 13% 1552 15%
Suspected Malaria 0 0% 33 11% 97 8% 146 11% 106 6% 247 12% 284 11% 913 9%
Skin 0 0% 0 0% 2 0% 20 2% 49 3% 2 0% 69 3% 142 1%
Injuries 365 27% 31 11% 0 0% 20 2% 0 0% 11 1% 10 0% 437 4%
Others 851 63% 155 54% 700 58% 746 57% 963 51% 917 44% 1219 49% 5551 52%
Total 1,351 287 1,204 1,299 1,894 2,086 2490 10611

Fig-1: Disease trend of ARI, AD, Suspected Malaria and Other Disease, Awaran District (26 Sep to 2 Oct, 2013)
70
Others ARI MAL AD
60

50

40

30

20

10

0
26-Sep 27-Sep 28-Sep 29-Sep 30-Sep 1-Oct 2-Oct

Fig-1 is stating the daily disease trend from district Awaran. The consultation of Acute Diarrhea and Suspected Malaria is
varying on daily basis whereas consultation of ARI is rising with a steady trend. The fluctuation in diarrheal and malaria
disease could be the possible as a result of the in-taking of contaminated water with living under open sky.
KECH Daily Data from 26th Sep to 2nd Oct-2013
29- 30- 2-
Disease Name 26-Sep % 27-Sep % 28-Sep % % % 1-Oct % % Total %
Sep Sep Oct
Acute Respiratory tract
5 3% 9 13% 8 14% 4 11% 64 15% 41 14% 21 13% 152 12%
Infection
Bloody Diarrhea 0 0% 0 0% 0 0% 0 0% 2 0% 0 0% 0 0% 2 0%
Acute Diarrhea 3 2% 10 15% 8 14% 3 8% 18 4% 10 3% 8 5% 60 5%
Suspected Malaria 0 0% 4 6% 9 15% 6 16% 29 7% 36 12% 23 14% 107 9%
Skin 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%
Injuries 140 78% 4 6% 6 10% 1 3% 2 0% 11 4% 4 2% 168 14%
Others 32 18% 41 60% 28 47% 23 62% 316 73% 205 68% 106 65% 751 61%
Total 180 68 59 37 431 303 162 1240

Page 2 of 3
Health Situation Report: Pakistan Earthquake Issue # 4|October 3, 2013
PICTORIAL VIEW:

Houses damaged/destroyed as a result of earthquake in Awaran

For further information, contact:

Dr Fawad Khan, Health Cluster Coordinator/Emergency Coordinator a.i, WHO Pakistan,
Email: khanmu@pak.emro.who.int, Cell: 0300 5018530

Dr. Tahira Baloch

WHO Operations Officer, Baluchistan
Email: balocht@pak.emro.who.int, Cell: 0303 5552285

Mohammad Shafiq, Technical Officer – Health Cluster, WHO Pakistan

Email: shafiqm@pak.emro.who.int; Cell: 0303 555 2270

Page 3 of 3