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close this bookDisaster Reports Number 5: Hurricane Gilbert in Jamaica, September, 1988 (Pan American Health Organization (PAHO) / OrganizaciĆ³n Panamericana de la Salud (OPS), 1988, 42 p.)
View the document(introduction...)
View the documentPrologue
View the documentBackground
View the documentThe hurricane and its effects
View the documentThe surveillance system
View the documentRelief shelters
View the documentPreparedness and response
View the documentLessons learned
View the documentAppendix 1
View the documentAppendix 2
View the documentReferences

Appendix 2

HEALTH AND Nutritional SURVEILLANCE - MINISTRY OF HEALTH, JAMAICA
(HURRICANE GILBERT)

Name of Facility________________________________ Date ______________

Location___________________________________________________________

No. of persons by age group. 0-4, 5 1 5 1 6+

Water Supply

Quality

[ ] Adequate

[ ] Inadequate


(Quantity-Water Purification (boil: purification tablets)

[ ] Adequate

[ ] Inadequate



Available

Needed

Food Supply

Cereals & other starches

[ ]

[ ]


High protein

[ ]

[ ]


Fats end Oils

[ ]

[ ]


Sugar

[ ]

[ ]


Vegetables

[ ]

[ ]



Present

Absent

Vectors

Flies

[ ]

[ ]


Roaches

[ ]

[ ]


Mosquitoes

[ ]

[ ]

Remedial action recommended :
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Sanitation





Garbage Disposal

[ ] Done

[ ] Not Done


Sanitary Convenience

[ ] Present

[ ] Not Present


( Type)

[ ]Satisfactory

[ ] No/Satisfactory

Remarks:______________________________________________________________
______________________________________________________________________
_______________________________________________________________________