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looking                at               damaged                 health                facilities.

               PAHO pledged health sector infrastructure and public health support and is acting quickly with
               the support of the Ministry of Health to assess needs and damage assessments. An Incident
               Management System has been established in the country office. PAHO’s Disaster Response

               Team is supporting the Ministry of Health in all areas of the response and is expected to launch
               a           funding          appeal           in          the          coming            days.

               Due to floodwaters and potential contamination with sewage and lack of safe water, the risk of

               diarrheal and waterborne diseases is high. Rand Memorial Hospital in Grand Bahama is flooded
               and  supplies  damaged,  and  other  clinics  on  Grand  Bahama  and  New  Providence  are  also
               flooded.  Patient  evacuations  will  be  needed  and  supplies  from  PAHO’s  Panama  Regional
               Warehouse                         are                       on                        standby.

               PAHO  used  its  extensive  experience  in  emergency  preparedness  to  improve  disaster  relief

               operations,  setting  up  the  structures  to  deploy  emergency  teams  to  support  public  health
               measures.  Bahamas  is  the  first  Caribbean  country  to  apply  the  WHO  CICOM  international
               standards         to        coordinate         clinical       care         in        disasters.


               With  many  health  centers  flooded  and  unable  to  receive  patients,  a  full  hospital-capable
               Emergency Medical Team from Samaritans Purse is arriving in the Bahamas today for a three-
               month  stay.  The  team  includes  six  physicians  and  two  surgeons,  16  nurses,  two
               anesthesiologists,  allied  health  personnel,  and  logistics  and  management  staff.  It  brought  34
               tons  of  medical  equipment  and  tents  to  set  up  operations  in  Grand  Bahama.


               Another Emergency Medical Team from Team Rubicon was deployed to Abaco today for a 15-
               day  mission.  Abaco  aerial  surveillance  shows  vast  devastation  to  the  island’s  infrastructure.
               Communications  are  being  restored  but  there  is  still  no  electricity  on  the  island,  and  water,
               sanitation  and  food  have  been  identified  as  critical  needs,  according  to  PAHO’s  Emergency

               Operations  Center.  Over  1,200  people  are  reported  in  various  shelters  in  Great  Abaco  and
               Grand  Bahama  and  an  additional  800  are  sheltering  at  Marsh  Harbour  Clinic.

               A third Emergency Medical Team from Humanity First is expected to arrive tomorrow, and the
               Ministry of Health has designated Dr. Christa Well, medical officer in the emergency service of
               Princess Margaret Hospital, as the coordinator of the emergency teams. Dr. Well was one of 20

               experts who were trained by PAHO in Barbados earlier this year. All the emergency teams are
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