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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