CDC

At a Glance

• CDC is concerned about AFM, a serious condition that causes weakness in the arms or legs.
• From August 2014 through October 2018, CDC has received information on a total of 396 confirmed cases of AFM across the US; most of the cases have occurred in children.
• Even with an increase in cases since 2014, AFM remains a very rare condition. Less than one in a million people in the United States get AFM each year.
• While we don’t know the cause of most of the AFM cases, it’s always important to practice disease prevention steps, such as staying up-to-date on vaccines, washing your hands, and protecting yourself from mosquito bites.

Dhaka Tribune

“…..A recent survey of 246 patients by the National Institute of Cancer Research and Hospital medical oncology department,  social taboos and unawareness were the main reasons for unchecked breast cancer and delay in early detection.
The study found that 65.5% of breast cancer patients delayed their diagnosis by more than six months, although 83% of them found lumps in their breast  or had other symptoms of breast cancer…..”

https://www.youtube.com/watch?v=WjGR69YoaK4

https://www.youtube.com/watch?v=D2ohmOixqrU

The Guardian

aire ebolavirus, Bundibugyo ebolavirus, and Sudan ebolavirus are the three species of Ebola virus responsible for the larger outbreaks in Africa. Zaire ebolavirus, the most fatal Ebola virus, was associated with the 2014-2016 outbreak in West Africa, the largest Ebola outbreak to date with more than 28,600 cases. Other large outbreaks of Zaire ebolavirus have resulted in hundreds of cases in the Democratic Republic of the Congo (DRC) and Gabon. Smaller outbreaks of this species have also occurred in DRC and Gabon, as well as the Republic of the Congo and South Africa. Sudan ebolavirus, with a fatality rate of 50 percent, has been the cause of several outbreaks in Uganda and others near the border between South Sudan and DRC. Bundibugyo ebolavirus, discovered in 2007, was associated with two outbreaks, one in DRC and the other on the border of DRC and Uganda. Taï Forest ebolavirus, the only other Ebola virus found in West Africa to date, was the cause of one case identified in Côte d’Ivoire.

*Numbers reflect laboratory confirmed cases only.

FEMA

Safety and Security: • Saipan: 1 confirmed fatality

Food, Water, Sheltering: • Emergency boil water advisory remains in effect for all of Saipan and Tinian • Staged and stored food and water sufficient for all projected planning factors • Saipan: 50% of grocers, 62% of restaurants and 31% of retailers have re-opened • Shelters/Occupants: 13 (-2) / 874 (-66) across CNMI; all Rota shelters have closed Health and Medical: Saipan: Hospital fully operational, at capacity; planning to open a medical support shelter • San Antonio Satellite Health Clinic open Mon – Sat Tinian: Medical Center structurally compromised; damage assessments are ongoing

Energy: • 60% of gas stations open on Saipan; both gas stations on Tinian closed due to lack of power • Utility crews have begun to restore power on Saipan and Tinian o Saipan: 8 out of 9 power feeders are down; feeder to hospital was energized, 35 FEMA generator in place; o Tinian: 4 out of 4 power feeders down; power plant damaged, 80-90% damage to distribution structures; expect to return station to service within 24-48 hours o Rota: Power nearly 99% restored, planning to move crews from Rota to Tinian

Communication: • Exchange connection between islands is on generator power with 96 hour capacity • All cell towers on Saipan and Rota remain on generator power

Transportation: • Public transportation systems not operational • All sea ports open with no restrictions • Airports: o Saipan: Inbound flights limited to returning residents and humanitarian assistance;; repairs ongoing but no estimated time for completion; Mobile ATC Tower inbound Nov 1 o Tinian: Open for humanitarian relief flights only; outbound commercial flights for tourists • Major roads and most secondary roads are accessible

State/Local Response • CNMI EOC at Full Activation • Governor declared a State of Emergency; directed Guam Homeland Security/Office of Civil Defense • to lead local government efforts o Governor directed all non-critical government employees to report to work today, Oct 29, to assist in preliminary damage assessments and prepare offices to reopen o Guam Guardsmen expected to begin duty on Saipan as early as Tuesday, Oct 30

FEMA HQ/Federal Response • FEMA-3408-EM-CNMI approved Oct 23; FEMA-4404-DR-CNMI approved Oct 26 • FEMA Region IX RWC at Steady State, continues to monitor • FEMA Region IX IMAT-2 deployed to Saipan; LNOs in Guam, Rota and Tinian • FEMA Region VII IMAT deployed to CNMI (already deployed for Mangkhut) • FEMA NRCC: Effective 8:00 a.m. EDT today, Oct 29 (10:00 p.m. ChST today, Oct 29) o Response Operations Cell (ROC) will transition to day shift, and to Enhanced Watch for night shift o Shift changes, and transitions between day shift ROC operations and night shift Enhanced Watch operations will occur at 8:00 a.m. and 8:00 p.m. EDT (10:00 p.m. and 10:00 a.m. ChST) • FEMA HQ ISB team and MERS assets deployed • HHS: Federal Health Coordinating Officer, DMAT, IMT personnel and LNOs deployed; three CDC SMEs will arrive in Saipan today, Oct 29, to provide public health technical assistance • USACE: 249th Engineer BN ‘Prime Power’ deployed

Reuters

Department of Justice

FEMA

Communication: • Restoration of mobile services to Saipan: ( 2 resorts/hotels and 3 (+1) communities/village), Tinian: (1 community/village), Rota: (2 resorts/hotels, 1 village, and the library) • Exchange connection between islands is on generator power with 96 hour capacity • Saipan: all cell towers on generator power; fuel plan being executed • Rota: all cell towers on generator power; unable to access utility system to assess damage

Transportation: • All sea ports open with no restrictions • Airports: o Saipan: will open Oct 28 for commercial outbound passengers only; closed to incoming commercial traffic until farther notice; flight operations limited to humanitarian relief flights only o Tinian: open for humanitarian relief flights only o Rota: open • Major roads and most secondary roads are accessible and utility crews have begun to restore power on Saipan and Tinian

Safety and Security: • Saipan: 1 confirmed fatality

Food, Water, Sheltering: • Emergency boil water advisory remains in effect for all of Saipan and Tinian • Staged and stored food and water sufficient for all projected planning factors • Saipan: Commonwealth Utility Corporation provided water filling stations for residents • Saipan: 50% of grocers, 73% of restaurants and 31% of retailers have re-opened • Shelters/Occupants: 113 / 934 across CNMI; all Rota shelters have closed

Health and Medical: • Saipan: hospital fully operational, on power grid • Tinian: medical facility on generator power; emergency department open, air ambulance service operational

Energy: • 46% of gas stations re-opening on Saipan; fuel availability sufficient to meet normal purchasing needs, but heavy generator use may further deplete existing supplies • CNMI: 21 day fuel supply available based on all power generation facilities operating at normal rate; working on refueling plan • CNMI: 100% of customers without electric grid power (19k on Saipan, 1k on Tinian, 1k on Rota) Saipan: • Regular fuel shipment scheduled for October 31, but distribution may be challenging due to road debris Saipan: • Power Plant 4 should have 6 MW of generation ready at that location; CUC was completing repairs to feeder 1 and expects it to be online October 28; Power Plants 1 & 2 expected to be repaired and some units restarted within the next few days • Tinian: 4 out of 4 power feeders down; power plant damaged, 80-90% damage to distribution structures; expect to return station to service within 24-48 hours; 2-3 weeks fuel supply for generator power • Tinian: both gas stations on island are closed due to lack of power Rota: Power nearly 99% restored, and CUC planning to move crews from Rota to support Tinian

State/Local Response • CNMI EOC at Full Activation (24/7)

FEMA HQ/Federal Response • Emergency Declaration FEMA-3408-EM-CNMI approved October 23 • Expedited Major Disaster Declaration FEMA-4404-DR-CNMI approved October 26 • FEMA Region IX RWC at Steady State, continues to monitor • FEMA Region IX IMAT-2 deployed to Saipan; LNOs in Guam, Rota and Tinian • FEMA Region VII IMAT deployed to CNMI (already deployed for Mangkhut) • FEMA NRCC Response Operations Cell (ROC) activated (24/7) • FEMA HQ ISB team and MERS assets deployed • HHS: Federal Health Coordinating Officer, DMAT, and IMT deployed • USACE: 249th Engineer BN ‘Prime Power’ deployed