Disaster Reports Number 5: Hurricane Gilbert in Jamaica, September, 1988 (PAHO-OPS, 1988, 42 p.): Appendix 2

Disaster Reports Number 5: Hurricane Gilbert in Jamaica, September, 1988 (PAHO-OPS, 1988, 42 p.)

		(introduction...)
		Prologue
		Background
		The hurricane and its effects
		The surveillance system
		Relief shelters
		Preparedness and response
		Lessons learned
		Appendix 1
		Appendix 2
		References

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:______________________________________________________________
______________________________________________________________________
_______________________________________________________________________