HAITI. EMERGENCY REVISION OF THE 2012 CONSOLIDATED APPEAL Needs arising from the impact of Hurricane Sandy

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1 HAITI EMERGENCY REVISION OF THE 2012 CONSOLIDATED APPEAL Needs arising from the impact of Hurricane Sandy Hurricane Sandy passed to the west of Haiti October 25, 2012 causing heavy rains and winds, flooding homes and overflowing rivers.- Photo Logan Abassi UN/MINUSTAH

2 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY... 1 HUMANITARIAN DASHBOARD... 2 Table I: Requirements and funding to date per sector and projects in the Emergency Revision... 3 Table II: Requirements and funding to date per organization in the Emergency Revision CONTEXT AND HUMANITARIAN CONSEQUENCES Context Response to date Funding to date HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS CLUSTER RESPONSE PLANS Food security and Nutrition CCCM and Shelter Health and WASH Health system WASH Education CONTACTS ANNEX I: LIST OF PROJECTS ANNEX II: ACRONYMS AND ABBREVIATIONS ii

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4 1. EXECUTIVE SUMMARY Hurricane Sandy hit Haiti on 23 October. Three consecutive days of heavy rain caused severe flooding in the country, causing serious loss of life and damaging and destroying homes and public infrastructure. The Government of Haiti declared a state of emergency on 30 October. The impact of the hurricane has generated a number of critical humanitarian needs and exacerbated existing ones. Of utmost concern are the 1.5 million people living in severe food insecurity in rural areas most affected by the hurricane. This is due to the loss of agricultural land, livelihoods and harvests, and the damage to the few agricultural areas spared by this year s drought and Tropical Storm Isaac in August. Up to 450,000 people, including at least 4,000 children under the age of five are at risk of severe acute malnutrition as a result. With harvests destroyed in most of the country, the entire country s food security situation is threatened. The hurricane also destroyed at least 6,274 houses and damaged a further 21,427 according to the Haitian Directorate for Civil Protection (DPC). Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodation, while 2,949 are still living in 18 hurricane shelters where they took refuge during or after the storm. Hundreds of public buildings and facilities including cholera treatment facilities, hospitals and schools were destroyed, and infrastructure, notably potable water networks, suffered significant damage. New cholera outbreaks in the coming weeks and months are feared as a result. In addition, roads and bridges were destroyed or badly damaged; river banks collapsed, washing away arable lands Haiti Consolidated Appeal Emergency Revision for Hurricane Sandy Duration October 2012 December 2012 Affected population Areas targeted by Emergency Revision Key sectors for response Key target beneficiaries (approximate figures) Total additional funding requested for this Emergency Revision An estimated 2 million people 92 out of 140 communes in the South, South-East, West, Artibonite (mainly north), Northeast, Centre and Grand Anse Departments Food Security & Nutrition CCCM &Shelter Health & WASH Education 426,000 for food, agriculture, and nutrition 10,000 for health 22,674 for shelter 750,000 for WASH 50,000 for education Beneficiaries of this Emergency Revision $23.2 million 1.26 million people Assessments indicate that the new needs arising from Sandy will require US$ million in additional funding over 2012 and Of this, $23.2 million will be required to finance the first phase of the response until the end of the year, which is outlined in this Emergency Revision of the 2012 CAP. This first phase will immediately address the critical needs of 1.26 million people in food security and nutrition, shelter, health, WASH, and education. This brings the 2012 CAP's overall revised requirements to $151,080,810, and leaving unmet requirements of $95,344, All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to the Financial Tracking Service (FTS, fts@un.org), which will display its requirements and funding on the current appeals page. 1

5 HUMANITARIAN DASHBOARD 8.9m 22% 2

6 Table I: Requirements and funding to date per sector and projects in the Emergency Revision Consolidated Appeal for Haiti 2012 Emergency Revision for Hurricane Sandy as of 10 November Compiled by OCHA on the basis of information provided by donors and appealing organizations. Sector Original requirements Revised requirements Funding Unmet requirements % Covered Uncommitted pledges A B C D=B-C E=C/B F AGRICULTURE 8,000,000 5,610,354 1,106,821 4,503,533 20% - CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER 2,520,574 8,560,946-8,560,946 0% - EDUCATION 1,300,000 1,767, ,320 1,113,105 37% - FOOD AID - 5,565,000-5,565,000 0% - HEALTH 3,543,286 2,383, ,945 1,816,378 24% - NUTRITION 5,679,249 6,256,469 2,086,249 4,170,220 33% - WATER, SANITATION AND HYGIENE Total Emergency Revision projects 7,273,860 9,852,448 3,780,397 6,072,051 38% - 28,316,969 39,995,965 8,194,732 31,801,233 20% - Haiti CAP non-revised projects 202,227, ,084,845 47,541,984 63,542,861 43% 612,745 Grand Total 2012 CAP 230,544, ,080,810 55,736,716 95,344,094 37% 612,745 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: Pledge: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 3

7 Table II: Requirements and funding to date per organization in the Emergency Revision Consolidated Appeal for Haiti 2012 Emergency Revision for Hurricane Sandy as of 10 November Compiled by OCHA on the basis of information provided by donors and appealing organizations. Appealing organization Original requirements Revised requirements Funding Unmet requirements % Covered Uncommitted pledges A B C D=B-C E=C/B F ACF - 700, ,000 0% - ACTED - 845, ,000 0% - ActionAid - 200, ,000 0% - AMECON , ,000 0% - CARE USA - 603, ,004 0% - CRS - 1,000,000-1,000,000 0% - FADA - 601, ,975 0% - FAO 8,000,000 4,500,000 1,106,821 3,393,179 25% - FHED-INC - 191, ,555 0% - HI - 353, ,813 0% - IOM - 3,220,385-3,220,385 0% - Malteser International 430, , , % - OPREM-F - 400, ,000 0% - Solidarités - 100, ,000 0% - UN-HABITAT - 236, ,000 0% - UNICEF 14,253,109 14,030,036 6,520,966 7,509,070 46% - UNOPS 4,433,456 5,124, ,855 4,924,319 4% - WFP - 5,883,000-5,883,000 0% - WHO 1,200, , , ,933 16% - WVI - 350, ,000 0% - Total Emergency Revision 28,316,969 39,995,965 8,194,732 31,801,233 20% - NOTE: Contribution: Commitment: Pledge: "Funding" means Contributions + Commitments + Carry-over the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) 4

8 HAÏTI CAP EMERGENCY REVISION (HURRICANE SANDY) NOVEMBER CONTEXT AND HUMANITARIAN CONSEQUENCES 2.1 Context Although Haiti was not directly in Hurricane Sandy s path, the storm triggered heavy rains and severe flooding in the West, South, Grand Anse, Nippes and South-East Departments. Of the country s 140 communes, 70 were affected by the storm. Water levels are receding, but several areas remain inaccessible due to damaged bridges and highways. Haitian authorities and humanitarian actors were quick to respond to the needs identified. To date, assessments have been carried out in all affected communes and departments. Distributions of mattresses, sleeping bags, hygiene kits and food rations have been carried out (see Response to date, below). TS Sandy s Hurricane Sandy s Impact impact (as of October 2012) Port-de-Paix NORD-OUEST Cap-Haitien Fort-Liberté NORD Blocked road reported NORD-EST Gonaives Landslide areas Areas affected by TS Sandy ARTIBONITE Road Hinche CENTRE Jérémie Port-au-Prince Miragoane GRANDE -ANSE OUEST NIPPES SUD SUD-EST Cayes Jacmel Although main ports, airports, fuel storage facilities and electricity plants were spared major damage, there are serious concerns regarding key parts of the road network. Humanitarian organizations have sufficient transport and storage capacity, but road access to certain affected areas of the southern peninsula (Grand Anse and South Departments), near the Dominican border (Fond Verrets in West Department) and in Baie D Orange and Mapou in the South-East Department remains limited. In particular, it is paramount that a quick and stable solution is found for the repair of the Port au-prince to Malpasse road, one of the main arteries of the country.2 2 Infrastructure repair falls outside the scope of this appeal but international partners are encouraged to continue supporting the Ministry of Public Works (MoPW) to continue their quick road repair. Road repairs will also contribute in resuming the normal flow of economic exchanges and in facilitating market access for farmers. 5

9 Bridge destroyed in Arcahaie (West) Road destroyed by the rising of sea water in the South department 2.2 Response to date The Haitian Government released an emergency budget allocation of HTG 350 million ($8.4 million) for immediate life-saving response while humanitarian partners also provided assistance (see further details below). However, in-country resources are increasingly strained. For humanitarian partners, severe underfunding of the 2012 Consolidated Appeal has reduced emergency response capacity in the country. Many of the critical needs resulting from the devastating passage of Sandy cannot currently be met. The table below reflects a number of interventions by the international community in support of Government response efforts: Cluster/Sector CCCM/ Emergency shelter Food Security and Nutrition Preparedness activities Activities 224 camps, comprising 64,812 families (69% of the camp population), were sensitized on preparedness specifically for Hurricane Sandy. All camps sensitized on hurricane preparedness in general since the beginning of the hurricane season. 18 partners supported emergency activities in camps before and after the storm (type of activities: sensitization, evaluations, non-food item (NFI) support, response intervention). Coordination of assessments 300 camps, hosting 73% of the camp population, were contacted by telephone for initial assessments. Field evaluations conducted of 184 camps in order to verify the initial telephone assessments. Findings of field evaluations (as of 4 November 2012) camps (21% of the existing camps), housing 39,811 families, affected by the rains reporting mostly flooding, health-related issues, damages to water, sanitation and hygiene (WASH) and shelter facilities of the camps affected by Sandy were also affected by Isaac. - At least 5,200 emergency shelters, housing 21,840 people, in 88 camps, were destroyed or seriously damaged by the storm additional families identified as in need of NFI and cholera-related items. Emergency response in camps 8,134 tarpaulins distributed as of 4 November, representing 65% coverage of urgent needs; remaining shelter needs will be covered in the following weeks. Distribution of cholera-related items in 51 camps. Distribution of emergency food kits and High Energy Biscuits (HEBs) in temporary shelters reached more than 15,000 people (South, Nippes, South-East, West, Artibonite, Nippes and North-West Departments). 5.6 metric tons (MTs) of HEBs and 0.74 MTs of mixed commodities distributed via World Food Programme (WFP) and partners such as International Organization for Migration (IOM), Catholic Relief Services (CRS), CARITAS, Directorate for Civil Protection (DPC), Haitian Red Cross. Food kits have been provided by CRS, World Vision International (WVI), DPC, Ministry of 6

10 Social Affairs. Technical and logistical support provided to the Government to enhance monitoring of the nutritional status of children under five. Eight tents provided to replace severe acute malnutrition (SAM) treatment centres. Vitamin A capsules and de-worming tablets as well as technical and financial support provided to the Government for children under five. Health Evacuation of patients from the Immaculate Conception Hospital in Camp Perrin in the South Department. Handicap International (HI) donated two tents to replace a cholera treatment centre in the Nippes department. World Health Organization (WHO) field teams deployed in 10 departments to evaluate the number of cases appearing after the storm. WASH Evaluation of WASH needs in 71 affected communes out of 72. Distribution of more than 11,000 hygiene kits for all highly vulnerable families (those who have lost all their items). Provision of water and sanitation in 30 emergency shelters out of 136. Hygiene promotion campaigns targeting all highly vulnerable families and neighbourhoods. United Nations Office for Project Services (UNOPS) cholera response teams have reached through mass sensitization of 3,031people and 1,222 door-to-door sensitizations since Sandy. Education 100 school tents for 8,000 students to be distributed to enable damaged schools to continue functioning (ongoing). Logistics Mitigation Government of Haiti 40,000 affected students lost materials will be replaced by United Nations Children's Fund (UNICEF) ongoing school kit distribution. International Federation of Red Cross and Red Crescent Societies (IFRC) carried out three reconnaissance flights in the affected areas. United Nations Stabilization Mission in Haiti (MINUSTAH) assistance to assessment teams through special helicopter flights. UNOPS support to the Ministry of Public Works to mitigate additional flooding risk in the areas of 4th Avenue, Carrefour (Zone de Mariani) and Cité Soleil. Actions taken: canal cleaning; water passages to stop houses from flooding, and debris removal. A needs evaluation in the metropolitan area of Port-au-Prince and in the South Department was carried out; various areas at risk of flooding and major infrastructure damage in roads and bridges were identified. HTG 350 million ($8.4 million) allocated for assistance to the affected population. Distribution of 36,800 food parcels and 20,000 food kits by the Prime Minister s office. Cholera treatment supplies were provided by the Ministry of Health in Artibonite. Delivery of 25,000 hot meals and 40,000 bottles of water. 61,000 emergency vouchers will be distributed. 2.3 Funding to date As of 10 November, humanitarian funding received against the 2012 CAP stood at $55.7 million representing only 37% of the critical humanitarian requirements identified. Shortfalls in humanitarian funding throughout 2011 and 2012 have reduced response capacities to the extent that there is insufficient capacity under current conditions to meet the additional humanitarian needs resulting from Hurricane Sandy. This Emergency Revision seeks to mobilize additional funding needed to meet these requirements. The Emergency Relief and Response Fund (ERRF) for Haiti remains open and may serve as a channel to allocate contributions against this appeal. Appeal projects for cholera response will be targeted for ERRF allocations. ERRF contact Salvator Bijojote salvator@un.org Tel:

11 3. HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS The hurricane has generated a number of critical humanitarian needs. The impact on the agricultural sector is a priority. In August, Tropical Storm Isaac destroyed some 40% of the harvest, compounding the effect of drought earlier in the year. Sandy then devastated agricultural lands in the south that Isaac had not affected, with over 90,000 hectares of agricultural land and crops in at least 60 of the country s 140 communes destroyed. 3 The combined impact is alarming, with 1.5 million severely food insecure, and up to 450,000 people, including at least 4,000 children estimated to be at risk of severe acute malnutrition (SAM). Department Destroyed houses Damaged houses Grande- Anse 2,386 3,492 Sud-Est 1,299 4,522 Sud 1,062 8,995 Nippes 1,037 2,242 Ouest 443 1,788 Artibonite Nord-Ouest A second area of concern is shelter. According to data collected by the DPC, 27,701 homes were either damaged or destroyed (see table). Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodations, while 2,949 are still living in 18 hurricane shelters. Another 5,298 earthquake-displaced people in camps were also left homeless by Sandy and are in the process of being assisted with emergency shelter distributions. Centre Nord Nord-Est TOTAL , ,427 A number of critical public buildings and infrastructure were severely damaged by the storm. As of 31 October, 150 schools were destroyed or damaged, resulting in 100 schools being closed and which will require assistance to reopen. This affects an estimated 20,000 children. Health structures were also affected: 22 cholera treatment facilities were destroyed by Sandy, in addition to the 39 facilities damaged by Tropical Storm Isaac, which have not yet been repaired. 30 potable water supply systems were also damaged, affecting 830,000 people. An increase in cholera cases is being reported in the South and South-East Departments and there are fears of further outbreaks. Mitigation and clean up works will be required in camps, hurricane shelters and affected areas to reestablish decent living conditions 3 Government of Haiti, Situation report No 8. 8

12 4. CLUSTER RESPONSE PLANS 4.1 Food security and Nutrition Losses caused by Tropical Storm Sandy in the agricultural sector are estimated at $104 million. According to the National Committee for Food Security (CNSA), 1.5 million people in facing severe food insecurity, due to the loss of crops and livelihoods; at least 4,000 children under five are at risk of severe acute malnutrition. Immediate interventions required include prompt food rations to most affected populations; cash/food for work for households at highest risk of food insecurity; voucher distributions for the most vulnerable (disabled, elderly, etc.); key nutrition interventions for victims of severe acute malnutrition as well as for children at risk of malnutrition; and provision of agricultural inputs to allow immediate re-planting. Background and needs analysis The combined impact of the drought earlier in 2012, Tropical Storm Isaac, and now Hurricane Sandy on the food security situation in Haiti has been devastating, with 1.5 million people, in 92 out of the country s 140 communes, facing a situation of severe food insecurity. 4 5 This situation led the Government to decree a state of emergency on 30 October.. Maize farm completely flooded in Les Cayes (Sud) - Banana farm flooded in Jeremie (Grande-Anse) Evaluations carried out after the drought and Tropical Storm Isaac revealed that almost 50% of communes, or 2.5 million people, were affected by food insecurity. Of these, an estimated 900,000 people are severely food insecure. With the impact of Sandy, this number has increased to 1.5 million. There have been significant reductions in the availability of local food products, with consequent significant price increases (200% price increase in some communes were registered at the end of September 2012 compared to the prices in September 2011). By end of October 2012, corn production had declined by 42%; sorghum and rice by 33%; bananas by 37%; potatoes by 22% and vegetables by 6%. Commercial production of coffee, bananas, avocadoes, mangoes and oranges has 4 National Committee for Food Security (CNSA) 5 A rapid food security assessment is on-going in the districts affected by Hurricane Sandy under the leadership of the CNSA. 9

13 also been severely affected. This has resulted in a greater dependence on imported food products and increasing vulnerability to international price fluctuations. Worsening an already serious situation, Sandy hit the few remaining productive areas in the country. The total losses are estimated at $104 million, mostly in the agricultural, fishing and pastoral sectors. The departments of Grand Anse, Nippes, the South, the South-East, the West and the North-East are identified as being the most affected areas, however the food crisis will affect the entire population. As a direct impact of the combined effects of the drought, Isaac and Sandy, the population in affected areas is facing a triple threat of decreased job opportunities, reduced access to food and less agricultural land to cultivate for the coming harvest season. Most vulnerable households have depleted food stocks, at a time when the next harvest season is still months away (June 2013). Dry season and TS Isaac priority areas, prior to Sandy The household survey carried out in September 2012 by the CNSA found that up to 57% of rural households were severely food-insecure. 6 There is a high probability that households in areas affected by the drought and by Isaac and Sandy are not meeting their basic calorific requirements. A worrying deterioration of the nutritional status for the most vulnerable (children under five, lactating/pregnant women, the elderly and disabled, people living with AIDS) is likely. Preventive measures are therefore increasingly urgent. Households interviewed prior to Sandy, in September-October 2012, were already relying on negative coping mechanisms such as the sale of productive assets, increased wood cutting to produce charcoal (especially fruit trees), increased dependency on credit for food purchase, decreased number and quality of meals, reduction in school enrolment, and increased migration to urban areas. Nonagricultural employment opportunities are even more limited than before, in particular in rural areas. In addition, the fishing community has also been badly affected by Sandy. 6 National Study on Food Security 10

14 Food Security response plan Objectives Results expected Key activities Beneficiaries Ready to eat food to support households in temporary shelters. Emergency food aid to support worst affected families who lost their homes (totally/partially destroyed/badly affected). Immediate cash / income safety net provided to worst affected rural households. Improved food consumption over assistance period for targeted emergency-affected households in temporary shelters. Improved food consumption over assistance period for targeted emergency-affected households. Strengthened food purchasing power over assistance period for targeted emergency-affected households at risk of falling into acute hunger due to loss of income. Support to rehabilitation of key infrastructure for the poor rural farmers. Distribution of HEBs and food kits. Provision of in-kind food assistance in the form of dry rations - each covering 21 days for a family of five people. Cash/FfW activities in the form of high Intensity labour programmes. Assets to be rehabilitated identified and prioritized with local communities. 15,000 people (3,000 families) 100,000 people (20,000 families) 90,000 people (18,000 families) Immediate unconditional assistance to most vulnerable populations (status based: handicapped, disabled, elderly, etc.). Adequate food consumption over assistance period for targeted emergency-affected households at risk of falling into acute hunger. Provision of unconditional vouchers/cash for worst affected people who are already extremely vulnerable (handicapped, elderly, etc.). N/A Improve the food security situation of affected families through agricultural production. 20,000 emergency-affected households at risk of falling into food insecurity have access to agricultural inputs and produce their own food. Provision of agricultural materials (seeds and tools and small scale livestock) through vouchers. 100,000 people (20,000 families) 11

15 Nutrition response plan Objectives Results expected Key activities Beneficiaries Prevent child malnutrition and treat severe acute cases effectively Prevention of a nutrition crisis through targeted supplementary feeding and preventive nutritional support. Children under five suffering from SAM have access to timely and effective care. Pregnant and lactating women have access to 16 counselling on optimal infant feeding practices. Children under five and women have access to essential micronutrients. Children suffering from diarrhoea receive adequate treatment. Health and community workers capacity is strengthened to ensure effective delivery of services. Improved nutritional status of targeted children 6 59 months and of pregnant and lactating women, through targeted supplementary feeding/preventive support. Conduct early identification and referral of children with SAM. Ensure availability of essential commodities and equipment, including information education and communication (IEC) tools. Organize training sessions for health and community workers. Organize 16 counselling sessions for lactating women. Distribute micronutrients to children and women. Nutritional preventive support and targeted supplementary feeding to treat moderate acute malnutrition among children aged 6 59 months and pregnant and lactating women as well as tuberculosis (TB) and antiretroviral therapy (ART) patients. 1,000 children under five for SAM 12,000 children under five for diarrhoea 8,300 children and 25,000 women for micronutrients 100,000 people (including children under five and pregnant and lactating women) 12

16 4.2 CCCM and Shelter Hurricane Sandy destroyed 6,274 houses and damaged a further 21,427 according to the DPC. Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodations, while 2,949 are still living in 18 hurricane shelters. Of these, at least 2,300 are unable to return to their place of origin because their houses and/or lands have been destroyed by the storm. Immediate Shelter and CCCM interventions will include: the distribution of repair and reconstruction kits, technical support and training, restocking of non-food items (NFIs), the provision of basic essential services for the 2,949 people still living in evacuation shelters, and mitigation and disaster risk reduction (DRR) works in affected areas. Background and needs analysis 1. Housing sector A thorough field assessment conducted by E-Shelter and CCCM Cluster partners will be required to verify the damages estimated by the DPC at the time of the initial rapid assessment and to determine whether reconstruction and repairs can take place, whether mitigation and DRR works are needed and/or whether relocation options are available. Once the assessments are completed, E-Shelter and CCCM Cluster partners will proceed with the distribution of repair and reconstruction kits, accompanied by technical support, training and communications tools to promote a safer and sturdier reconstruction and repair process. In some cases, particularly in rural areas, it transitional shelters may be necessary, and in urban areas rental subsidies may be required. The Shelter support strategy will need to maintain a certain level of flexibility to adapt to the evolving needs on the ground. Partners will seek to integrate Shelter assistance with livelihood, agriculture and WASH activities. Damaged house in Marfranc /Jeremie (Grand Anse) 13

17 2. At risk camps Heavy rains generated important flooding in camps causing the destruction of thousands of dwellings and tents. Overall, 5,200 emergency shelters were destroyed in 88 camps. 78 out of the 115 camps affected by Sandy were also affected by Isaac. Camps affected by ISAAC (218) Camps affected by both storms (78) Camps affected By SANDY (115) Source: IOM To minimize the number of vulnerable IDPs exposed to floods and landslides the 115 camps identified by Government as being most at risk will be prioritized for return projects, particularly using the rental subsidy approach. Immediate needs in camps include: (1) re-stocking contingency NFIs to replace those distributed after the two storm crises in 2012 (Isaac and Sandy) and (2) mitigation and DRR works in and around the most affected camps and areas of return, to ensure safe living conditions. 3. Evacuation shelters Department People in hurricane shelters Number of hurricane shelters operational West 2, South-East Total 2, A preventative evacuation of 19,000 at-risk people was organized by national authorities as Hurricane Sandy approached (this number included 1,250 extremely vulnerable IDPs evacuated from at-risk camps in Port-au- Prince). As of 31 October 2012, 2,949 individuals remain in 18 evacuation shelters scattered across the West and South-East departments, according to information provided by the DPC. Of these, 2,298 people (78%) are believed to be without return solutions, as their houses and/or land were washed away by the floods. These people are in need of immediate basic assistance including NFIs, clean water, basic sanitation and hygiene items. They will also need shelter assistance to return to their communities of origin or relocate to a new area. 14

18 Shelter and CCCM response plan Objectives Results expected Key activities Beneficiaries Immediate humanitarian assistance to 11,274 families who had their houses lost or destroyed Basic services for families in evacuation shelters (duration: two months) Small mitigation works Replenishment of contingency stocks 11,274 families who had their homes destroyed or damaged receive host family support, cash grants for reconstruction and/or rent, construction of shelters 2,949 people in evacuation shelters receive basic services (duration: two months) Essential small mitigation and clean up works in camps and areas and neighbourhoods badly affected by the storm are carried out Contingency stocks for 9,000 families are replenished Provision of host family support, cash grants for reconstruction and/or rent, construction of shelters Provision of essential NFIs, shelter maintenance, security, WASH and health-related services Cash for work, provision of basic tools, equipment and machinery to support the beneficiaries if required Hygiene and kitchen kits, tarps, mosquito nets etc. are provided for stocks 11,274 families (approximately 56,370 people) 2,949 people (approximately 580 families) N/A 9,000 families (approximately 45,000 people) Total beneficiaries 20,854 families 15

19 4.3 Health and WASH Increased numbers of cholera cases are being reported in various areas in the aftermath of Sandy while response capacities are limited. 22 cholera treatment facilities were destroyed by the storm. Damage to 30 potable water supply systems is a further concern. Immediate interventions required include the rehabilitation of the 22 damaged cholera facilities, the pre-positioning of medical stocks to treat 10,000 potential victims and the rehabilitation of the 30 water supply systems. Background and needs analysis Health system Despite a significant decline in the incidence of cholera infections and fatalities in 2012 the cholera epidemic continues and the risk of outbreaks remains acute. With the passage of Tropical Storm Isaac and now Hurricane Sandy, several new outbreaks have been recorded by the national alert system, creating a spike in new cholera cases and fatalities. Between 28 October and 8 November 3,593 new cases of cholera were recorded. This is against a backdrop of previously increased infection rates: 8,228 cases of cholera were recorded in October, in comparison to 7,500 in September. Some isolated areas in the country have been difficult to reach due to flooding following Hurricane Sandy. Aerial transportation has been needed to respond to localized cholera outbreaks. The increase of patients in treatment centres has required a draw-down of pre-positioned medical supplies in government warehouses at departmental level. New materials are urgently needed to replenish stocks to respond to continuing anticipated caseload and outbreaks. Hurricane Sandy destroyed 22 cholera treatment facilities in the South, South East, Grand Anse and West Departments. This compounds the difficulties caused by the prior destruction of 39 facilities by Isaac, which had not yet been repaired. Exacerbating response challenges, over recent months there has been a sharp decrease in the number of international actors involved in the cholera response, while Government capacity to respond to cholera outbreaks faces important limitations. Thus, immediate financing is required for humanitarian partners to fill critical gaps in response. Les Cayes Hospital inaccessible as a result of flooding 16

20 WASH The 2,298 people still living in emergency shelters are in need of clean water, basic sanitation and access to basic hygiene items. the National Directorate for Potable Water and Sanitation (DINEPA) and WASH partners distributed approximately 4,000 hygiene kits to these people and are providing WASH services in 30 out of the 136 emergency shelters. Damage to WASH infrastructure has been identified across the country, with 30 water supply systems were damaged throughout the South, Grande Anse, Nippes and West Departments. In a country lacking basic sanitation of sewage infrastructure, these systems are in need of immediate rehabilitation. Works will be implemented by DINEPA, with support from the UNICEF and other WASH partners. The drastic reduction in safe water coverage after Sandy as a result of the destruction of these water supply systems sharply increases the risk of exposure to water-borne diseases. The localized outbreaks of cholera cases reported so far attest to heightened risks. Immediate measures are needed to protect and restore drinking water sources and to improve sanitation, as well as to restore damaged and destroyed cholera treatment facilities. In addition, both for short-term shelter solutions and in housing reconstruction, ensuring access to latrines and other basic sanitation facilities is essential. Additional contingency stocks are urgently required to deal with cholera outbreaks and emergencies for the remaining weeks of the hurricane season and to replenish severely depleted stocks. Finally, immediate support to the WASH Sector information management and coordination capacities of DINEPA has to be maintained. Source: Ministry of Public Health and Population (MSPP) 17

21 Health response plan Objectives Results expected Key activities Beneficiaries Increase capacities to respond to new cholera cases damaged cholera treatment facilities are rehabilitated, including 22 affected by Sandy and 39 affected by Isaac. - 17,000 new potential cholera cases can receive treatment. - Support to the reconstruction of 61 damaged cholera treatment facilities. - Support Ministry of Health in integrating cholera centres into the public health system. - Support affectedcholera treatment facilities through distributions of key materials, mainly in areas with no or difficult access. - Provision of medical materials for about 10,000 potential cholera cases, and pre-positioning of stock in risk areas. - Support the Pan-American Health Organization (PAHO) alert mechanism to coordinate the response at department level and the epidemiological monitoring of the health situation through its field teams. - Improving the water and sanitation situation in cholera treatment facilities. - Health promotion campaigns in affected communities. 10,000 people WASH response plan Objectives Results expected Key activities Beneficiaries Mitigate cholera and other waterborne diseases amongst populations affected by Hurricane Sandy. Access to safe WASH is improved for all populations affected by Hurricane Sandy. - Detailed assessment of cost of repair of WASH infrastructures damaged by Hurricane Sandy. - Rehabilitation of 30 water supply systems. - Decontamination/ repair of water sources and wells. 750,000 people - Desludging, maintenance and rehabilitation of latrines in flooded public buildings and emergency shelters. Technical support to affected families to access sanitation. - Provision of emergency response supplies (hygiene kits, jerry cans, etc.). - Hygiene and sanitation campaigns and distribution of hygiene promotion material. Reinforcement of emergency capacities to coordinate and respond to Hurricane Sandy. Reinforcement of coordination and information management in the WASH Sector. - Reinforcement of the capacities of the National Observatory and Emergency Response Department of DINEPA through coaching. - Support to coordination. Nationwide - Reinforcement of SISKLOR SMS water quality monitoring system. 18

22 4.4 Education Hurricane Sandy had a severe impact on basic public infrastructure: aside from health and water facilities, 150 schools and several key roads and bridges were damaged or destroyed. An infrastructure recovery response plan is being developed by the Government and will be released shortly. Background and needs analysis Number of schools destroyed or damaged Department Destroyed Damaged Grand Anse South-East South 9 20 Nippes 7 18 West 0 20 Total The storm caused significant damage to public and private schools in southern Haiti, many of which were constructed in a makeshift manner using basic materials including tarpaulins and banana leaves. The initial Government assessment report suggests that more than 100 permanent or semi-permanent schools were damaged and more than 50 light structured schools were destroyed (see table). Where school infrastructures were not damaged, flooding damaged the teaching and learning materials of more than 500 schools throughout the country. The majority of affected rural schools do not have water and sanitation facilities exposing students and teachers to cholera risks. A flooded school in Les Cayes (South Department) The Ministry of Education and its partners have proposed a two-fold response strategy: Immediate: repair damaged schools and set up temporary learning spaces with temporary measures, using tarpaulins, tents and tin sheets, targeting the schools which have not been able to re-open or properly function. Medium-term: rehabilitate the destroyed schools with light-structured temporary learning schools in order to better resist cyclones. 19

23 Education response plan Destroyed temporary school structures in South-east Objectives Results expected Key activities Beneficiaries To support the continuation of schooling in a safer environment for approximately 50,000 students whose schooling has been interrupted because of damages caused by Hurricane Sandy schools rehabilitated or repaired. - 50,000 students and 1,250 teachers who lost their teaching and learning materials receive textbooks, other materials, aquatabs and soap. - Students in 150 schools in cholera-affected zones practice hand washing with soap. - Repair and rehabilitate 100 damaged or destroyed schools with tin sheets, tarpaulins and tents. - Rehabilitate 40 schools with light semi-structured temporary learning spaces. - Distribute teaching and learning materials to replace those destroyed. - Distribute aquatabs and soap for schools to prevent the spread of cholera. - Set up hand washing stations in schools which have no water in the affected zones. 20,000 students and 500 teachers 50,000 students 1,250 teachers 30,000 students 30,000 students 20

24 5. Contacts Haiti Government Ministry of the Interior and Local Government H.E. Minister Leon Ronsard Directorate of Civil Protection Director Jean-Baptiste Alta International Humanitarian Community Nigel Fisher Johan Peleman Humanitarian Coordinator Head of OCHA Haiti

25 ANNEX I: LIST OF PROJECTS Consolidated Appeal for Haiti 2012 Emergency Revision for Hurricane Sandy as of 10 November Compiled by OCHA on the basis of information provided by donors and appealing organizations. Project code (click on hyperlinked project code to open full project details) Title Appealing agency Original Revised requirements requirements Funding Unmet requirements % Covered AGRICULTURE HTI-12/A/45480/R/123 HTI-12/A/51444/R/14558 Intervention d urgence dans le secteur de l élevage et l agriculture dans les départements de la Grande Anse, de l'ouest, des Nippes et du Sud, affectés par les inondations Projet de soutien rapide aux éleveurs victimes du cyclone ISAAC et Sandy dans la commune de Léogane HTI-12/A/56883/R/13790 Support Agriculture to foster AKA Culture Farmers Association in 11 Communal Section of Gros Morne, Léogane HTI-12/A/56885/R/14556 HTI-12/A/56896/R/13244 Projet d appui à la conservation du sol de terres cultivable inondée autour de la rivière de BAINET (8eme section oranger, 5eme bras grandou et 7eme bras gauche) Assistance Agricole aux familles des sections communales de 1ère et 2ème Balan sévèrement touchées par le Cyclone Sandy FAO 8,000,000 4,500,000 1,106,821 3,393,179 25% OPREM-F - 400, ,000 0% FHED-INC - 95,049-95,049 0% FADA - 115, ,305 0% AMECON , ,000 0% Total for AGRICULTURE 8,000,000 5,610,354 1,106,821 4,503,533 20% CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER HTI-12/CSS/45500/R/5767 Emergency preparedness and mitigation response for targeted and vulnerable communities of Haiti UNOPS 2,520,574 3,034,174-3,034,174 0% 22

26 Project code (click on hyperlinked project code to open full project details) HTI-12/S-NF/56865/R/14556 HTI-12/S-NF/56878/R/5349 HTI-12/S-NF/56880/R/298 Title Projet de réparations de 200 maisons endommagées dans cinq (5) communes (Mapou, Bainet, Thiotte, Les Anglais, Harniquet) et d'une assistance technique pour la reconstruction de 300 maisons détruites Amélioration des conditions de vie de 300 familles vulnérables affectées par le passage de la tempête Sandy Appealing agency Original Revised requirements requirements Funding Unmet requirements % Covered FADA - 268, ,570 0% HI - 353, ,813 0% Humanitarian and shelter response to Hurricane Sandy IOM - 3,220,385-3,220,385 0% HTI-12/S-NF/56886/R/6458 HTI-12/S-NF/56888/R/7039 HTI-12/S-NF/56894/R/5585 Emergency shelter assistance to vulnerable population affected by hurricane Sandy Appui technique et communication sur la réparation et réhabilitation des logements post-cyclone pour l amélioration des practices de construction paracyclonique ACTED - 845, ,000 0% UN-HABITAT - 236, ,000 0% Emergency response and NFI response to Sandy CARE USA - 603, ,004 0% Total for CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER 2,520,574 8,560,946-8,560,946 0% EDUCATION HTI-12/E/45181/R/124 HTI-12/E/51211/R/14556 HTI-12/E/56838/R/5511 Quality basic education for vulnerable children in disaster affected areas and host communities in Haiti Construction de 26 structures de lavages des mains dans 26 écoles du SUD et SUD 'EST frappées par l'ouragan SANDY UNICEF 1,300,000 1,289, , ,799 51% FADA - 181, ,800 0% Safe Learning environment for children post-hurricane Sandy ActionAid - 200, ,000 0% HTI-12/E/56871/R/13790 Fostering Wash promotion in 118 Destroyed and Damaged Schools by Sandy Hurricane in The West, South East, Nippes, South and Grand'Anse of Haiti FHED-INC - 96,506-96,506 0% Total for EDUCATION 1,300,000 1,767, ,320 1,113,105 37% FOOD AID HTI-12/ER/56902/R/8502 Cash-for-work to support urban livelihoods in Ouest department following Sandy WVI - 350, ,000 0% 23

27 Project code (click on hyperlinked project code to open full project details) HTI-12/F/56899/R/561 HTI-12/F/56900/R/5186 HTI-12/F/56901/R/5146 Title Immediate food assistance and cash safety net for most vulnerable rural households affected by the combined effects of the drought and Isaac/Sandy Hurricane Integrated response for vulnerable population affected by food insecurity due to the combined effects of the drought and Isaac/Sandy Hurricane Appealing agency Original Revised requirements requirements Funding Unmet requirements % Covered WFP - 3,715,000-3,715,000 0% ACF - 500, ,000 0% Recovery from Hurricane Sandy in Southern Haiti CRS - 1,000,000-1,000,000 0% Total for FOOD AID - 5,565,000-5,565,000 0% HEALTH HTI-12/H/45193/R/7560 HTI-12/H/45446/R/122 HTI-12/H/45498/R/5767 Assuring current and future care to cholera patients and preventing the disease on community level by provision of a sustainable treatment structure Malteser International 430, , , % Implementation of Multi-hazard Alert and Response System WHO 1,200, , , ,933 16% Immediate basic WASH response to cholera outbreaks in Haiti UNOPS 1,912,882 1,190, , ,145 17% HTI-12/H/51270/R/14556 Implantation d'un centre de traitement de cholera dans le centre de sante de marcher CANA a Mirbalais FADA - 36,300-36,300 0% Total for HEALTH 3,543,286 2,383, ,945 1,816,378 24% NUTRITION HTI-12/H/45168/R/124 Emergency Nutrition Services (preparedness and response) UNICEF 5,679,249 4,088,469 2,086,249 2,002,220 51% HTI-12/H/56898/R/561 Nutritional Supplementary/Preventive Response targeting affected women/children low 5 years due to the combined effects of the drought and Isaac and Sandy Hurricane. WFP - 2,168,000-2,168,000 0% Total for NUTRITION 5,679,249 6,256,469 2,086,249 4,170,220 33% WATER, SANITATION AND HYGIENE HTI-12/WS/45152/R/124 UNICEF WASH Emergency and Recovery in Haiti UNICEF 7,273,860 8,652,448 3,780,397 4,872,051 44% 24

28 Project code (click on hyperlinked project code to open full project details) Title Appealing agency Original Revised requirements requirements Funding Unmet requirements % Covered HTI-12/WS/51312/R/5767 HTI-12/WS/56879/R/5186 HTI-12/WS/56882/R/5633 Decentralisation DINEPA trucks in the Regions and Immediate basic WASH response to cholera outbreaks in Haiti Rapid response to initial WASH needs of residents of a dozen displacement camps affected by hurricane SANDY in the communes of Port-au-Prince, Delmas and Cité Soleil. Réponse rapide aux flambées de choléra suite au passage de l ouragan SANDY dans 32 sites de déplacés de Pétion Ville, Delmas et Port au Prince UNOPS - 900, ,000 0% ACF - 200, ,000 0% Solidarités - 100, ,000 0% Total for WATER, SANITATION AND HYGIENE 7,273,860 9,852,448 3,780,397 6,072,051 38% Total for Emergency Revision 28,316,969 39,995,965 8,194,732 31,801,233 20% NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: Pledge: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 25

29 ANNEX II: ACRONYMS AND ABBREVIATIONS ART CCCM CfW CNSA CRS DCP DINEPA DRR ERRF FfW HEB HI HTG IOM MoPW MoSA MSPP MTs NFI NGO PAHO SAM TB UCLBP UNICEF UNOPS WASH WFP WHO WVI anti-retroviral therapy camp coordination and camp management cash for work Comité National de Sécurité Alimentaire (National Committee for Food Security) Catholic Relief Services Direction de la Protection Civile (Civil Protection Department) Direction Nationale de l'eau potable et de l'assainissement (National Directorate for Potable Water and Sanitation) disaster risk reduction Emergency Relief and Response Fund food for work high-energy biscuit Handicap International Haiti gourde (Haitian currency) International Organization for Migration Ministry of Public Works Ministry of Social Affairs Ministry of Public Health and Population metric tons non-food item non-governmental organization Pan-American Health Organization severe acute malnutrition tuberculosis L'Unité de Construction de Logements et de Bâtiments Publics United Nations Children s Fund United Nations Office for Project Services water, sanitation and hygiene World Food Programme World Health Organization World Vision International 26

30 OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS (OCHA) United Nations Palais des Nations New York, N.Y Geneva 10 USA Switzerland