Republic of the Philippines

Province of Aurora

Municipality of Dilasag

-oOo-

RURAL HEALTH UNIT

HEALTH EMERGENCY PREPAREDNESS RESPONSE AND

RECOVERY PLAN
(HEPRRP) 2017-2019

PREPARED BY: APPROVED BY:

APRIL JOY B. MAALIW, MD Hon. JOE P. GOROSPE

Doctor-to-the-Barrio/OIC-Municipal Health Officer Municipal Mayor

PETER CRIS A. ROSAROS, RN

Nurse Deployment Project

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Table of Contents
RURAL HEALTH UNIT...................................................................................................................0
I. BACKGROUND.....................................................................................................................................3
Brief History.......................................................................................................................................3
Geography.........................................................................................................................................3
Type Of Climate.............................................................................................................................3
Accessibility...................................................................................................................................4
Topography....................................................................................................................................4
Demographic Profile..........................................................................................................................5
Health Facilities..................................................................................................................................7
Health Services..................................................................................................................................8
Health Situation and Statistics...........................................................................................................9
ENVIRONMENTAL HEALTH SERVICES...............................................................................................12
LEGAL BASIS OF HEMS.........................................................................................................................13
II. PLAN DESCRIPTION AND SCOPE.......................................................................................................13
Plan Definition:............................................................................................................................13
Scope...........................................................................................................................................13
III. VISION AND MISSION.....................................................................................................................13
IV. GOAL AND OBJECTIVES...................................................................................................................13
GOAL:...............................................................................................................................................13
GENERAL OBJECTIVES:.....................................................................................................................13
V. PLANNING COMMITTEE...................................................................................................................14
Health Planning Committee/ Steering Committee...........................................................................14
The Municipal Disaster Risk Reduction and Management Council of Dilasag..................................16
VI. ROLES AND FUNCTIONS OF THE HEALTH PLANNING COMMITTEE OF DILASAG.............................17
VII. MANAGEMENT STRUCTURES........................................................................................................17
VIII. HAZARD ASSESSMENT AND RISK REDUCTION PLAN.....................................................................18
HAZARD ASSESSMENT.....................................................................................................................18
NATURAL HAZARDS......................................................................................................................18
FLOOD HAZARD MAP OF DILASAG, AURORA...............................................................................18
BIOLOGICAL HAZARD...................................................................................................................25
TECHNOLOGICAL HAZARDS..........................................................................................................26
SOCIETAL HAZARD.......................................................................................................................31
HAZARD PREVENTION PLAN............................................................................................................35

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 Table 2. Hazard Prevention Plan in the municipality of Dilasag, Aurora.......................................35
VULNERABILITY ASSESSMENT AND REDUCTION..............................................................................40
Table 3. Identification of Vulnerable Areas per Hazard in the municipality of Dilasag.................40
Table 4. Vulnerability Assessment for different Hazards identified in the municipality of Dilasag,
Aurora..........................................................................................................................................41
VULNERABILITY REDUCTION PLAN..................................................................................................48
Table 5. Vulnerability Reduction Plan in the municipality of Dilasag, Aurora...............................48
CAPACITY DEVELOPMENT PLAN/PREPAREDNESS PROGRAM.......................................................60
VIII. HEALTH EMERGENCY PREPAREDNESS PROGRAM.........................................................................66
CAPACITY DEVELOPMENT PLAN OR PREPAREDNESS PLAN..............................................................66
IX. HEALTH EMERGENCY RESPONSE AND CONTINGENCY PLAN/PROGRAM........................................78
CONTINGENCY PLAN........................................................................................................................78
GENERAL SITUATION....................................................................................................................78
SCENARIO GENERATION AND IMPACT ANALYSIS.........................................................................79
PLANNING ASSUMPTIONS...........................................................................................................80
PLANNING GROUP.......................................................................................................................80
OPERATION PROCEDURES............................................................................................................81
OPERATION PER PHASE OF RESPONSE.............................................................................................81
Response Team Deployment Process...........................................................................................81
EMERGENCY RESPONSE PLAN.........................................................................................................84
Table 7. Health Emergency Response Plan for the municipality of Dilasag..................................84
EMERGENCY RECOVERY PLAN.........................................................................................................87
Table 8. Health Emergency Recovery Plan for the municipality of Dilasag...................................87
CONTINGENCY PLAN........................................................................................................................89
Table 9. Contingency Plan for the municipality of Dilasag for selected hazards...........................89
X. HEALTH EMERGENCY RECOVERY AND REHABILITATION PLAN.........................................................90
BUSINESS CONTINUITY PLAN...........................................................................................................90
Table 10. Business Continuity Plan for Dilasag.............................................................................90
XI. ANNEXES.........................................................................................................................................91
Directory of Contact Person.............................................................................................................91
Legal Mandate of the DOH in Emergency and Disaster Response...................................................91

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I. BACKGROUND

Brief History
The town of Dilasag, now a Third class Municipality of Aurora, had gone a long way towards its
emergence. The status it holds at present did not come by chance of struggle but rather through long
years of struggle for gradual development, brought about by the consolidated efforts among the
leaders and over cooperating citizens. Its history is rich with various experiences, characterized by
successes and failures which added strength to its steadfast foundation.

The name “Dilasag” was formed from a prefix “Di”, meaning abundance in native tongue and a word
“lasag” which mean meat to the natives. Also, Dilasag is not only meant abundance of meat but also
refers to extreme rich in natural resources such as: forest, inland waters and marine resources, and
including the fabled Yamasita treasures believed to be buried along its coastal areas. The rich natural
resources, which Dilasag is characterized, is the prime component for development if properly
managed and utilize in sustainable manner.

In early 1924, a group of settlers from the Province of Tarlac arrived to Casiguran, which is now the
adjacent town of Dilasag. Finding the natives unfriendly to them, these new settlers ventured to move
along the coastline going north and settled finally to what is now called Dilasag. The place is
considered habitable, because the native Dumagats in the place were friendly. Later, many more
families came making the place a community. This community was soon recognized by the Local
Chief Executive of Casiguran, formerly a Municipality of the Province of Quezon. It was declared a
Sitio of barangay Culat and eventually a Barrio of Casiguran in consideration of its rapid progress and
development. In 1959, Congressman Enverga introduced House Bill No 2863 in the House of
Representatives, resulting to the approval of Republic Act No. 2452 on June 21, 1959 making Dilasag
a Municipal District, which was carved from Casiguran, Aurora.

In 1959, House Bill No. 2863 was introduced in the House of Representatives by the late
Congressman Manuel Enverga for elevating Dilasag into Municipal District. As a result, Republic Act
No. 2452 was approved by congress on June 21, 1959 formally declaring Dilasag a Municipal District.
Eventually, Dilasag was declared a Regular Municipality in 1965.

In 1818 to 1902, based on century period of historical tales, there was a belief that Tayabas (Quezon)
was part of Nueva Ecija with Casiguran and Baler as part thereof, making the later the capital town.
History also revealed that General Emilio Aguinaldo penetrated the area in seeking refuges to
Palanan, Isabela. Since then, from 1902 to 1942 begun the history of Dilasag.

Geography

Type Of Climate

Dilasag is situated in an area of where a Type IV climate of the coronas

classification system exists.

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Accessibility

Dilasag can be reached from Baler (Capital Town of Aurora) through the national road
(coastal road) via the municipalities of Dipaculao, Dinalungan and Casiguran.
It is also accessible by means of sea transportation by those coming from the Coastal
Municipalities of Aurora even Palanan, Isabela. Network of Barangay roads connect the
barangays with the provincial road, eventually with the poblacion. The moving land
transportation vehicles in the municipality include bus, van, tricycles, motorcycles, hand
tractors (kuliglig) tora-tora and commercial vehicles.

Travelers from the south are sometimes using the way through Culat to Diniog which is now a
busy road for private and other traders since the road with approximately 28 kilometers from
Casiguran to Poblacion of Dilasag town proper has 50% concrete pavement.

Topography

Dilasag is generally rugged and mountainous. About 49% of its land area is moderately high
to high elevation highlands that exceed 500 meters above sea level. These highlands are
Source Rivers, streams and mountain spring that drain towards the Pacific Ocean. The rest of
municipalities land area is composed of hills (low to moderate low elevation) lowlands and
coastal areas and this account for 51%.

Demographic Profile

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 i. POPULATION – (CY – 2016)

Male 8,559

Female 7,276

Total Population 15,835

ii. POPULATION GROWTH RATE – 2%

iii. POPULATION DENSITY – 38 PERSON/KM2
iv. NUMBER OF HOUSEHOLDS – 3,892
v. NUMBER OF FAMILIES – 4, 122
vi. NO. OF REGISTERED VOTERS – 9,138
vii. NO. OF CLUSTERED PRECINTS – 16
viii. LAND USE
Land area Hectares %
Agriculture 7,858 18.68
 Protected Areas 33,698 80.12
(Protected
Forest, ancestral
domain Water shed areas)

Coastal Areas/Zone 340 0.8

Industrial/Commercial 14 0.03
Settle men 145 0.34
Areas/Residential
TOTAL 42,055 100

ix. RELIGION (In Percentage)

Religion %
- Roman Catholics 55%
- Iglesia ni Cristo 20%
- Other Religions 25%

POPULATION DENSITY BY BARANGAY

DILASAG, AURORA
AREA OF
BARANGAY
Barangay POPULATION POPULATION DENSITY
(Has.)

Diagyan 2,905 8,204 has. 30 km2

Dicabasan 775 4,205 has. 18 km2

Dilaguidi 1,162 5,529 has. 17 km2

Dimaseset 1,612 4,205 has. 34 km2

Diniog 2,669 3,314 has. 75 km2

Esperanza 1,421 2,135 has. 59 km2

Lawang 434 1,378 has. 37 km2

Maligaya 2,062 1,740 has. 108 km2

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Manggitahan 2,016 8,607 has. 20km2

Masagana 2,087 689 has. 267 km2

Ura 815 2,019 has. 31 km2

Total 17,960 42,025 has. 38 km2

The urban barangay composed by barangay Masagana and barangay Maligaya with 4,042
populations and the rest barangay is a rural with a population of 12,650. Dependent population is
6,849 (ages 1-15 and above 65 yrs. old) while independent population is totaling to 9,843 (ages range
16-64 yrs. Old) population density is 39 person/ km 2. Male economically Active Population is 5,282
while Female Economically active population is 4,561.

HOUSEHOLD POPULATION BY HOUSEHOLD SIZE BY BARANGAY

BARANGAY POPULATION NO. OF H.H. AVERAGE H.H. SIZE

Diagyan 2,905 579 5

Dicabasan 775 188 4

Dilaguidi 1,162 238 5

Dimaseset 1,612 340 5

Diniog 2,669 523 5

Esperanza 1,421 356 4

Lawang 434 127 4

Maligaya 2,062 448 4

Manggitahan 2,016 490 4

Masagana 2,087 433 5

Ura 815 170 4

Total 17,960 3892 4

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 Health Facilities

The Dilasag Health Facilities are consisting of one (1) Rural Health Unit located at Poblacion
(Masagana and Maligaya) and nine (9) Barangay Health Stations. There are also three (3) BEmONC
Facilities Located in different barangays namely Diagyan, Masagan and Ura.

NAME OF FACILITY STATUS ADDRESS

DILASAG RURAL HEALTH Functional; out-patient

UNIT consultation; dental
consultation; on process
for PHIC accreditation. Purok 2, Santiago St. Brgy. Masagana, Dilasag,
Aurora
Masagana BEmONC Functional as birthing
clinic since 2013; caters
3 nearby barangays.

Diagyan BHS Functional; out-patient

consultation; birthing
clinic is functional and Purok 1, Brgy. Diagyan, Dilasag, Aurora
Diagyan BEmONC caters 2 nearby
barangays

Dicabasan BHS Functional Purok 5, Brgy. Dicabasan, Dilasag, Aurora

Dilaguidi BHS Functional Purok 3, Brgy. Dilaguidi, Dilasag, Aurora

Dimaseset BHS Functional Purok 3, Brgy. Dimaseset, Dilasag, Aurora

Diniog BHS Functional; BHS is Purok 2, Brgy. Diniog, Dilasag, Aurora

under construction

Esperanza BHS Functional Purok 1, Brgy. Esperanza, Dilasag, Aurora

Lawang BHS Functional Purok 2, Brgy. Lawang, Dilasag, Aurora

Ura BHS Functional; out-patient

consultation; birthing
Ura Birthing Clinic clinic is functional and Purok 2, Brgy, Ura, Dilasag, Aurora
caters 1 nearby
barangay.

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Health Services
Health programs addressing the Health-related Sustainable Development Goals.

a. Goal 2: Zero Hunger; End hunger, achieve food security and improved nutrition and
promote sustainable agriculture.
1. Addressing malnutrition through intensive advocacy. Conducting Pabasa sa Nutrisyon
targeting the parents of malnourished children, pregnant and lactating mothers.
2. Conducting OPT in all barangays to monitor the height and weight of the children from 0-
71 months.
3. Feeding program and distribution of Vitamin A and Deworming tablet twice a year during
the Garantisadong Pambata.
b. Goal 3: Ensure Healthy lives and promote well-being for all at all ages.
Maternal, Child and Infant Care.
1. Prenatal and postpartum visits.
2. Family planning.
3. Expanded Program on Immunization.
4. Garantisadong Pambata (vitamin A and deworming).
5. Pabasa sa Nutrisyon (Infant and Young Child Feeding) to promote exclusive
breastfeeding and nutrition on 0-59 months old children.
6. Newborn Screening (NBS).

Combat TB, HIV, Malaria and other communicable diseases.

1. Establishment of Barangay TB Task Force to intensify active case finding and improve
treatment success rate. Strict monitoring on the MDR, Cat I and Cat II patients.
2. Advocacy to End TB during the TB world day and posting of IEC.
3. Distribution of mosquito nets treated with insecticides among pregnant mothers and
public schools to prevent malaria and dengue.
4. Conduct of Dengue School Based Immunization.
5. Re-implementation of the 4 o’clock habit in all barangay and intensify the 4S against
Dengue and continuous health education about dengue and other vector borne diseases.
6. Prevention on HIV/ STDs: Syphilis testing among pregnant mothers and regular check-
ups on commercial sew workers. Increasing awareness on HIV/STD/AIDS by posting
IEC.

Programs addressing other Communicable and Parasitic Diseases.

1. Strict advocacy on handwashing on daycare centers and schools to prevent
communicable diseases.
2. Distribution of deworming tablets on schools and in the community during Garantisadong
Pamabata
3. Trained personnel on Integrated Management on Childhood Illnesses to manage simple
illnesses in the remote areas.

Rabies Control Program

1. Request of training on Rabies Program.
2. Collaboration with the Municipal Agriculture Office to improve rabies vaccination of dogs
in the community.

Leprosy Program
1. Information, Education and Communication campaign on leprosy.
2. Case finding and referral for treatment.

Programs addressing Non-Communicable Diseases

1. Master listing and identifying hypertensive and diabetic patients, house to house visit and
provide BP monitoring and blood sugar testing.

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 2. Establishment of PASIK-CLUB (Presyon at Sugar Itama, Kanser- Club) registering the
identified HPN and DM clients and engage in different activities like Health and Wellness
advocacy and healthy lifestyle to prevent cancer.
3. Establishment of HPN and DM club in every barangay.
4. Distribution of 4 molecules provided by the DOH among the identified clients especially
the NHTS families and providing regular check-up.

Oral Health Program

1. Request for Permanent Municipal Dentists
2. Regular dental check-up and tooth extraction.
3. Lectures in the community and schools and campaign on proper tooth brushing and
handwashing.
4. Provision and distribution of toothpaste and toothbrush kits among the school-age
children.

Program on Disaster Response and Emergency Management

Surveillance and Epidemic Management System
1. Designation of Disease Surveillance Assistant at RHU.
2. Early detection and reporting of diseases included in the PIDSR.

Disaster Preparedness and Response

1. Establishment of Municipal Health Emergency Response Preparedness and Recovery

Plan

c. Goal 6: Ensure availability and sustainable management of water and sanitation for all

Programs addressing food, water, and environmental sanitation

1. Water testing and water sampling.

2. Water chlorination.
3. Issuance of medical certificates to food handlers
4. Inspection of food establishment.
5. Salt testing.

Environmental Sanitation and Pollution reduction

1. Creation and promotion of ordinance preventing incineration of garbage.

2. Distribution of toilet bowls and strict monitoring on installation of toilet.
3. Promotion on waste segregation.

Health Situation and Statistics

Human Resources for Health in the Rural Health Unit is composed of one Doctor-to-the-
Barrio (DTTB) and one Public Health Nurse, 6 permanent and 3 casual midwives. RHU has 1 Rural
Sanitary Inspector. There are 5 deployed nurses from the Department of Health, 3 are NDPs, 1 PHA
and 1 UHCI and 5 RHMPPs. There is 1 volunteer dentist from Casiguran District Hospital. No Medical
Technologist in the RHU. 131 accredited and registered BHWs were designated in the barangays and
11 BNS.

Number of Health Workers

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Health Workers Permanent Casu Job Order Other(Ex.Volunteers, DOH
al augmentation)
Doctors 1 - DTTB
Nurses 1 3
Midwives 6 2 1 3
Medical 1
Technologist
Dentist 1-dentist of Casiguran District Hospital
BHWs 131
accredited &
registered
BNS 11

Health Worker Population Ratio – 1:5000

Doctor – population – 1:17, 960

Nurse – population – 1: 17, 960
Midwife- population – 1:2, 245
Dentist – population – 1:17, 960
RSI – 1:17, 960
BHW – population – 1:137

Health Care Standard # of Regular Adequacy # of Casual Employees

Workers Ratio to Employees (Y or N)
Population
Municipal Health 1:20,000 0 Y 1 - DTTB
Officer
Rural Health 1:20,000 0 N
Physician
Public Health 1:10,000- 1 Y
Nurse 20,000
Rural Health 1:5,000 6 Y 3
Midwife
Rural Sanitary 1:20,000 1 Y
Inspector
Dentist 1:20,000 0 N 1 Volunteer from Casiguran District
Hospital
Medical 1:20,000 0 N 1
Technologist
Clerk At least 1 2 Y
Ambulance Driver At least 1 2 Y
Barangay Health 1:20 HH 131 N
Workers

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 TEN LEADING CAUSES OF MORBIDITY IN ALL AGES

CAUSES NUMBER

Upper Respiratory Tract Infection 3081

Hypertension 703

Hyperacidity 574

Lacerated Wound 364

Skin Allergy 462

Urinary Tract Infection 370

Toothache 198

Gastroenteritis 137

Gastritis 132

Iron Deficiency Anemia 113

*Source: Municipal Health Office

TEN LEADING CAUSES OF MORTALITY IN ALL AGES

CAUSES NUMBER

Undetermined Cause of Death 17

Drowning 5

Cardiac Arrhythmia 4

Pulmonary TB 2

Myocardial Infarction 2

Peptic Ulcer Disease 2

Hypertension, End Stage Renal Disease, Chronic Kidney Disease, Lung
Carcinoma, Cardiogenic Shock, Hypovolemic Shock, Status Asthmaticus, 1
CVA, Uremia,
*Source: Sepsis,
Municipal Epilepsy,
Health OfficeCAP, Bronchial Asthma, COPD, Neonatal

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 ENVIRONMENTAL HEALTH SERVICES
WATER SUPPLY AND SANITATION FACILITIES

BARANGAY TOTAL STATUS OF TOILET FACILITIES

HOUSEHOLD
WITH % WITH % WITHOUT %
SANITARY INSANITARY TOILET
TOILET TOILET
DIAGYAN 585 462 79 60 10 63 11
DICABASAN 182 145 80 22 12 15 8
DILAGUIDI 215 155 72 25 12 35 16
DIMASESET 350 260 74 40 12 50 14
DINIOG 563 353 63 80 14 130 23
ESPERANZA 305 210 69 45 15 50 16
LAWANG 131 106 81 10 8 15 11
MALIGAYA 448 338 75 40 9 70 16
MANGGITAHAN 398 275 69 78 20 45 11

MASAGANA 491 419 85 27 5 45 10

URA 160 97 61 28 18 35 21
TOTAL 3828 2820 74 455 12 553 14

BARANGAY TOTAL STATUS OF WATER SUPPLY

HOUSEHOL LEVEL HH % LEVEL HH %
D I SERVED II SERVED

DIAGYAN 585 208 507 88 2 78 12

DICABASAN 182 45 182 10 0
0
DILAGUIDI 215 130 215 10 0
0
DIMASESET 350 113 300 86 3 50 14
DINIOG 563 195 563 10 0
0
ESPERANZA 305 130 305 10
0
LAWANG 131 3 25 19 2 106 81
MALIGAYA 448 160 448 10 0
0
MANGGITAHAN 398 220 398 10 0
0
MASAGANA 491 185 425 87 2 66 13
URA 160 70 160 10 0
0
TOTAL 3828 1459 3528 92 9 300 8

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 LEGAL BASIS OF HEMS

II. PLAN DESCRIPTION AND SCOPE

Plan Definition:
The LGU Health Emergency Preparedness, Response and Rehabilitation Plan (HEPRRP) entails the
strategies and activities of Municipality in building and enhancing its capacity in responding to disaster
or calamity. Moreover, it includes policies, protocols, guidelines and procedures that pertain to various
emergency management systems for more efficient response. The inventory of the LGU’s internal and
external resources in the context of human resources, logistics, financial sources, existing system and
services are also included in the plan. It clearly defines the institutional roles and responsibilities (who
does, what and how), coordination mechanisms and other operational arrangement across all sectors
that are set off before, during and after a disaster with the aim of reducing or even eliminating
damages and casualties and ensuring fast and normal recovery of the community at pre-disaster
position.

Scope
The HERPR Plan shall be implemented by the Local Government Unit of Dilasag, Aurora together
with the other stakeholders concerned with calamity or disaster management.

III. VISION AND MISSION

VISION:

The Municipality of Dilasag is envisioned as a disaster resilient community with strong capabilities to
respond timely to the needs of the community before, during, and after an emergency or calamities.

MISSION:

To ensure a comprehensive and efficient local health sector emergency management system in the
Municipality of Dilasag, Aurora that will effectively reduce the adverse effect of disasters and enable
fast recovery of the affected community.

IV. GOAL AND OBJECTIVES

GOAL:
To minimize morbidity and mortality during an emergency or calamity through an enhanced
and efficient health emergency management system in the Municipality of Dilasag, Aurora.

GENERAL OBJECTIVES:
To improve and strengthen the capacity of the Municipality of Dilasag for effective and efficient
response to and recovery from emergency or disaster.

SPECIFIC OBJECTIVES:

1. To review and update existing emergency/disaster management systems’ guidelines,

procedures and protocols in the municipality
2. To develop an enhanced emergency preparedness response and recovery plan
3. To strengthen human resource capacities for an efficient management of all types of
emergencies

4. To ensure availability of logistics, funds, and other resources to support emergency

management operations and recovery plans
5. To minimize the adverse impacts of hazards and other related disasters

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 6. To ensure community awareness and proper knowledge on how to anticipate, respond, and
recover from any impacts of disaster
7. To strengthen collaboration among key holders and stakeholders
8. To enhance the Operational Centers

V. PLANNING COMMITTEE

Health Planning Committee/ Steering Committee

Chairman: Municipal Health Officer

Vice Chairman: Public Health Nurse
Members:
Deployed Human Resource for Health
Public Health Nurses
Public Health Dentist
Static RHM
Sanitary Inspector
Nutrition Officer
BHW President

A. The Comprehensive Municipal Disaster Management Officers of Dilasag

In the advent of a calamity or disaster the overall Incident Commander is the incumbent Local
Chief executive while the MDRRMO is the overall disaster management and response officer.
Below is a diagram showing the different key teams involved in an emergency or disaster
management as well as the chain of command from the incident commander.
.

EVACUATION
SERVICE TEAM PLANS AND OPERATIONS/
COMMUNICATION AND INTELLIGENCE AND DISASTER
WARNING SYSTEM ANALYSIS TEAM
RESOURCE
TRANSPORTATION
MANAGEMENT
TEAM
INCIDENT TEAM
COMMANDER
SEARCH AND
RELIEF AND
REHABILITATION TEAM
(Local Chief RESCUE TEAM
Executive)
EMERGENCY / OVERALL DISASTER PRICE
CLEARING MONITORING
MANAGEMENT AND TEAM
OPERATION TEAM
RESPONSE OFFICER
SECURITY TEAM
WATER SEARCH AND (MDRRMO)
RESCUE TEAM (WASAR) BARANGAY
DISASTER RISK
FIRE AUXILLARY REDUCTION
TEAM HEALTH EMERGENCY MANAGEMENT
MANAGEMENT SERVICE COUNCIL
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The Municipal Disaster Risk Reduction and Management Council of Dilasag

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VI. ROLES AND FUNCTIONS OF THE HEALTH PLANNING COMMITTEE
OF DILASAG

The Health Planning Committee has the following roles and functions:

1. Develop, review, and update the LGU Health Emergency Preparedness,

Response and Recovery Plan
2. Gather relevant information ensure strong partnership among key people and
stakeholders
3. Initiate evaluation of the HERPRP through testing its effectivity and adaptability to
current situation
4. Develop annual Operational Plan and other plans relevant to Health Emergencies
or Disasters
5. Coordinate the plan with the higher governing bodies and key stakeholders in
advent of massive disaster not manageable at the LGU level
6. Collect, integrate and analyze municipal summary report after a disaster.

VII. MANAGEMENT STRUCTURES

Municipal Health Officer
(MHO)

Disaster Risk Reductionand

Management Officer
(MDRRMO)

Municipal Planning and

Development Officer
(MPDO)

Dilasag PNP, BFP

Municipal Administrator
(Safety and Security)
Local Chief Executive
(Incumbent Commander)
Municipal Social Welfare
and Development Officer
(MSWDO)

Budget Officer

BDRRMC/ ABC President

Other Stakeholders

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VIII. HAZARD ASSESSMENT AND RISK REDUCTION PLAN
Identified hazards are prioritized based on Severity (A), Frequency (B), Extent (C), Duration (D)
and Manageability (E) (See Table 1). Assessment of hazard is scaled from 1-5 with 5 as the highest
rate of hazard and 1 as low or easy (low priority hazard, or easy to manage). After assessment, these
hazards are mapped.

HAZARD ASSESSMENT
NATURAL HAZARDS
With the geographical location of the municipality facing the Pacific Ocean on the east
and bounded by the mountain range of Sierra Madre on the left, typhoon, general
flooding, storm surges, tsunami and earthquakes are the identified hazards in the area.
a. Typhoon is a very common hazard experienced in the municipality with the
Philippines being regularly visited by tropical storms. The presence of mountain
range of Sierra Madre offers some protection in minimizing the impact of storms
coming from the eastern side of the country, the Pacific Ocean where most of our
typhoons come from. However, the mountain range may also pose hazard for
flash floods most especially on areas with denuded forests. Hazard assessment
for typhoon is high.
b. General flooding is another common hazard experienced in the municipality,
usually as a result of heavy and prolonged rainfall during typhoon as well as
monsoon season, storm surges for barangays with coastal areas and increase in
water level or overflow of river system which is present in almost all barangays of
the municipality. The Municipal Disaster Risk Reduction and Management Office
of Dilasag assessed and identified the flood prone areas for each of the 11
barangays in the muni cipality.

FLOOD HAZARD MAP OF DILASAG, AURORA

DETAILED FLOOD HAZARD MAPS PER BARANGAY

Map 1. Brgy. Diagyan Dilasag, Aurora

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Map 2. Brgy. Dicabasan Dilasag, Aurora

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Map 3. Brgy. Dilaguidi Dilasag, Aurora

Map 4. Brgy. Dimaseset Dilasag, Aurora

Map 5. Brgy. Diniog Dilasag, Aurora

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Map 6. Brgy. Esperanza Dilasag, Aurora

Map7. Brgy. Lawang Dilasag, Aurora

Map 8. Brgy. Maligaya Dilasag, Aurora

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Map 9. Brgy. Manggitahan Dilasag, Aurora

Map 10. Brgy. Masagana Dilasag, Aurora

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Map 11. Brgy. Ura Dilasag, Aurora

As can be seen on the map shown above, 9 out of the 11 barangays have highly susceptible areas to
flooding, making the hazard assessment for general flooding in the municipality high.

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The municipality of Dilasag is a highly agricultural area with rice, corn and coconut as its main crops.
Also, people from the coastal barangays regularly engage in fishing activities as their means of
livelihood. Hence, in the event of these natural hazards identified, a great threat is pose in the
stakeholders from the socioeconomic sectors of the area. Aside from the decrease in the profit from
agricultural and fishing livelihood, consumers will be affected by the imbalance in the demand and
supply of basic commodities, goods and products in the areas affected by the calamity. Moreover,
other income-generating activities aside from the farming and fishing sectors may be halted due to
damage and absence of immediate temporary alternative solutions. Lastly, in the absence of an
organized disaster plan, search and surveillance in the communities affected may be impaired and
mortalities may be increased.

c. Earthquakes

Even if earthquakes are not commonly felt in this area, but the municipality’s close proximity with the
Casiguran Fault Line makes it a notable natural hazard. Fortunately, being in a rural community, there
are still plenty of open spaces in this area and most of the establishments present are built to a
maximum of 2nd to 3rd floor high. Also, with the current advocacy of the Government for the preparation
for the “Big One” with rampant earthquake drills, people are now more aware of the basic precautions
and guidelines on how to act during this calamity.

(Photo was taken from the http://www.phivolcs.dost.gov.ph)

BIOLOGICAL HAZARD
Biological hazards are considered hazardous substances or organisms that threaten the health of
humans and these include microorganisms, virus or toxins. Most of these biological hazards are
carried by a vector such as mosquitoes, flies or other insects or animals. These vectors transmit the

24 | P a g e
virus or other biological hazards to humans causing injury, sickness, property damage, social and
economic disruptions and death.

The most common examples of biological hazards include Malaria (for some endemic areas in the
Philippines), Dengue Fever, Meningitis, Influenza, AIDS from HIV, H5N1 virus (Bird Flu, (Ebola, H1N1
virus (Swine flu), Anthrax, Cholera, and Diphtheria.

Biological hazard assessment for Dilasag revealed that Dengue and Chikungunya Viruses are the
topmost concern. These two identified hazards are both mosquito-borne diseases and most
barangays are aware but not regularly practicing or implementing the programs called ABKD or
Aksyon Barangay Kontra Dengue and 4S, which both aims to decrease the number of mosquitoes by
improving sanitation to mass cleaning of backyards, garden and households. The program aims to
reduce mortalities and morbidities related to mosquito as vector and focuses mainly on decreasing the
breeding sites for mosquitoes.

With the good coverage of the Expanded Program of Immunization which provides herd immunity in
the community, cases of vaccine preventable diseases such as measles, mumps, rubella are usually
reduced.

TECHNOLOGICAL HAZARDS
Technological hazards identified include power outage, fire, organophosphate poisoning, and
food and water contamination.
a. Power outage or episodes of electric supply disruption is common in the municipality even
during typhoon free season. The municipality obtains its power supply from AURELCO or Aurora
Electric Company. Power outages in the absence of alternative power supply generators may affect
various sectors including health and agriculture. In the Health sector, delivery of basic health services
relying on power supply include vaccines storage, emergency cases and maternal care and delivery
services. However, the presence of Solar Panels in the rural health unit ensures the cold chain for
optimum vaccines storage, but still not enough to provide the electricity demand of the birthing facility
and RHU.

b. Fire is also identified as hazard in the municipality. In a rural setting, it is common that
houses in most barangays are made of light materials (e.g. plywood, wood, kubo) which are actually
fire-prone. Moreover, significant percentage of these houses are also located in areas with difficult
road access due to absence of wide and cemented roads. Currently, the Bureau of Fire Protection
(BFP) has one functional fire truck and in accordance to RA 9514 and its IRR, it is the responsibility of
the BFP to assign a Building Plan Evaluator that will conduct the evaluation of the submitted building
plans prior to establishment of buildings. Issuance of FSIC or Fire Safety Inspection Certificate will be
presented once Fire Safety Inspection is done.

c. Organophosphate/Chemical poisoning

Farming is the major livelihood activity of the residents in the municipality and with this regard,
Organophosphates which are the major component of fertilizers and pesticides are one of the major

25 | P a g e
risks being faced by most farmers. In using pesticides and fertilizers, registration of such products
must be ensured and must be compliant with the standards set by the Fertilizer and Pesticide
Authority or FPA. The FPA standards include: 1) quality and suitability of the active ingredient and of
the finished product; 2) bioefficacy; 3) safety to handlers; 4) safety to users/consumers handling,
packaging, labelling and disposal.
According to the Manual of Technical Guidelines in the Management of Toxic Substance Exposures at
the Field Level by Maramba et al., 2009, it is during the pesticides formulation, transport, storage, use
and disposal that the general public may be exposed to pesticides unintentionally while passive non-
occupational exposure could result from contamination of food, water, soil and air with pesticides.
The following guidelines are for Hazardous Materials or Hazmat management are lifted word
per word om Manual of Technical Guidelines in the Management of Toxic Substance Exposures at the
Field Level by Maramba et al., 2009, p50.

Hazmat Incident Planning

As with any incident, preparedness is the crucial factor for the success in managing hazmat
incidents. The important areas for preparedness are 1) incident combat, for example, plugging
the leak in cases of chemical release; 2) triage, transport and medical treatment of victims; 3)
remediation restitution and rehabilitation; and 4) dealing with uncertainties about the health
effects of the released hazardous substances.

While trained hazmat teams take care of first area and environmental engineers the third, field
responders have important roles in the second and fourth areas for preparedness.

Field responders like other public health professionals, should have well-defined roles in the
overall preparedness plan. Therefore, they should be involved in the planning processes.
Participation in planning and preparedness at the local level is expected from field responders in
the following areas:
1. Joining up with other public health professionals (doctors, nurses, paramedics, public health
specialists, firemen, policemen, environmental specialists, public officials, etc.) to create a
multidisciplinary team that will meet during the planning stages and that will respond during an
incident;
2. Networking and establishing contacts with distant specialty hospitals, poison control centers,
toxicology laboratories etc., and keeping their phone, fax and mobile numbers, and email
addresses;
3. Conducting a community risk assessment which will assess the severity of the potential
effects of a hazmat incident in the local area. This involves identification of sites of hazardous
materials, pipelines and transport routes, identification of possible incident scenarios,
identification of vulnerable populations and facilities, and estimation of the health impact of
potential incidents and the resources needed for an adequate response;
4. Conducting a baseline assessment that will measure the background levels of illnesses in a
community before an incident. This is important later on as a point of comparison to assess the
impact on health that an incident has caused;
5. Conducting a baseline environmental assessment by measuring the baseline levels of
hazardous substances in the environment before an incident occurs;
6. Liaising with the local community by meeting with representative community members and or
local chemistry industry, and involving them in disaster preparations;
7. Drawing up a public health hazardous material incident plan in close cooperation with all
agencies, specialists, communities, and other concerned organizations and individuals;
8. Establishing access to information, databases and expertise that will provide quick information
about the physical characteristics of a hazardous materials, the test, both biological and
environmental, that can be done to detect it, medical signs and symptoms, decontamination

26 | P a g e
techniques, treatment and needed antidotes;
9. Assessing the availability of adequate local and neighbouring health care facilities. An alerting
mechanism should also be developed and tested among these participating health care facilities;
10. Pursuing measures that will reduce the probability of incidents and reduce the health effects
of these incidents if ever they occur, putting in place preventive measures and regulations.

Hazmat Incident Operations

For field responders to be effective in an actual hazmat incident, they should have previously
undergone adequate training in the following:
1. Incident Command System (ICS)
2. On-site medical care using the Simple Triage and Rapid Treatment (START)
3. First aid including Basic Life Support
4. Use of Personal Protective Equipment (PPE)
1. Incident Command System
The establishment of an ICS is the first task to be done in responding to hazmat incidents to
ensure coordination among all personnel involved. It is a standardized, on-scene, all-hazard
incident management concept consisting of organizational hierarchy with mechanism of
controlling personnel, facilities, equipment, and communications.

In order to prevent disaster management difficulties, ICS is designed to be interdisciplinary,

flexible and able to:

- Adapt to any kind or complexity of incident depending on the need

- Allow personnel from various agencies to join rapidly into a common structure with
common terminologies
- Provide logistical and administrative support to operational staff
- Avoid duplication of efforts to achieve cost-effectiveness
Field responders should be familiar with the ICS in order to fit well into the disaster management
structure. To understand ICS in greater detail, readers are advised to consult other references
on the subject, such as the online training courses of the US Federal Emergency Management
Agency (FEMA) at http://training.fema.gov/IS/viewall.asp and the National Disaster Coordinating
Council website (http://nddcc.gov.ph)

2. On-site Medical Care Using START

Many lives can be saved if victims are promptly and adequately managed. Providing emergency
care within the shortest possible time aims to save as many lives as possible. In an MCI field
responder should promptly apply a triage system to all victims that will enable responders to give
the greatest good for the greatest number of people in light of limited resources. This goal of
triage in an MCI is evidently different compared to the daily emergency care. This is necessary
to optimize care for the maximum number of salvageable patients and to distinguish those who
will recover with the minimum care from those who will die despite maximal care.

Once classified, the following colored tags are placed on victims (severity or care needed, and
definitions are indicated below):

RED YELLOW GREEN BLACK

Color Tag

Severity/Care IMMEDIATE DELAYED MINOR DEAD

needed

Definition Immediate care, Urgent but can Delayed care, Victim is dead,
life threatening be delayed First Aid care no medical care

27 | P a g e
 only needed

The only medical care interventions provided at this stage are opening obstructed airways and
direct pressure on obvious bleeding body sites. Victims are then transported to hospitals and
other health facilities for definitive care. “Red” victims who would benefit most from definitive
care, and untreatable in the field, should be transported first.

28 | P a g e
3. First-Aid including Basic Life Support (BLS)

Ideally, field responders should have sufficient first-aid training to enable them to help anybody
29 | P a g e
 d. Food and Water-borne diseases. During calamities and/or disasters, it cannot be
disregarded that the quality and safety of food and water sources are also affected. In this
regard, it is the role of the sanitary inspector to conduct environmental health measures which
focus on availability and safety of potable drinking water supply and food sanitation. The
following are lifted word per word from the Department of Health Operational Manual for
Sanitation Inspectors (2006):

Availability and safeguard of potable drinking water supply. The SI shall:

a) Arrange and coordinate the provision of safe and adequate supply of drinking water;
b) Ensure the potability and satisfactory quality of drinking water by the following measures:
- Boiling: Instruct the people in the community to boil the drinking water for at least three minutes
after it reached the boiling point. Cool the water in a clean covered container to avoid
contamination
- Disinfect water in containers by means of: Chlorine compound with large chlorine contents (60-
75% available chlorine). Prepare stock solution using 1 teaspoonful of the chlorine
powder/granule in a 1 liter of water. Let the chlorine powder/granule dissolve in water. NOTE: do
not drink the stock solution. Then put two teaspoonful of stock solution for every 5 gallons or 20
liters of water and allow to stand for 30 minutes before drinking.

Emphasize food sanitation. The SI shall:

a) Store food and food materials properly to prevent contamination
b) Prepare food and food materials in a sanitary manner and should be cooked thoroughly.
c) Serving of raw food is prohibited during emergency condition. Use clean and sanitized
utensils when serving food.
d) Personal hygiene like proper handwashing with soap after defecating and before eating. Use
spoon and fork when eating. Do not use bare hands if possible.

SOCIETAL HAZARD

The most common societal hazards in every municipality include civil unrest, drug-related
violence, military/NPA insurgence, election-related violence; while, terrorist activity is
somehow not common in the region. With the recent programs set by the current
administration, the “Oplan Tokhang” and the double barrel approach of PNP, which is the war
on drugs, there were around 130 drug users who voluntary surrendered to the Dilasag Police
Station and underwent reformation activity. The Philippine Health Agenda of the Department
of Health aims to focus on addressing the heath-related problems of those who surrendered
and does not condemn them but instead treat them as a victim of drug use and habitation,
hence surrenderers where screened to identify the rehabilitation program they would need,
could be a community based rehabilitation or admission to a drug rehabilitation facility.

30 | P a g e
 Table 1. Hazard Assessment in the municipality of Dilasag, Aurora.

HAZARD SEVERITY (A) FREQUENCY EXTENT DURATION MANAGEABILTY TOTAL

(B) (C) (D) (E)

NATURAL

Typhoon 5 4 5 2 3 13

Flooding 3 3 3 3 3 10

Storm Surge 3 3 3 3 3 9

Landslides 3 3 2 1 3 6

Earthquake 3 2 3 2 3 7

Tsunami 2 1 2 2 2 5

BIOLOGICAL

Dengue 3 3 3 3 3 10

Chikungunya 3 3 3 3 4 8

33 | P a g e
Food and Water-Borne Diseases/ 3 3 3 2 4 7
Diarrhea

Measles (other Vaccine Preventable 3 1 2 2 3 5

Diseases)

Malaria 2 2 2 2 3 5

TECHNOLOGICAL

Transportation/Vehicular accident 4 3 2 2 3 8

Power Outage 3 3 3 2 3 8

Fire 2 1 2 2 2 5

Organophosphate Poisoning 2 1 2 1 1 5

SOCIETAL

Insurgencies 3 2 2 1 3 5

Drug Related Violence 1 1 1 1 1 3

Legend: 5- highest; 1-lowest| Formula (A+B+C+D) – E

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HAZARD PREVENTION PLAN
Table 2. Hazard Prevention Plan in the municipality of Dilasag, Aurora.
HAZARD STRATEGIES/ TIME RESOURCE REQUIREMENT PERSON INDICATORS
ACTIVITIES FRAME RESPONSIBLE
REQ’D AVAILABLE SOURCE

Typhoons/ Coordinate with 2017 Meeting, funds Calamity MEO ESTABLISHED

the DPWH for the coordination, Fund FLOOD
Floods/storm surge construction flood CONTROL
control system MOA SYSTEM

Conduct training Jan-June Training venue, Calamity MDRRMO, MHO Training on first
on First aid, BLS, 2017 trainer, Fund aid, BLS,
ACLS and PHEMAP and
PHEMAP among ACLS done
health personnel

Provision of 2017 Medicines, Assorted meds Calamity MHO Medicines

medicines, vaccines Fund provided,
vaccination vaccination done

Massive 2017 IEC materials Policy on Code Calamity MHO, MDRRMO Locals are aware
Information Alert Fund on emergency.
dissemination

Regular meeting Quarterly Venue, meals Minutes of

with the meeting.
emergency
response team

Earthquake/ Massive asap Policies on

Landslides Information code alert
dissemination

35 | P a g e
 Inspection of Yearly.
Building

Trainings and drills Quarterly Training venue, trainer MDRRMC, MHO, Training and drills
food, training PRC done. Evaluations
equipment and and
materials documentation.

Construction of asap funds LGU MDRRMC

evacuation
centers.

BIOLOGICAL

Dengue/ Intensify advocacy Quarterly IECs, venues MHO, LGU MHO, LGU Documentations.
Chikungunya and health and every
teaching. rainy
season

Distribution of Yearly Mosquito nets LGU/PHO PHO, MHO, LGU Mosquito nets
mosquito nets distributed.

Scheduled clean- Existing Barangay LGU, Barangay

up drives and ordinance. Council. Council.
vector
surveillance,
search and
destroy activities.

36 | P a g e
 Creation of Existing related LGU, LGU, Barangay Printed Barangay
ordinance barangay Barangay Council ordinance.
supporting the ordinance. Council
ABKD Kontra-
Dengue.

Diarrhea Intensify advocacy Quarterly IECs, venues MHO, LGU MHO, LGU Documentations.
and health and every
teaching. rainy
season

Distribution of Disinfection tabs MHO RSI Documentations.

disinfection tabs.

Distribution of Quarterly. Toilet bowls. DOH, PHO, RSI Toilet bowls

toilet bowls and LGU distributed.
Impose proper
excreta disposal.

Impose proper All year LGU, MHO RSI Established

garbage disposal. round. garbage site and
labeled garbage
bins.

Prepositioned Yearly. ORS, dextrose, MHO MHO ORS and dextrose

ORS and dextrose needles. readily available at
supplies. any time.

Measles and other Active surveillance All year PIDSR Personnel Cellphones, MHO PIDSR Personnel Daily, weekly and
Vaccine Preventable and early reporting round. laptops, zero reporting to
Diseases. internet the Disease
Surveillance Unit.

RCA and catch-up All year Vaccines, Vaccines, MHO, DOH, Nurses and Immunization
immunization. round. syringes, cotton syringes, PHO midwives. cards, TCLs,
balls, vaccine cotton balls, documentations.

37 | P a g e
 carriers, safety vaccine
boxes, ice. carriers, safety
boxes

Advocacy and All year IECs MHO Nurses and Documentations,

health teaching. round. midwives Distributed IECs.

Malaria Intensify advocacy Quarterly IECs, venues MHO, LGU MHO, LGU Documentations.
and health and every
teaching. rainy
season

Distribution of Yearly Mosquito nets LGU/PHO PHO, MHO, LGU Mosquito nets
mosquito nets distributed.

Prepositioned Chloroquine, MHO MHO, LGU Meds available in

meds for quinolone, the RHU.
prophylaxis

TECHNOLOGICAL

Transportation/ Ordinance on Ordinance from LGU SB Officials, Ordinance created.

Vehicular Accident traffic rules and Municipal SB HEMS Personnel
regulation.

Fire Ordinance on Ordinance from LGU SB Officials, Ordinance created.

building Municipal SB HEMS Personnel
requirements.

Conduct fire drill Quarterly. Instructor, venue, Trainer. LGU MDRRMC, BFP, Fire drills
and training. evaluator. MHO conducted.
Documentation.

First aid and BLS Yearly. Training venue, Trainer. Calamity MDRRMO, MHO Training on first
training. trainer, Fund aid, BLS,
PHEMAP and

38 | P a g e
 ACLS done

Organophosphate Orientation on Yearly Venue, snacks. LGU Department of Orientation done.

Poisoning handling of Agriculture Documentation.
chemicals

First aid and BLS Yearly. Training venue, Trainer. Calamity MDRRMO, MHO Training on first
training. trainer, Fund aid, BLS,
PHEMAP and
ACLS done

SOCIETAL

Insurgencies Coordination with As need MOA PNP/ safety Coordination done.

PNP arises personnel. LGU

Drug Related Coordination with As need MOA PNP/ safety Coordination done.
Violence PNP arises personnel. LGU

Symposium on Yearly. Venue, snacks. DSWD, PNP DSWD/ PNP Symposium done.
drugs and its Documentation.
effects.

39 | P a g e
 VULNERABILITY ASSESSMENT AND REDUCTION
Table 3. Identification of Vulnerable Areas per Hazard in the municipality of Dilasag.
HAZARDS AFFECTED AREAS

Natural

Typhoon All Barangays

Floods Diagyan, Dicabasan, Dilaguidi, Maligaya, Dimaseset,
Manggitahan, Esperanza, Lawang, Ura
Landslides Diagyan, Dilaguidi, Ura, Lawang, Maligaya, Dimaseset
Storm Surge Diagyan, Dilaguidi, Dicabasan, Maligaya, Masagana, Diniog
Tsunami Diagyan, Dilaguidi, Dicabasan, Maligaya, Masagana, Diniog
Earthquake All Barangays
Biological
Dengue Diniog, Masagana, Maligaya and Diagyan
Chikungunya Diniog, Masagana, Maligaya and Diagyan
Food and Water-Borne Diseases/ Diarrhea Diniog, Masagana, Maligaya and Diagyan
Measles (other Vaccine preventable All Barangays
Diseases)
Malaria All Barangays

TECHNOLOGICAL
Transportation/Vehicular accident All barangays
Power Outage All barangays
Fire All barangays

40 | P a g e
Table 4. Vulnerability Assessment for different Hazards identified in the municipality of Dilasag, Aurora.

HAZARD VULNERABLE VULNERABILITIES

AREAS

1. NATURAL

a. Typhoon All Barangays PEOPLE PROPERTIES SERVICES ENVIRONMENT LIVELIHOOD

1. Elderly, 1. Houses made 1. Brgy Health 1. Coastal areas and -Destruction of rice
Children, of light materials stations and other low lying areas near fields and vegetable
pregnant, health facilities have rivers farms
sick, PWD 2. Houses inadequate supplies
2. Residents situated at and services 2. contaminated -Fishing activities are
living at the danger zones water source prohibited
coastal ( near creeks,
areas and river banks, - Transport of
rivers coastal areas, hill 2. Health personnel goods/products will be
3. Low side) are also affected by halted due to bad
awareness typhoon weather or damaged
on calamity 3. Lack of 3. no alternative roads
alertness enough rescue mode of
and/or alert vehicles for communication when
code evacuation telecommunication
system satellites or towers
are damaged

4.Some health staff

are untrained on
emergency response

b. Flood Dimaseset, 1. Children, elderly, 1. Houses made 1.Brgy Health 1. low lying areas -Destruction of rice
Manggitahan, pregnant, sick and of light materials stations and other near river system fields and vegetable
Esperanza, PWD health facilities have farms
2. Houses inadequate supplies 2. contaminated

41 | P a g e
 Maligaya, 2. Low awareness situated at and services water source - Transport of
Diagyan, on calamity danger zones goods/products will be
Dilaguidi, alertness and/or ( near creeks, 3. endemic leptospira halted due to bad
Dicabasan alert code system river banks, in soli weather or damaged
2. Health personnel
coastal areas, hill roads
3.Displacement of are also affected by 3. Presence of
side)
affected population flood irrigation canals - Dry goods will be
3. Lack of 3. no alternative which can overlow damaged and will cause
4.Disease enough rescue mode of decrease in profit
outbreaks vehicles for communication when
evacuation telecommunication
satellites or towers
are damaged

4.Some health staff

are untrained on
emergency response

c. Landslides Diagyan, 1. Children, elderly, 1. Houses made Brgy Health stations 1.Deforested land Destruction of rice fields
Dilaguidi, Ura, pregnant, sick and of light materials and other health areas and vegetable farms
Lawang, PWD facilities have
Maligaya, 2. Houses inadequate supplies 2. Soil quality easily - Transport of
Dimaseset 2. Low awareness situated at and services become saturated goods/products will be
on calamity danger zones during heavy rainfall halted due to bad
alertness and/or ( near creeks, weather or damaged
alert code system river banks, hill 3. Some barangays roads
side) 2. Health personnel near rivers at risk of
3. Displacement of are also affected by soil erosion
affected population 3. Lack of flood
enough rescue 3. no alternative
vehicles for mode of
evacuation communication when
telecommunication
satellites or towers
are damaged

42 | P a g e
 4.Some health staff
are untrained on
emergency response

d. Storm Surge Diagyan, 1.Elderly, Children, 1. Houses made 1.Brgy Health 1. Houses situated at Fishing activities will be
Dilaguidi, pregnant, sick, of light materials stations and other Coastal areas prohibited
Dicabasan, PWD health facilities have
Maligaya, 2. Houses inadequate supplies 2. contaminated
Masagana, 2.Residents living situated at and services water source
Diniog at the coastal areas danger zones
and rivers (coastal areas 2.No alternative
mode of
3.Low awareness 3. Lack of communication when
on calamity enough rescue telecommunication
alertness and/or vehicles for satellites or towers
alert code system evacuation are damaged

3.Some health staff

are untrained on
emergency response

e. Tsunami Diagyan, 1.Elderly, Children, 1. Houses made 1.Brgy Health 1. Houses situated at 1.Fishing activities will
Dilaguidi, pregnant, sick, of light materials stations and other Coastal areas be prohibited
Dicabasan, PWD health facilities have
Maligaya, 2. Houses inadequate supplies 2. contaminated 2. Destruction of rice
Masagana, 2.Residents living situated at and services water source fields and vegetable
Diniog at the coastal areas danger zones farms
and rivers (coastal areas 2.No alternative
mode of 3.Transport of
3.Low awareness 3. Lack of communication when goods/products will be
on calamity enough rescue telecommunication halted due to bad
alertness and/or vehicles for satellites or towers weather or damaged
alert code system evacuation are damaged roads

3.Some health staff

43 | P a g e
 are untrained on
emergency response

f. Earthquake All Barangays 1. Children, elderly, 1. Houses made 1.Brgy Health 1.Houses build in the 1. Destruction of rice
pregnant, sick and of light materials stations and other congested areas with fields and vegetable
PWD health facilities have no nearby open farms and commercial
2. Houses inadequate supplies space available establishments
2. Low awareness situated at and services
on calamity danger zones 2. Electricity and Fishing activities will be
alertness and/or ( near creeks, 2.No alternative water sources will be prohibited
alert code system river banks, mode of damaged
coastal areas, hill communication when 2.
3. Displacement of side) telecommunication
affected population 3.Transport of
satellites or towers
3. Lack of goods/products will be
are damaged
4. Overcrowding enough rescue halted due to bad
vehicles for 3.Some health staff weather or damaged
evacuation are untrained on roads
emergency response

4. Health personnel
are also affected by
earthquake

2. BIOLOGICAL

a. Dengue All barangays 1.All ages 1.Poor garbage 1. Inadequate - highly populated
/Chikunguny disposal diagnostic/laboratory barangay (increase
a Fever 2.People living in services in the facility breeding site for
highly populated 2. Improper water mosquitoes)
barangays storage at home 2. poor disease
reporting
3.People lacking 3. Houses have
awareness of the no screens. 3. insufficient
disease medicines

44 | P a g e
 4. Poor health
seeking behavior

5.Non usage of
mosquito nets or
insect repellants

b. Food and Diniog, 1. Children, elderly, 1. Poor garbage 1. Inadequate Congested Food establishments is
Water-Borne Masagana, sick disposal and diagnostic/laboratory barangays and susceptible to food or
Diseases/ Maligaya and management services in the facility coastal barangays water contaminations
Diarrhea Diagyan and all 2.People living in
other highly populated 2. Improper water 2. poor disease
barangays. barangays supply sanitation reporting

3.People lacking 3.Some houses 3. insufficient

awareness of the do not have medicines
disease functional
sanitary toilets
4. Poor health
seeking behavior

5. Poor personal
hygiene

3. TECHNOLOGICAL

a. Transportatio All barangays 1. People who are No street signage Poor access to the Busy roads with no
n/Vehicular driving especially and street lights. LTFRB on licensing signage.
accident minors. the drivers.
Vehicles with no
signal lights and

45 | P a g e
 no lights.

No available
logistics in
2. Trained responding insufficient logistics
personnel on first accidents for first aid.
aid

b. Power All barangays 1. people who uses 1. Vaccine 1. Communication Use of candles and
Outage candles and refrigerators are through cellphones torches when no
torches. affected due to could be cut. electric supply.
loss of electric
supply.

2. Charging
cellphones could
be affected.

c. Fire All barangays 1. people who uses Poor Poor access to fire Use of candles and Kaingin is part of
candles and implementation stations. torches when no farming and farming is
torches. of building code. electric supply. their only way of living.

2. People who are Houses made of

practicing Kaingin. light materials.

3. Improper way to
store and selling of
petroleum products

d. Organophos All barangays 1. Communities of Poor storage of Poor access to Poor management of Farming and fishing is
phate the farming sector. poisonous poison center. poisonous chemicals the only source of
Poisoning chemicals. used in farming. income.

4. SOCIETAL

46 | P a g e
a. Insurgen All barangays 1. entire community 1. Homes and 1. health services Houses located in Transportation could be
cies government concerning different places where compromised.
infrastructure health programs: insurgencies could
Maternal, Child care. take place. Fishing, farming and
other sources of
livelihood could be
compromised.

47 | P a g e
VULNERABILITY REDUCTION PLAN
Table 5. Vulnerability Reduction Plan in the municipality of Dilasag, Aurora.
HAZARD VULNERABILITY STRATEGIES/ TIME RESOURCE REQUIREMENT PERSON INDICATORS
FRAME RESPONSIB
ACTIVITIES REQD AVAILAB SOURCE LE
LE

TYPHOON/Flood PEOPLE:

a. Extreme of -Conduct drills -specified Code alert LGU RHU, PNP, Drills
ages, too old among the evacuation system, DSWD conducted
and too young; vulnerable families centers protocols.
disabled
person -Pre-empted -rescue team, -safe E.C. -pre-emptive
evacuation; force transportation evacuation
evacuation done
LGU, - zero
DSWD, casualties
PNP

b. People lacking Provide awareness -Information Cellphone PNP, MHO -Awareness

awareness campaign or dissemination s, media, RHU campaign
campaigns provided
Activation of Code
Alert. - zero
casualties

c. Residents Relocation areas. -rescue team, LGU, -relocation/

living at low transportation
lying areas, Pre-empted pre-emptive
coastal areas evacuation; force evacuation
and near rivers evacuation done

-zero

48 | P a g e
 casualties

PROPERTY:

Houses made of light Good materials to Follow Building LGU LGU Building code
materials, lands build house, building code code implemented
relocation of the
vulnerable families

SERVICES:

a. Barangay HS a. Rehabilitati Materials for a. R MHO, MHO Services

located at low on of rehabilitation H DOH, repaired and
lying areas health U LGU, rehabilitated
and coastal facilities b.
area b. Reconstruc
b. Telecommunic tion of
ation towers telecomm
c. Roads and towers
bridges at low c. Constructio
lying areas n of roads
and
bridges

LIVELIHOOD:

A. Destruction of a. Training of Training Resource Gov’t DOLE Employment

rice fields and other materials, person, agencies available
vegetable means of funds TESDA
farms/ livelihood
unemployment
B. Fishing
activities
prohibited

49 | P a g e
 ENVIRONMENT:

Houses nearby river Pre-empted Identified E.C Evacuatio LGU Evacuation

banks evacuation n centre done

Contamination of water Disinfection of Med. Tech, Sanitary LGU, RSI, PSI Disinfection
source water source; water testing Inspectors CHD done.
provision of apparatus,
temporary drinking disinfection,
water water
containers.

Landslides/Earthqua PEOPLE:
kes

Living nearby cliffs/ Choose safer MGB Maps from LGU, MGB
mountainous area. areas to build evaluation, LGU MGB evaluation
houses done

Lack of awareness Code alert system Dissemination Code Alert DOH, Code alert
to be able to of code alert system HEMS disseminated
evacuate to safer system,
place. adaptation of
code alert
system

PROPERTY:

Damage to properties Construction of MGB Geo- MGB LCE Building

building that is personnel hazard permit issued
earthquake proof. map

50 | P a g e
 Lack of earthquake Regular Materials for MDRRMC MDRRM LGU Regular
drills earthquake drills. the conduct of earthquak C Earthquake
drills, funds e drill drill done

SERVICES:

Damage to health Repair or Funds for Blueprint LGU LCE H.F repaired
facilities reconstruction of repair of H. F,
Health facilities

ENVIRONMENT:

1.Houses build in the Relocation for the Place for LGU LGU Site for
congested areas with families in safe relocation. relocation
no nearby open space area with open provided.
available space.

2. Electricity and water Rehabilitation of Electric posts, LGU, Aurelco, Electricity and
sources will be electric post and water pipes. AURELC LGU. water sources
damaged water sources that O has been
has been rehabilitated.
damaged.

Rehabilitation of
water sources.

Provision of water
for those family
with less access to
safe water.

DHF PEOPLE:

Lack of awareness to Information Fund for Computer RHU RHU staff Information
disease entity of DHF dissemination thru dissemination s, Xerox

51 | P a g e
 printing of IEC , health machine disseminated
materials about educator
DHF

Poor compliance of Training and Med. Tech, Lab facility RHU Training done
patient to lab exam, commitment of reagents.
medication and follow- health personnel.
up check-ups Sought immediate
consultation

SERVICES:

Lack of personnel, Inventory, Inventory of Office RHU Procurement

reagents, supplies and purchase request needs supply, done
facilities on dengue and procurement personnel
control. of needed
equipment,
reagents and
supplies.

Poor control of dengue Research; updates Research Researche RHU Researched

infection on control of proposal r, done
dengue infection.
office
supplies

ENVIRONMENT:

Breeding place of Search and Implement 4 Policies RHU RSI Destruction of

dengue vector: aedes destroy, avoid o’clock habit and breeding
aegypti. indiscriminate protocols places of
fogging. mosquitoes
done.

Food and water PEOPLE

52 | P a g e
borne diseases

1. Children, elderly, Intensify advocacy All year IECs, hygiene IECs RHU, RHU People are
sick and health round kits. LGU aware of
teaching. causes and
2.People living in preventive
highly populated Implement measures to
barangays quarantine avoid these
measures in diseases.
3.People lacking crowded areas.
awareness of the
disease Provide IECs to
increase health
4. Poor health seeking awareness.
behavior
Provision of
5. Poor personal hygiene kits and
hygiene drills on
handwashing.

PROPERTIES

1. Poor garbage Ordinances on Ordinance. Municipal Municipal SB Ordinance

disposal and proper waste Toilet bowls. SB officials, created and
management disposal. Water officials. RHU. implemented.
disinfection RHU. Toilet bowls
2. Improper water Distribution of tabs. Water and water
supply sanitation disinfectant tabs testing disinfection
and water tabs provided.
3.Some houses do not chlorination. Water testing
have functional
done.
sanitary toilets Distribution of toilet
bowls to every
household.

53 | P a g e
 SERVICES

1. Inadequate Provide funding for Yearly. Ordinance on Manpower Municipal Municipal SB Ordinance for
diagnostic/laboratory water testing. water testing. for SB officials, water testing
services in the facility Year Fund for reporting. officials, RHU, LGU. created and
Designate round. additional RHU, implemented.
2. poor disease personnel on medicine. LGU. Increase
reporting reporting these Manpower for number of
types of diseases. reporting. meds. Daily
3. insufficient
reporting of
medicines Increase fund for
food and
medicines.
water borne
diseases.

ENVIRONMENT

Congested barangays Health teaching on Year IECs on RHU RSI, Nurses, IECs were
and coastal barangays how to prevent round prevention of Midwives, distributed.
water and food water and BHWs Daily reporting
bourne diseases. food bourne of food and
diseases. water bourne
diseases.
Provision of
toilet bowls

Health teaching on
List of
proper waste
Open defecation. household
disposal.
with no
sanitary
toilet.

LIVELIHOOD

Food establishments is Regular inspection All year RSI to RSI, RHU RSI, Med Food
susceptible to food or and round. conduct Fecalysis. Tech. establishment
water contaminations implementation of inspection. s are

54 | P a g e
 ordinances on Laboratory inspected and
sanitation on food procedures all food
establishment. such as handlers were
fecalysis. checked.
Intensify medical
check-up for the
food handlers.

TECHNOLOGICAL PEOPLE

Transportation/Vehic People who are driving Intensify Quarterl Ordinances Manpower PNP, PNP, RHU Ordinances
ular accident especially minors. monitoring on safe y on safe : PNP/ RHU on safe
driving. Drivers driving. RHU Staff driving.
with no license.
Strict compliance
on safe driving.

Training on first aid

among health staff Yearly
and barangay All staff Staff were
disaster council. should be trained.
trained on
first aid.

PROPERTIES

No street signage and Improve street Quarterl Ordinances Manpower LTFRB, LTFRB. PNP Ordinances
street lights. signage and y on safe road to PNP on safe road
knowledge on road signage and implement signage and
Vehicles with no signal manners. guidelines on : PNP guidelines on
lights and no lights. driving. safe driving.

Procurement Logistics were

of first aid kits

55 | P a g e
 Quarterl including None RHU RHU procured.
y/ spine board,
First aid logistics yearly cervical collar,
splints,
bandages,
etc.

SERVICES

Poor access to the Request for mobile Yearly Manpower None LTO, LTO, LTFRB Ordinance
LTFRB on licensing the registration of from the LTO LTFRB requiring the
drivers license. office that will drivers to be
issue license. licensed.

Ordinance
requiring all
vehicle
owners and
drivers to be
licensed.

ENVIRONMENT

Busy roads with no Provide signage in Yearly Proper None LGU, LGU, DPWH Signage were
signage. all roads signage in DPWH installed in the
roads to road
prevent
accidents

Fire People
a. Extreme of ages - Information - IEC - Funds DOH, LCE - IEC
dissemination of materials for BFP, materials
fire safety thru printing LGU done and
distribution of of IEC disseminate
IEC materials materials d
Property
a. Houses made of - IEC

56 | P a g e
light materials - Strict - Regular DOH, LCE materials
b. Houses and implementation inspection - Funds BFP, done and
establishments with and compliance of houses for LGU disseminate
poor compliance to fire to fire safety and printing d
safety code codes establishme of IEC - Buildings
c. Houses with faulty - Rehabilitation of nts in materials and
wirings houses and coordination establishme
wiring systems with BFP nts
- IEC inspected
materials - Houses and
faulty
wirings are
rehabilitated
Services
a. Health facilities - Regular - All health
made with light inspection facilities are
materials and with - Strict of health DOH, regularly
faulty wirings implementation facilities in BFP inspected
and compliance coordination - HFEP Health
to fire safety with BFP program facilities
codes - Funds for to identified are
- Inclusion of rehabilitatio approve included in
identified health n of health proposal HFEP
facilities to facilities s programs
HFEP program - IEC
for rehabilitation materials
Dissemination of
IEC materials

- Regular
inspection
Livelihood of
a. Establishment establishme - Regular
s made with nts in inspection
light materials coordination of
and - Strict with BFP LGU LCE establishme
b. faulty wirings implementation - IEC nts done
and compliance materials - IEC
to fire safety materials

57 | P a g e
 codes disseminated
- Rehabilitation of
establishments
- Dissemination
of IEC materials

Organophosphate PEOPLE/ PROPERTIES

Poisoning

1. Communities of the Increase Yearly IECs on None Departme Dept. of Procured IEC
farming sector. awareness about proper nt of Agriculture, on proper
proper handling handling of Agricultur RHU handling of
2. Poor storage of and storage of fertilizers and e fertilizers and
poisonous chemicals. fertilizers and pesticides pesticides.
pesticides.

SERVICES

Poor access to poison Training on poison Yearly Trainers None Identified RHU, Trained
center. management. poison MDDRMC, personnel on
centers BFP poison
management

ENVIRONMENTAL

Poor management of Increase Yearly IECs on Departme Department Procured

poisonous chemicals awareness on proper nt of of Agriculture IECs on
used in farming. proper disposal of disposal of Agricultur proper
poisonous poisonous e disposal of
chemicals. chemicals. poisonous
chemicals.

SOCIETAL PEOPLE

Insurgencies Entire community

58 | P a g e
PROPERTY

Homes and
government
infrastructure

SERVICES

Health services
concerning different
health programs:
Maternal, Child care

ENVIRONMENT

Houses located in
places where
insurgencies could
take place.

LIVELIHOOD

Transportation could
be compromised.

Fishing, farming and

other sources of
livelihood could be
compromised.

59 | P a g e
CAPACITY DEVELOPMENT PLAN/PREPAREDNESS PROGRAM
STRATEGIES/ TIME RESOURCE REQUIREMENT PERSON
RISK CAPACITY INDICATORS
ACTIVITIES FRAME REQUIRED AVAILABLE SOURCE RESPONSIBLE

b.1.Policy 1. Formulate LGU 1st qtr Copy of DOH compilation of DOH MHO LGU Policy
Protocol policies, guidelines of 2018 and National DOH policies DRRMP-H Formulated
Guidelines protocol in support Policy on committee
Development of HEPRRP base Health
on DOH Health Emergency
Emergency Mgt.
Management

2.DisseminatIon of
LGU DRRMP-H
and to other health none MHO/ HEMS Coord. Policies
sector. HEPRRP disseminated

3.Implementation
of the formulated copy of
LGU policies formulated none -do- HEMS Coord. Policy
policies MRT implemented
protocols
guidelines

1. LGU Planning
b.2. Plan Committee for
Development for Health List of Personnel HEMS Coord. Planning
Emergency identified dept. of Committee
management members of LGU organized
Planning
Committee
2. Identify roles after reference for Guidelines for CHD 3 HEMS Coord. Roles and
and functions of organiz roles & Health Functions
the committee. ation functions Emergency enumerated
done of the management- based on the
planning for RO3s Manual.
committee.
RO3 DRRMP-

60 | P a g e
 Concrete H
Convene and as HEPRRP1. HEMS DRRMP-H Plans reviewed
Review formulated needed Coord. Comm. and enhanced
plan for different
activities of HEMS.

1. Conduct training
on BLS, WASH, Training
b.3.Human ICS, Risk materials RO3/ DOH HEMS Coord. Training
Resource Communication Resource Central DOH conducted: BLS,
Development persons WASH, ICS, Risk
Venue, Funds communication
done
Upgrading of Funds, sub- MDRRMC
equipment and allotment, FUNDS
b.4. Facility communication radio am/fm HEMS Coord Equipment and
upgrading facilities of 2-way radio, communication
HEMS /DMU (OP hand-set, Facilities
CEN) digicam, upgraded.
emergency
lights, flash-
lights,
cabinets, etc.

office tables, LGU

3.Establishment of chairs, tarp Office tables, HEMS
permanent HEMS 2015 chairs, bulletin HEMS Coord. Established at
board, tarp RHU I Poblacion
MDRRMC
Fund

1. Ensure Budget
availability of funds Proposal LGU Fund for HEMS
b.5. Peso for Health July Logistic support
and Logistics Emergency 2016 MHO available
activities, response
and rehabilitation

61 | P a g e
 thru planning
(WFP, Action Plan,
APP)

2. Prepositioning/
Augmentation of
logistic support
(before or after a
disaster/calamity)

3. Procurement of
Drugs/ medicines
and
medical supplies
for Health
Emergency.
4. Funding support
for HEMS
orientation at
municipal level

1. Participate in the IEC materials,

earthquake, fire , posters
b. 6. evacuation drills leaflets, Prototypes of LGU/ PHO/ Advocacy
Advocacy 2. Advocacy on handouts, IEC materials. CHD activities done
Proper waste Yearly funds HEMS Coord
disposal and vehicles,
sanitation Resource per-
practices thru son,
Health Education, streamers,
TA tarpaulin/
3. Prevention and SARS,
control of DENGUE,
communicable/ AHINI,
infectious Things about
diseases. what to do
4. Reproduction of during
IEC materials; disasters/
Tarpaulin; calamities

62 | P a g e
 streamers, flyers,
handouts

1. Coordination Fund
and collaboration
with other agencies
b. 7. in the municipality Partnership and
Partnership LGU networking
Networking 2. Attend regular 2015 LCE/MDRRMO/ established
meeting with onward HEMS Coord.
MDRRC, s
Health partners/
stakeholders Meetings
attended

3. Participate in
inter-agency
activities related
to Health
Emergency Activities
Management participated
(drills, and kick-off
ceremonies and
other related
activity)

4. Produce
Municipal Directory
of all members of
MDRRMC
Directory
prepared

63 | P a g e
 STRATEGIES/ TIME RESOURCE REQUIREMENT PERSON
RISK CAPACITY INDICATORS
ACTIVITIES FRAME REQUIRED AVAILABLE SOURCE RESPONSIBLE

b.8. Program 1. Conduct Annuall Accomplishm Records RHU MHO/ PHN/ RSI PIR Conducted
and Program y ent report
development Implementation
Review on the
following:
a. Water,
Sanitation and
Hygiene (WASH)
b. Nutrition
Program
c. Health
Program like EPI,
MCH, Safe
Motherhood (which
can affect HEMS
Prog.)
d.Communicable/
Infectious
Diseases program
(which can affect
HEMS prog.)

b.9. Practices Documentation of 1 week Record, info Officer of

all HEMS activities after reports, MDRRMC HEMS Documentation
and Lesson activity pictures, HEMS office done
learned is statistics, etc.
conduct
ed

b.10. 1. Patient care- 1 week medicines,

Package of consultation & after drugs, LGU, DOH, HEMS Coord
Services treatment in E.C. activity medical PHO Package of
medical missions, is supplies, RP, services
& in case of mass conduct MRT, funds provided

64 | P a g e
 casualty. ed
trained MRT
2. Psycho-social on psycho-
services and social
referrals management.
3. Nutritional
supplementation- Micronutrients
G.P., Ferrous,
Zinc supplement
Iodized salt,
energy biscuits.
4. WASH-provision
of insecticide and Insecticides
chemicals for water chlorine,
testing and Hyposol,
disinfection, reagents

VIII. HEALTH EMERGENCY PREPAREDNESS PROGRAM

Hazards identified for Dilasag include Natural, Technological, Biological and Societal hazards each has its own possible risks shown in Table 1.
Capacity development plans and programs serve as basis of the LGU to effectively and efficiently respond to emergencies and disasters through managing
the identified risks.

CAPACITY DEVELOPMENT PLAN OR PREPAREDNESS PLAN

RESPONSE PLAN
STRATEGIES/AC TIME FRAME RESOURCE REQUIREMENT PERSON INDICATORS
TIVITIES RESPONSIBLE
REQ’D AVAILABLE SOURCE

Activation of the As needed HEMS personnel Mayor, MHO Members of the

organizational HEMS are
structure activated

Evacuation of the As needed Evacuation centre LGU building, LGU, private PNP, BFP Families

65 | P a g e
vulnerable families concrete houses houses evacuated

Provision of IEC IEC materials Sanitary inspector, MHO, nurses, IEC provided
for prevention and nurse, midwife Midwives, sanitary
control of disease inspector

66 | P a g e
 RESPONSE PLAN
TIMELINE MANAGEMENT WHAT WHO HOW
SYSTEMS

PRE-IMPACT

EVENTS/INCIDENTS -Activation of warning LCE Dissemination of declared

systems/code alert code alert/warning system

Notification of HEMS team

- Activation of DRRMP-H MHO

Preparation of room,
-Operation centers equipment, manpower and
activated and functional logistics of OpCen
HEMS Coordinator
Briefing orientation of
MDRRMC/BDRRMC
-Notification and briefing of
partners
MDRRMC/BDRRMC

SERVICE PROVIDERS -Medical/Response team HEMS Coordinator Briefing orientation of

notified Medical/response team

INFORMATION Information management Team Leader Preparation of recording

set up at OpCen and reporting forms,
equipment
NONHUMAN Activation of guidelines for Logistic Officers Inventory and
RESOURCES procurement, augmentation and
warehousing, storage to procurement of logistics as

67 | P a g e
 distribution of logistics
Coordination with
budget/finance officer
IMPACT (0-48 HOURS) EVENTS/INCIDENTS OpCen functional and
operational 24/7
OpCen provided
notification alerts to other
OpCens
Deployment and dispatch
of manpower and logistics
to affected areas
Updating of reports and
dissemination to
stakeholders
Updating of stakeholders
VICTIMS Assessment, treatment
and referral of
victims/patients
needed/requested
HEMS Coordinator OpCen manpower and
logistics available and
operational
Dissemination of code alert
status through available
communication facilities as
HEMS Coordinator needed
SOP on deployment of
manpower and logistics
SOP/guidelines on
reporting
Cluster, inter/intra agency
meetings conducted
MDRRMO
Medical Services Team Mobilization of response
Leader teams
Establishment of medical
post with designated areas
for triaging, treatment,
transport, staging and
mortuary with designated
personnel
Ambulance services on
standby
First aid and other life-
saving interventions
provided to direct victims
68 | P a g e
 Provision of medical care Medical Services Team Referral and conduction of
in temporary Leader victims to appropriate
shelters/evacuation facilities as needed
centers/communities
Deployment of Public
established Health response teams
Rapid Health Assessment
conducted
Internal planning and
coordination meeting for
response conducted
Coordinated mobilization
of logistics
Continuous monitoring and
evaluation and needs
assessment done

SERVICE PROVIDERS Medical services in

communities/evacuation Medical Services Team RHA teams to conduct
centers provided Leader assessment deployed
Public Health response
teams deployed
Provided health services
(general consultation and
treatment, vaccinations,
reproductive health
services,
chemoprophylaxis, health
education, promotion and
advocacy)
Referral of patients to
hospitals
Provision of patient
conduction to hospitals

Rapid WASH Assessment

conducted
Water, Sanitation and WASH Team WASH logistics, eg. water

69 | P a g e
 Hygiene (WASH) services containers, water
provided disinfectants, hygiene kits,
water testing reagents,
funds/supplies, etc.
provided
Provision/Augmentation of
safe drinking water through
mobilization of water
treatment units, water
distribution tanks, and
water storage tanks

Provision of ready-to-use
Nutrition services provided supplementary and
Nutrition Officer therapeutic food
(RUTF/RUSF)

INFORMATION
Activation of information MHO SPED reporting system
system activated

Activation of guidelines in MHO Guidelines were properly

handling of victims in implemented.
NONHUMAN evacuation centers,
RESOURCES guidelines in management
of logistics.

POST IMPACT > 48 EVENTS/INCIDENTS Provision of reports to HEMS Coordinator Recording and reporting
HOURS stakeholders forms updated

Inter and intra agency HEMS Coordinator Cluster, inter/intra agency

coordination meetings conducted

VICTIMS Management of dead and Activated the MDM plan

missing HEMS Coordinator Initiated coordination with

70 | P a g e
 other key agencies, ie. ,
DILG, NBI, PNP, DSWD,
etc
Provided logistical support
eg. Body bags, masks,
medical supplies, etc.
Provided technical support
on proper burial of victims,
SERVICE PROVIDERS sanitation considerations,
Medical care in temporary Rapid Health Assessment etc.
shelters/evacuation Team
centers/communities HEMS Coordinator Conducted Rapid Health
Assessment
established
Coordinated mobilization
of logistics, as needed
Conducted continuous
monitoring and evaluation
and needs assessment
Deployed RHA Teams to
conduct assessment
Provided health services
(general consultation and
treatment, vaccinations,
reproductive health
services,
chemoprophylaxis,

Health education,
promotion and advocacy)
Referred patients to
hospitals
Provided patient
conduction to hospitals
Augmented logistics

Provision/Distribution of

71 | P a g e
 adequate water supply for
domestic use,
Water, Sanitation and installation/construction of
Hygiene (WASH) Services toilet facilities,
provided repair/restoration of water
facilities, hygiene
WASH Team promotion from WASH
cluster members and
partners

Assisted in continuous
water quality monitoring
Aided in continuous
monitoring and reporting of
WASH activities and
services
Conducted coordination
activities regarding WASH
response
Participated in the conduct
of PDNA/DANA/DALA and
other assessments
Led in the preparation of
recovery and rehabilitation
plan
Conducted documentation
of activities

Rapid Nutrition
Assessment conducted
Provision of nutrition
logistics, e.g. Vitamin A,
multiple micronutrient
packs, ferrous sulfate and
Nutrition services provided
folic acid, MUAC tapes,
weighing scale, weight-for-
height reference table,
height board,

72 | P a g e
 breastfeeding kit
Coordinated the provision
Nutrition Officer of ready-to-use
supplementary and
therapeutic food
(RUTF/RUSF)
conduct of supplementary
feeding
Coordinate the
mobilization of nutrition
assessment teams, infant
feeding and breastfeeding
support groups
Established referral system
of severely malnourished
patients to appropriate
facilities
Conducted continuous
monitoring and reporting of
nutrition cases and
intervention
Participated in the conduct
of PDNA/DANA/DALA and
other assessments
Conducted documentation
of activities

Assisted in Rapid MHPSS

Assessment
Provision of psychotropic
medications
Coordinated the
mobilization of MHPSS
teams
Assisted in the provision of
the following services, e.g.
psychological first aid,

73 | P a g e
\ activation of community
and family support
Mental Health and systems, provision of other
Psychosocial Support specialized MHPSS
(MHPSS) services services
Assisted in the referral of
provided
cases to higher level of
care
HEMS Coordinator Conducted continuous
monitoring and reporting of
MHPSS cases and
interventions
Conducted coordination
activities regarding
MHPSS cluster response
Conducted documentation
of activities

74 | P a g e
 RECOVERY PLAN
DAMAGES STRATEGIES/ACTIVITIES TIME RESOURCE REQUIREMENT PERSON INDICATORS
FRAME RESPONSIBLE
REQ’D AVAILABLE SOURCE

Damage health Repair and rehabilitation LGU, DOH MHO Repair and
facilities of the health facilities rehabilitation of
health facilities
done

Damage houses Conduct continuous IEC Nurse, MHO, Nurse, Health education
health education for materials midwife Sanitary conducted
disease prevention and Inspector
control in the evacuation
centre

Provision of tent house tents MDRRMC, MHO, Nurse, Tent house

as temporary shelter NGOs Sanitary provided
Inspector

RISKS RECOVERY TIME RESOURCE REQUIREMENT PERSON INDICATORS

STRATEGIES/ACTIVITIES FRAME REQUIRED AVAILABLE SOURCE RESPONSIBLE
1.Lifting of the Code As soon as as needed Assigned Health Code Alert
Alert by the authorized the code Team other Local lifted
person in the municipality alert is lifted agencies
follows activation of the as long as
RECOVERY PLAN. evacuation
center is RHU Staff
existent Record book, LGU DANA and RA
camera, pen done
after 24
2.Damage Assessment and hours of the Record book,
Needs Analysis- calamity camera, pen Reports RHU Staff

75 | P a g e
a follow up of Rapid logbook of LGU DANA done
Assessment Survey. cases

3.Continuing Surveillance Reports logbook

of the following in of cases RHU Staff
evacuation centers LGU Continuous
a. morbidities surveillance
Reports logbook RHU Staff done.
b. outbreaks of cases List of AP and
(SPEED Activation) LGU PP
provision of
c. nutritional status of: Micronutrients available
0-59 mos. children micronutrients
pregnant mothers
postpartum mothers vaccination
LGU done

d. vaccination status and Vaccine, syringes

immunization of 0-59 mos. needles
children 24 hrs. after LGU
lifting of disability
code assessment
e. disabilities assessment done
managed/and
RSI or referred
4.Sanitation Promotion Bottled water, LGU
a. safe water provision, chlorine granules Safe water
disinfection and water supply provided
rehabilitation Washing and
laundry area RHU Staff
b.Hygiene Promotion toilet LGU, DOH
Sanitation
c.Proper excreta disposal insecticides& ensured and
chemicals for promoted
d.vector and rodent control 24 hrs. after rodents LGU
lifting of
code garbage bag
e. solid wastes management dumping area for
24 hrs.after wastes Psychosocial

76 | P a g e
 lifting of segregation support
code provided
5.Provision of Psycho-social trained personnel LGU
support Replenishment
Immediatel done
y after fund
6.Replenishment of drugs lifting of LGU MEO
medicine, supplies, code
disinfectants, micronutrients,
vaccines,etc. Few days Inventory done
after the
7.Inventory and assessment disaster logbook, pen
of damage equipment in the LGU MEO
health facilities
Right after Assessment
8.Asessment of damaged need done
facility and infrastructure assessment fund
is done LGU

Few days Repair done

9.Repair of facilities and fund
equipment

after the documentation Documentation

10.Documentation of all the disaster equipment: done
events/damages camera, Camera,
a. during disaster/calamity computer printer computer
b. after disaster/calamity Few days printer
after the trained health
11. Data Collection and disaster personnel/ Data collection
Reporting stakeholders done and
RHU reported
As Trained health
schedule Trained health staff
12.Monitoring and Evaluation personnel, Field
workers. Monitoring and
evaluation
done

77 | P a g e
IX. HEALTH EMERGENCY RESPONSE AND CONTINGENCY PLAN/PROGRAM
The emergency response plan of Dilasag is designed to utilize the existing capacities to deliver a quick, appropriate, and effective response to an
incident or disaster. It basically answers the how, what, why, when and where of the situation. The major components of the Response Management are: 1)
Management of the Incident/Event, 2) Management of the Victims, 3) Management of the Service Providers, 4) Management of Information System, 5)
Management of Non-human resources. During the actual response phase, the LGU HEMS coordinators must be aware of the situation and act according to
stages of the Response Phase. These are also divided into 1) Pre-impact phase (0 day or days before the impact), 2) Impact phase (0-48 hours), and 3)
Post-impact phase (>48 hours which may overlap with Recovery Phase).

CONTINGENCY PLAN
Contingency planning anticipates a new situation or a potential deterioration of a scenario emerging from specific disaster. It also analyzes potential
worst-case event, emergencies and its impact to the community; provides opportunity to analyze and exhaust all logistical, health workforce, equipment and
supply constraints and therefore plan ahead of time; provides opportunity to expand capacities as the LGU continuously experience and re-experience
disasters; and enhance preparedness of the LGU (intra-agency cooperation, collaboration and planning) for potential disaster/s.

GENERAL SITUATION
The municipality of Dilasag regularly experiences typhoons. It is therefore imperative that a worst-case scenario should be anticipated and the LGU
should be ready and prepared in terms of its capacity and ability to contain the situation.
The scenario used in this HEPRRP Contingency Planning is Typhoon/General flooding that strikes at 12:00 midnight to 4:00in the morning. Worst
case scenario includes 1) thousands or morbidities and hundreds of mortalities; 2) 80% of infrastructures collapsed including bridges and other lifelines due to
unstable grounds from flooding/washouts; 3) major roads are closed; 4) 80% of health staff are victims including the MDRRM members; 5) lack of ambulance
drivers; 6) everyone is in panic, civil unrest, food shortage and looting occurs. The scenario is unexpected and no flood warnings or even advisories were
given to barangay disaster coordinators.

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SCENARIO GENERATION AND IMPACT ANALYSIS
Table 6. Scenario Generation and Impact Analysis for a Typhoon/General flooding that hit Dilasag at 12:00 midnight to 4:00 AM.
Activities BAD
1. Description of Event -Flooding of homes, agricultural
crops, businesses and main roads
affected
-poor drainage system design
2. Effects to population (number of -Barangays near the rivers and
Families/Persons affected) bodies of water are severely flooded
-Major barangays that will be
affected.
3. Effects to human lives None
a. Missing
b. Injured None
c. Dead
WORSE
-Overflowing of irrigation
canals, rivers and main roads
impassable
-Some infrastructures
collapsed
+ several barangays
including the Poblacion area
Overflowing of Bodies of Water
None
WORST
-Flooding causes imminent danger and
forced evacuation by authorities needed
-All roads and bridges were damaged and
impassable
-School buildings, RHU were damaged
-Shutting down of all power and water
supplies
All barangays flooded
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4. Effects to properties (houses, All agricultural crops were damaged All stalls including the Totally paralyzed
agricultural crops and livestocks, (>500 hectares), vegetables (>10 marketplace were displaced
livelihood) hectares); >200 piglets, >40
fattener, >2 breeders

5. Effect to infrastructures and Lack of electricity and water supply Stores, stalls, marketplace Majority of school buildings on all barangays
facilities (lifelines) on at least 2 barangays and majority of houses were damaged; wood bridges collapsed;
submerged into water RHU, Barangay health centers + all houses
submerged and paralyzed

6. Response Capability/Capacity Assistance from LGU (food, Assistance from provincial Assistance from national, NGOs
medicines, transportation) and regional level

PLANNING ASSUMPTIONS

1. Management of congested helpline, immense workload from influx of victims

2. Information management
3. Risk communication
4. Management of lifelines including maintenance of access to affected areas
5. Management of surge in hospital occupancy
6. Command, control, coordination
7. Management of peace and order

PLANNING GROUP
See Planning Group/Committee at Part V

OPERATION PROCEDURES
1. Populations at risk will be evacuated in accordance to procedures established by the MDRRMC.
2. Priorities shall be determined prior to rescue and evacuation efforts.

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3. Rescue and evacuations shall be done as a necessity and as a major responsibility of the MDRRMC.
4. The Municipal Mayor in coordination with MDRRMC Head/ Incident Command Officer and shall call the evacuation order
5. The Chief of Police calls the shots for evacuation in the absence of the LCE or the Incident Command Officer
6. The Barangay Captains or Chairman of the BDRRMC acts as the overseer for his/her barangay/
7. Selected members of affected families shall remain in the affected areas as long as safety provides to assist and secure the community.

OPERATION PER PHASE OF RESPONSE

Response Team Deployment Process

A. Alert Phase

1. Inform all concerned units

2. Organize teams to be deployed

B. Pre – Departure /Deployment

1. Give Briefing
a. What areas are involved and what to expect in the area and give precautions
b. Reiterate tasks to team members
c. Make an activity plan with clear objectives
2. Prepare all necessary logistics for the team
a. Drugs, medicines, supplies, PPEs, etc
b. Financial needs

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3. Distribute emergency kits to be used

4. Coordinate movement with LGU and other agencies

5. Secure/distribute PPE from Supply Office

6. Arrange for transportation services

7. Provide communication equipment /cell cards

8. Provide necessary reporting forms

C. Actual Deployment
1. Proceed to assigned areas
2. Coordinate with LGU
3. Start information gathering activities
a. Secure data from LGU
b. Conduct Interviews
c. Take pictures
d. Take note of Actual observations

D. Reporting Phase

1. Consolidate data gathered

2. Prepare reports
Phase I (Preparatory Stage)

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1. Re-organization/Reactivation of MDRRMC. Municipal Health Officer to head the Health Services Team
2. Information dissemination at all levels down to barangay level
3. Undertake all necessary preparations as required in the plan.
4. Massive information drive and education campaign down to the barangay level.
5. Improvement of communication and warning system.
6. Conduct of evacuation drills and exercise.
7. Updating of contingency and evacuation plan.
8. Development of an effective disaster response at the lower level.
9. Improvement of the monitoring and feedback mechanism.

Phase II (Disaster Stage)

1. Full activation of the MDRRMC and its Disaster Operation center/s (Main: Located at the Municipal Hall of Dilasag; Other options, Barangay Health
Stations if RHU is affected/damaged/paralyzed)
2. Provision of emergency services such as relief, rescue and evacuation, transportation, emergency and general medicine care, and communication
warning.
3. Provision of timely information on actual disaster incidents.
4. Conduct of situation survey and damage assessment.
5. Close monitoring and supervision on BDRRMC for possible support and assistance.
6. Submission of reports.

Phase III (Post disaster Period)

1. Conduct MDRRMC meeting for final evaluation of the situation.

2. Determine rehabilitation requirements for disaster victims.

3. Preparation of final report.

4. Restoration, repair and rehabilitation of damaged infrastructure and agricultural crops.

5. Conduct of post disaster assessment and review the existing plan.

6. Provision of livelihood project to the affected families.

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EMERGENCY RESPONSE PLAN
Table 7. Health Emergency Response Plan for the municipality of Dilasag.
Response Resource Requirement Person
Strategies Time Frame Indicators
Time Required Source Responsible

Convening of MDRRMC and puts it on 10,000 Minutes of the

alert meeting

Activation of the Code Alert System / 10,000 Warning system Activated

local early warning system
Level of Code Alert

Activation of the Plan and setting up 10,000 Plan activated and carried out
stand-by teams/DOH reps in their
respective areas of assignment LGU Level of operation in disaster
RHU response identified
Pre-Impact 0-1 hour after MOOE MDRRM
0 hours Activation of the Incident Command entering PAR 10,000 Calamity Command officer designated
System (ICS) fund
On-site and off-site structures
Adoption of the ICS for a standardized put up
on-site and off-site all hazard incident
emergency response

Activation and management of 10,000 No. of evacuation centers

emergency OPCEN to appropriate staff identified and operated
level and activation of all primary support
agencies and places secondary support No. of reports generated by
staff-on-duty
agencies on standby.
Vulnerable and hazards
identified

Available logistics and supplies

Collecting and gathering data about the 0.00 Number of announcements

hazard/event and the possible made by the ICS/Command
effect/impact officer

Early evacuation of vulnerable 50,000 No. of evacuation centers

population groups occupied
Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)

No. of evacuees

Initiation of RESPONSE SOP for internal 20,000 LGU RESPONSE SOP for internal
and external emergencies RHU and external emergencies
MDRRM activated
Council

Immediate deployment of response team 100,000 LGU No. of personnel deployed

for rapid health assessment RHU
MDRRM No. of initial cases and
PNP casualties seen
AFP
HEMS Reports generated on availability
All other health basic needs such as food, water,
personnel and medical supplies
2-48 Hours Initiation of coordination and networking 2-48 Hours 10,000 Calamity RHU Hospitals identified and
referrals of cases, and continuing fund MDDRM coordinated with
coordination with higher and lower levels ILHZ
PHO Number of reports submitted to
PHTO higher levels
DOH RO III

Pre-hospital management of victims 500,000 RHU Triage and tagging system

Health Team implemented

No. of cases managed

Search and rescue 100,000 Search-and- No. of victims rescued

Rescue Team
PNP
AFP
BFP
CVO, CSO

Pre-emptive and forced evacuation 100,000 PNP No. of victims rescued

AFP
BFP

Public health service delivered in the 400,000 RHU No. of mental health and

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Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)
evacuation site MDDRM
Council Psychosocial support given in
ILHZ the evacuation site
PHO
PHTO No. of WASH services given
DOH RO III
No. of feeding and
nutrition given

No. of cases managed

No. of immunization and

prophylaxis given

48 hours- 1st Networking and coordination for referrals 48 hours- 1st 20,000 Calamity RHU No. of cases referred
week of case week fund ILHZ
Hospitals with MOA No. of partners identified and
PHO coordinated with
RO III
Logistics and resource management 250,000 Inventory reports generated on
(inventory of all resources for available resources, relief goods,
replacement, repair and reconstruction), medicines, water, supplies,
supplies and human resources human resources, transportation
services

No. of personnel and responders

on evacuation sites

Continuous provision of public health, No. of health lectures given to

pre-hospital services (Health, WASH, evacuation centers
Nutrition and Psychosocial services)

Information and report management 50,000 No. of evacuation centers

occupied

No. of casualties

Conduct of debriefing and Post Incident No. of debriefing/s done

Evaluation to serve as inputs to No. of proposed revisions to
enhancement of policies and guidelines
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Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)
to guide future prevention and current HEPRRP guidelines
preparation actions

Deactivation of response teams once

local health office fully functional

EMERGENCY RECOVERY PLAN

Table 8. Health Emergency Recovery Plan for the municipality of Dilasag.
Damages Recovery Time Frame Resource Requirement Person Indicators
Strategies Responsible
Required Available Source

Utilities and Damage and needs 1 week 100,000 Municipal Report on partially and
Structure assessment Engineering, totally damaged
Municipal infrastructure
Agricultural Office,
Estimated cost of
Calamity DPWH Concerned damage
fund electric
cooperatives

Water facilities Repair of damaged First 1-2 months 3,000,000 Dilasag Municipal No. of water facilities
water facilities and Agricultural Office, restored
lifelines Rural Sanitary
Water quality and
Inspector,
Testing of water availability
Municipal
quality
Engineer, DPWH

Sanitation facilities Repair of damaged 3 months 2,000,000 Rural Sanitary No. of sanitation
sanitation facilities Inspector, facilities and public
and lifelines Municipal toilets restored
Engineer, DPWH

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Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)
Health facilities Repair of damaged First 1-2 months 1,000,000 Municipal No. of Rural Health
health facilities Engineer, DOH, Units and Barangay
Barangay LGU Health Stations restored
and
Repaired

Health status Post-mortem First 6 months 300,000 RHU No. of post-mortem

evaluation PHO Evaluation done
DOH PHTO
DOH RO III

Psychosocial No. of
Intervention psychosocial
and Support support and
intervention given

Livelihood, Livelihood support First 1 year 2,000,000 DOLE No. of livelihood

livestock, poultry, CSOs restored and supported
farming, agriculture
Initiation of livelihood Municipal
training Agricultural Office No. of jobs generated
programs DSWD
No. of loan grants
awarded

No. of people trained

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Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)
CONTINGENCY PLAN
Table 9. Contingency Plan for the municipality of Dilasag for selected hazards.
Hazard Worst Scenario Planning Assumptions Needs Protocol / SOP

Typhoon and Typhoon / General 1. Management of 1. Space to accommodate 1. For activating pre-identified areas to
general flooding Flooding that strikes congested helpline, victims accommodate victims
during 12midnight to 4 immense workload from 2. Alternate OPCEN  Conversion of municipal gym into triage,
AM: 3. Equipment and collection, and treatment area
influx of victims
 Thousands of 2. Information supplies to diagnose  Putting-up tents as field clinics
morbidities and and treat patients  Use of mobile treatment vehicles
management
hundreds mortalities 4. Staff / Additional 2. For alternate OPCEN
3. Risk communication
 80% of  Conversion of Old municipal building as
4. Management of lifelines volunteers /
infrastructures
collapsed including including maintenance Outsourcing of workers alternate OPCEN
bridges and other of access to affected to manage surge of  Centralize maps and communication
lifelines areas victims devices
 Major roads are 5. Management of surge 5. Logistics and staff for 3. For medical equipment and supplies
closed in hospital occupancy info management  Dispatch essential RHU equipment to field
 70% of health staff 6. Command, control, 6. Improvisation of clinics
are victims including coordination bridges and utilization  Dispatch back-up medicine from partner
the MDRRM 7. Management of peace of parallel roads pharmacies
members and order 7. Vehicle and staff for 4. For additional health staff:
 Lack of ambulance coordination / errands  Identify and dispatch volunteers from non-
drivers 8. Staff for peace and essential offices
 Everyone is in order management  Link up with unaffected LGUs of the
panic / Civil Unrest / Interlocal Health Zone
food shortage/ 5. For info management
Looting  Centralize info to public info officer
 Link up with DILG, PDRRMC, DOH,
DSWD, DOST
6. For management of lifelines
 Coordinate with MEO on identification of
emergency routes
7. For security and order
 Coordinate with Dilasag Police, Bureau of
Fire, and Philippine Army

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Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)

X. HEALTH EMERGENCY RECOVERY AND REHABILITATION PLAN

BUSINESS CONTINUITY PLAN
Table 10. Business Continuity Plan for Dilasag.
Risks to essentials of critical Risks to critical
Hazard Operational needs Protocol / SOP
functions / services functions / services

Typhoon MANPOWER  Disruption of maternal  Space to accommodate victims -Review cold chain
Death of health and emergency and child health and  Alternate OPCEN management protocol
General flooding workers nutrition services  Maintenance of cold chain
Absenteeism with no relievers (immunization, facility
delivery, feeding)  Procure and install backup
MANSION -Backup generator turned on
 Disruption of TB- power source for birthing homes
Destruction of health facilities at specific time slots
DOTS centers  Secure safekeeping of TB drugs
 Disruption of  Ensure allocation of remaining
MONEY -Temporarily suspend direct-
Exhaustion of local budget emergency services stock for current cases observed protocol, temporarily
allocated for disasters  Disruption of  Ensure safe storage for
allow for home medication
Cash unavailable due to bank laboratory services medicines
closure  Overwhelming of  Procure essential emergency
Loss of income capacity to manage drugs in advance
patients  Procure two-way radio units that
MACHINES does not depend on cellular -First in first out (FIFO) on
Damaged medical equipment network signal dispensing of medicines to
 Establish a strong organization avoid spoilage
structure and identify the roles -Place protocols for
and responsibilities of each safekeeping of meds
member (temperature, moisture)

MATERIAL -Review protocols for proper

Destruction of medicines use of two-way radio
Stock out of medical supplies communication system
MANAGEMENT
Disruption of communication,
command, control

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Dilasag, Aurora Health Emergency Preparedness Response and Recovery Plan (HEPRRP 2017-2019)
XI. ANNEXES
Directory of Contact Person
Name of Address Head of Designation Contact
Organization Organization Number
MDRRMC Masagana, Hon. Joe P. Municipal Mayor
Dilasag, Aurora Gorospe
MDRRMC Masagana, Roy Sahagun MDRRMO 09178039563
Dilasag, Aurora
Hon. Gerardo ABC President
Serrano
Masagana, Dante DC. Boac DILG
Dilasag, Aurora
MAsagana, Jessamin T. Llave MSWDO
Dilasag, Aurora
Maligaya, April Joy B. MHO 09266999171
Dilasag, Aurora Maaliw, MD.
Maligaya, Virgilia Rinon MAO
Dilasag, Aurora
Malipampang, Carlito M. Gabriel, Municipal
San Ildefonso Jr. Accountant
Gabihan, San Monina B. Municipal
Ildefonso, Bul. Dismaya Treasurer
Karen Garcia Div.Superintendent
of Schools
PInsp. Marciano Local PNP Chief
Buencamino
Nilo Sahagun, Jr. Local BFP Chief

Legal Mandate of the DOH in Emergency and Disaster Response

Over the past two decades, the DOH has come up with salient policies and guidelines that further defined its roles and functions in disaster response
management in addition to the laws and executive orders that were passed over the same period.

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E.O. No. 102 s. 1999: “Redirecting the Functions and Operations of the DOH,” which transformed DOH from being the sole provider of health
services to being a provider of specific health services and technical assistance as a result of the devolution of basic services to the LGUs. It
tasked the DOH to serve as the national technical authority on health, one that will ensure the highest achievable standards of quality health care,
health promotion and health protection, on which the LGUs, non-government organizations (NGOs), other private organizations, and individual
members of civil society will anchor their health programs and strategies on. To fulfill its responsibilities concerning the Health Emergency
Management functions under this mandate, the DOH shall: Serve as the lead agency in health emergency response services, including referral
and networking systems for trauma, injuries and catastrophic events.
Promote health and well-being through public information and provide the public with timely and relevant information on health risks and hazards.
Assume leadership in health in times of emergencies, calamities and disasters, and system failures.

DOH A.O. No. 168 s. 2004: “National Policy on Health Emergencies and Disasters,” which prompted the formulation and implementation of a
national policy framework for emergencies and disasters for the health sector in order to decrease mortality and promote physical and mental health,
as well as prevent injury and disability on the part of both victims and responders. The AO sought to: (i) develop goals, strategies, plans and policies
for ensuring an efficient system for managing emergencies and disasters in the health sector; (ii) improve the effectiveness of DOH systems,
structures, capacities and mechanisms; (iii) build up the preparedness and response activities of both the public and private health facilities for
administering mass casualty events; and (iv) strengthen links between partner agencies and stakeholders in responding to and managing emergencies
and disasters in the country.

DOH A.O. No. 0024 s. 2008: “Adoption and Institutionalization of an Integrated Code Alert System Within the Health Sector, ” which defined the Code
Alert System that must be in place, specifically in the mobilization and deployment of resources, and described the expected levels of preparation and the
most appropriate response by all facilities in emergencies and disasters. A previous AO (No. 182 s. 2001) was issued in 2001 for the Adoption and
Implementation of the Code Alert System for DOH Hospitals during Emergencies and Disasters.

R.A. No. 10121 s. 2010: “The Philippine Disaster Risk Reduction and Management System,” which aimed to strengthen the Philippine Disaster
Risk Reduction and Management System, providing for the National Disaster Risk Reduction and Management Framework, institutionalizing the
Disaster Risk Reduction and Management Plan and the appropriation of funds. This issuance established the NDRRMC as the multi-sectoral body
overall in-charge of emergency and disaster response and management, composed of heads of the 38 member agencies/organizations including the
DOH. The RA called for, among other things, each member agency to: (i) establish a disaster office; (ii) maintain a functional operations center; (iii)
mainstream disaster risk reduction management (DRRM) in all planning activities; and (iv) orient all their employees on DRRM.

DOH A.O. No. 29 s. 2010: “Policies and Guidelines on the Establishment of Operations Center for Emergencies and Disasters,” which aimed
to provide policies and guidelines in the establishment of an Operations Center (OpCen) at all levels from the national to the local government to
ensure a well-coordinated response of the health sector. It sought to: (i) develop policies and guidelines on the establishment and management of an

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Operations Center; (ii) identify the functions of the OpCen at the different levels; (iii) set the minimum specification for the design of an OpCen and
minimum standards for logistical requirements, human resource requirements, coordination mechanisms, and relationship among Operations Centers;
and (iv) provide funds to sustain its functionality.

DOH A.O. No. 0014 s. 2012: “Policy and Implementing Guidelines on Reporting in Emergencies and Disasters, ” which aimed to provide
guidance in ensuring an effective and efficient reporting mechanism for a responsive evidence-based decision-making process during emergencies
and disasters. This enabled all reporting units at all levels of the health sector to submit timely, reliable and continuous reports of all health-related
events and to standardize reporting mechanisms at all levels for emergencies/disasters. It also aimed to ensure consistency and compliance of all
reporting units with the reporting mechanisms in emergencies and disasters.

DOH A.O. No. 0013 s. 2012: “Policy and Guidelines on Logistics Management in Emergencies and Disasters,” which set the guidelines toward
the effective and efficient management of logistics support at all levels of the health system in emergency or disaster situations. It also mandated the
DOH to take the lead in formulating policies and plans for
logistics management in emergencies and disasters and, in coordination with members of the health sector, formulate guidelines, standards, procedures and
protocols in relation to logistics management in emergencies and disasters with corresponding reporting systems and tools.

DOH A.O. No. 0014 s. 2013: “Policies and Guidelines on Hospitals Safe from Disasters,” which aimed to reduce disaster risks to ensure the
protection and the continuous operation of hospitals and other health facilities, and save lives during emergencies and disasters. Specifically, it
prepares the hospitals to address the operational challenges attendant to emergencies and disasters and to remain standing and functional by: (i)
strictly enforcing national and local government safety regulations and codes in the construction, expansion, renovation, repair and rehabilitation of
hospitals; (ii) inclusion in the hospital licensure requirements of a program for regular maintenance consistent with the most current Hospitals Safe
from Disasters indicators; (iii) subjecting hospitals to yearly self-assessments and action planning to address their structural, non-structural, and
functional vulnerabilities and capacities using the most current assessment tool; (iv) ensure surge capacity to be able to manage increased demand;
and (v) utilize, build and strengthen partnerships and networks and develop corresponding mechanisms in times of emergencies and disasters.

DOH A.O. No. 0011 s. 2014: “Policies and Guidelines on the Implementation of Surveillance in Post Extreme Emergencies and Disasters
(SPEED),” which aimed to institutionalize SPEED at all levels of health emergency and management response. SPEED as an early warning system is
vital in detecting health conditions or diseases with outbreak potential and in accessing real-time information for prompt and appropriate response.

In June 2014, the NDRRMC also prepared and issued the National Disaster Response Plan which outlined the policies, key strategies and guidelines on
response management, including the roles and functions of the different agencies. The DOH, in particular, was tasked to lead in the provision of Health,
WASH, Nutrition and Psychosocial Services.

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