El Salvador - GFDRR

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70 | El Salvador: Damage, Loss, and Needs Assesment TABLE 27. ESTIMATED VALUE OF DAMAGES AND LOSSES CAUSED BY THE DISASTER IN THE HEALTH SECTOR (in thousands of US$) Effects Sector Component Total Damages Losses Public g Non-public h Health facilities Ministry of Public Health and Social Assistance (MISPAS) Repair and rehabilitation Reconstruction a Medicines and equipment Ministry of Public Health and Social Assistance (MISPAS) Replacement of lost stock Replacement of vector control equipment INCIDENTAL EXPENDITURES 6,609 1,079 5,530 68 26 42 6,609 1,079 5,530 68 26 42 6,609 1,079 5,530 68 26 42 Effects on balance of payments 1,417 1,417 68 26 42 Demolition and removal of debris 225 Actions for treatment and 2,747 prevention of diseases Emergency treatments b 400 Strengthening of treatment capacity c Mobilization of health brigades d 1,284 Delivery of medicines and medical 334 inputs Public health actions 730 Epidemiological surveillance 552 Vector control e 55 Mental health 271 Reproductive health 103 Social communication 120 Other actions f 3 78 225 2,747 400 1,284 334 730 552 55 271 103 120 3 78 225 2,105 400 1,242 334 26 Total 10,279 6 677 3,602 9,442 837 1,486 Source: Estimates by assessment mission. a Corresponds to three health units (Verapaz, San Martín and La Libertad) and to the ISRI language and communication unit. The Verapaz and La Libertad units will be located to lands granted by the municipality; the other facilities to be relocated have been assigned lands belonging to MSPAS. b Includes costs of emergency treatment and hospital discharges for mild and serious cases of multiple traumas caused by the disaster and treated in MSPAS and ISSS. c Includes the hiring of personnel for the emergency zone, an estimate of overtime by health personnel, and the presence of personnel of Cuban and US brigades. d Includes payment of personnel that form part of brigades, as well as the investment in fuel and food for personnel. e Corresponds to the investment in personnel and inputs for home visits for larva control, fumigation and control of rat populations. f Includes investment for intersectoral and inter-institutional coordination, as well as for supply management. g Refers to Ministry of Public Health and Social Assistance (MSPAS) and the Salvadoran Institute for Social Security (ISSS). h Includes donations and resource contributions from CERF, United Nations agencies, NGOs, private organizations and foreign governments. 129 383 35 271 74 3 52 642 41 601 169 20 29 120 871 142 730
II. POPULATION AND AFFECTED AREAS | 71 The Henry Peeve Cuban Brigade has been present since November 13; the brigade is composed of 17 specialists who, in coordination with personnel of the MSPAS Para-central Region (SIBASIS of La Paz and San Vicente) are providing their support for medical care, the diagnosis of illnesses, and the management of environmental sanitation in the shelters and affected communities. A US brigade with 45 specialists from the Southern Command was also in the country; together with 15 Military Health personnel, they have participated in health care and environmental sanitation efforts in the zones of Guadalupe, San Diego, San Marcelino and Aguilares. The NGO World Vision gave MSPAS donations of medicines and medical supplies, and its damage assessment and needs analysis teams were present in the Departments of San Vicente and Usulután. Several private companies in El Salvador also delivered donations for health care services to victims. The contribution of nonpublic organizations for public health surveillance and control, disease treatment and prevention, and the management of supplies and coordination totaled US$837,000. b.4) Quantification of the Disaster’s Effects on the Health Sector The estimated impact of the disaster totals US$10.3 million, of which 65% are damages to infrastructure, equipment and the stock of medicines in MSPAS facilities. The remaining 35% are losses due mainly to the investment in conducting disease prevention and treatment efforts (76%), and public health efforts during the emergency phase, as well as those units slated for rehabilitation. According to the distribution of effects by department, 37 the most affected was San Salvador (53%), mainly because it had over 60% of the damages to health infrastructure. It is followed, in terms of level of impact, by La Libertad (17%), San Vicente (13%), La Paz and other departments such as La Unión y Usulután. 92% of the disaster’s effects on health correspond to the public sector, principally the Ministry of Public Health and Social Assistance. It is also estimated that the disaster in the health sector will have a US$1.5 million effect on the balance of payments due to imports. b.5) Conclusions and Recommendations The effects of Tropical Storm Ida and the low-pressure system on the health sector totaled US$10.3 million, of which 65% are damages mainly to health facilities. These effects were augmented by the lack of preventive and recovery-oriented maintenance of physical infrastructure and the sites’ location in zones highly vulnerable to floods and landslides. In this regard, the sector must develop the Disaster-Safe Hospitals program for the incorporation of safety requirements from site selection to the design and construction of new buildings, as well as the relocation and reconstruction of those affected by the disaster. Furthermore, there is a priority need to protect the 21 facilities not affected but located in high-risk zones, for which an investment of US$2.1 million is needed. It is also considered necessary to improve operational capacity through the provision of 37 The spread of losses was evaluated by taking into account the amount of the population in shelters, the number of treatments, and the potential risk of epidemics mainly associated with vector transmission.
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AUSTRALIA BELGIUM BRAZIL CANADA DEN
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