Hurricanes Irma, Jose – Situation Report #5
Tuesday, September 12, 2017
by CDEMA
REPORT FROM THE CARIBBEAN DISASTER EMERGENCY MANAGEMENT AGENCY AS OF 10 P.M. AST, SEP. 11.

NATIONAL UPDATES – POST IMPACT:

Reports emerging from impacted CDEMA Participating States as of September 11, 2017 reveal the following:

ANGUILLA

· A Sector Needs Assessment is currently being conducted to prioritize restoration efforts.
v The Valley National Emergency Operations Centre Warehouse adjacent to the Police Station is
now the designated point for persons to receive aid.
v A medical team from the Cayman Islands will be flying in to assist and provide medical supplies.
v The Caribbean Development Bank has granted Anguilla US$200,000 towards relief efforts
v Blowing Point Port – non-operational & assessment ongoing Sandy Ground - Road Bay Port in Sandy Ground is functional to receive cargo
v Clayton J Lloyd International Airport is currently operational for Charters and emergencies
v National Commercial Bank of Anguilla (NCBA) and First Caribbean International Bank (FCIB) are working diligently towards a Wednesday 13 September Opening

HATI

· One fatality

· One missing
· Seventeen (17) injured
· 12,539 persons evacuated
· 81 opened shelters
· 2,646 highly damaged houses
· 466 destroyed houses
· 4,903 flooded houses
· 8,015 affected families

TURKS AND CAICOS ISLANDS

· The Governor declared the island a disaster area
· Rapid Assessment indicates that damage is about 60%
· Severe damage to infrastructure, utilities and communications down
· Severe damage to major government buildings including the Treasury
· Severe damage to hospital
·  Fire at prison contained

Situation on South Caicos
· 80-90% of homes damaged
· Schools significantly damaged
· Churches significantly damaged
· Community centres significantly damaged
· Lack of shelter facilities a major
· Evacuation of South Caicos planned to Provo (2000 persons)

Situation on north and Middle Caicos
· Transport mechanism for supply chain is disrupted
· Less than 20% of damage to housing stock
· Government facilities impacted
· Schools impacted

REGIONAL RESPONSE ACTIONS:

CDEMA COORDINATING UNIT

·  High Level mission to the impacted States scheduled for tomorrow, September 12, 2017 by the
Ambassador Irwin LaRocque, Secretary General and Chief Executive Officer of CARICOM, Dr.
Hon. Keith Mitchell, current Chair of CARICOM and Prime Minister of Grenada and Mr. Ronald
Jackson, Executive Director of CDEMA

· CARICOM Disaster Relief Unit (CDRU) team from Jamaica arrived in Antigua today, September
11, 2017 for onward deployment to BVI tomorrow September 12, 2017

· Rapid Needs Assessment Team (RNAT) was deployed from Jamaica to the TCI today September
11, 2017

· CARICOM Disaster Assessment and Coordination (CDAC) team, was deployed today September
11, 2017 to Anguilla

· CDEMA met with the CARICOM Office of Trade Negotiations (OTN) to examine options for the
extraction of CARICOM nationals from impacted States and considered arrangements for
communication on both the extraction process and ways to improve the coordination of relief
supplies through the National Disaster Management systems

· Five (5) tons of relief supplies from Antigua were delivered to the Jost Van Dyke island of the BVI
today with the support of the CDRU

· The 7th meeting of the RRM Partners was convened today, Monday, September 11, 2017 at
1:21pm at the CDEMA Coordinating Unit. The meeting was chaired by CDEMA’s Executive
Director. Approximately twenty seven (27) participants from regional and international donor,
humanitarian and development agencies were represented

CARIBBEAN DEVELPMENT BANK (CDB)

· The Immediate Response Loans (IRL) facility of US$750,000 to assist with debris clean up has
been offered to the affected countries and currently processing for Antigua and Barbuda
· CDB has approved a grant of US$150,000 to the CDEMA Coordination Unit to assist with damage
assessment in the affected countries
· Emergency Relief Grant of US$200,000 is being processed for Antigua and Barbuda; ERG grant
has been offered to the remaining impacted states

LIAT

· LIAT continues to support CDEMA’s effort to respond to the humanitarian needs of the people in
the impacted countries. They facilitated the transportation of response teams from Saint Lucia,
Guyana and Trinidad to Barbados and from St. Kitts to Antigua today September 11, 2017.

OFFICE OF DISASTER PREPAREDNESS AND EMERGENCY MANAGEMENT (ODPEM), Jamaica

· They are moving a twelve (12) person team out of Jamaica today at 1700 hours to TCI. The team
includes 3 Engineers, 3 NEPA professionals, 1 Coastal Specialist, 2 water and sanitation
specialists and 1 media professional. Discussions will continue on the inclusion of a camera
person on the team.

ORGANIZATION OF EASTERN CARIBBEAN STATES (OECS)

· Cruise ships Norwegian Sky and Royal Caribbean Majesty will be available Tuesday, September
12 for evacuation/transfer of people from West Indian Company (Havensite Mall) Dock, St.
Thomas, to Puerto Rico and to Miami
· These ships can support the transfer of people from the British Virgin Islands to get to Havensite
Dock, St. Thomas. Estimated time of arrival (ETA) alongside: Norwegian Sky 0600; Royal
Caribbean Majesty 1830-2030
· Two vessels will be available to support evacuation from St. Thomas and BVI

REGIONAL SECURITY SYSTEM (RSS)

· Military personnel have been deployed to the BVI and the security situation is being brought
under control
· RSS is facilitating the extraction of non-nationals from St. Martin.
· Transported five (5) CDEMA response personnel from Barbados and two (2) from Antigua to
Anguilla (September 11, 2017)

UNIVERSITY OF THE WEST INDIES (UWI)

· UWI is coordinating the creation of a roster of specialists to respond to the Needs Assessments
coming out of the Rapid mobilization teams. Upon completion of the initial Rapid Needs Assessments, UWI will provide a roster of specialists that can be used to support the affected
countries in the short and longer term.

INTERNATIONAL INSTITUTIONS UPDATES:

GLOBAL AFFAIRS CANADA (GAC):

· The Government of Canada advised that they have pledged two hundred and fifty thousand
dollars ($250,000) through PAHO
· CDAT has sent a five member team into Antigua accompanied by the HC to undertake an
assessment to determine if a full team would be required
· An additional $200,000 is to be made available directly to Antigua to support their relief efforts
· Ship HMDS St. Johns is to be deployed to the region. Capabilities include helicopter and water
supplies
· In terms of evacuations, there are still a number of Canadians in all affected areas. Work is
ongoing to complete extraction

EUROPEAN CIVIL PROTECTION AND HUMANITARIAN AID OPERATIONS (ECHO):

· 2 million Euros assigned to support response efforts in the entire Caribbean region through
ECHO partners
· 1 staff member deployed to Antigua
· 1 staff member deployed to Turks and Caicos Islands
· 1 staff member to be deployed to Cuba

INTERNATIONAL FEDERATION OF RED CROSS AND RED CRESCENT SOCIETIES (IFRC) 

· The team is in communication with the Red Cross overseas affected territories and standing
ready to deploy emergency response units
· Some national Red Cross societies have been coordinating delivery of items directly while in the
Bahamas, the national office there is undertaking assessments. Further updates should be
available on the evening of 11 September
· Both soft and hard pledges are coming in from the joint emergency appeal launched this
weekend. Antigua Red Cross has also launched a joint appeal. Details will be shared with the
partners
· Regional Intervention specialist has been deployed to Antigua

 

INTERNATIONAL ORGANISATION FOR MIGRATION (IOM)
·  Team of six (6) people deployed in the region; 1 expert in shelter management, displacement tracking and shelter NFI. Two (2) arriving tomorrow; one (1) shelter management and gender- based violence risk reduction and 1 displacement tracking. Both to move onwards to other islands as identified with CDEMA and UNDAC/OCHA. One (1) shelter management specialist arrived in Antigua today (September 11, 2017)

· A Panama-based expert in CCCM (shelter management) and one (1) in displacement expert tracking will move onwards to other islands as identified with CDEMA and UNDAC/OCHA

MAPACTION

· MapAction have sent five (5) highly skilled GIS specialists to the region with significant
experience in disaster mapping and response to support CDEMA together with the UNDAC team
to respond to affected population

PAN AMERICAN HEALTH ORGANISATION (PAHO)

· Four (4) experts (assessment, electrical engineer, logistician and water and sanitation) were
deployed with the CDEMA RNAT to the British Virgin Islands, presently conducting assessments,
supporting recovery services in the hospital and enhancing logistics capacity
· Two (2) experts deployed to Antigua and Barbuda
· Preliminary assessment of hospital/health center in Barbuda carried out; detailed assessment
being undertaken today, September 11, 2017
· Two (2) experts were deployed to St. Martin on 10th September to conduct assessments
· Staff pre-deployed to The Bahamas and to the Turks and Caicos Islands, currently carrying out
needs assessments for health sector.
· Coordination with Anguilla, Antigua and Barbuda and the British Virgin Islands and supporting
immediate needs, which include the provision of critical medicines and other medical supplies
that were destroyed.
· PAHO is coordinating with Ministries of Health in Jamaica and Trinidad & Tobago to get
immediate loans/donation of critical medicines and supplies for the British Virgin Islands. These
are expected to leave these countries en route to the British Virgin Islands tomorrow, 12th
September
· On request of the Chief Medical Officer of Antigua and Barbuda, PAHO is coordinating with the
Ministry of Health in Barbados to deploy a team of four (4) mental health professionals and four (4) environmental health officers to travel to Antigua for 7-10 day deployments during this
week.

· One (1) expert deployed to Anguilla on the 11 September for rapid assessment and coordination
· Emergency Declaration and Standard Emergency Procedures activated, together with Regional
Emergency Response Team. Funds made available for the immediate response (deployments,
coordination, assessments, logistics, etc.)
· Staff based in Anguilla and Antigua and Barbuda are performing need assessments
· In Anguilla, the health center has been assessed
· Specialists (architect and electrical engineer) have carried out assessments of health facilities in
Tortola Island in the British Virgin Islands
· Health personnel are coordinating the health response in the British Virgin Islands in Tortola
Island to support the government
· Engineer coordination of medical supplies, assisting with the reception of medical supplies and
supporting with logistics in the British Virgin Islands in Tortola Island
· In St. Martin carrying out assessments of health facilities and coordination of human resources
and supplies

SALVATION ARMY
· Assessing situation in TCI, Bahamas

UNITED STATES AID FOR INTERNATIONAL DEVELOPMENT - OFFICE OF US FOREIGN DISASTER ASSISTANCE (USAID/OFDA)
· Will be sending a relief flight into Antigua on Monday, September 11th

·  Relief flight is heading to Antigua
· There is to be a higher level discussion on support to both sides of St. Martin through the Red
Cross as well as military to military discussions
· Five members are in Antigua getting ready to deploy as needed

UNITED NATIONS (UN) AGENCIES

FOOD AND AGRICULTURE ORGANIZATION (FAO)
· Closely liaising with the Ministry of Agriculture Lands, Housing and the Environment in Barbuda
and Antigua in order to understand the impact caused by Hurricane Irma on the agriculture
sector and its sub-sectors (crop, livestock and fishery)

· Emergency and disaster risk management specialists are on stand-by and awaiting an official
request from the Ministry of Agriculture Lands, Housing and the Environment in Barbuda and
Antigua to conduct in-depth agricultural needs assessments

UNITED NATIONS DEVELOPMENT PROGRAMME (UNDP)
· Experts on debris/waste management, emergency employment and cash for work, livelihoods
revitalization, core government functions and post disaster needs assessments are on stand-by
and ready to be deployed
· Specialists are on stand-by to accompany governments and relevant partners in needs
assessments and early recovery planning
· Ready to support national efforts on damage and needs assessments as well as develop early
recovery frameworks
· Allocated US$300,000 from its core resources to support assessments, coordination and
elaboration of recovery frameworks in affected countries
· US$25,000 already allocated and approved for Antigua and Barbuda
· GDACS Satellite Mapping Coordination System has also been activated to ensure coordination
between operational entities, typically Copernicus and UNOSAT

UNITED NATIONS POPULATION FUND (UNFPA)
· Collaborating with UN Women and the Directorate of Gender Affairs, Antigua and Barbuda, in
distributing dignity/hygiene kits, especially to affected women and girls
· Can provide commodities, including reproductive health kits. Also can provide technical
guidance and will have available additional surge capacity available to focus on prevention and
response to gender-based violence including sexual violence, sexual reproductive health
priorities and psychosocial support

UNITED NATIONS CHILDREN FUND (UNICEF)
· Supplies have been sent to TCI and are in transit. Included in the supplies are water, storage
containers etc.
· Requests coming in are for psychosocial support for children. This should start day after
tomorrow (September 12) for Barbuda and another request was received last night from TCI
· They are working on assumption that Tarpaulin supplies for Anguilla and BVI are not needed but
are mobilizing support just in case

UNITED NATIONS DISASTER ASSESSMENT AND COORDINATION (UNDAC)
· They are working with CDEMA team to look at information flows

UNITED NATIONS OFFICE FOR PROJECT SERVICES (UNOPS)
· Two (2) engineers are on stand-by to assist with infrastructure condition assessments.
Assessment software/training is also available.

UNWOMEN
· Lift was secured for one person to head to Antigua. They are looking to support shelter and
guidance and another member of staff should arrive on Wednesday.
· Discussions continue with UNFPA for assembly in Barbados.
· In coordination with CDEMA, the UN Women MCO Deputy Representative was deployed to
Antigua on September 11 in response to the Antigua Directorate of Gender Affairs' request for
support in shelter management in respect of the safety and security of women and girls.
· UN Women emergency electronic cash transfer to Antigua on Friday September 8, ensured the
assembling of 300 dignity kits which contain women-specific items. These were assembled and
distributed by the Department of Gender Affairs staff at two of the main shelters.
· Supporting a cash-for-work program for women with local procurement in respect of assembling
the dignity kits. The Deputy Representative will coordinate the logistics of this activity.
· Together with CDEMA and the Regional Security System (RSS) will deploy gender and
humanitarian specialists to the Turks and Caicos Island and the British Virgin Islands, one of
whom should arrive in Barbados on September 12.

CDEMA continues to monitor the system and provide updates as necessary.

CONTACT DETAILS: The CDEMA CU 24-hour contact number 1(246) 434-4880


INTERNATIONAL INSTITUTIONS UPDATES:

ANGUILLA
Needs:

  • Requested assistance for rapid needs assessment

Quantity

Category

Item

 

10,000

Water Cases

 

200

Taupaulin

 

200

Water bauser containes

 

10

Generators (capacity needed)

Cleaning supplies

500

Bleach
Mop
Broom
Disinfectant
Detergent

 

10,000

Mosquito repellant

Comfort kits

5000

Disposable razor
Deodorant
Soap
Toothbrush
Toothpaste
Lotion
Powder
Sanitary napkins
Towels

Food

5000

Sardines
Tuna
Beef
Sausage (Vienna)
Rice
Cornmeal
Macaroni
Flour
Potatoes
Cereal 
Crackers (pack)
Butter
Canned coup
onion

Babe Kit

10,000

Diapers/ disposable huggies
Cloth diapers with pins
1 baby powder
Vaseline
Baby wipes
Bottled foods
Similac
Biscuit
Electrolytes
Pacifier
Toy
Baby aspiriin tylenol

 

10,000

First aid kits

 

10,000

Matches

 

10,000

Ziplock bags

 

10,000

Paper towel

 

1000

Buckets

 

1000

Rubbing alcohol

 

 

Adult pampers

 

20,000

Batteries (all sizes)

 

2

Electronic fetal monitors/cardiotocograph machines

 

2

Fetal dopplers (handheld)

 

4

Resuscitaires

 

3

Infant scales

 

3

Adult scales

 

4

Incubators

 

8

Neonatal cots with mattresses

 

4

Vital signs monitors (2 neonatal)

 

4

Pulse oximeters (2 pediatric)

 

8

Diagnostic sets (Welch allyn)

 

8

Defribrillators/automated external defibrillators
(AED) (with adult and paediatric pads)

 

2

Blood pressure monitors

 

 

Thermometers (including tympanic)

 

 

Nebulizers

 

 

Suction machines

 

 

Suture kits

 

 

Beds

 

 

Bed linen – blankets, sheets

 

2

Mobile dental units

Shelter

40

Shelter Tents Family size

 

5000

Flash light (Solar)

 

3000

Portable chargers

 

 

Plywood building materials

 

100

Generators 15k and above

 

 

Shelter Tool kits

 

 

Coal pots

 

100

Gorilla or Warehouse Shelving

 

50

Chain saws

 

 

 

 

 

 

 

 

 


BARBUDA

Critical Needs:

Immediate
· Immediate shelter according to good practice in Antigua
· Places in schools for the kids on Antigua, school kits
· Access to healthcare on Antigua
· Telecom support to get electricity back on Barbuda

Medium to long-term (development):
• Re-construction: Building material for new houses
• Credit from the bank to start over again
• Equipment to clean the island
• Equipment for schools and hospitals
• Health kits, dignity kits, seeds, agricultural goods, etc.


BRITISH VIRING ISLANDS

Needs:
· sat phones
· EMT kits
· chain saws
· generators
· hand tools
· wheel barrows
· cots
· tarps
· plywood
· flashlights
· batteries
· fuel pump
· water jugs
· water purification tablets
· towels
· blankets
· baby food and formula
· diapersadult diapers
· laptops
· printers
· cots
· repeat antennae
· mobile repeaters

 

OPERATIONS THEATRE NEEDS LIST 

Item

Amount

Disposable Laparolomy Packs

4 cases

Sterile Surgical Gowns

3 cases

Suture Packs/Sets

4 boxes

0 Vicryl w

5 boxes

1 Vicryl w

5 boxes

3/0 Vicryl

5 boxes

2/0 Vicryl

5 boxes

4/0 Caprosyn

10 boxes

4/0 Vicryl W9834T

5 boxes

2/0 Surgipro

5 boxes

4/0 Monocryl

8 boxes

ERBE Diathermy pads

2 boxes

ERBE Diathermy pencils

2 boxes

3/0 Vicrylrapide

5 boxes

2/0 Vicrylrapide

5 boxes

Portable Suction & Bottles

6 boxes

Disposable suction containers and covers

40 boxes

Disposable c/section packs

5 cases

O2 Face masks – Adults &Paeds

1 case each

Surgical Face Mask

6 boxes

Procedure Face Mask

5 boxes

Surgical Gloves sizes 7,7 1/2, 8, 8 1/2

4 boxes

Microporelape 2”

4 boxes

OP Theatre disposable sheet sets

4 boxes

Cover Rool stretch

10 boxes

Bed linens

5 dozen

Blankets

5 dozen

Incopads

200

Sterile Gauze

4 cases

Dress sets

3 cases

Gel foam

1 case

Skin Staples

2 cases

Gauze Rolls

10 cases

Cotton Rools

6 cases

Chlorohexidine prep

3 cases

Betadine

5 cases

Alcohol

4 boxes/cases

Laparotomy sponges

2 cases

Raytex swabs

2 cases

Sterile gloves (large)

10 boxes

Sterile gloves (medium)

10 boxes

Sterile gloves (small)

10 boxes

Surgical Scrub brushes

10 boxes

Crepe bandage 6''

6 packets

Crepe bandage 4''

6 packets

Crepe bandage 3''

6 packets

Crepe bandage 2''

6 packets

OT Scrubs (Male and Female)

4 dozen each

NOP masks (staff speciality) OR, ICU, PACU, OB, ER

4 dozen each

Drinking water

10 cases

Hypertension Orals

Amlodipine 5mg & 10g

1000 boxes
30,000 tablets (each)

Lisinopril 5mg, 10mg, 20mg

30,000 tablets

B Blockers Bisoprolol 5mg, 2.5mg

15,000 tablets

Atenolol 25mg

15,000 tablets

Atenolol 50mg

20,000 tablets

Metoprolol 50mg

50,000 tablets

Labetalol 50mg, 100mg

50,000 tablets

Carvedilol 12.5mg, 6.25mg, 25mg

50,000 tablets

Losartan 50mg

50,000 tablets

Losartan 25mg

25,000 tablets

Losartan HCTZ

50,000 tablets

Hydralazzine 25mg, 50mg

50,000 tablets

AdalcetorosSr 30mg and 60mg

50,000 tablets

Aydrazazzine 25mg and 50mg

10,000 tablets

IV Drugs

Labetalol I.V.

250 vials

Verapamil I.V.

400 vials

Metoprolol I.V.

400 vials

Lidocaine Redijects

500 vials

Lidocaine 1% pain and Epinephrine

600 vials

Ondansetron 4mg

1,200 vials

Buprivaciane and Dextrose 0.25%

600 vials

Propofol 20 mls

1,000 vials

Neostigmine

300 vials

Fentanyl

3,000 vials

Morphine

6,000 vials

Paracetamol 500mg

7,200 boxes

Paracetamol 1000mg

3,600 boxes

Diclofenac Suppositories

200 boxes

Succinylcholine

500 vials

Rocuronium

800 vials

Ephedrine I.V.

500 vials

Phenylephrine

200 vials

Norepinephrine

600 vials

Epinephrine

2500 vials

Phenylephrine

200 vials

Oxytocin

1500 vials

Ergotamine

600 vials


 

Antibiotics

 

Augmentin IV 600mg

3000 boxes

Flagyl IV

2500 boxes

IV Fluids NACL

1200 cases

5% Dextrose

100 cases

5% 0.45 Na

600 boxes

5% D/O 0.2 NaCl

50 boxes

Saline for irrigation 500mls

100 boxes

 

 

Analgesics

 

Paracetomol

100,000 tabs

Diclofenac 75 mg

30,000 boxes

 

 

Diabetes

 

Metformin

250,000 tabs

Insulin R

500 vials

Insulin 70/30

1000 vials

Insulin N

500 vials

Diamicron 30 & 60

500,000 tabs each

 

 

Antacids

 

ORS

100,000 packets

 

 

Consumables

 

 

 

Suture sets

10,000

Surgipore

1,000 boxes

Bandages

assorted

 

 

Dialysis

 

Gloves sterile

5 cases

Gloves Non sterils

5 cases

0.9 N/S 1 litre 500 mls

50 cases of each

Gauze 4x4

50 boxes

Syringes 3,5,20,10, insulin

20 boxes each

Vinegar

10 cases

Bicarbonate

100 bags

Acid Bath

20 cases

Needles 18g 21g 22g 25 g

5 cases of each

Transducers

100

Connectors (recirculation)

2 boxes

Mask

10 cases

Sure Seal Band Aid

20 cases

Cover roll

10 cases

Hemodialysis Machines

5

Portable RO machine

1

Fistula Needles 16 guage a5 guage

5 boxes of each

Recliners

5

Bleach

10 cases

TURKS AND CAICOS ISLANDS

Needs:
v Assessment Teams needed
v Emergency Relief Supplies
v Food- entire population, tarpaulin, water supplies and mosquito repellant, generators and
shelter facilities

 

Ministry Officials

  • Hon. Dr. Ernest Hilaire / Minister
  • Hon. Guibion Ferdinand / Parliamentary Secretary
  • Vernet St. Omer-Fontenelle / Director of Information Services