Sunday, November 14, 1999

Super-Cyclone Devastates East India Troops Find Little Is Left in Indian Area Hit by Cyclone



With flood waters beginning to recede, troops traveling by boat are just now reaching some of the worst-hit areas. Late Friday, they arrived in the county of Ambiki, the center of the disaster, and found little trace of six villages there that were once home to 3,000 people.
Ambiki, about four and half miles inland and 85 miles from Bhubaneshwar, the state capital, was littered with rotting bodies, one relief official said. "It seems Ambiki has very few survivors," he said. "It is a hellish sight."
The official added that one of the worst problems facing the troops was the presence of animal carcasses, "which are everywhere," he said. "The stench is heavy, and it is difficult to work."
The Press Trust of India said piles of bodies were being cremated in the area using diesel and kerosene and freshly broken branches.
One villager from Ambiki, who gave his name only as Sanatan, told the news agency that he feared for his brother, who had been missing since the storm. "I don't know if his body lies somewhere around," he said. "But even if it does, I can't even recognize it."
The toll from the cyclone, which began on Oct. 29 and has been described by some officials as the worst in the region this century, rose to 9,392 on Friday, officials said, including 8,119 deaths reported from Jagatsinghpur, which was at the heart of the storm.
The storm, which packed winds of more than 160 miles an hour, washed some bodies 15 miles inland as it churned up tidal waves. Officials warned that the death toll, high as it is, is expected to rise further.
"As areas are opening up, reports of more and more deaths are coming in," an official said.
The Orissa Disaster Mitigation Mission, an umbrella organization of scores of relief groups set up after the cyclone, has said the toll could exceed 20,000.
"We are not getting the clear picture, but rehabilitation work has now started wherever the water is receding," said Rajesh Singh, a spokesman for the crippled state administration.
[The Associated Press quoted relief workers as saying that thousands of people were suffering from burns caused by industrial chemicals that the cyclone had washed into the village ponds used for bathing. The officials said more than half of the survivors in dozens of villages around Kujang, 200 miles south of Calcutta, had developed boils, scars and red patches.
A team of experts traveled to the area Saturday to assess the impact of the pollution, the news agency said. "Doctors have advised patients to wash their bodies with clean water," said Ram Narayan, an official with the disaster mission. "But there is no clean water."]
The Times of India said the main opposition Congress Party, which leads the government in Orissa, might dismiss Chief Minister Girdhar Gamang because of a perceived failure to provide proper relief.
Defense Minister George Fernandes toured Orissa on Friday as the head of a federal task force coordinating relief measures after warnings that distribution bottlenecks were hampering relief work.
He said India's defense research wing was purifying waterways, which have been contaminated by rotting bodies of people and livestock. The adulteration of drinking wells with saltwater and the contamination of other sources has led to rampant gastroenteritis.
Tens of thousands of people remain cut off in isolated areas where little or no aid is getting through.
Orissa, which was already one of the poorest Indian states, now faces years of dependency on aid in one form or another.
The contamination of rice paddies by saltwater means farmers will have to wait two or three years before the yield from their fields returns to normal. The large loss of livestock and trees producing cash crops like cashews will be far harder to replace

Toxic wastes add to India cyclone toll

By Neelesh Misra, The Boston Globe, Associated Press, Nov. 14, 1999
BHUBANESWAR, India - Industrial chemicals spilled during India's devastating cyclone are spreading, causing hundreds of cases of acid burns among survivors, relief groups said yesterday.
The same toxic spills were halting the decomposition of bodies, human and animal, left by the disaster. At least 9,000 people were dead.
Most of the survivors in dozens of villages in the coastal Orissa state were suffering from boils and rashes after bathing in ponds turned black by pollution.
Yesterday, volunteers and soldiers recovered 73 bodies in the Bhadrak area along the coast, raising the official death toll to 9,465, according to the relief commissioner's office.
But casualty reports were yet to come from Kujang area, 200 miles south of Calcutta, where cases of acid burns were said to be quickly increasing.
Mahendra Parida of a children's relief agency working in the area said the acid pollutionhad spread in a 25-mile radius from Kujang. ''If we do not control it, it will spread to other areas with the flowing water,'' she said.
Specialists traveled to the area yesterday to assess the impact of the chemical spills, while doctors, already swamped treating gastrointestinal diseases caused by bad water, complained they lacked medicines to treat chemical burns.
The cyclone has affected more than 3.3 million children, many orphaned, separated from their families, or disabled. UNICEF and volunteer groups planned to find them homes.
Volunteers walked door to door to find out how many were orphaned or struggling for food and shelter, a UNICEF statement said. Children living alone would be asked with whom they wanted to live, and siblings would be kept together, the statement said.
''We fear that the problems of child sexual abuse, child begging, and child labor will flare up now,'' said Parida, coordinator of the Forum Against Child Exploitation, which will take part in the UNICEF campaign. Parida said the government had not made baby food available in the affected areas.
In the worst-affected Jagatsinghpur district, where more than 8,100 people have been officially declared dead so far, relief workers said acid spills had reduced the stench from decomposed bodies lying unattended.
''The bodies have become like Egyptian mummies. They have stopped decomposing or stinking,'' said Ram Narayan of the Orissa Disaster Mitigation Mission, a conglomerate of 40 Indian and international voluntary groups.

This story ran on page A30 of the Boston Globe on 11/14/99. 
© 
Copyright 1999 Globe Newspaper Company.

Super Cyclone Hits India, Thousands May Be Dead

DELHI, India, Nov. 1, 1999 (Environment News Service) - Thousands are feared dead and millions have been left homeless as the worst cyclone to hit India for 30 years swept the region on Friday. The cyclone, with winds of up to 260 kilometers per hour (161 mph), was the second to whip this impoverished area in two weeks. The port of Paradip in Orissa state sustained the worst of the storm.
he official death toll stands at 271. Unofficial reports have put the number of dead at more than 3,000, but officials say it will be days before an accurate count can be made.
Indian Home Minister Lal Krishna Advani said, "It is still not possible to assess the quantum of damage caused by the super cyclone. The intensity of this year's cyclone is unprecedented."

The storm, which struck at noon Friday, ripped through hundreds of thousands of houses in Orissa State, devastated crops and tore down power lines. Vast areas of land in Ganjam, Jagatsinghpur, Kendrapara, Puri and Bhubaneshwar districts are now under water.

Prime Minister Atal Vajpayee has declared the disaster in Orissa as a national calamity. The federal government has promised a grant of three billion rupees (US$69.3 million). This amount will supplement the US$59.5 million which the government awarded the area following the cyclone that hit the state two weeks ago.
The International Federation of Red Cross and Crescent Societies today appealed for four million Swiss francs to provide vital aid.
"Disaster relief experts from Delhi and Dhaka are already in Orissa with the Indian Red Cross assessing what is needed. So far we have seen thousands of families in desperate need of shelter, blankets, food and medicine, says Geoffrey Dennis, head of the Federation International Red Cross and Crescent in the region.
The government of India and the Red Cross are working to restore a clean water supply, but continuing heavy rains with gusty winds are hampering relief efforts. So far, the administration of the State of Orissa has been in no position to make a detailed assessment of the damage due to the weather conditions and the lack of communication facilities.
The industrial town of Cuttack has been severely damaged and the cyclone wiped out crops along a 140-kilometer stretch of the coast. Many villages in the path of the cyclone have been totally submerged.
According to information released by the overnment and by United Nations Development Programme in India, more than ten million people, that is about one third of the population, have been affected in eight districts of the state of Orissa. The entire coastal area of the state was severely hit. The Army has evacuated people to safer areas. Many people are camping out on the national highway which is raised a little above the submerged lands.
Authorities said food trucks had been stopped and looted in several areas, including the state capital Bhubaneshwar, where about 200,000 people are homeless. Soldiers are now standing guard over the food trucks to prevent further looting.
An army infantry division about 10,000 troops was put on emergency relief duty. Air force and naval helicopters normally used for high-altitude warfare were requisitioned to airdrop food packets. A field medical unit comprising 30 ambulances and 340 doctors and paramedics has left for Orissa.
No appeal for international assistance has been made for immediate post rescue and relief operations. However, international assistance will be accepted on humanitarian grounds

© Environment News Service (ENS) 1999. All Rights Reserved.

Help arrives for India's cyclone-hit millions

Reuters News Service, Nov. 2, 1999

PARADIP - Rescue and relief efforts cranked into action yesterday in eastern India where officials say a mammoth cyclone may have killed thousands and made more than a millionb homeless.

Trains carrying medical supplies and navy ships loaded with food headed for the state of Orissa, whose coast was hammered by a prolonged storm packing winds of up to 260 km (160 miles) per hour on Friday and Saturday.
Officials and media reports said up to 3,000 people may have died in the cyclone, the second to hit the poverty-stricken state in a month. But no official death toll or assessment of damage was available because road links to the worst affected areas have been cut.
"Relief operations are in full swing and we have requested all state governments to come forward and help," Agriculture Secretary Bhaskar Barua told reporters in the capital, New Delhi.
The government said in a statement that at least two million people in almost 2,000 villages had been affected. The worst hit were those living in urban slums, where flimsy shacks were flattened.
A senior state official said the confirmed death toll so far was 97, not including the Paradip port area which bore the brunt of the storm.
Navy ships bearing food, candles, clothes and other relief materials were heading towards Paradip.
But the help could not come quickly enough for thousands of desperate villagers who stopped vehicles on the road from Paradip and, wielding sticks, demanded food, drinking water and money.
Over the weekend, shops were looted for potatoes, flour and eggs, and the acute shortage of basic foods was exacerbated on Monday as terrified shopkeepers kept their shutters down.
Huge queues of cars and tracks snaked from petrol stations, where irate motorists argued over dwindling supplies of fuel.
The storm, which slammed into the coast after swirling threateningly in the Bay of Bengal, brought with it torrential rains, turning vast areas of farmland along the road between Paradip and the state capital, Bhubaneshwar, into lakes.
INFRASTRUCTURE LINKS RESTORED
The bodies of humans and cattle floated in waterlogged paddy fields which had been almost ready for harvesting before the disaster struck.
Rain-bedraggled and scantily clad survivors wandered aimlessly along the roads, their homes reduced to rubble and their belongings washed away. Many set up makeshift shelters with tarpaulin and scraps of polythene sheeting.
The chairman of Paradip port, S. Mohapatra, told Reuters that 41 bodies had been found in the harbour and close to 50 fishing trawlers from the southern state of Andhra Pradesh had sunk.
He estimated the damage to the port at around 300 million rupees ($6.9 million). "We knew how bad it would be, but we didn't know long it would be. It went on for 36 hours," he said.
Mohapatra said protein-rich food, loaded in one of the cargo ships at Paradip, had been distributed among the villagers.
Abhay Oswal, managing director of Oswal Chemicals and Fertilisers, said the storm had severely damaged a di-ammonium phosphate plant, the largest of its kind in the world.
A train carrying 50 tonnes of medical supplies was on its way to cyclone-hit areas from New Delhi after rail lines linking Bhubaneshwar with the rest of the country were restored.
Telephone and power lines were partially restored, and Indian Airlines resumed flights to Bhubaneshwar, where the air traffic control system had been knocked out by the storm.
The Indian Meteorological Department said in a statement on Monday the storm had weakened into a low pressure area over the south coast of Orissa and the northern coast of neighbouring Andhra Pradesh. It forecast widespread rain and squalls and advised fishermen to exercise caution.

Story by Himangshu Watts

Cyclone victims burned en masse

Indian army mobilizes to reach outlying areas 
Associated Press

PARADWIP, India, Nov. 4 — Funeral pyres of cyclone victims lit the night sky Thursday, and officials hastily collected corpses with little attempt to identify them amid efforts to rush desperately needed aid to ravaged areas.
Six days after eastern Orissa state was pounded by one of India's worst cyclones, officials had no way to estimate an accurate death toll.
Waterborne diseases were beginning to spread in regions where flooding during last Friday’s powerful cyclone turned farmlands into muddy lakes. Angry mobs looted aid trucks, robbed desperate survivors and fought over food.
Six days after eastern Orissa state was pounded by one of India’s worst cyclones, officials had no way to estimate an accurate death toll. Some stricken areas had not yet been reached.
A senior army officer involved in the rescue operation told The Associated Press on condition of anonymity the toll could reach 10,000 to 20,000. Other reports said the final count may not be as high as initially feared, although it would certainly be in the thousands.
Bulldozers scooped up bodies and loaded them onto trucks, where they were brought to the seashore for a mass cremation. Workers made no attempt to identify them.
"There are so many villages where no one lives any more," said Ajit Kumar Das, the elected head of a colony in this battered port city.
"I saw a 1½-year-old boy dead. The people from the municipality came in a truck, and one man picked up the boy and threw his body onto the truck. Some bodies were just thrown into the sea. No one cared whether we identify them or not."
Victims were laid out in rows and sometimes stacked together to save scarce firewood. The pyres burned through the night on the beach, as water lapped 50 feet away and torn bits of clothing flapped from where they were caught in trees near the shore.
More than 15 million people live in the area hit by the cyclone. The government has denied an epidemic is raging, but said it was very likely to develop.
The federal government flew in 3 million water purifying tablets and large quantities of medicines, but the private STAR TV reported that much of the stock was still in district headquarters. Relief workers, fearing they would be attacked by desperate villagers, were reluctant to venture into the vast rural areas, STAR TV reported.
Government and private agencies appealed in newspapers and on television for help from the public, saying the devastation was too huge for the government to handle alone.
"There are moments that beckon the entire nation to stand as one," said a front-page ad by Prime Minister Atal Bihari Vajpayee. Cyclones strike India’s coasts every year, and the desperately poor are often their chief victims.
Last year, a cyclone and tidal wave in western India swept away up to 14,000 people — many of them destitute salt workers who lived beside the Arabian sea. In 1997, a storm submerged entire villages with 20-foot-high tidal waves, killing 3,000 people.
In 1968, a cyclone that whipped out of the Bay of Bengal further north in 1968 and slammed into the teeming city of Calcutta is said to have left half a million people homeless.
After Friday’s storm, at least 3,500 troops and airmen were deployed to bring food by air and sea to remote areas still inaccessible by road. Food was slowly beginning to reach parts of the state, newspapers reported. Health workers were distributing chlorine tablets, bleaching powder and oral rehydration solutions to some areas.
Officials said Wednesday it will take a month to fully restore power, weeks to repair the phone system, and days to fill the breaches in the national highway where aid convoys are stranded.
The economic damage could be in the billions of dollars.

Friday, October 29, 1999

Super Cyclone (Cyclone 05B) hits Orissa



On 17-18 October 1999, 5 districts of the State of Orissa in India were hit by a cyclone, and on 29 October another, exceptionally strong cyclone ("supercyclone") devastated a large portion of the State. This second cyclone caused severe damage in 14 of the 30 districts of Orissa (5 being hit for the second time (See map 1). It is estimated that up to 15 million people (more than 2 million households) are seriously affected by the cyclone one way or another. The official number of deaths is reported to be nearly 10,000 and many more are feared to have died.

Millions of people are left homeless. The affected villages consist mostly of simple huts, which were severely damaged or totally destroyed. Usually people keep at home stocks of food and seeds. These have been destroyed along with people’s essential household items. Water, power supply and telecommunications were completely disrupted in all affected areas. 90-100 % loss of crop is reported in the affected districts. Due to large-scale inundation, there is a widespread contamination of drinking water sources. Sanitation conditions are seriously inadequate particularly in the urban slum areas but also in the rural areas.

A large proportion of the population will depend on food-aid for the months to come, and the food security of many households is severely endangered on a long-term basis. Assets such as boats and tree plantations, which will take many years to restore, have been lost. Signs of migration out of the affected districts have already been reported. The household food security and people’s nutritional status need be closely monitored to ensure that further deterioration of nutritional status does not make the population, especially children, even more vulnerable to infectious diseases. The consensus within the international and bilateral community is that food assistance for a month would be required for approximately 2.25 million people.

Outbreak and eventual epidemics of communicable diseases with a potential public health threat has been, and continues to be, a major concern. Prior to the emergency, the health information system is reported to have had serious shortcomings. Already an outbreak of cholera has been confirmed and an outbreak of measles has been reported. Outbreaks of vector borne diseases such as malaria (which is endemic) and Japanese encephalitis are possible. However, reports are ad hoc and there is no adequate system currently working for the surveillance of communicable diseases.

In spite of intense efforts by the authorities, UNICEF, local and international NGOs to restore and ensure the safety of the various water sources, including tanked water, rejuvenation of wells, drilling of new wells, supply of hand pumps, tests conducted on these are showing an alarming rate of dangerous contamination. Even some of the boreholes assumed to be safe have been reported to be dangerously contaminated.

The damage to shelter is extensive. In the worst affected districts over 70% of the shelter is reported to be completed destroyed and in other districts about 40-50% of the shelter is completed destroyed. Winter is coming and the nights getting cooler. Overcrowding in available buildings is expected to increase the transmission of communicable diseases such as acute respiratory infections (ARI), especially among children, and skin disease. Without proper case management ARI can lead to large numbers of deaths especially among malnourished children. An outbreak of measles is already reported from a village of around 10,000 people who claim there has not been any vaccination programme there for the last two years. If not addressed urgently a major outbreak and potential epidemic could occur given the vaccination coverage for measles was around 60% prior to the disaster. Two rounds of vitamin A have been give to all children aged 1 to 3 ½ years old this year: the last one 24th October was with polio vaccination during the National Immunisation Day (NID). The second NID will probably not take place on schedule.

Health infrastructure has been seriously damaged and support to the health authorities to restore key institutions, systems and programmes is urgent. A large quantity of vaccines are known to have been lost due to the breakdown in the cold chain caused by a lack of electricity. Samples from the state store have been sent for testing. If they prove to be damaged the whole state stock will need to be destroyed and millions of dollars worth of vaccine will need to be replaced.

Although supplies including stocks of medical supplies are reported to be adequate at state level, reports from the field indicate that there are serious problems of secondary distribution to lower levels of the health services.

WHO has been part of the UNDMT response mechanism right from the beginning. EHA, WHO, SEARO joined the UNDAF assessment team to Orissa and conducted the initial rapid health sector assessment and provided inputs into the UN appeal. WHO has chaired the daily co-ordination meetings where the local health, water and sanitation people, UN agencies, local and international NGOs and donors meet and share information and plan urgent actions (see annex 1 for list of participants). A management sheet (sample in annex 2) was maintained daily and used for monitoring. A rough mapping system was established to monitor gaps and overlaps and GIS mapping has been initiated to further improve this mapping.

A subgroup on Epidemiological Surveillance composed of local authorities, a local NGO umbrella agency, MSF and WHO has worked out a system which will be used by the NGOs. The system will be set up very rapidly within the governmental sector and the SSH has agreed. WHO and MSF have proposed support and DFID has been approach for funding (Annex 3). OXFAM has developed and co-ordinated agencies’ input into a village level rapid assessment tool. Many questions are health related and a mechanism has been set up to compile and analyse these. Orissa Disaster Mitigation Mission (ODMM) a local NGO umbrella organization will be in charge of this task.

WHO has provided other technical assistance to the health authorities throughout the initial disaster period. Guidelines on the management of ARI, diarrhoeal diseases (including cholera guidelines) and acute malnutrition have been provided. One of the major issues has been the disposal of dead human bodies and animal carcasses. WHO stressed that, although very psychologically disturbing, there was no evidence in the literature that outbreaks of epidemics caused by dead bodies are likely.

WHO along with UNICEF also recommended an urgent measles vaccination campaign as soon as the cold chain is restored. The restoration should be done as a matter of urgency. International NGOs have been asked to help.

A nutritionist from WHO, HQ joined the team to assist with the WHO operation and to begin to address the issues of nutrition, which have been neglected, as the priority has been to get any food available to the affected population.

The state health authorities had prepared for the cholera outbreak by prepositioning the relevant stocks. They rapidly responded to the cholera outbreak by informing all health professionals down to the lowest administrative levels about the outbreak, about outbreak control and case management guidelines.

The Supply and Management system (SUMA) for managing disaster supplies was proposed and would have been useful. However it was not felt by various players that it was needed. A subgroup on logistics has been formed in order to look further into how to improve the secondary distribution.

WHO also proposed an urgent rapid assessment of the immediate structural and equipment damages.

Recommended immediate actions

The confirmed outbreak of cholera calls for immediate strengthening of the diarrhoeal control programme including urgent strengthening of the health information flow, water quality monitoring, continuous overall monitoring and replenishing of relevant stocks, improvement in secondary distribution and an urgent public educational campaign.

Water purification tablets and essential drugs (in spite of large amount of supplies being distributed, there are still reports of shortages). Water quality monitoring and purification programmes need urgent strengthening.

Due to overcrowding, low coverage and a reported outbreak an urgent measles vaccination campaign should take place.

Distribution of the (available but not yet distributed) State case management guidelines should be done immediately along with standard public information and educational material.

Immediate replacement of vaccination stocks along with the restoration of the cold chain.

Household food security, quality of the food basket and nutritional monitoring are essential.

The availability of essential medical supplies need to be monitored and provision of supplies related to specific programmes such as reproductive health need to be secured.

Installation of an emergency surveillance system and the strengthening of diagnostic facilities and rapid response capacity.

Four areas related to health have been identified as priority areas where WHO should be supporting the local authorities:

Co-ordination, along with UNICEF of the health assistance between local authorities, local NGOs and international NGOs (there are already around 20 international agencies involved in health and many new arriving).

In co-ordination with the health authorities, other UN agencies, local and international NGOs, establish an emergency surveillance system. This includes the collection, compilation, analysis and mapping of health information and ensuring the use of these for managing the emergency response. Provide resources to the local health authorities to ensure the surveillance system is restored and the diagnostic and curative health sector has the equipment and supplies needed.

Ensure that the humanitarian health assistance is implemented in line with international standards including WHO standards. Emergency library kit is on its way along with a stock of guidelines which are being requested by agencies from WHO.

Systematic assessment of health sector damage and recommendation for emergency repair and supply of priority equipment and supplies.

General situation

On 17-18 October 1999, 5 districts of the State of Orissa in India were hit by a cyclone, and on 29 October another, exceptionally strong cyclone ("supercyclone") devastated a large portion of the State. This second cyclone caused severe damage in 14 of the 30 districts of Orissa (5 being hit for the second time). Each district is divided into some 20 blocks and in a block there can be hundreds of villages. It is estimated that up to 15 million people (more than 2 million households) are seriously affected by the cyclone one way or another. The official number of deaths is reported to be nearly 8000 and many more are feared to have died.

Orissa has a total population of nearly 35 million people. In normal times, of these, 60% live below the poverty level. Almost 90% of the population live in rural areas. More than 50% of the children below the age of 4 are suffering from malnutrition. Nearly 90% have access to safe water, but only 4% have sanitation. Health statistics are reported to be incomplete. However, under 5 mortality and maternal mortality is reported to be high and measles vaccination coverage around 60%. Cholera and Malaria are endemic.

The most severely affected districts are Balasore, Bhadrak, Cuttack, Ganjam, Jagatsinghapur, Jajpur and Kendrapara (total population: around 11 million people) The districts of Khurda, Puri, Nayagarh, Gajapati, Keonjhar, Mayurbhang and Dhenkanal are partly affected, between 30% and 50% (total population: 7 million). It is understood that up to 15 million people could be seriously affected by this disaster. Most of this population are living below the poverty level.

A devastating combination of two cyclones has produced three different types of impact

(See Annex 1):

1) physical destruction directly caused to the cyclone

2) flooding

3) saline inundation

Millions of people are left homeless. The affected villages consist mostly of simple huts, which have been severely damaged or totally destroyed. Usually people keep at home stocks of food and seeds. These have been destroyed along with people’s essential household items. Whole communities are reported to be in a state of shock. Human deaths, casualties, animal loss, the destruction of plantations, paddy fields, sugarcane, vegetable crop, etc., and the destruction of infrastructure are devastating. Water, power supply and telecommunications were completely disrupted in all affected areas. Although these are being restored, many human settlements are still left without electricity and consequently water systems can not be restored. Water-logging inundation is significant. 90-100 % loss of crop is reported in the affected districts, as the cyclones hit at the most vulnerable time for the paddy crop. The autumn crop is the one the poorest of the poor depend on the most because it is rainfed (as opposed to richer people who have access to irrigation). The next harvest period would fall in April-May 2000. It should be underlined that the loss of both stored food, seeds and crop is overwhelming, as the harvest was about to take place within 3 weeks. A serious shortage of essential food items in the affected districts continues to be problematic mostly due to logistic problems related to secondary distribution.

Due to large-scale inundation, there is widespread contamination of drinking water sources. Safe drinking water is a serious problem, as electricity is still not restored in many places, many hand pumps are damaged and numerous wells, tanks, ponds and canals are polluted. In 10 cities, water supplies have completely broken down. Over 84,000 tubewells in rural areas have been submerged and rendered non functional. 84 village piped water systems are damaged. Thousands of open traditional dug wells are contaminated and these are difficult to disinfect. Sanitation conditions are seriously inadequate particularly in the urban slum areas but also in the rural areas. The municipality sewerage system has also been extensively damaged. In addition, although water is receding, waterlogging is still a problem.

There are unconfirmed reports on secondary damage of industrial sites, which may lead to serious pollution and negative effects on human health. An ammonium factory in Paradip has confirmed that it is releasing ammonium "in a controlled manner" to avoid an explosion as they do not have enough electricity to keep temperatures at appropriate levels.

Analysis of the situation and its health implications

A large proportion of the population will depend on food-aid for the months to come, and the food security of many households is severely endangered on a long-term basis. Assets such as boats and tree plantations, which will take many years to restore, have been lost. Signs of migration out of the affected districts are already reported. The household food security and people’s nutritional status needs be closely monitored to ensure that further deterioration of nutritional status does not make the population, especially children, even more vulnerable to infectious diseases. The consensus within the international and bilateral community is that the food assistance for a month would be required for approximately 2.25 million people.

Outbreak and eventual epidemics of communicable diseases with a potential public health threat has been, and continues to be, a major concern. Prior to the emergency the health information system is reported to have had serious shortcomings. Already an outbreak of cholera has been confirmed and an outbreak of measles has been reported. Outbreaks of vector borne diseases such as malaria (which is endemic) and Japanese encephalitis are possible. However, reporting is ad hoc and there is no adequate system currently working for the surveillance of communicable diseases.

In spite of intense efforts by the authorities, UNICEF, local and international NGOs to restore and ensure safety of the various water sources, including tanked water, rejuvenation of wells, drilling of new wells, supply of hand pumps, tests conducted on these are showing an alarming rate of dangerous contamination. Even some of the boreholes assumed to be safe have been reported to be dangerously contaminated.

The damage to shelter is extensive. In the worst affected districts over 70% of the shelter is reported to be completed destroyed and in other districts about 40-50% of the shelter is completed destroyed. Winter is coming and the nights getting cooler. Overcrowding in available buildings is expected to increase the transmission of communicable diseases such as acute respiratory infections (ARI), especially among children, and skin disease. Without proper case management ARI can lead to large numbers of deaths especially among malnourished children. An outbreak of measles has already been reported from a village of around 10,000 people who claim there has not been any vaccination programme there for the last two years. If not addressed urgently a major outbreak and potential epidemic could occur given the vaccination coverage for measles was around 60 % prior to the disaster. Two rounds of vitamin A have been given to all children aged 1 to 3½ years old this year: the last one 24th October was with polio vaccination during the National Immunisation Day (NID). The second NID will probably not take place on schedule.

Mental health is already a major concern no-one is dealing with, but the health co-ordination group is aware of the importance of psycho-social programmes and some preliminary plans are being prepared.

Health infrastructure has been seriously damaged and support to the health authorities to restore key institutions, systems and programmes is urgent. A large quantity of vaccines are known to have been lost due to the breakdown in the cold chain caused by a lack of electricity. Samples from the state store have been sent for testing. If they prove to be damaged the whole state stock will need to be destroyed and millions of dollars worth of vaccine will need to be replaced.

Although supplies including stocks of medical supplies are reported to be adequate at state level, reports from the field indicate that there are serious problems of secondary distribution to lower levels of the health service.
source - http://www.foodrelief.org/articles/super-cyclone-in-orissa-india.html