Highlights - ReliefWeb...Fuente: INDECI, cut off date 26 April. Grupos sectoriales de Agua,...

Departamentos más afectados y números de damnificados. (Fuente de la data INDECI | Mapa por OCHA)

This report is produced by the OCHA team and is prepared in collaboration with the partners of the National Humanitarian Network (RHN). It covers the period from 21 to 27 April 2017. The next report will be published around 4 May.

Highlights ● Nearly 1.3 million people have been affected or severely

affected in the country as a result of the rains and flooding. Of these, more than 400,000 are children and adolescents.

● A total of 16,048 dengue cases at national level have

been registered, among confirmed and probable cases, according to the Ministry of Health.

● 2,258 educational institutions have been affected and 198

collapsed and uninhabitable in the country

● More than 42,000 houses at national level have been destroyed, including collapsed and uninhabitable

● The Central Emergency Response Fund (CERF) allocated

a total of US$5.1 million for the implementation of 9 UN

agencies’ projects in the Piura region.

● The National Congress passed on 25 April the revised text

of the law proposed by the Government for the

reconstruction of the areas affected by the Niño Costero

and the Authority for the Reconstruction with Changes

(Autoridad para la Reconstrucción con Cambios -RCC).

1,292,320

Affected people

(1,104,247) and

Severely affected

people (188,073)

at national level

399,103

Severely affected

and affected

people

in Piura

31,288

People in 205

temporary

shelters1

413,165

Severely affected

and affected

Children and

adolescents

42,627

Destroyed Houses

including 21,294

collapsed and

21,333

uninhabitable

435,000

Food insecure People

in the departaments of

Piura, Lambayeque,

La Libertad, Ancash

and Tumbes

Fuente: INDECI, cut off date 26 April. Grupos sectoriales de Agua, Seguridad Alimentaria y Nutrición, Salud, Protección y Educación en emergencias.

Situation overview To date, according to official figures provided by INDECI (Instituto Nacional de Defensa Civil - INDECI), at least 1’104,247 people are reported as affected and 188,073 as severely affected2 at national level. As of 26 April,

1 Source: INDECI, as of 26 April. Information pertaining to La Libertad, Piura, Tumbes, Lambayeque, Lima Metropolitana, Lima Provincias, Ica, Ancash, Callao,

Junín, Huancavelica and Tumbes. http://space.indeci.gob.pe:8080/share/s/4vhDElsJQtq95OekD5Zs4g 2 Source : INDECI, cut-off date 26 April.

Perú: Rainy season Situation Report No. 9 (as of 27 April 2017)

Perú: Rainy Season - Situation Report No.9 | PAG: 2

Elaborado en colaboración con

INDECI reports the following level of affectation in the most affected departments:

Departaments Severely

Affected Affected Deaths Missing

Piura 42,893 356,120 16 3

Lambayeque 52,861 144,117 3 0

La Libertad 23,017 124,745 14 4

Ancash 31,796 96,555 23 1 Tumbes 978 37,512 0 0

Total 151,545 759,049 56 8

The National Emergency Operations Center (COEN) has made a call in relation to the recent increased flow in some rivers, alerting that SENAMHI has noted that the rivers Napo (Cuenca Napo), Amazonas (Cuenca Amazonas), and Marañón (Cuenca Bajo Marañón) remain in red alert. These have presented a slight increase while the river Ucayali (Bajo Ucayali), even though it has shown a downward trend, remains in red alert. On the coast, the river Tumbes has increased substantially, whereby the SENAMHI urged the population to avoid carry out activities near the banks of the river, due to possible floods in agricultural areas in locations such as El Prado, Pampas de Hospital, San Jacinto, Tacural and the city of Tumbes.

The national Congress approved on 25 April a text replacing the bill proposed by the Government for the reconstruction of the areas affected by the Niño Costero. The Parliamentary changes include the participation of Regional and local governments, and extends the oversight period from Contraloría. It also gives competence to the Congress in the evaluation and approval of the work of the Authority for Reconstruction with Changes (RCC), which had been proposed by the Executive. Other than this approval, it is important that the Government continues with the response activities to ensure access of the humanitarian aid to all people affected by the disaster.

Response actions in Piura:

INDECI's latest report on housing damage in the department of Piura states that 8,551 houses have collapsed and remain uninhabitable due to the rains and flooding, while 76,569 houses were affected3.

Piura continues concentrating the largest number of severely affected and affected people with 399,1034 people, which represents 31 percent of all affected and severely affected at national level, while Lambayeque shows the largest number of severely affected people with 52,861 personas. As of 26 April, 61 shelters had been established in Piura and 1,618 tents had been erected, whereby currently 15,780 people remain. This new figure shows a large reduction in the number of people remaining in shelters as compared to last week. Notwithstanding, Piura continues to be the region with the largest number of people living in shelters. Piura also remains in State of National Emergency5, due to a great disaster, since 29 March.

The Piura Regional Government (GORE) implemented in Paita during three days a large campaign to prevent the dengue transmission, intervening in a total of 19,375 houses.

Humanitarian Response National Response: As of 26 April, INDECI reports a total 2,119 tonnes of goods have been transported among the national donations, which includes 1,059 tonnes of water, 585 tonnes of food, 420 tonnes of clothing and shelter, and 55 tonnes of other humanitarian goods. As of 24 April, the Peruvian Red Cross, with the support from the International Federation of the Red Cross and Red Crescent (IFRC) has supported 6,322 families with non-food items and distributed more than 250,000 litres of safe water in affected areas of Lambayeque, Piura and Ancash.

3 Source INDECI, 26 April. http://space.indeci.gob.pe:8080/share/s/4vhDElsJQtq95OekD5Zs4g 4 Source INDECI, cut-off date 26 April. 5 Decreto Supremo Nº 035-2017-PCM, Declaration of State of National Emergency en Piura:

http://busquedas.elperuano.com.pe/normaslegales/declaran-estado-de-emergencia-nacional-en-el-departamento-de-decreto-supremo-n-035-2017-pcm-1503315-2/





International Response: In addition to the Flash Appeal prepared by INDECI and the United Nations System in Peru, several countries have sent humanitarian aid bilaterally. According to INDECI, as of 26 April, more than 232 tonnes of humanitarian goods (including food, shelter, basic goods, cleaning kits and others) have been received and more than $4 million, and EUR 2.5 million donated by cooperating countries. The Netherlands sent a team of experts on governance and management of water resources to provide technical assistance to the Piura Regional government, other than tools to mitigate the consequences of the flooding and prevent new situations. Germany has provided aid to affected people in the districts of Piura and Castilla, with the aim of restoring the health and sewage systems. This assistance includes five experts and three tonnes of electromechanics machines, and individual protection equipment. Germany, through Caritas Internacional, has also supported in the distribution of 450 metric tonnes of food, clothes, drinking water, hygiene goods, materials for shelters and water pumps, especially in Piura, Lambayeque and Chulucanas. Through the Centro de Investigación y Promoción del Campesinado (CIPCA), Gernany has also contributed with the distribution of emergency household packages for 700 people in the Piura region. IFRC has mobilized as of 23 April a total 12,012 metric tonnes of humanitarian aid through maritime way to continue supporting response actions.

The UN Emergency Relief Coordinator approved an allocation of some US$5.1 million for the Central Emergency Response Fund (CERF). This amount will be allocated nine UN projects to assist in the response to the emergency in the north of the country and target 90,000 people in the WASH, Camp Coordination and Camp Management, Nutrition, Health, Education, Protection, Food security and Early Recovery. For further details, please consult the infographic included at the end of this document.

Temporary Shelter

Damage and Needs:

As of 26 April, INDECI reports that 42,627 houses have been destroyed, of

which 21,294 have collapsed and 21,333 are uninhabitable. Another 247,127 homes have been affected.

In Piura and Lambayeque, important differences have been found between the number of households affected according to different sources of information, including COER, INDECI and door-to-door assessments that some agencies are doing in the field. For this same reason, it is imperative to have a single registry of victims that has official validity. According to the Ministry of Housing, Construction and Sanitation (MVCS) authorities, this task has been entrusted to COFOPRI, which is the state body responsible for the formalization of state ownership.

In Lambayeque, a large proportion of those affected are in the rural sector (85%) and a minority in urban areas, and agencies are being asked to focus their efforts on temporary housing in rural areas.

The Government has offered 21,500 temporary housing modules (MTV), but the proportion that will be delivered to each region is not yet known.

The need to start reconstruction quickly should not be to the detriment of the humanitarian action needed to provide emergency and temporary housing to the families urgently affected.

Response:

● As of 26 April, INDECI reports that a total of 3,342 tents have been installed in 205 shelters where a total of 31,288 people live.

● The Peruvian Red Cross has supported 2,005 people with non-food items in the region of Lambayeque between 20 and 24 April.

● The members of the Temporary Shelter sectoral group have planned the construction of temporary shelters for more than 3,000 families, subject to obtaining the necessary resources.

● Members of the Lambayeque Regional Temporary Shelter sectoral group are coordinating the planning of the response based on the number of affected families identified in the region. At each of the group's weekly meetings, data is monitored to fine-tune the response and distribution of temporary housing modules (MTV) from each agency as needed.

● Simultaneously and specifically from the regional group of Lambayeque, incidence is being exerted so

that advances with the definition of the unique registry of victims are quicker.

42,627

Houses collapsed and

uninhabitable



● The members of the group are directing most of their action to the rural sector, considering also that the land problem is much less critical in the rural sector.

Gaps/ Restrictions and Limitations:

● There is an urgent need to standardize an emergency housing model with local governments and different humanitarian actors to ensure that the immediate needs of the affected population are met. The lack of a single registry of victims limits the action of the Accommodation sectorial group in the implementation of MTV, since it makes it difficult to target agencies’ action and the coverage of it.

● There is a risk of a problem of homogenization of MTV models that could cause tensions in communities.

Water, sanitation and hygiene

Damage and Needs:

The water, sanitation and hygiene (WASH) sector continues to be a priority in the emergency response. WASH estimates that 567,000 people remain without water and sanitation services in the regions of Piura, La Libertad, Tumbes, Ancash and Lambayeque.

● In Trujillo, the Drinking Water and Sewerage Service of La Libertad (Sedalib) reported that it is necessary to rehabilitate the sewage network with an investment of approximately S/ 36.73 million. The 22 km break in the Trujillo sewage system due to rainfall and water supplies affected 143,215 users in the Víctor Larco, Florencia de Mora, El Porvenir and Huanchaco districts. Sedalib also mentioned that very large holes have been registered in Trujillo in the main streets and avenues of the city.

Response:

● The Ministry of Development and Social Inclusion (MIDIS) announced the clearing of streets and replacement of sewage systems in Piura, in coordination with the Housing, Agriculture and Transportation sectors to move heavy machinery to the region in order to clean the streets, to remove the mud and to be able to repair the systems of drainage and sewage in the districts of Catacaos, Juan Francisco Cieza, and Cura Mori.

● UNICEF, through an agreement with COOPI, has initiated the installation of adapted trench-type latrines, which will be located in temporary spaces enabled by Plan Internacional , and in the temporary classrooms installed in the camps. In addition, it has been supporting the MINEDU in the drainage and cleaning of schools in Catacaos and Cura Mori. In coordination and cooperation with ACH, PAHO and DIRESA, the mapping of rural aqueducts and water quality is being advanced; also, they are working on the rehabilitation of the water supply system in Villa Vicus that will meet the demand of the liquid of 15,000 people.

● UNICEF has completed the rapid assessment of the state of the chemical baths in the camps located in San Pablo, at km 975 and 980.

● In Piura, the Peruvian Red Cross has installed a water treatment plant that is processing 20,000 liters per day in Catacaos. In addition, three bladders have been installed in the shelters of Km. 980, for the distribution of 90,000 liters per day as well as the installation of 4 dry pit latrines in the Chato Chico settlement. As a complementary part of the process, there are community discussions on hygiene promotion.

● Practical Solutions continues the activity of mapping shelters and temporary housing; thery are part of the Table of Early Recovery in Piura. With funding from the Government of Denmark, they will deliver water and carry out vector control activities along with training and hygiene promotion.

● Diaconia has delivered 208 toilet kits and carried out hygiene promotion actions in shelters in Piura; In La Libertad have distributed 140 toilet kits and are planning to install 50 chemical toilets in the coming weeks; In Ancash have raised diagnostic information and are planning to deliver 50 toilet kits.

● Plan Internacional has continued with the delivery of kits of hygiene, safe water, and kits of feminine hygiene and babies in Piura. They will install friendly spaces that will have 4 water tanks and 8 points for washing hands.

● PAHO is installing 20 water reservoir tanks in Catacaos and Cura Mori, and with CERF funds they will reinforce the health surveillance plan, delivery of water kits, vector control and sanitary control of food.

Aprox.

567,000

people w ithout w ater and

sanitation services in Piura,

La Libertad, Tumbes, Ancash

and Lambayeque



● ACH has mapped the water supply systems in the affected areas in Piura; has planned to rehabilitate between 10 to 12 community water systems and delivery between 600 to 900 water kits; and are working on the rehabilitation of the water treatment plant in the Las Vegas community.

● OXFAM has concluded the registration of affected people in Lambayeque (in 4 districts) and has planned the attention to 10,000 people and distribution of hygiene kits. The first delivery of 1,500 units has already been made.

Gaps/ Restrictions and Limitations:

● Management and care in water, sanitation and hygiene is urgent, given that there has been an increase in diseases among the people living in shelters or in areas where people are affected.

● Monitoring the quality of the water being distributed, either through the distribution network, tankers or wells.

● Complete the provision of tanks in shelters and communities that do not yet have water supply ● Strengthen the institutional capacity for monitoring water quality: supplies and equipment. ● Strengthen water treatment: filtration and disinfection. ● Provide water storage facilities at community and home levels. ● More precise diagnosis in health facilities in relation to access, quality, and storage of water. ● Strengthen solid waste management in the community and in health facilities. ● Reinforce information and communication for promoting hygiene.

Agriculture and Food Security

Damages and Needs:

● As of 26 April, INDECI reports 25,671 hectares of lost crops and 61,403 hectares of affected crops in 13 departments, which represents a slight increase compared to last week's statistics.

Response:

● The Ministry of Production (PRODUCE) reactivates the market for micro and small enterprises (MYPE) located in areas declared in emergency through reprogramming of their debts, financing for the purchase of assets, and strengthening of their market through public procurement. It is planned to train them through the Business Development Centers (CDE)

Gaps and Restrictions / Limitations:

● Response mechanisms need to be urgently put in place to help affected families to reduce the risk of food insecurity.

Coordination and Management of Shelters/Camps

Damage and Needs:

● INDECI, with information from regional governments, reports as of 26 April a population of 31,288 sheltered people, distributed in 205 shelters in 8 departments, in 3,342 installed tents, including Metropolitan Lima and Lima Provinces. More than 95% are concentrated in La Libertad, Piura, Lambayeque and Lima.

Response:

● The MIDIS Minister visited shelters and supervised the rehabilitation work in three provinces of La Libertad together with the Governor: Ascope, Pacasmayo and Trujillo, where she spoke with the affected families and held working meetings with local authorities.

● MIDIS, together with regional and local authorities in Piura, coordinated to supervise the operation of shelters for affected families, including Housing, Agriculture and Transportation sectors, for the transfer of heavy machinery to the region in order to clean the streets and remove the mud and thus be able to repair the drainage and sewage systems in Catacaos (Piura).

Aprox.

87,074

Hectares of lost or

affected crops

31,288

People in shelters




● It is imperative to provide adequate management of shelters in a comprehensive manner to ensure decent living conditions.

Food aid and nutrition

Damage and Needs:

● 435,000 people are food insecure in the departments of Piura, Lambayeque, La Libertad, Ancash and Tumbes. In these áreas, about 100,000 people would be severely food insecure.

● According to UNICEF, there is a high probability that severe malnutrition in children under 5 years of age has increased and, therefore, they are monitoring the nutritional status, mainly in sheltered population.

Response:

● MINSA has developed a maternal and child nutrition action plan for areas affected by the emergency. ● MINSA has developed workshops in Lima on the promotion and surveillance of breastfeeding, for health

personnel in the areas affected by the emergency. ● As part of the delivery to DIRESA Piura of 90,000 sachets of Plumpy Nut, UNICEF has scheduled with

DIRESA Piura to conduct training sessions for health personnel on the proper use and monitoring of Plumpy Nut consumption.

● INDECI announced that they will implement an Immediate Food Assistance Plan considering the attention of about 100,000 damaged and affected people (Piura: 36,000, Lambayeque: 20,000, La Libertad: 35,000, Tumbes: 3,000, etc.). To this end, they have acquired approximately 1,000-1,200 metric tons of food and they continue to provide attention in the next 3 to 4 weeks.

● WFP facilitated the conformation of Food Security and Nutrition in Emergencies Sectorial Groups in the departments of Piura, La Libertad and Lambayeque, in order to support information management actions and articulation between state and civil society actors.

● WFP is assisting Piura GORE to identify approximately 1,000 Popular Kitchens in 27 districts and to prepare a Food Assistance Plan covering 28,000 people that will begin to serve to the extent that it receives resources from MIDIS. WFP is also training Provincial Governments officials in the Emergency Food Assistance procedure through social safety networks such and Popular Kitchens.


● There is a lack of available information on the nutritional status of the population in shelters; particularly of the most vulnerable population groups such as children under 5 years of age, nursing mothers and pregnant women. Likewise, actions to ensure adequate food for children under 2 years of age have not yet been implemented.

● Manage the preparation of nutritious meals for children under 3 years old in soup kitchens, and other food preparation platforms for the population located in shelters.

● Carry out communication actions in the affected areas incorporating topics about breastfeeding, complementary feeding and hygiene.

● Advocate for the implementation of a Comprehensive Food Aid Plan to meet the food needs of the food-insecure population, considering different vulnerable groups and a nutritional approach, for a medium to long-term period of 3 to 6 months, especially for those located in shelters, camps, tents and in isolated rural areas.

● Consider cash transfers for families that do not receive food assistance that have lost their homes and livelihoods, in order to guarantee their power of access to food and promote the reactivation of the local

economy.

435,000

People facing food insecurity in the provinces of

Piura, Lambayeque, La Libertad, Ancash and

Tumbes



Education

Damage and Needs:

● As of 26 April, INDECI notes that 2,258 educational institutions have ben affected and 198 collapsed and uninhabitable throughout the country6.

Response:

● UNICEF has been working with the Piura GORE in the Regional School Rehabilitation Plan, which consists of actions to drain schools, repair bathrooms, condition rooms, and other minor repairs. Also in Piura, UNICEF has installed temporary classrooms in the shelters of San Pedro and Santa Rosa.

● The MIDIS Minister ra del MIDIS visited in La Libertad students from the school Victor Marquez, supervised the prefabricated classrooms of the campus Alfonso Ugarte and laid the foundation stone of the future Pedro Díaz Camacho Special Educational Institution in the El Sausal center of the Chicama district in the Ascope province.

Gaps and Restrictions / Limitations: ● The most important limitation is the damage suffered by infrastructure in schools and socio-emotional

care for students and teachers.

Logistics and telecommunications

Damage and Needs:

● INDECI reports that as of 26 April 3,563 kilómetres of roads have been destroyed and 7,102 kilómetres affected, other than 2,114 kilómetres of destroyed rural roads and 30,796 kilómetres of affected rural roads, in addition to 326 destroyed bridges and 570 affected bridges.

Response:

The Ministry of Transport and Communications (MTC), through National Provías, carries out the rehabilitation of the highways of the Province of Huanca Sancos, district of Carapo (Ayacucho); as well as

of the route located in the Province of Víctor Fajardo, Sarhua district of the section Huancasancos - Pomabamba. It has also been rehabilitating the Palpa - Llauta section, in the Pucara sector; the section

Chicama-Cascas in the province of Ascope, district of Chicama (La Libertad); Cleaning of the Chicama-Paiján section between kilometer 611 and 612 of the Panamericana Norte highway; rehabilitation of the

Paiján- San Pedro de Lloc stretch of the Pan-American Highway. The MTC is proceeding with the rehabilitation of the Trujillo-Otuzco Division and the rehabilitation of the Pimpingos-Cuyca stretch in the

district of Cutervo (Cajamarca). Finally performs the cleaning of the road with support of pneumatic tractor in the Province of San Miguel, district of La Florida

Gaps and Restrictions / Limitations: The distribution of assistance is hampered because the needs ’ figures are still being agreed by sector

and geographical area.

Protection

Damage and Needs:

● Based on official INDECI data as of 21 April, it is estimated that 413,165

children have been affected and severely affected by the rains and flooding in Peru; the departaments with the largest numbers are Piura (137,693), Lambayeque (63,790) and La Libertad (47,670).

6 Source: Boletín INDECI as of 26 April

2,258

Affected educational

institutions

413,165

Affected children and

adolescents



UNFPA estimates that approximately 316,942 women of childbearing age (15-49 years) have been affected or are victims (2). Of them more than 38,000 are pregnant and of these more than 1,800 will suffer complications in their pregnancy in the next 3 months. Likewise, it is estimated that more than 6,000 will be victims of sexual violence. It is also reported that there are increasing cases of domestic violence, associated with the stress of families and caregivers in the face of the uncertainty of the current situation.

Response:

The Ministry of Women and Vulnerable Populations (MIMP), with UNFPA support, through the Program against Family and Sexual Violence has installed two Emergency Women Centers (CEM) in the areas of Santa Rosa and San Pablo, with 16 professionals assigned to address cases of violence and provide social-emotional support.

The Peruvian Red Cross has provided 2,762 talks in psychosocial support in Piura, Huarmey and Trujillo. Gaps and Restrictions / Limitations:

It is urgent to organize the community, in face of the increase in cases of domestic violence, to guarantee the protection of the most vulnerable people, such as children, pregnant women, the elderly and people with disabilities.

Early Recovery

Damage and Needs:

Houses located mainly in the region of Piura are covered with mud and garbage, so it is necessary to use medium machinery (bobcat) as loading shovels, with support of dump trucks, to clean them, as well as the streets, paths and public spaces. In the area of Pedregal Chico and Pedregal Grande, some families are starting the process of cleaning their homes.

The early recovery of livelihoods is a concern of both the affected people and the authorities. Small and medium entrepreneurs who give jobs to the local people have also been affected, mainly in subjects of craftsmanship and means of transport (mototaxis) among others .

According to information provided by the thematic group installed in Piura, cleaning crews require tools, backpacks for fumigation, and personal protective equipment.

There is a need for processed and validated information for decision-making, especially by provincial and district authorities, related to possible actions to be implemented in the area, to accompany and support the rehabilitation and reconstruction process.

A post-disaster assessment is required that will inform the needs and can help to understand the roles and responsibilities that must be assumed by both public and private entities. This will also be able to develop capacity and expertise for the estimation of the need at sectoral level, considering approaches and cross-cutting aspects.

Response:

● UNDP reports that in the first fortnight of May the cleaning and removal of mud of houses pilot project will be starting, through the implementation of Cash for Work, in five affected areas of Piura.

● The thematic table installed in Piura, accompanied by the local authorities, has started its meetings and established contact with the sectoral table installed in Lima, to coordinate actions of both response and activities that are planned to develop, and has the support of the non-governmental organizations of the area.

● A meeting will be set up in the region of Piura with mayors in order to inform and review the situational status of the Trabaja Perú in coordination with the Ministry of Labor and Promotion of Employment, regionally and nationally.

● On 25 April, the National Congress approved with amendments the proposed bill sent by the Executive, that approves provisions of extraordinary character for National Government interventions against disasters and that provides the creation of the authority for the reconstruction with changes.

● The early recovery table of Lima reported that Peru's National Statistics and Information Institute (INEI) has been conducting registrations of homes and public establishments in the affected areas, with expected results by the end of April. Once the data collection process is completed, a final summary will

180,000

Affected families’

livelihoods



be made in the SPSS statistical format. The final report will be given to the Presidency of the Council Ministers for the timely identification of the information and given subsequently to the sectors involved.

● The United Nations Volunteers reportedly has reached an agreement with the Ministry of Women and Vulnerable Populations (MIMP) to develop workshops on volunteering with the participation of 19 ministries and to determine the connection of volunteering with immediate actions. The date for these workshops is set for the first week of May, where the challenge is to plan adequately to have necessary the financial resources for the development of the workshops (training, tools, and certificates).


● The information handling, referring to the data on affectation level as the filling of EDAN records requires

a greater effort and support for its completion. This will allow mapping the affected area and simultaneously consider other issues as a niche of opportunity for new initiatives for the benefit of the affected and/ or suffering population.

Health

Damage and Needs:

● The National Center for Epidemiology, Prevention and Control of Diseases of

the Ministry of Health (MINSA) reported that there are more than 16,000 cases of dengue nationwide until 15 April, with 14 confirmed deaths by dengue. There were 4,738 confirmed cases and 11,310 probable cases of this disease in 19 regions of the country, making a total of 16,048 cases. Piura has the highest number of cases with 6,397 (5,307 probable and 1,090 confirmed), followed by Ica with 1,719 cases (1,206 probable and 513 confirmed), La Libertad with 1,319 (807 confirmed and 502 probable) and Lambayeque with 1,174 cases (691 probable and 483 confirmed). There are also Loreto with 989 cases and Áncash with 842 cases. Other affected departments include Ayacucho, with 809 cases, Ucayali with 796 cases and Tumbes with 571 cases.

● The Pan American Health Organization reports a high incidence of febrile cases in primary health care services, and, in addition, a high number of hospitalized cases for dengue with warning signs and severe dengue is also high in hospitals in Piura. The number of deaths for dengue has increased in the last weeks of April from 4 to 10 deaths over the last week.

● The health services network in Piura remains operational, with four establishments (Centro de Salud Materno Infantil- Catacaos, and the health posts Pedregal Grande, Monte Sullon, and Pozo de los Ramos) that were inoperative and in process of recovery currently. In Huarmey, where the hospital recovery process will start, the service continues through tents with the support of EsSalud.

● MINSA also confirmed that there are a total of 558 cases of chikungunya in five regions of the country, among confirmed and probable until 15 April. Piura is the department with the largest number of cases, with 288 (218 probable and 70 confirmed) followed by Tumbes with 217 cases, Loreto, Madre de Dios and San Martín.

·Response:

● MINSA continues implementing the campaign to help victims, especially in Bajo Piura, with brigade members from the Santa Rosa de Piura hospital along with doctors, nurses and technicians, assisting people of Catacaos, Viduque, Km 980, the human settlements José Carlos Mariátegui, Cura Mori and Pedregal Chico. The The Ministry of Health (MINSA) also continues supporting the operation of the field hospital in Piura, and maintains the deployment of brigade members.

● MINSA in coordination with the Regional Directorate of Health (DIRESA) of Piura and in the framework of the campaign "Mi casa sin zancudo", will carry out the larval control of 9,000 houses in Catacaos. This control will be supported by 500 Army soldiers who have been trained by the Health personnel. Under this item, Ministry of Health (MINSA) had a contingent of 138 health inspectors to continue the larval control campaign in more than 15,000 homes in the province of Paita (Piura). The actions consist in visiting the house of the settlers and applying powdery larvicide to the water tanks. There are also brief talks to each family on prevention measures.

● MINSA, in coordination with Comprehensive Health Insurance (SIS) and Susalud, strengthens supervision in hospitals in the region of La Libertad, after detecting irregularities in the Hospital Regional Docente and

16,048

Dengue cases among

confirmed and probable



Hospital Belén de Trujillo. ● The Ombudsman Office supervised preventive actions against dengue, leptospirosis and chikungunya, and

also verified the use of emergency budgets in the district of Colquioc, province of Bolognesi, in Ancash. Finally, in the district of Huarmey of the department of Áncash followed up with the distribution of the donations that were given.

● The Peruvian Red Cross has provided about 1,729 talks on hygiene promotion, dengue prevention, leptospirosis and community first aid in urban and rural areas in the province of Piura and in Trujillo.

● The Health Sector Group was activated with the participation of EsSalud, UNFPA, UNICEF, Save The Children, The Peruvian Red Cross, UNAIDS, IFRC, ICRC, Médecins du Monde and other organizations.

● The Pan American Health Organization maintains a team of experts in health services, epidemiology, water and sanitation in Piura, and in coordination with DIRESA / DESA 20 tanks for water storage has been installed.

Gaps and Restrictions/Limitations:

● Strengthen health surveillance in shelters and refugees, and of the affected people remaining in their houses and flooded areas.

● Strengthen the epidemiological surveillance and the capacities of the health personnel for the diagnosis and treatment of cases of the main risks identified.

● Community mobilization and promotion activities in hygiene and sanitation, and prevention of waterborne diseases and diseased acquired from contaminated food.

● Vector control actions focused on establishing and organizing the community mobilization and health promotion component for vector control.

● Management of information on health risks and measures to prevent these risks (massive and interpersonal)

● Reinforce mental health actions on the ground. ● Strengthen social communication through local and community strategies and media. ● It is urgent to ensure the availability of mosquito nets for dengue cases, although the technical standard

in dengue prevention in the country does not consider their delivery, since the virus is spreading among relatives and neighbors.

● In camps and temporary shelter areas, the people are not protected from the sun, which is causing skin problems. Moreover, the limited access to water and sanitation is increasing acute diarrheal diseases (EDAS), the large amount of dust contributes to the increase of acute respiratory infections (IRAS), and the waters contaminated by the urine of animals such as rats, which children use as a play space, have had an impact on the increase of cases of leptospirosis.

General Coordination The UN Emergency Relief Coordinator activated the global cluster mechanisms for Temporary Shelter, Camp Coordination and Management of Shelters and Water, Sanitation and Hygiene to respond to the emergency in Peru. These mechanisms support the international agencies in the country to strengthen their technical and coordination role. The other sectoral groups continue to be operative with the country team and support from their regional offices. The National Humanitarian Network (RHN), co-chaired by the United Nations Resident Coordinator (RC) and the Head of INDECI, remains active under the structure of sectoral groups and in coordination with national authorities to complement response efforts. OCHA continues supporting coordination actions with RHN, as well as the intersectoral coordination activities of the network members and government counterparts, both at the central level in Lima and in Piura. At the regional level, sectoral meetings of the response organizations in Piura continue taking place jointly with national and regional authorities in the Water, Basic Sanitation and Hygiene, Protection, Food Security, Early Recovery, and Coordination and Management of Shelters and Temporary shelters, as well as intersectoral meetings with the support of OCHA and the lead agencies in charge of sectoral coordination. The CERF Secretariat informed of the allocation of resources for a total of $5.17 million to support 90,000 people among the most severely affected and affected people in the provinces of Piura and Morropón in the department



of Piura. The projects will have to be implemented in the next six months in the following sectors: Water, Sanitation and Hygiene (UNICEF and OPS/OMS); Camp Coordination and Management of Shelters and Temporary Shelter (IOM); Nutrition and Health (UNICEF); Education and Protection (UNICEF); Health (OPS/OMS); Protection and Health (UNFPA); Food Security (FAO); and Early Recovery (UNDP).

TO UNDERSTAND THE SITUATION SINCE THE BEGINNING:

The El Niño Coastal phenomenon has generated since January by the sudden increase in the sea surface temperature. The Multisectoral Committee in Charge of the National Study of the El Niño Phenomenon (ENFEN) estimated that it was expected to extend

until May with a moderate magnitude. The continuation of intense rains during February and March has resulted in emergencies related to floods and landslides, mai nly on the

north coast of the country, with an emphasis on the department of Piura. This has caused damage to people's l ives and health, as well as damage to housing, educational institutions, health establishments, cultivation areas and roads, among others.

The national response is led by the Presidency of the Republic and the Prime Minister, who chairs the meetings of the National Council for Disaster Risk Management (CONAGERD). The Ministry of Defense leads the COEN and conducts, through INDECI, emergency aid

in coordination with regional and local governments.



To contact the leaders of the sectoral groups:

Sectoral Group Name Contact Information

Management and Coordination of

Shelters and Camps

Iván Dávalos

Tel: 986638473

Correo: [email protected]

Agriculture and Food Security Ivan Bottger Tel: 995591613 Correo: [email protected]

Food Aid and Nutrition Ivan Bottger Tel: 995591613


Water, Sanitation and Hygiene Jesus Olmedo Altamirano

Tel: 593 994309211


Education Daniel Contreras Tel: 993526947


Logistics and Telecommunications Jesús Gutiérrez Tel: 995283801 Correo:[email protected]

Protection Zilda Cárcamo

Amanda Martin

Tel: 997371167 Correo: [email protected]

Tel: 940436318 Correo: [email protected]

Early Recovery Massimiliano Tozzi Tel: 997548614


Temporary Shelter Mamen Sancha Correo: [email protected]

[email protected]

Health Celso Bambarén Tel: 999040762 Correo: [email protected]

Coordination in Piura –UNDAC team Ivonne Velasquez Tel: 938709289 Correo: [email protected]

To report activities send information to: [email protected]

mailto:[email protected]













To access additional information products for the emergency consult the following enlace:

Infografía del Grupo Sectorial de Salud

Infografía del Grupo Sectorial de Educación

Infografía del Grupo Sectorial de Agua,

Saneamiento e Higiene Infografía CERF

Para mayor información, favor contactar a: Ana María Rebaza, Asesora Nacional en Respuesta a Desastres, [email protected], Cel: +51889581862

Camilo Vega, Asistente de Información, [email protected], Cel +51997163044

Para mayor información, favor visitar www.unocha.org, www.reliefweb.int, www.redhum.org. Para ser agregado o borrado de la lista de correos de este Reporte de Situación, favor escribir a: [email protected]

To access all the situation reports: : Sit Rep 1: http://bit.ly/2nGUgMj Sit Rep 2: http://bit.ly/2ozUx7v Sit Rep 3: http://bit.ly/2oWLkTk Sit Rep 4: http://bit.ly/2nBcoXa Sit Rep 5: http://bit.ly/2p5qzVE Sit Rep 6: https://goo.gl/QdhwvU Sit Rep 7: https://goo.gl/JnOxnv Sit Rep 8: https://goo.gl/MiVknD

http://www.redhum.org/mapas



http://bit.ly/2nGUgMj

http://bit.ly/2ozUx7v

http://bit.ly/2oWLkTk

http://bit.ly/2nBcoXa

http://bit.ly/2p5qzVE

https://goo.gl/QdhwvU

https://goo.gl/JnOxnv

https://goo.gl/MiVknD

http://www.redhum.org/uploads/documentos/pdf/REDHUM-PE-infografia-Salud_en_temporada_de_lluvias-OCR-20170428-20170427-CV-20653.pdf

http://www.redhum.org/uploads/documentos/pdf/REDHUM-PE-infografia-Educacion_en_temporada_de_lluvias-OCR-20170427-CV-20652.pdf

http://www.redhum.org/uploads/documentos/pdf/REDHUM-PE-SITUACION_y_3W_WASH_OCR-20170427-CV-20644.pdf

http://www.redhum.org/uploads/documentos/pdf/REDHUM-PE-Infografia-CERF_iInundaciones_2017-20170428-CV-20655.pdf

Highlights - ReliefWeb...Fuente: INDECI, cut off date 26 April. Grupos sectoriales de Agua,...

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Transcript of Highlights - ReliefWeb...Fuente: INDECI, cut off date 26 April. Grupos sectoriales de Agua,...