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http://www.reliefweb.int/rw/rwb.nsf/db900SID/AZHU-7X48TQ?OpenDocument
 
Tonga: Tsunami situation report 4 
Source: World Health Organization (WHO) 
Date: 22 Oct 2009 
 
GENERAL INFORMATION
  
Almost a month after three six-meter tsunamis struck the island of Niuatoputapu in 
northern Tonga, the government continues to head efforts towards early recovery and 
reconstruction.  
HEALTH IMPACT
  
The hospital at Niuatoputapu was completely destroyed and has yet to be rebuilt. A 
temporary medical station has been set up at a Latter-Day Saints (LDS) church hall.  
Water systems on Niuatoputapu have been restored.  
Identified priority health needs are:  
- Refurbishment of the hospital at Niuatoputapu, including the replacement of hospital 
supplies and equipment lost to the waves  
- Long term solution of rebuilding the hospital at a safer location  
- Continuous, properly monitored clean water supply  
- Proper sanitation facilities for people still living in temporary shelter  
- Addressing the specific water and sanitary needs of women  
- Vaccine and cold chain capability to be in place in case of infectious disease 
outbreaks  
- Oral Rehydration Salts in case of outbreak of diarrhoeal diseases  
- Psychosocial support  
Casualties  
Dead: 9  
Injured: 7  
Displaced: 500  
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Affected: 335 families  
All persons injured by the tsunami have since recovered.  
RESPONSE
  
Government Response  
On 16 October, the government of Tonga officially announced the initiation of the 
early recovery phase. However, it continues to coordinate humanitarian and relief 
activities even as it chairs meetings to draft plans for reconstruction.  
MOH Response  
The Ministry of Health (MOH) heads the Thematic Working Group (TWG) for 
health, coordinating with the World Health Organization (WHO), international 
partners, and other United Nations (UN) agencies.  
The overall health strategy centres on two phases. The first phase is directed towards 
maintaining the health of the displaced population and preventing outbreaks of 
communicable diseases. The second phase is more long-term, aiming to build and 
equip a new and more damage-resistant hospital in a safer location.  
International Response  
Concerned countries and international partners are in active coordination with the 
Tongan government in drafting the plans for early recovery, including the areas of 
health, water, sanitation, and hygiene.  
WHO Response  
The WHO Regional Office has obtained a grant for financial aid from the Italian 
government.  
Dr Janos Annus, WHO Acting Country Liaison Officer (CLO), arrived in Tonga on 7 
October 2009 and has been coordinating with the government and MOH for 
information sharing and provision of needs.  
The WHO continues to provide hygiene kits and vector control materials for the 
survivors of the tsunami and weekly food rations for the local health staff. The WHO 
has procured a vehicle for the use of the MOH.  
Sources  
Dr Janos Annus 
Country Liaison Officer 
WHO Tonga 
Email: annusj@lao.wpro.who.int  
Letter on Health Needs for Niuatoputapu, 13 Oct 2009  
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Dr Siale 'Akau'ola 
Director of Health 
Ministry of Health, Tonga  
Knut Ostby 
UNDP resident Coordinator 
Kadavu house, Fiji 
Tel: (679) 3312500 
Email: knut.ostby@undp.org  
For further information please contact:  
Dr. Ken Chen 
WHO South Pacific 
Tel: (+679) 3300727 Fax: (+679) 3300462 and 3311530 
Email: chenk@wpro.who.int  
Dr Jennie Musto 
WHO South Pacific 
Tel: (679) 3300462 and 3311530 
Email: mustoj@wpro.who.int  
Steven Iddings 
WHO South Pacific 
Tel: (+679) 323 4100 and 323 4102 
Fax: (+679) 3234166 
Email: iddingss@wpro.who.int  
WHO Regional Office 
Dr Arturo Pesigan 
Tel: (632) 528 9810 
Fax: (632) 528 9072 
Email: pesigana@wpro.who.int