1. Cumulative Impact of Tropical Storms in the Caribbean - 2008
224* deaths
1000+ injuries
> 1,300,000 displaced (Haiti 400k; Cuba 900k ..)
≈800,000 in need of humanitarian assistance
Infrastructure and agricultural damage estimates:
Jamaica $42M
Haiti
Cuba
Dominican Republic
Turks & Caicos

2. Impact in CUBA 4 deaths* 900,000 evacuated for Ike; 250,000 for Gustav
Significant damage to buildings in Havana, Camaguey, Pinar del Rio, Isla de la Juventud

3. Cuba

4. Impact in Turks & Caicos
No deaths
The only hospital in Grand Turk Island was damaged but functioning
90% of homes damaged – impact on health services staffing
All 5 islands flooded
Have requested support in Disaster Coordination and Health Services

5. Impact in Haiti Countrywide floods 200+ deaths
>1000 injuries treated
800,000 estimated to be in need
Roads blocked, bridges washed out
Hospital and most health clinics unable to function in Gonaives
Multiple agencies delivering basic supplies, medical services

6. Gonaives, Haiti

8. Impact in the Dominican Republic
8 deaths
16,715 persons displaced due to Ike
3,343 homes affected
5348 persons in 52 shelters

9. PAHO/WHO Role in Haiti
Coordination of health actors (UN agencies, NGOs, Red Cross, etc.) through daily meetings
Developing a logistical map of who is doing what, where, etc.
Distributing medical supplies to MoH and NGOs providing health services in Jeremie, Cite Soleil, Gonaives and North West Department
Evaluation of health needs by PAHO local coordinators and PAHO/WHO staff and by daily contact with others
Dead body management advisor in country since 9/8
Implementation of surveillance system in country