Republic of the Philippines

Department of Health
REGIONAL OFFICE - XI
HEALTH EMERGENCY MANAGEMENT STAFF
TEL/FAX: 305-1909

THE
HEALTH
EMERGENCY
MANAGEMENT
Preparedness, Response and Recovery Plan

DOH – RO XI
2012-2016
POLICY STATEMENT
It is the policy of the State that it is the responsibility of all government
departments, bureaus, agencies and instrumentality’s to have documented plans of
their emergency functions and activities.

(Section 1, Article D, Presidential Decree No. 1566, Strengthening the

Philippine Disaster Control Capability and Establishing the National Program on
Community Disaster Preparedness, President Ferdinand Marcos, June 11, 1978)

”That there is hereby created a Health Emergency Preparedness and

Response Program within the Department of Health. This program are designed to
be comprehensive, integrated and responsive emergency, disaster related service and
research-oriented program with the goal of promoting health emergency preparedness
among the general public emergencies, disaster and calamities.(Through
Administrative Order No. 6-B dated February 12, 1999 by Secretary of Health Alberto
Romualdez, Jr.)

Republic Act No. 10121 also known as the Philippine Disaster Risk
Reduction and Management Act of 2010.“An act strengtheningthephilippine
disaster risk reduction and management system, providing for the national disaster
risk reduction and management framework and institutionalizing the national disaster
risk reduction and management plan, appropriating funds therefor and for other
purposes.”

(Section 4.Scope. - This Act provides for the development of policies and plans and the
implementation of actions and measures pertaining to all aspects of disaster risk
reduction and management, including good governance, risk assessment and early
warning, knowledge building and awareness raising, reducing underlying risk factors,
and preparedness for effective response and early recovery.)
TABLE OF CONTENTS
COVER PAGE
POLICY STATEMENT
TABLE OF CONTENTS
I. Background
A. Geographical/ Demographic Data
 Geographical Location
B. Health /Demographic Profile
Table 1 Projected Population, Land Area & Population Density, 2012
Table 2 No.& Ratio to Population of RHUs/MHCs and BHSs, 2012
Table 3 Gov’t & Private Hospitals & Hospital Beds Ratio to Population,2012
Table 4 Number of Selected Manpower & Ratio to Population, 2012
Table 5 Health Program Indicators, by Province and City, 2012
Table 6 Vital Health Statistics, 2012
 Table 7 Ten Leading Causes of Mortality,2012
 Figure 1 Causes of Maternal Mortality
 Table 8 Ten Leading causes of Infant Mortality,2012
 Figure 2 Ten Leading Causes of Morbidity,2012
 Table 9 Birthing Homes
 Table 10 Clinical Laboratory
 Table 11 Private Hospital Services by Province
 Table 12 Government Hospital Services by Province
II. Plan Description
 Definition
 Contents of the Plan
 Scope of the Plan
III. Goals and Objectives
 Goal
 General Objectives
 Specific Objectives
IV. Planning Group
 Planning Group/ Committee structure and Functions
 Roles and Functions of Planning Group/ Committee
 Table 13 Hazard Assessment
 Table 14 Hazard Assessment 2
 Table 15 Areas Prone to Hazards
 Vulnerability Analysis of Southern Mindanao, Philippines
 Typhoon/ Tsunami
 Table 16 Flood Prone Areas in Region XI
 Earthquake
V. Emergency Preparedness Plan
 Table 17 Hazard Prevention, Vulnerability Reduction and Emergency
Preparedness Plan
VI. Management Structures
VII. Roles and Responsibilities
VII.Emergency Preparedness Plan
VIII. Emergency Response Plan
IX. Recovery and Reconstruction Plan
X. Annexes
I. BACKGROUND
A. GEOGRAPHICAL/ DEMOGRAPHIC PROFILE:
Located on southern portion of the country in the island of Mindanao, the region of
Southern Mindanao comprises of four provinces and six cities. The provinces include
Davao Oriental, Davao del Norte, Compostela Valley and Davao del Sur while the
cities are the following: Davao City, Tagum City, Digos City, Panabo City, Island
Graden City of Samal and Mati City. With an estimated population of 4,362,701 by year
2010, Southern Mindanao has a total land area of 19,736 square kilometers. The area
has both a coastal and a mountainous terrain. The DavaoGulf upon whose entrance is
a big island, the island of Samal, covers the southern border. Beyond the waters of the
DavaoGulf is the Celebes Sea which runs towards the Celebes Sea in the west and
Indonesia to the South. It merges with the Pacific Ocean along the southeastern
portion.

Inland, the region is bordered in the northwest by the tallest mountain in the
Philippines, Mt.Apo, rising to more than 3,000 meters above sea level. It is a series of
four mountain ranges, which surround the city from the northern and eastern
approaches. Along the west is a series of rugged mountains, which form the bulk of the
Mt.Diwalwal. One of the city’s distinct geographic peculiarities is its strategic proximity
to leading countries in the South Pacific Rim such as Australia, Indonesia, Malaysia
and Singapore.

Topography

A major portion of Region XI is mountainous, characterized by extensive mountain

ranges with uneven distribution of plateaus and lowlands. The mountain range on the
western side extends far down to South Cotabato. This mountain range is the seat of
Mt.Apo, the highest peak in the country.
Geographical Location:

Davao Region is composed of (4) Provinces,

(1) Independent City and (5) component cities: (DN)
(CV) (DO)
1. Compostela Valley (CV) (T)
(DC) (P)
2. Davao del Norte (DN)
3. Davao Oriental (DO)
4. Davao del Sur (DS)
(M)
5. Davao City (DC)
6. Tagum City (T) (D) (IGACOS)
7. Digos City (D)
8. Panabo City (P)
9. Island Garden City of Samal (IGACOS) (DS)
10. Mati City (M)

Boundaries;

• Agusan del Sur (North)

• DavaoGulf and Celebes Sea (South)
• Philippine Sea (East)
• Bukidnon, North Cotabato and SouthCotabato (West)

Total Land Area: 19,736 sq. km.

Table 1.Projected Population, Land Area & Population Density, 2012

Projected Population Land Area Population

Province/City
(sq. km.) Density
Number %

Compostela Valley 748, 800 15.9 4,667 160

Davao del Norte 984, 399 20.9 3,640 270

Davao Oriental 517, 099 11.0 5,165 100

Davao del Sur 916, 700 19.5 3,820 240
DavaoCity 1,544,903 32.8 2,444 632
Davao Region 4,711,901 100.00 19,736 239
B. HEALTH PROFILE:

PUBLIC HEALTH FACILITIES:

Table 2.No. & Ratio to Population of RHUs/MHCs and BHS’s, 2012

Province/City MainHealthCenter Brgy Health Station

Number Ratio # of Barangay Number Ratio

Compostela Valley 11 1: 68,073 237 177 1: 4,231

Davao del Norte 13 1: 75,723 223 224 1: 4,395

Davao Oriental 11 1: 47,009 183 189 1: 2,736

Davao del Sur 15 1: 61,113 337 309 1: 2,967

Davao City 16 1: 96,556 182 154 1: 10,032

Davao Region 66 1: 71,392 1,162 1,053 1: 4, 475

Only 90.6% have BHSs out of 1,162 barangays.

HOSPITALS:

Table 3.Gov’t & Private Hospitals & Hospital Beds Ratio to Population, 2012
No. of Hospital No. of Hospital Beds
Province/
City Ratio to
Gov’t Private Total Gov’t Private Total
Pop’n
CV 4 7 11 70 112 182 1: 4,114
DN 4 21 25 275 844 1,119 1: 880
DO 5 1 6 160 50 210 1: 2,464
DS 5 34 39 179 920 1, 099 1: 834
DC 2 26 28 438 1,684 2,122 1: 724
Davao
20 89 109 1,122 3,610 4,732 1: 996
Region
Table 4.Number of Selected Health Manpower & Ration to Population, 2012
TOTAL Davao Region
Man Power CV DN DO DS DC
No. Ration
Doctors 13 17 11 18 14 73 1: 64,547
Dentists 10 12 11 11 12 56 1: 84,141
Nurses 20 39 21 34 30 144 1: 32,722
Midwives 153 130 191 160 73 707 1: 6,665
Nutritionist 2 9 3 3 19 36 1: 130,886
Med. Tech 15 15 12 13 16 71 1: 66, 365
Sanitary Engineers
Sanitary Inspector 17 11 19 22 17 86 1: 54, 790
Dental Aides 10 11 10 15 13 59 1: 79, 863
Brgy Health Workers 1899 2451 2365 3523 972 11,210 1: 420

Table 5. Health Programs Indicators, by Province and City, 2010

INDICATORS Region CV DN DO DS DC
% Fully immunized Child 86.2 82.2 91.1 81.7 80.3 90.7
% Measles Drop Out Rate (2006) 6.3 -1.3 7.6 3.1 6.3 9.9
% DPT Drop Out rate (2006) 5.2 2.6 6.4 4.6 6.2 5.1
% OPV Drop Out rate (2006) 4.5 2.5 4.4 4.7 4.6 5.0
% Child Protected At Birth 81 77 83 74 76 88
% Low Birth Weight 2.7 2.0 2.5 2.3 1.4 4.0
% Excl. BF for 6 mos. 74.3 67.8 78.1 78.8 72.9 74.0
% 0-71 months old Malnourished Children 6.7 7.3 5.5 6.3 11.1 4.7
% 6-71 months given Vit. A 98 100 95 98 100 99
% Pregnant women w/5 PNV 23 31 26 16 17 23
% PW given iron for 6 mos 27 33 32 18 15 31
% Fully Immunized Mother (2006) 68.4 88.6 67.6 64.0 68.2 60.6
% Deliveries attended by skilled health Professionals
50.0 41.1 51.1 43.4 34.7 65.5
(2006)
% Contraceptive Prev Rate (2006) 55.2 62.4 63.2 45.9 52.3 51.8
Total Fertility Rate (2006) 2.4 2.6 2.4 2.5 2.5 2.3
% PP women initiated BF 72 69 72 67 67 79
% Quality Prenatal Care 27 38 18 28 8 38
% Quality Pospatrum Care 54 61 60 50 32 62
% HH with Sanitary Toilets 88 95 67 94 94 91
% HH w/ Access to Safe H2O 81 84 91 77 83 83
Table 6. Vital Health Statistics, 2012
Province/City CBR* CDR** MMR*** IMR**** YCMR

Compostela Valley 21 2 70 6 2.2

Davao del Norte 21 3 71 4 3.2

Davao Oriental 20 3 134 5 3.2

Davao del Sur 20 3 110 6 2.1

DavaoCity 22 5 39 12 5.6

Davao Region 21 3 24 7 3.7

 CBR- Crude Birth Rate per 1,000 pop’n
 CDR- Crude Death Rate per 1,000 pop’n
 MMR- Maternal Morality Rate per 100,000 livebirths
 IMR- Infant Mortality Rate per 1,000 livebirths
 YCMR- Young Child (1-4 y.o) Mortality Ratio per 1,000 Livebirths

Table 7. Ten Leading Causes of Mortality, 2012

RATE PER 100,000
CAUSES NO. OF DEATHS
POPULATION
1. Disease of the Circulatory System 3,579 76

2. Diseases of the Heart 2,069 44

3. Pneumonia 1,992 42

4. Malignant Neoplasm, all forms 1,349 29

5. Accident, all forms 1,172 25

6. Diseases of the Genitourinary System 731 16

7. Diseases of the Digestive System 663 14

8. Diseases of the Respiratory System 621 13

9. Diabetes Mellitus 597 13

10. TB, all forms 574 12

Figure 1.Causes of Maternal Mortality, 2012
Complication of labor &
29 29 delivery
30 29
29
Oedema, Protenuria &
25 hypertensive disorder in
Preg.
Complication
20 predominantly related to
puerperium
Other obstetric conditions,
15 not elsewhere classified

10 7 Pregnancy with abortive

7 outcome
5 5
5 2 2 Maternal care related to
the fetus & amniotic

0
No. of Deaths Rate/100T Livebirths

Table 8. Ten Leading causes of Infant Mortality- Davao Region, 2012

NO. OF RATE PER 100,000
CAUSES
DEATHS LIVEBIRTHS
1. Pneumonia 114 115
2. Respiratory & Cardiovascular disorder specific to perinatal 88 89
3. Other disorder originating in the perinatal period 81 82
4. Infection specific to the perinatal period 70 71
5. Fetus & newborn affected by maternal factors and by
56 57
complication of pregnancy, labor and delivery
6. Congenital Malformations 50 51
7. Septicemia / Sepsis 46 47
8. Disorder related to length of gestation 35 35

9. Diseases of the heart 26 26

10. Diarrhea 15 15
Figure 2.Ten Leading Causes of Morbidity, Davao Region, 2012

causes No. of cases

Other Viral Diseases
3,245
Diseases of esophagus,…
3,340
Tuberculosis, all forms
3,672
Chronic Lower Respiratory… 4,791
Dengue Fever 8,212
Hypertensive Diseases 11,528
Disease of the… 11,752
17,307
Diarrhea and Gastroenteritis
23,230
Influenza and Pneumonia
79,666
Acute Respiratory Infections

0 500 1,000 1,500 2,000

Table 9Birthing Homes

Province/City Number
DavaoCity 21
DavaoDel Sur 3
DavaoDel Norte 6
Davao Oriental 1
ComvalProvince 1
Total 32

Table 10. Clinical Laboratory

Free-standing Hospital-Based
PROVINCE/ CITY Total
Private Gov’t Private Gov,t

CV 1 0 6 4 11

DN 2 0 20 4 26

DO 1 0 1 5 7

DS 3 0 35 5 43

DC 20 1 25 5 51

TOTAL 27 1 87 23 138
HOSPITAL SERVICES:

Table 11.Estimated Private Hospital Services

PRIVATE
PROVINCE/
CITY No. of Burn Trauma Decontamination Isolation
ICU CCU NICU Total
Ambulance Unit Unit area Rooms
CV 0 0 1 0 0 0 0 0 1

DN 5 1 1 3 5 1 4 20

DO 1 1 1 1 1 1 6

DS 6 1 2 2 2 1 5 19

DC 10 6 6 6 4 6 6 6 50

TOTAL 22 8 10 12 4 14 9 16 95

Table 12.Estimated Government Hospital Services

GOVERNMENT
PROVINCE/
CITY No. of Burn Trauma Decontamination Isolation
ICU CCU NICU Total
Ambulance Unit Unit area Rooms

CV 3 1 1 1 1 1 8

DN 4 1 1 1 1 1 1 1 11

DO 2 1 1 2 6

DS 5 1 1 1 2 10

DC 15 1 1 1 1 1 1 3 24

TOTAL 29 2 4 5 2 5 3 9 59
II. PLAN DESCRIPTION

PLAN DEFINITION

The title of this plan is The Health Emergency Management Plan (Preparedness
Response & Rehabilitation Plan) for Davao Region .This plan has been formulated by
virtue of AO 168 & AO No.6-B that there is hereby created such a plan. This plan is
designed to be comprehensive, integrated & responsive to any health emergency &
disaster that may affect the region. It comprises three major phases which
encompasses the whole spectrum of health emergency and disaster management. It
defines the overall direction of the CHD-DR office in response to all health
emergencies & disasters.

CONTENTS OF A PLAN

The Health Emergency Preparedness Response & Rehabilitation Plan of Davao

Region contains the policy statement & declaration of principles. It also contains
geographic & demographic background of the region. It reveals hazard vulnerability
assessment, risk assessment & spells the capability & capacity of all concern entities
through capability analysis. It also contains the specific roles & functions of key
players in emergency management as well as the resources available.

SCOPE OF THE PLAN

This Plan shall be implemented by the Center for Health Development Davao Region
in times of emergencies and disasters. This will complement & should be integrated to
the emergency and disaster plan of the health sector and the overall disaster plan of
the RDRRMC.
III. GOALS AND OBJECTIVES

GOAL:

To reduce injuries and mortalities related to health emergencies and disasters.

GENERAL OBJECTIVES:

To capacitate and strengthen the Health Emergency Management System of

the DOH-RO XI, Local Government Units and other health sectors in the Region.

SPECIFIC OBJECTIVES:

• To strengthen capability of responders through conduct of trainings, seminars,

orientations & drills related todisaster and health emergency management.
• To provide of technical and logistical support to affected population.
• To ensure availability of adequate logistics and it’s prepositioning in
preparation for any events and incidents.
• Strengthen networking w/ other responding agencies within and outside the
region.
• To review & update existing guidelines, procedures, protocols on
emergency/disaster management.
• To establish efficient & effective communication system.
• To strengthen capability of Operation Center (OpCen)

IV. PLANNING GROUP

PLANNING GROUP/ COMMITTEE STRUCTURE & FUNCTIONS

RD/ARD
HEMS Coordinator/ Asst. HEMS Representatives from
Coordinator other stakeholders

Secretariat

Chief Local Health AO/ Budget Chief Planning Supply Officer

Systems Division Officer Officer

ROLES AND FUNCTIONS OF PLANNING GROUP/COMMITTEE

1. Develops, reviews and updates the DOH-RO XI Health Emergency

Preparedness , Response & Rehabilitation Plan
2. Gathers relevant information required in planning and gain commitment of key
people and organizations
3. Initiates testing of the plan for its functionality and adaptability to current
situation
4. Develops annual Operational Plan and other plans relevant to Health
Emergencies or Disasters
5. Ensures the dissemination of the plan to other key stakeholders & its integration
to the overall health sector emergency & disaster plan

Table 13 Hazard Assessment

Natural Hazards
1. Flashflood
2. Wild/Forest Fire
3. Storm surge
4. Earthquake
5. Landslide
6. Tsunami
7. Typhoon
8. Volcanic eruption
9. Tornado
10. La Nina/el Niño
Biological
1. Disease outbreak/ epidemic
-Cholera, typhoid, dengue, measles, malaria, Meningococcemia, Emerging and Re-
emerging diseases.
2. Red tide phenomenon
Technological
Food poisoning, Chemical poisoning, mercury poisoning ,fire, gas explosion , vehicular accidents,
plane crash, maritime disaster, radiological disasters

Societal
Rallies, stampede, terrorism, armed conflict, tribal war

Table 14 Hazard Assessment 2

 Severity Frequency Extent Duration Manageability Total
Hazard
(A) (B) (C) (D) (E) (A+B+C+D) -E
Natural
Flashflood 5 5 4 4 3 15
Earthquake 4 3 3 3 3 10
Landslide 3 4 3 3 3 10
Tsunami 1 1 1 1 2 2
Volcanic eruption 1 1 1 1 2 2
Tornado 1 1 1 1 2 2
La Nina/el Niño 2 2 2 2 2 6
Typhoon 5 1 4 1 2 9
Biological
Cholera 4 3 4 4 5 10
Typhoid 3 5 5 4 5 12
Dengue 5 5 5 4 5 14
Malaria 5 5 5 5 5 15
Menningo 2 4 3 3 5 7
AI 1 1 1 1 1 3
SARS 1 1 1 1 1 3
Measles 4 4 3 4 5 10
Red tide 4 4 3 3 3 11
Technological
Fire 5 5 5 2 4 13
Food poisoning 4 4 3 2 3 10
Chemical poisoning 3 3 2 2 1 9
Mercury poisoning 3 3 2 3 2 9
Maritime disaster 3 2 3 2 1 9
Radiological disaster 2 1 1 1 1 4
Gas explosion 3 2 2 2 2 7
Vehicular accidents 4 5 5 3 3 14
Plane crash 5 1 5 2 1 12
Societal
Rallies 4 5 3 2 5 9
Stampede 3 1 1 1 3 3
Armed conflict 5 5 5 5 2 18
Tribal war 4 4 5 3 2 14
Terrorism 4 2 2 1 3 6

Table 15 Areas Prone To Hazards

Hazards Affected Provinces/Municipalities/Cities
Fire Davao City, Tagum City Digos City, Panabo City, Mati City
Earthquake Davao Oriental, COMVALProvince
Disease Outbreak All Areas
Tsunami Davao Oriental, Davao Sur
Mercury Poisoning COMVAL Province, Davao del Norte
Armed Conflict All Areas
Terrorism DavaoCity, DigosCity, TagumCity, PanaboCity
Tribal War Davao Norte, COMVAL Province
Volcanic Eruption COMVAL Province, Davao Norte
Flashflood All Areas
Landslide All Areas

HAZARD MAP
 COMVAL
2,3,5,6,8,9,10,11,12
DAVAO NORTE
1,3,5,6,7,8,9,10,11,12 DVO ORIENTAL
2,3,4,6,10,11,12

DVOCITY
1,3,6,7,10,11,12

DVO SUR LEGEND:

1,3,4,6,7,10,12 • 1-Fire
, • 2-Earthquake
• 3-Disease Outbreak
• 4-Tsunami
• 5-Mercury Poisoning
• 6-Armed Conflict
• 7-Terrorism
• 8-Tribal War
• 9-Volcanic Eruption
• 10-Flashflood
• 11-Landslide
• 12-Tyhpoon

VULNERABILITY ANALYSIS OF SOUTHERN MINDANAO, PHILIPPINES

I. TYPHOON/TSUNAMI/STORM SURGE

The Country lies wet of the WesternNorthPacificBasin- the world’s largest and most
prolific spawning ground of tropical cyclones. About twenty typhoons visit the country
annually, of which nine hit land fall. They occur usually in the latter half of the year and
exact a huge toll in terms of damage to infrastructure in its wake.

On the average, the Philippines is affected by two kinds of prevailing winds per year.
Generally on the first half of the year, the country is affected by strong northwesterly
winds that originate within the Pacific rim moving clockwise along the whole Pacific
region. These winds often pass along the eastern seaboard of the country and along
the eastern coast of the island of Mindanao. It often traverses and transects the
country along the middle region of the country, called theVisayas Region, and
continuing on towards the South China Sea on a northwesterly direction. Prevailing
winds usually come from the Pacific rim traveling on a northwesterly direction during
the early parts of the year and pass by the archipelago along the upper half of the
country. Climactic changes and gravitational changes are felt later on at the latter part
of the year where cold crisp northern winds coming from the Continental Asia and
China affect the country from a south-easterly direction. This generally referred locally
as “Habagat” winds.

Because of the unique geographic location of the region, with two big mountain ranges
covering its northwestern and easterly approaches, the region averages one to two
typhoons a year, and are mostly of moderate winds and rainfall. Surrounding mountain
ranges protect the eastern and western approaches. The presence of SamalIsland and
three other smaller islands offer tsunami protection to the coastal areas of the region.
The heavily forested areas along the mountain ranges acts as strong barriers and a
huge watershed protecting the city from flashfloods and heavy flooding although
current environmental estimates have raised alarming concerns on denuding forests
covers through illegal logging and “slash-and-burn” farming.

However, strong waves generated by tropical depressions are generated in the gulf is
enough to affect the coastal communities. These communities are highly vulnerable to
high waves and strong winds as they are usually made out of wooden stilts, plywood
and wooden planks, which make up frail structures. As the historical culture of these
people is tightly bounded to water there is some degree of difficulty in implementing
mitigation measures against typhoons and tsunamis. The coastal population has been
estimated to be between 50,000 to 100,000 people.

Inland, most structures and shelters are one-to-two stories high, concrete-based and
with/without concrete walls. Walls are mostly made of wood in less urban areas but
concrete walls are preferred in urban areas. Roofs generally are of the corrugated GI
sheets nailed to wooden beams. Building codes enforce anti-typhoon and anti-
earthquake measures such as limited heights, use of lightweight but durable roofing
materials and storm windows. About 50% of the populations live within the urban areas
and the rest are scattered all over the countryside.

Table 16.Flood Prone Areas in Region XI

1. Panabo City
2. Carmen
3. Dujali
4. Sto. Tomas
Davao del Norte 5. Kapalong
6. Asuncion
7. TagumCity
8. New Corella
1. Monkayo
2. Montevista
3. Mawab
4 Nabunturan
5 New Bataan
CompostelaValley 6. Pantukan
7. Mako

8. Mabini
9. Compostela
 1. Banaybanay
2. Lupon
3. San Isidro
4. Gov. Generoso
5. Mati City
Davao Oriental 6. Tarragona
7. Manay
8. Caraga
9. Baganga
10. Cateel
11. Boston
1. Sta. Cruz
2. Digos City
3. Malita
Davao del Sur
4. Sta. Maria
5. Bansalan
6. Don Marcelino
1. Toril
2. Talomo
DavaoCity
3. Buhangin
4. Bunawan

RISK ASSESSMENT

Southern Mindanao has a moderate probability in experiencing strong typhoons or

major tropical depressions because of its unique geographical location. It is actually
protected from strong winds and storms from the north because of the
presenceMt.Apo. However, its eastern flanks have a higher probability to experience
typhoons and tsunamis. Its major concern , however, is the coastal population, which is
deemed to be high risk from typhoons and tropical depressions.
II. EARTHQUAKE

The Philippines lies between two major tectonic plates. The Philippine Fault Zone runs
the middle of the country generating as much as 5 earthquakes a day where most are
imperceptible to human senses.

The region is surrounded by numerous earthquake faults running the entire breadth of
the country. Most famous is the Philippine Trench found in the eastern seaboard of the
archipelago. Known to be one of the most deepest trenches in the world, the Philippine
deep represents a major fault line which travels on a north-south direction even
reaching as far as Japan and Indonesia in the south. Another major fault line is the
Mindanao fault that is an extension of the Manila-Negros-Sulu trench. Found generally
along the western portion of the archipelago, this fault extends all the way to the
Celebes Sea. Another trench is found in the Gulf of Davao and Celebes Sea area.
Known as the Davao Trench, this extends on a southeasterly direction towards the
South China Sea.

The Philippine Fault Zone is a major fault zone which is presently active and has
generated several earthquakes within the last decade but not of severe magnitude and
proportion. This fault entirely runs along the middle of the island. Historically, southern
Mindanao, especially the DavaoCity area, has had only 6 major earthquakes of 5.0
magnitude and over since 1806. The last two were in 1987 (5.5) and 1990 (5.4). No
major damage was reported. GeneralSantosCity experienced a 6.8 on the Richter
scale last February 2002.

Mitigation measures such as strengthening city building codes include anti-earthquake

regulations. These include height restrictions in populated areas, use of concrete walls
and foundations and sturdy but lightweight roofing materials (combination of polymer
resins and plastic which is strong and weather resistant to heat and seawater).
Residential areas have houses which are built on a combination of wood, concrete and
steel construction Due to the rising cost in building materials, ingenuous developers
have resorted to building low-cost single story, single family housing projects which
generally offers moderate protection from earthquakes. These maybe due to
substandard materials and bulk construction procedures. Further inland, houses are
generally wooden and “nipa” (dried coconut palm fronds) construction with nipa roofs.
Some use bamboo poles and split bamboo as walls.

RISK ASSESSMENT

Based on these data, the region has a moderate-to-high risk of having a major
earthquake. Mostly affected would be the low-cost residential and urban areas. This
comprises about 60% of the population which is more than one million people.
 V. EMERGENCY PREPAREDNESS PLAN
Table 17.HAZARD PREVENTION, VULNERABILITY REDUCTION AND RISK REDUCTION PLAN

DOH – REGIONAL OFFICE XI

STRATEGIES/ TIME RESOURCE REQUIREMENT PERSONS

HAZARD VULNERABILITY RISK INDICATOR
ACTIVITIES FRAME REQUIRED AVAILABLE RESOURCE RESPONSIBLE

People living Deaths Political advocacy on January-

FLASH- Agenda in LHB Ordinance on land
in low lying Displacement rational land use/ land December
FLOOD LHB zoning enacted &
areas Injuries zoning
strictly implemented
Consultative LGU, DRRMC’s Early warning system
Silted river Disabilities Setting up of early
meetings, installed & operational
banks Env’l warning system
Protocols,
degradation
Funding
Poor drainage Formulation &
system Economic dissemination of
Consultative LGU, DRRMC’s Plan formulated &
effect evacuation plan
planning, disseminated
diseases
funding,
Intensity IEC on
schedule
Procurement and preventive measures
CHD,
prepositioning of Conduct regular drills
IEC materials IEC materials DRRMC’s LGU, DRRMC’s Well informed
needed logistics
community
Schedule, DRRMC’s, DRRMC’s, LGU Well prepared
Improve drainage
funding LGU responders and
System
community
Funding for Available but CHD, LGU CHD, LGU Community
drugs & meds, limited Logistics
supplies, available & distributed
compact foods

Advocacy LHB, DRRMC’s Functional drainage

system
TSUNAMI Community
-do- -do- LHB, LGU Land zoning ordinance
living Land zoning Advocacy
enacted and
in coastal areas
implemented
Early warning
Existing active
mechanism installed
fault lines
DRRMC’s, LGU Plan formulated &
Lack of Institutionalization of Consultation,
disseminated
awareness on early warning protocol
the threat of mechanism
tsunami
DRRMC’s, LGU Well prepared
Areas exposed Formulate /disseminate Planning, LGU
community
to open seas evacuation plan schedule,
funds

Conduct regular drills

DRRMC’s, LGU Logistics procured &
Schedule, LGU,
distributed
funding DRRMC’s
Logistics procurement
CHD, LGU
& prepositioning Drugs/meds Available but CHD, LGU
Well informed
Supplies limited
community
Funds
Compact-
foods
IEC
CHD, LGU, Pool of trained
IEC mats, TE IEC, TE CHD, LGU,
DRRMC’s responders
Capability building on DRRMC’s
DOH-CO
EMS, BLS Trainings Limited DOH-CO
CHD
funds CHD,LGU
DISEASE High prevalence of Deaths Enhance nutrition Funding, Limited DOH-CO CHD, LGU Effective Nutrition
OUT malnutrition Disabilities programs to reduce -do- revisit nutrition Prog.
BREAK Illnesses malnutrition rate policy
(including
emerging Low FIC Increase FIC coverage National Limited DOH-CO CHD, LGU High level community
& re- coverage special immunity.
emerging campaigns,
diseases) Poor Sanitation funding
Practices Strict implementation of Political will, LGU LGU Highly sanitized
sanitation code advocacy environment.
Poor Disease
Surveillance Strengthen Surveillance Trainings, DOH-CO CHD-RESU Effective surveillance
System Seminars, system
Poor disease Orientations,
reporting Funds
Capability building/ DOH-CO CHD-LGU Pool of trained
Overcrowding, Trainings -do- personnel
Poverty
Establishment of Advocacy, DOH-CO CHD-RESU Functional
functional Local Funding LGU LGU Surveillance
Inefficient Surveillance Units MOA units installed
Quarantine & operational
measures Strengthen reporting & Advocacy
referral MOA CHD CHD-LGU Prompt reporting &
Systems Protocols functional referral
systems
Funds for Limited
Procurement & drugs/meds CHD-LGU CHD-LGU Logistics available &
prepositioning of Lab. Supplies distributed
logistics

Intensify IEC on health IEC mats., TE IEC mats., TE

promotion & disease CHD-LGU CHD-LGU Well informed
prevention community

Strict enforcement of Consultation,

quarantine measures, Meetings, TE CHD-CO CHD Effective Quarantine
Review policies BOQ
EARTH Community Deaths Political will, LGU LGU Zoning ordinance
Land zoning (ID of
QUAKE living on Displacement Advocacy Other Other enacted &
active faults
active faults Economic effect stakeholders Stakeholders implemented
Disabilities
Low quality Injuries Consultation LGU Plan available and
Evacuation Plan
construction Planning DRRMC’s disseminated
formulation
of building -do-
structures Schedule LGU LGU Well prepared target
Conduct regular drills
Funds DRRMC’s groups
Poor
Implementation EMT Limited funds CHD DOH- central Trainings conducted
Capability building on
of building code trainings LGU CHD
EMS
BLS trainings 911
Non Funds
implementation
of land zoning IEC mats IEC mats CHD CHD Well informed
IEC, Advisories
ordinance TE TE DRRMC’s DRRMC’s populace

Drugs/meds Limited CHD CHD Available logistics and

Logistics procurement
Lab. Supplies LGU LGU distributed
and prepositioning
PPE’s
TE LHB building code
Strict enforcement of
Funds DRRMC’s implemented
building code
Advocacy LGU

CHD, LGU Well trained

Capability building of
responders
responders
VOLCANIC Existing active Deaths Land zoning ASAP Political will, Need to LGU LGU Zoning ordinance
ERUPTION volcano Lake Disabilities Advocacy strengthen enacted &
Leonard Injuries implemented
Displacement In-place early ASAP Consultation, Network with RDRRMC/DOST Early warning
Illness warning system protocol DOST /PHIVOCS mechanism installed
Communities Envi damage and PHIVOCS
around volcano’s Econ. Effects Risk communication All year Link with All agency Well informed and
perimeter round Media for info Media prepared community
dissemination
Existing Evacuation
Plan ASAP Consultative LGU, DRRMC’s Plan available and
planning, disseminated
funding,
schedule
Conduct of drills Jan-Dec Schedule LGU LGU Well prepared target
Funds funds/initiative DRRMC’s groups

Capability building of Jan-Dec Training fund Limited funds LGU, all Well trained
responders on training stakeholders responders.

Logistics procurement Jan-Dec Agency funds Limited LGU, all LGU, CHD Available
and prepositioning agencies prepositioned logistics

Relocation of high risk ASAP LGU initiative LGU initiative LGU, all LGU, all Relocated high risk
communities agencies stakeholders communities
LAND
SLIDE Strict All year Political will Need to LGU LGU Laws and Ordinances
Community near Deaths
implementation of round strengthen LHB, RDRRMC strictly enforced with
or on the foot of Disability
existing laws and sanctions to violators
the mountains Injuries
ordinances against
Displacement
illegal logging, Advocacy thru -do- MGB Existing updated
Known mining Envi. Degradation
rampant mining, LHB,RDRRM hazard map
site areas Morbidities
land zoning C agenda
Eroded
Hazard mapping (ID ASAP and
highlands
of landslide prone continuous All Agencies, Well informed and
areas) ly updating Network with Available Media prepared community
Deforestation
MGB LGU
Illegal logging
Risk communication All year
activities
round LGU, All Relocated high risk
Link with Agencies communities
Relocation of high ASAP Media for info
risk communities dissemination
LGU initiative
Reforestation All year
activities round -do- Increased forest land
Link with DA area
for provision of
seedlings
Logistics Jan-Dec
procurement and
prepositioning Conduct of Limited LGU, All LGU. All Available
Tree planting Agencies Stakeholders prepositioned logistics
as regular
Capability building All year activity
round
Agency funds Limited -do- -do- Well trained
responders
Training funds
 RESOURCE REQUIREMENT PERSONS
STRATEGIES/ ACTIVITIES TIME FRAME INDICATOR
REQUIRED AVAILABLE SOURCE RESPONSIBLE

Functional and
Operationalization and Funding, Training operational
HEMS Coordinator /
equipped HEMS-Operation July-Dec 2013 and DOH-RO OPCEN and
ManCom
Center schedule trained
personnel

Trained
personnel and
Capability Building for Local
Funding and functional Health
Government Unit and 2013-2016 DOH-RO HEMS Coordinator
schedule Emergency
Partners
Management
Unit in LGU level

Procurement of 4x4 pick up

truck unit (exclusive for Available
HEMS Coordinator /
HEMS) Jan-Dec 2014 Funding DOH-RO Exclusive
ManCom
Vehicle

Procurement of Ambulance HEMS Coordinator / Available CHD

Jan-Dec 2014 Funding DOH-RO
ManCom Ambulance

Procurement of Operation
Available
Center Equipments, supplies HEMS Coordinator /
Jan-Dec 2014 Funding DOH-RO logistics and
and IT items ManCom
materials

Recommendation:
1. Modify the template: include costing
2. Include/coincide
MANAGEMENT STRUCTURES

HEALTH EMERGENCY COMMAND

STRUCTURE
ATTACHMENT -
RD/ARD A
Over-all Incident Commander

LIASON
PIO

SAFETY &
SECURITY COMM. MEDIA REC/DOC

PLANNIN OPERATION FINANCE LOGISTIC

G S S

HEM TEAMS RESU MORT ENV INFRA NUT CISD TRANS BLOOD HUMAN DRUGS
RES. SUPPLIES
EQUIPT.
RHA

DHT

Legend:

RHAT- Rapid Health Assessment Team

DHT - Disaster Health Team

Legend:

OD – Officer of the Day

GOD – Guard on Duty
AA – Attached Agencies
Legend:

OD – Officer of the Day

GOD – Guard on Duty
AA – Attached Agencies
 HEALTH EMERGENCY RESPONSE FLOW

OSEC
HEMS NEC
media

RHEM RD/AR RES OTHER

OTHER S D U AGENCIES
AGENCIE
S
PHT DOH
O.D
L HOSP

DOHRE G.O.D DOH

P . A.A.

SOURCE

Legend:

OD – Officer of the Day

GOD – Guard on Duty
AA – Attached Agencies
 HEALTH EMERGENCY REPORTING FLOW

OSEC

HEMS NEC

RD/AR PHNCC media

D
DOH RHEM PHT
HOS S L
P RESU
DOHRE
AA &
OTHER O.D P
AGENCY

G.O.D
.

INFO

Legend:

OD- Officer of the Day

GOD- Guard on Duty
AA- Attached Agencies
PHTL- Provincial Health Team Leader
PHNCC-PopulationHealthNutritionCommunication Center
 HEALTH EMERGENCY RESPONSE FLOW

INFO G.O.D
-log in info
-fill up call sheet
-inform O.D

O.D
-log in info
-verify info
-assess situation
-inform/submit reports
to RHEMS/RESU
-inform RD/ARD if urgent
non-urgent urgent

RHEMS/RESU
RHEMS/RESU RD/ARD -inform RD/ARD
-re-assess -activate code alert immediately
-inform/coordinate -may or may not -coordinate other
concern agencies/ MEDIA activate ICS Agencies/lgu’s
units -may or may not -submit reports
-inform RD/ARD activate HEM Plan
-provide assistance
as required OTHER
-submit reports WELL COORDINATED/COLLABORATED RESPONDING
MANAGEMENT OF HEALTH EMERGENCIES AGENCIES
 STANDARD OPERATING PROCEDURE
HEALTH EMERGENCY MANAGEMENT

EMERGENCY INFO.

GUARD ON DUTY

SOD

CONFIRMED INFO. UNCONFIRMED INFO.

URGENT NON-URGENT REPORT/ENDORSE

RD/ARD/HEMS COORD. REPORT/ENDORSE

ORGANIZATIONAL STRUCTURE
HEALTH EMERGENCY MANAGEMENT

OVER-ALL INCIDENT

RD /
ARD

PI
O
SAFETY &
SECURITY

LIASO
N

PLANNIN
OPERATIONS FINANCE LOGISTIC
G
S
 ORGANIZATIONAL STRUCTURE
HEALTH EMERGENCY MANAGEMENT

OPERATIONS

RHA/DHT
NUTRITION WASH MDM MHPSS RESU INFRA

ORGANIZATIONAL STRUCTURE
HEALTH EMERGENCY MANAGEMENT

LOGISTICS

TRANSPORT SUPPLIES HUMAN

BLOOD
DRUGS/MEDS RESOURCE

ORGANIZATIONAL STRUCTURE
HEALTH EMERGENCY MANAGEMENT

PI
O

COMMUNICATIO MEDIA RECORDS

DOCUMENTATION
 CLUSTER APPROACH RESPONSE FLOW
(WASH, Nutrition, Health and MHPSS)

Regional Cluster Member Agencies/ Offices

(Focal Person)

WASH HEALTH NUTRITION MHPSS

Pre- DOH-CHD DAVAO REGION RDRRMC

Deployment (Cluster Focal Person) (OCD XI)
Final Briefing

Deployment

LGU
Integration and
(Incident Command Post)
Onsite Briefing

WASH, Health,
Nutrition and
MHPSS Cluster
Teams

Community/ Evacuation Site

VII. ROLES AND RESPONSIBILITIES

HEALTH EMERGENCY MANAGEMENT

INCIDENT COMMAND SYSTEM

I. OVER-ALL INCIDENT COMMANDER

1. Dr. Abdullah B. Dumama, Jr.– Regional Director

2. Dr.Annabelle P. Yumang – OIC Asst. Regional Director
3. Dr. Paulo S. Pantojan – HEMS Coordinator

Duties & Responsibilities:

1. Exercises overall supervision and control of all health

activities in the field during the disaster.

2. Acts as spokesperson

3. Activates / Deactivates the Health Emergency Plan

4. Leads the implementation of the Health Emergency Plan

and other health emergency responses conducted by
the DOH-RO XI.
II. PLANNING UNIT
Personnel:

1. Assistant Regional Director- Team Leader

2. Division Heads
3. DRH, SPMC Chiefs and Head of MHDO
4. Engr. Alice Crumb
5. Engr. Lorena Orilla

Duties & Responsibilities:

1. Provides planning support to the disaster team leader.

2. Receives and processes up-to-date and accurate

information from the DOH-RO XI OPCEN regarding the
health emergency and plans out subsequent
appropriate strategies or approaches.

3. Generates proper and accurate data and information to

assist the RD in making sound decisions.

III. FINANCE UNIT

Personnel:

1. Ms. Rosalinda R. dela Cruz- Team leader

2. Ms. Lilia Orallo
3. Ms. Bernadette Bendejo
4. Ms. Annabelle Ramos
5. Ms. EstelitaAnos
6. Ms. Amelia Pedreso
7. Ms. Nancy Chiang
8. Ms. Fe Jose

Duties & Responsibilities:

1. Provides budget and financial support to HEM activities

conducted.

2. Facilitates the preparation of necessary financial and

budgetary requirement for efficient and prompt
purchase of requests.
IV. LOGISTICS UNIT
A. SUPPLIES, DRUGS, EQUIPMENTS SUB-UNIT

Personnel:
1. Dr. Annabelle P. Yumang – Team Leader
2. Ms. Anna Aurora Gracita B. Remolar
3. Ms. Fe Alvarez
4. Ms. Rose Cantos
5. Mr. RufinoMalig-on
6. Ms. GerconiaRisane
7. Mr. Narciso
Duties & Responsibilities:
1. Facilitates procurement and delivery of all purchase
requests in relation to the disaster.

2. Ensures the timely delivery of needed supplies,

equipments and medicines to affected area.

3. Conduct regular inventory of supplies, equipments and

medicines

4. Generates a report to the Regional Director with

regards to all its operations.
B. TRANSPORTATION SUB-UNIT

Personnel:

1. Mr. Romeo Huertas – Team leader

2. Mr. WeldorParo

Duties & Responsibilities:

1. Arranges all necessary transportation requirements for

disaster health teams.

2. Arranges delivery transportation services for supplies,

medicines and equipments.

3. Responsible for the maintenance of all transportation

vehicles

C. BLOOD SUB-UNIT

Personnel:

1. Dr. Milagros M. Viacrusis-Head

2. Davao Blood Center Staff

Duties & Responsibilities:

1. Provides emergency blood banking facilities during

emergencies

2. Conducts donor processing and screening for blood

donation

3. Maintains ideal environment for blood storage

4. Conducts blood donation activities

D. HUMAN RESOURCE / MANPOWER SUB-UNIT

Personnel:

1. Ms. Ma Corazon Mendez

2. Ms. Rebecca R. Canales
3. Ms. PablitaAblas
4. Ms Rowena Carrasco
5. Mr. Gerry Caparos
6. Ms. LourditaLoba
7. Ms. Aileen Flores

Duties & Responsibilities:

1. Conducts regular inventory of personnel / manpower

2. Ensures the availability and efficient rotation of

personnel / manpower for Operation Center

3. Generates data and report regularly to RD on the

status of manpower
V. OPERATIONS UNIT (Local Health Support Division)

1. Dr. RacquelMontejo – Overall team leader

A. NUTRITION

Personnel:

1. Ms. Ma. Teresa Requillo – Team leader

2. Ms. Deborah S. Legaspi
3. Ms. Gwendolyn P.Bardos
4. Mr. Arnold G. Alindada
5. Ms. PetronilaBolaños

1. Duties & Responsibilities:

2. Conducts nutritional assessment survey of all affected

population.

3. Identifies vulnerable malnourished population for

appropriate feeding program.

4. Provides feedback to planning unit for appropriate

response.

5. Coordinates with DSWD with regard to the

establishment of feeding stations and feeding
programs.
B. RESU / DISEASE SURVEILLANCE

Personnel:
1. Dr. CleofeTabada
2. Engr. Beth Baba
3. Mr. Rommel Cantos
4. Ms. Roselle Cueto
5. Ms. Melissa Sullano
6. Ms. Clarisse Andong
7. Mr. Alvin Labrador
8. Ms. Angelica Niña Angliongto

Duties & Responsibilities:

1. Conducts appropriate epidemiological investigation of

health emergencies.

2. Establishes a passive / active surveillance system in

the affected area.

3. Monitors the progress of health responses.

4. Generates the proper epidemiologic data.

5. Provides the RD with necessary report.

C. MENTAL HEALTH PSYCHOSOCIAL SUPPORT

Personnel:

1. Mr. RustumFanugao- Team leader

2. Dr. Grace Amistoso
3. Ms. Rosemarie Basanes
4. Ms. Myra Aida Macayra
5. Ms. Zenaida Soriano
6. Ms. MarialynAvancena
7. Mr. Arlan Cisneros
8. Mr. Rodrigo Puyos
9. Mr. Alex Daba
10. Mr. Jonathan Placido
11. Mr. Demetrio Lerin
12. Mr. Roland Tabunan- Driver
Duties & Responsibilities:

 Assesses and evaluates the make-up and

development of affected victims.

 Intervenes when necessary to psychologically

stressed victims or health workers through the
crisis intervention stress debriefing technique.
.
 Maintains periodic psychological evaluation and
examination of the victims and recommend
appropriate interventions.
D. WATER SANITATION AND HYGIENE
Personnel:

1. Engr. Gloria O. Raut– Team leader

2. Engr. Rey Alarcon
3. Engr. Gonzalo S. Longakit Jr.
4. Engr. Ever V. Requiso
5. Engr. Alvin Agarrado
6. Engr. RomelAverilla
7. Engr. GrezaldoBetita
8. Engr. Joy Ilagan
9. Mr. Grant Neil Pacifico

Duties & Responsibilities:

1. Conducts environmental assessment of affected area /

evacuation sites.

2. Recommends measures to ensure availability of

potable water sources and proper waste management.

3. Recommends measures for vermin control.

4. Conducts IEC with regard to environmental sanitation.

E. MANAGEMENT OF DEAD AND MISSING
Personnel:

1. Dr. AnalizaJabonero- Team Leader

2. Engr. AntoniettaEbol
3. Ms. Alice Amba
4. Ms. Marie CrisModequillo
5. Ms. Joy FairusDinalo

Duties & Responsibilities:

1. Provide technical assistance to LGUs in the

propermanagement of the dead bodies.
2. Assist in the proper identification of the corpses
andheadcount/ documentation of mortality.
3. Assist and Coordinate PNP/NBI for identification of
dead bodies
4. Assist in proper handling and disposal of dead
bodies and body parts.

F. INFRA

Personnel:
1. Engr. Divina B. Sonido – Team leader
2. Engr. VioletaJasmin
3. HFEP Engineers

Duties & Responsibilities:

1. Provide technical assistance in the rehabilitation of

health infrastructures damaged by the disaster.

2. Conduct assessment and evaluation of magnitude of

damage of health facilities.

3. Provide technical assistance and assessment of

healthand other infrastructure to determine safety
astemporary shelter or alternative health care facility.
G.RAPID HEALTH ASSESMENT AND DISASTER HEALTH TEAMS
RHAT/DHT 1 RHAT/DHT 2 RHAT/DHT 3

Dr. Paulo S. Pantojan Dr. Rachel Montejo Dr. AnalizaJabonero

Ms. Evelyn U. Gelito Ms. Rosemarie Ms. Mary Lynn Ang
Mr. Rommel Cantos Basañes Engr.Reynaldo
Engr. Gloria Raut Engr. Gonzalo Alarcon
DOH Representatives Longakit Mr. Jonathan Placido
Driver Mr. John Porto DOH Representatives
DOH Representatives Driver
Driver

RHAT Duties & Responsibilities:

 Proceed to affected area in the region within 24 hours

following receipt and verification of report and conduct rapid
health assessment
 DOH Representatives of affected areas are in-charge to
conduct RHA within 24 hours.

 Coordinate with local authorities

 Establish field health advance post

 Inform CHD OPCEN of results of RHA with proper

recommendations and actions taken

 Provide medical transport and health services

 Prepare/Plan for the arrival of additional human resources,

supplies and equipment in case of sustained operations.
 RHAT/DHT 4 RHAT/DHT 5 RHAT/DHT 6

Dr.MilagrosViacrusis Dr. Connie D Perez Dr. Cleo fe Tabada

Ms. Evelyn Hauac Ms Myrna Macayra Ms. Maria Teresa
Engr. Alvin Agarrado Ms. Joy Ilagan Requillo
DOH Representatives DOH Representatives Engr. Grezaldo
Driver Driver Betita
DOH
Representatives
Driver
RHAT/DHT 7 RHAT/DHT 8 RHAT/DHT 9

Dr. Grace Amistoso PHTO Norte Team Dr. Judith Tapiador

Ms. MarialynAvanceña Driver PHTO Oriental Team
DOH Representatives Driver
Driver
RHAT/DHT 10 RHAT/DHT 11 Augmentation Team

PHTO Comval Team PHTO Sur Team Job Orders

Driver Driver (Doctors, Nurses,
&Engineers)

DHT and Augmentation Team duties &responsibilities :

 Responds to health emergencies in the region

 Augments existing human resources, supplies, equipment and

other medical needs of the local health authorities at provincial
/ city / municipal / barangay levels.

 Provides specialize health services

 Provide and augment direct medical and public health services

VI. SAFETY AND SECURITY UNIT

Personnel:

1. Mr. Romeo Huertas– Head

2. Security Guard Group

Duties & Responsibilities:

 Conducts assessment and evaluation of all structures

and facilities in RO XI and SPMC to ensure safety.

 Implements necessary measures to ensure order and

security of RO XI premises such as but not limited to
inspection, properidentification / documentation of
ingress and egress.

VII. LIAISON UNIT

Personnel:

1. Ms. Ma Jacqueline Bantog– Team Leader

2. Mr. Dick Carlo Estrosas

Duties & Responsibilities:

 Responsible for coordination and networking with other

sectors / agencies for a well-coordinated and
collaborated operation.
VIII. PUBLIC INFORMATION UNIT
A. MEDIA RELATIONS

Personnel:

1. Ms. DiveneHilario- Team leader

2. Ms. NenitaRisonar
3. Mr. BernangelBumatay
4. Ms. Helena Hechanova
5. Ms. PetronilaBolaños
6. Ms. Yasmin M. Avila

Duties & Responsibilities:

1. Facilitates official press conferences to update media

and the public regularly on the situation.

2. Provide media briefing for the RD prior to every media

Interview

3. Prepare risk communication plan

B. INFORMATION MANAGEMENT

Personnel:

1. Mr. Jose Agana- Head

2. Mr. TenieSuico
3. Mr. German Brion
4. Ms. Jacqueline Bantog
5. Mr. Ta Anthony _______
6. Mr. Domingo Onate Jr.

Duties & Responsibilities:

1. Facilitates fast and efficient communication between

CHD OPCEN and emergency responders and DOH-
HEMS Manila.

2. Serves as first alarm system.

C. RECORDS / DOCUMENTATION

Personnel:

1. Ms. Betty Pellirin

2. Ms. Milagros Nierra
3. Mr. Celestino Beltran
4. Ms. JinkyEspino

Duties & Responsibilities:

 Documents all activities conducted during the disaster

using available equipments.

 Files and stores important and pertinent information

especially recording personnel on duty, volunteers,
donations.

 Responsible for the integrity of documents.

 Releases records / data as needed.

VIII. EMERGENCY RESPONSE PLAN
Republic of the Philippines
Department of Health
REGIONAL OFFICE-XI
JP. Laurel Ave., Davao City
Tel/Fax: 305-1909 /305-1903

DATE________________

DOH – RO XI ORDER
No.________s. _____

SUBJECT: STANDARD OPERATING PROCEDURES, GUIDELINES,

PROTOCOLS ON HEALTH EMERGENCY MANAGEMENT

The following Procedures, Guidelines and Protocols shall be adopted in the

management of Health Emergencies this office.

A. Incident Command System

The over-all Incident Commander shall be the Regional Director. In the

absence of the Regional Director the Assistant Regional Director shall act as the
over-all Incident Commander.

There shall be four major units directly under the over-all Incident
Commander. These are the Finance, Planning, Operations and Logistics units. Each
of these units shall be headed by a team leader.

Other special units shall also be directly under the over-all Incident
Commandersuch as the Liaison, Public Information and the Safety and Security
Units.

The Operations Unit shall have the following sub-units directly under it namely
the Nutrition, Environmental Sanitation, Mortuary, Infrastructure, CISD, RESU and
the HEM Teams ( Rapid Health Assessment Teams and Disaster Health Teams).

The Public Information Unit shall have the following sub-units namely
theCommunication, Media and the Records and Documentation while the
LogisticsUnitshall also have the following sub-units namely the Blood,
Transportation, Human Resource and the Drugs/Supplies/Equipments sub-units.

The organizational structure during emergencies and its component as well as

the specific duties and functions of each respective units and sub-units shall be
adopted.
B. Emergency Information Flow

All information related to emergencies shall be relayed immediately to the

Officer of the Day upon receipt. The Officer of the Day in turn shall be responsible for
contacting and informing concerned CHD personnel / CHD units / local agencies if
necessary after verification of the information. All information shall be cleared by the
Regional Director and or the Assistant Regional Director before these can be
communicated to the Media and central offices like HEMS and NEC especially the
Office of Secretary. Flow chart of the Health Emergency Reporting shall be adopted
as it illustrates the flow of information during Emergency situations.

C. Emergency Response Flow

The Guard-on-Duty shall log in all emergency information upon receipt and
mustfill up the emergency call sheet. He / She shall inform immediately and submit
theemergency call sheet to the Officer of the Day.

The Officer of the Day shall have his/her own log book and log in all
emergency information upon receipt. He/She shall verify the information that has
been received and assess and evaluate whether the situation is urgent or non-
urgent.

If the situation is urgent and needs immediate intervention then the Officer of
theday must inform right away the Regional Director/Asst. Regional Director and
Regional HEMS/ RESU unit. RD/ARD shall activate code alert and shall or shallnot
activate ICS and HEM Plan.

For non-urgent situations the Officer of the day shall still inform the Regional
HEMS/RESU unit. Then he/she shall execute the necessary actions in coordination
with Regional HEMS/RESU unit staff and shall coordinate with other
concernedagencies for a well coordinated /collaborated management of the
situation.

D. Emergency Report Flow

To have a well organized reporting system especially during

emergencies,Flow Chart attachment of this document shall be adopted.

The Guard-on-Duty shall submit the filled up emergency call sheet to the
Officerof day. The Officer of the Day shall in turn submit an official report of the
incident to the Regional HEMS/RESU unit. Likewise DOH hospitals, DOH attached
agencies and DOH-reps thru the PHTL’s shall submit their official report to Regional
HEMS/RESU unit. All report shall be cleared by the Regional Director/Asst. Regional
Director before this can be communicated to the Central office and
the media.

For strict compliance.

ABDULLAH B. DUMAMA, JR., MD, MPA, CESO III

Regional Director
 Republic of the Philippines
Department of Health
REGIONAL OFFICE-XI
JP. Laurel Ave., Davao City
Tel/Fax: 305-1909 /305-1903

May 31, 2012

CHD DR MEMORANDUM
No.__________s.2012

SUBJECT: OPERATING GUIDELINES FOR HEALTH EMERGENCY

MANAGEMENT THIS OFFICE

Effective June 3, 2013, the following guidelines shall be adopted in the operations of the
Health Emergency Management of this office:

1. Personnel of this office whose salary grades from 15 and above shall be
designated as Officer of the Day for 24 hours. The Officer of the Day shall
observed the regular eight (8) office hours and shall perform their regular duties
and responsibilities, however during the evening they shall be on-call.
2. Those whose duty falls during Saturdays, Sundays and Holidays shall
observe the same duty hours as above but are not allowed to go outside
DavaoCity except for emergency reasons and with clearance from the
management.
3. Claim for Overtime pay is not allowed for services rendered during
Saturdays, Sundays and Holidays but instead they shall be authorized to take
off-duty days corresponding to the days served.
4. The hotline telephone number shall be staffed by the Security Guard on duty. It
is the duty of the Security Guard to contact the Officer of the Day once an
emergency call will be received. A cellular phone will be provided from the HEMS
for the said purposes and shall stay at the OPCEN.
5. All materials, supplies, reports and files on Health Emergency shall be kept at
the OPCEN. An Officer of the Day shall be designated for 365 days in a year
with corresponding CHD Personnel Order.
6. For security reasons only authorized personnel shall be allowed to stay /use the
CHD premises after office hours. Authorized personnel include RD / ARD /
Division Chiefs / Heads of HMS, PITAHC, BloodCenter, NNC, POPCOM, BFAD
Satellite Lab. and Officer of the Day designate. All other personnel must have
CHD Order to stay / use CHD properties.
7. The attached organizational chart shall be the structure / chain of command to
be followed during health emergencies.

For strict compliance.

ABDULLAH B. DUMAMA, JR., MD, MPA, CESO III

Regional Director
ATTACHMENT A:
Republic of the Philippines
Department of Health
REGIONAL OFFICE-XI
JP. Laurel Ave., Davao City
Tel/Fax: 305-1909 /305-1903

HEALTH EMERGENCY MANAGEMENT STAFF

(CALL/TEXT SHEET)
________
Date

WHAT: ___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________

WHEN: ___________________________________________
WHERE: ___________________________________________

NAME OF CALLER: ________________________________

TIME OF CALL: ________________________________
TELEPHONE NO: ________________________________
RECEIVED BY: ________________________________

ACTIONS TAKEN: ________________________________

________________________________
________________________________
________________________________

VERIFIED BY: ________________________________

ATTACHMENT B:

HEMS / RESU STANDARD OPERATING PROCEDURES

Activity Unit / Time of Remarks

Person completion
Resp.

Monthly, Semi-annual &

Surveillance Report HEMS/RESU Weekly Annual Consolidation
Reports should also be
Dr. Pantojan submitted.
Dr. Tabada
Forms needed:
Surveillance form
Case investigation form
(if necessary)

Semi-annual & Annual

Outbreak HEMS/RESU Within 1 week Consolidation Reports
Investigation after the should be submitted
Report Dr. Pantojan activity
Dr. Tabada Forms needed:
Line list form
Outbreak report form
Questionnaire forms
Laboratory forms

Monthly, Semi-annual &

Health Emergency HEMS/RESU Immediate: Annual Consolidation
Report within 24 hrs. Reports should also be
Dr. Pantojan submitted
Dr. Tabada Comprehensive:
within 1 week Forms needed:
HEMS call sheet form
HEARS form
ATTACHMENT C:

1. Disease Surveillance Report

Data collection Data Data analysis

from sentinel consolidation
sites

Submission & Consolidation of Submission of

dissemination of weekly report & weekly report
Monthly analysis
Semi-annual &
Annual updates

2. Outbreak Investigation Report

Receive incident Verify / Confirm Conduct field

report incident investigation in
coordination
with concern
LGUs for
confirmed
cases.

Submit
Submit & feedback/update
disseminate final report to concern Data gathering
report ( CHD, LGUs, CHD, NEC & analysis
NEC, LGU ) with
recommendations
3. Health Emergency Report

Receive health Verify & confirm Dispatch Rapid

emergency the incident report Assessment
incident report Team as initial
thru Officer of the response if
Day necessary for
confirmed cases

Conduct incident
Implement Submit initial assessment in
necessary follow-up report to CHD, coordination with
responses HEMS Manila concern LGUs, RDCC
& other responding
agencies

Submit monthly,
Submit regular updates semi-annual &
& Final report to CHD & annual
HEMS Manila consolidation
reports to CHD &
HEMS Manila
IX- RECOVERY & RECONSTRUCTION PLAN

RESOURCES REQUIREMENT
STRATEGIES/
DAMAGES TARGET TIME FRAME RESPONSIBLE INDICATOR
ACTIVITIES REQUIRED AVAILABLE SOURCE

Health Facilities Damage & needs Affected Immediately Assessment CHD,LGU CHD HEMS DANA conducted
Damages assessment population/ after the tool RESU,LGU
Community incident Assessment DCC’s
teams
TE LHB,
Lobby for funding support Affected LGU ASAP LHB meeting LGU

Replenishment of logistics: CHD Logistics replenished

LGU

procurement of CHD level ASAP Funds Limited CHD Supply officer, Drugs & meds for
augmentation drugs & meds LGU level LGU HEMS, CHD augmentation procured

sustained disease
surveillance & monitoring Affected ASAP Drugs & Meds CHD, HEMS Surveillance effectively
Population TE conducted

Conduct CISD Affected CISD teams

population & Whole TE Disease CHD RESU/HEMS CISD effectively
Dependents, duration of the surveillance LGU DSWD conducted
Responders incident team
ASAP
Regular reporting of cases Evacuation Vehicle
& immediate referral of risks centers Medical team Medical CHD’ LGU’ LGU
cases doctors, DSWD HEMS
nurses

Environmental DANA, Post mortem Coordinate with ASAP Consultative CHD, stakeholders Comprehensive
damages analysis DENR, MGB meetings, DENR,LGU assessment report
funds done
Infrastructure DANA Coordinate with ASAP -d0- CHD,LGU, -do- -do-
damages DPWH/LGU DPWH

Economic DANA Coordinate ASAP -do- CHD, -do- -do-

effects with concerned
concerned agencies,
agencies LGU
X. ANNEXES

Prepared by: Noted by: APPROVED by:

PAULO S. PANTOJAN, MD, MPH1 MA CONNIE D. PEREZ, MD ABDULLAH B. DUMAMA, JR., MD, MPA, CESO III
HEMS Program Manager Chief, Local Health Support Regional Director