El Salvador - GFDRR

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66 | El Salvador: Damage, Loss, and Needs Assesment etc., were seriously damaged. Reconstruction prior to the relocation of this unit is a priority in order to maintain continuity of health care, taking into account the fact that this unit receives 2,700 new cases and cares for over 130,000 cases per year. It should be noted that, despite damages to health infrastructure, facilities maintained service continuity and health care was expanded, especially for the population in shelters. The cost of reconstructing the La Libertad, San Martín and Verapaz Health Units and the ISRI language unit include the replacement of equipment, totaling US$5.53 million. 32 These works need to be carried out in the medium and long terms. As part of incidental expenditures, an estimated US$225,000 is needed for the demolition of units to be relocated. In addition, to repair one health unit in Usulután and two units and one health clinic in San Salvador, US$1.08 million are needed and should be invested in the short term. In addition to infrastructural damages to health facilities, an investment of US$68,000 should be added to replace the stock of medicines and of twenty-one pieces of fumigation equipment lost in La Joya Grande, San Vicente and Verapaz during the disaster, which are essential to control vectors in the affected zones. b.2) Effects on Public Health The disaster caused the deaths of 199 people and the disappearance of 76 more, as well as the displacement of over 18,000 people to 130 temporary shelters, most of which were located in the Departments of La Paz, San Salvador and San Vicente. Due to preexisting conditions of social vulnerability, the destruction of houses, inadequate sanitation and decreased access to safe water because of damages to the systems, there was an increased risk of outbreaks of diarrhea and acute respiratory illnesses, skin diseases, mental health problems, and vectortransmitted diseases such as malaria and dengue, which are considered tracer illnesses from the adverse event. Between November 8 and 19, the profile of illnesses treated in health units and shelters showed a predominance of acute respiratory infections 73.7%), dermatosis (10.6%), acute diarrhea (4.3%), followed by trauma (4.2%) and anxiety (3.7%). With regard to the same period in the previous year, there was a 14% increase in cases of acute respiratory illnesses, an 8% increase in cases of pneumonia 33 and a slight increase in cases of diarrhea. However, although cases of dengue did not increase, there is risk of outbreaks of this disease, taking into consideration environmental conditions, the precarious status of sanitation, and the fact that the municipalities affected by the disaster historically account for 31% of confirmed cases of types I and II 32 The San Martín unit and the ISRI language and communication unit have been given MSPAS lands for their relocation, while negotiations are underway to obtain land donations from the municipalities for the La Libertad and Verapaz units. In this regard, no investment has been considered for the purchase of lands needed for the units’ relocation. 33 Report on health needs to address the emergency caused by the effects of the low-pressure system and Tropical Storm Ida. MSPAS. November 25, 2009.
II. POPULATION AND AFFECTED AREAS | 67 dengue in the country. There is also a risk of increased cases of malaria in several localities, such as La Joya Grande. In light of the situation that was generated by the disaster, national health authorities are developing the following actions: i) Disease treatment and prevention. Due to the displacement of the affected population to temporary shelters and the increase of tracer illnesses, MSPAS reinforced institutional capacities with mobile teams or brigades supported by FOSALUD 34 and treatment was extended to 24 hours at 15 health units in the Departments of Cuscatlán, San Vicente, La Paz and Cabañas. IMAGE 24. TREATMENT BY MSPAS BRIGADES IN THE CITY OF VERAPAZ. SAN VICENTE Source: Ministry of Public Health and Assistance of El Salvador (MSPAS). In the first weeks following the impact of the event, 2,866 human resources were working in emergency relief efforts, including 527 physicians, 417 nurses, 265 health promoters, 223 health educators, and 560 members of the multidisciplinary logistical team, among others. Health personnel provided comprehensive intra-hospital care and treatment in shelters, as well as meeting normal demand within health facilities. From November 8 to 18, the Ministry of Public Health and Social Assistance provided 25,249 treatments, of which 23,396 were for the population in shelters and 1,853 were in hospitals. Also important was the mobilization of health brigades, ISSS logistical and communications personnel, as well as the emergency care that this institution provided. In all these efforts, the public sector invested US$2.1 million, which include payment to personnel, overtime, the costs of emergency care, and fuel and food for the mobilization of brigades. 34 The National Health Fund (Fondo Nacional de Salud -FOSALUD) was established in 2004 with 10% of its financing from sales on weapons, liquor, cigarettes, etc., in order to complement MSPAS financing. Its mandate includes formulating and executing comprehensive programs that address the basic health needs of the most vulnerable population affected by natural catastrophes.
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El Salvador Damage, Loss, and Needs
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| iii ACKNOWLEDGEMENTS We wish to e
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| 1 PRESENTATION At the request of
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AUSTRALIA BELGIUM BRAZIL CANADA DEN
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El Salvador - GFDRR

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