Friday, January 28, 2005

Report From Mission 2 (19 - 26 January 2005) (Part 2)


ERM Team 2 at KLIA
(read Part 1 here)

Other Notes and Observations
Most commonly seen medical conditions:
  1. Upper respiratory tract infection
  2. Skin conditions
    • Dermitis
    • Fungal infections
    • Folliculitis
    • Scabies
    • Leprosy
  3. Ear conditions
    • Otitis Externa
    • Deafness
  4. Gastroentritis
  5. Lower respiratory infections
    • Bronchitis
    • Chronic obstructive airways disease
    • Asthma
  6. Caries
  7. Cataract
  8. Hypertension

Neglected injuries:
  1. Back aches
  2. Joint pains
  3. Soft-tissue injuries
  4. Fractures
All these injuries were sustained when they were thrown by the tsunami waves.

Medications needed:
  1. Analgesics
  2. Antipyretics (there's alot of Paracetamol)
  3. Tempol Suppositories
  4. Antihistamines (Adult & Paed)
  5. Dressing sets
  6. Basic surgical kits for T&S and STO
  7. Propanolol
  8. Sedatives for
    • Adults,
    • Children,
    • Febrile fits,
    • Epilepsy
  9. Vaccinnes (especially ATT does not need refrigeration)
  10. Benzyl benzoate
  11. Calamine lotion
  12. Zinc Oxide
  13. Haematinics
  14. Cotton buds
  15. AGE medication and ORS
  16. Eye and ear drops
  17. Prednisole and topical steriods

NOT needed:
  1. IV Antibiotics

URGENTLY needed:
  1. Generators
  2. People and equipment for water well disinfection
  3. Laboratory equipment and personnel

Report From Mission 2 (19 - 26 January 2005)


Dr. Surinder Singh


Coordinator: Francis Xavier (KOMAS)
Team Members: Matron Lee Wan, Dr. Premela Naidu, Dr. Surinder Singh

19 Jan 2005
The team departed KLIA at 1115hrs (GMT +8) and arrived in Medan at 1105hrs (GMT +7). We got in touch with our local KSKBA contact, Inche Achmad Sofyan, who sent two people from his team in a ‘mobil’ (an MPV). Inche Yom Alizar, an airport customs officer, was instrumental in assisting us with contacting them.

Our arrival at the Posko (‘aid station’) was welcomed with black Sumateran coffee. At 1330hrs we settled into lunch and absorbed latest updates on the situation in Aceh. We also found out that this aid station is managed by a group of volunteers representing the interests of farmers and fishermen affected by the earthquake and tsunami.

Immediately after lunch we started cataloging and packing medication, using the provided zip-lock bags as well as the medicine containers. We would recommend for all future missions that all medicine should be pre-packaged and prepared for immediate dispensing.

We received some bad news – the Langsa roads leading to Aceh were flooded with four feet of water, as were all other roads on the east coast that linked Aceh; while the links at the west coast after Meulaboh were destroyed by the tsunami. It was then decided that we would travel to Meulaboh instead.


Matron Lee Wan

At 2100hrs packing was completed. All supplies, food and medication were piled ino a 3-tonne truck. We had dinner and watched some tv. Local stations still carried news on the tsunami and the quake. The tagline on Metro TV read, ‘Badai Pasti Berlalu’ (‘The Tragedy Will Surely Pass’).

We left at 2330hrs and reached the Desa Langgung aid station (in the outskirts of Meulaboh) after a grueling 22-hr journey.

20 Jan 2005
We were greeted by the Ketua Kampung (the village leader) - Inche Hussein Air Kechik, youth leader – Ubcge Yusran, abd another village elder – Inche Kudus. We were invited to stay at the youth leader’s residence throughout the duration of our stay. It was very comfortable considering the circumstances.

An interesting note: Males are refered to as Bapa (‘Father’), and females, Ibu (‘Mother’).

21 Jan 2005
Waking up to a desolation and bleakness was depressing. We had a walkabout in the area – everything in sight was destroyed, trees uprooted, houses upturned and flattened, poles uprooted and snapped into two. The beach and paddy fields were swallowed by the sea, washing away an entire kilometer of land. Debris and flies was a repetitive scene throughout.


Mr. Francis Xavier

Everyone was at the mosque for prayers as today was a Friday, as well as the celebratory Hari Raya Al-Had. Thus, We started clinical operations at 1030hrs and stopped at 1200hrs for the Friday prayers and resumed at 1400hrs. Until 1700hrs, we saw a total of 107 patients.

In our hours of rest we were taken out to visit the outlying areas. We noted shelters where people lived in very deprived conditions. It was very sobering. Everything they had was either washed off by the waves or damaged. They were entirely dependant on external aid.

22 Jan 2005
We saw patients in Bapa Nazrun’s house in the morning, and headed out to the aid station later in the day. After our clinical operations we traveled to the Meulaboh town.

The Accident & Emergency at the Meulaboh hospital was manned by volunteers from Jogjakarta, and we were told that we could have a look-see. We observed that the hospital was spared by the tsunami and as wholly intact. The condition was clean but lacking in facilities. It appeared to also be assisted by foreign doctors – paediatric ward had Belgium doctors, Operating Theatres were manged by Singaporeans and Americans.

Inche Unggul Sudrajat, a paramedic volunteer from Jakarta and a Ham set enthusiast, invited us to a briefing which was held every evening and attended by various aid agencies, NGOs, and the local authorities.


Dr. Premela

At the briefing, we volunteered our services to a Dr. Harris. The hospital apparently needed nurses, physicians and GPs urgently for effective and efficient ward operations.

23 Jan 2005
We saw patients at Yusran’s house in the morning. We later saw 174 patients at an outlying aid station during the day.

24 Jan 2005
We traveled back to Medan, reaching at 2200hrs. Tomorrow would be an off-day, and we would leave for home on 26 Jan 2005.

Conclusion and some thoughts
The mission was frought with hitches mainly due to the destroyed communications link and infrastructure. The scale of this disaster is apparent, and has called the attention of bigger bodies – what is our role as an NGO? We should contemplate on this. At the briefing two things emerged – 1. we should register with the local authorities, 2. we should consider getting involved with UNICEF, as it will be the coordinating body with local organizations and political clouts to move things, even though we NGOs work mostly at the ground level.

The relief mission is slowly phasing out for the other two phases of rehabilitation and reconstruction. It will be a very long phase but there is an ongoing need for supplies and aid to rebuild the infrastructure and communication links here in the future.

Sunday, January 23, 2005

URGENT: Volunteers Needed For Corpse Excavation Mission

Team leader: Eric
Duration: 28th Jan 2005 - 4th Feb 2005

Leaves KLIA to Medan on Thursday, followed by a truck ride to Aceh to assist the local Aceh NGO forum in their efforts to clear bodies off from the tsunami-affected areas. Travelling expenses and the return ticket (KL-Medan-KL) will be footed by the SEAPCP coalition. Lodging, food, and clean water provided by the locals Acehnese NGOS.

Please send all other enquiries to komas_aceh@yahoo.com.

EDIT: The mission was wrongly titiled. I've since named it correctly here. "Corpse Excavation Mission"

Saturday, January 22, 2005

Updates from KSKBA Posko

This came in an e-mail from Sopyn. I've translated it to the best of my understanding.

Our team has started work. They're assisted by the local youth leaders. They're living in his house, which happens to be quite near the aid station. More updates later.

SMS Updates From The KSKBA Posko

Several text messages came in on the night of Jan 20. I've translated them to the best of my understanding.

Our medical team braved through very severe travelling conditions on the road, totalling almost 23 hours to reach the aid station. More updates later when I get in touch with them.

Thursday, January 20, 2005

Email Updates From Ahcmad Sofyan, Posko KSKBA

An e-mail came from Ahcmad Sofyan this morning. I've translated the e-mail to the best of my understanding.

Dear friends,

Thanks Johan. Our team left for Meulaboh last night with several volunteers on an aid truck. We were assisted by a local Achenese who was involved in co-ordinating the work among Meulaboh fishermen and farmers.

There are six permanent KSKBA Poskos ("aid stations") organized along the roads at eastern region of Aceh towards Banda Aceh.

Our medical team is headed towards our KSKBA aid station in Muerbeu, Meulaboh, at a village named Langgong. The change of plan was caused by the sudden inaccessibility of the shortcut routes towards the eastern region of Aceh. It was unfortunate that the recent heavy rains flooded Kuala Simpang, as well as the stretch of roads heading towards Langsa and its borders.

There are no changes, however, to our prior transportation arrangements. KSKBA has several trucks ready to travel to any aid station, and is on standby if needed. We have a 190ps fuselage truck, a 100ps colt diesel truck, and a L300 pickup truck.

Some brief updates on our work: our team has settled in Nias Island, as well as Kecamatan Sirombu, Teluk Dalam, since January 13.

That’s all for now, Jo Hann and gang. I hope we’ll be able to keep daily contact since I’ll be on standby at the aid station with the rest of the KSKBA team.
*KSKBA (Koalisi Solidaritas Kemanusiaan Bencana Alam Aceh Sumatra Utara) or the Solidarity Humanitarian Coalition for the Natural Disaster in Aceh, North Sumatra.

Monday, January 17, 2005

KOMAS-SEAPCP Aceh Emergency Relief - Mission Dates

Mien gave me a complete list of dates for the Aceh relief mission. There are eight separate teams altogether, one of which left and returned a couple of days ago. (Read Tan Jo Hann's account here: Day 1 & 2, Day 3 Day 4 & 5)

19 Jan - 26 Jan
27 Jan - 3 Feb
5 Feb - 12 Feb
14 Feb - 21 Feb
23 Feb - 2 March
4 March - 11 March
13 March - 20 March

Each mission lasts a week, and will consist of five to six members - three or four of which will be medical personnel, with one documentator and one ground operations officer. This team will travel to Medan via airplane and take a 12-hr truck ride to Aceh. They will administer medical aid in villages at the fringe of the affected areas that are overrun with victims and refugees.

We work very closely with our local NGO friends collaborating with the KSKBA (Koalisi Solidaritas Kemanusiaan Bencana Alam Aceh Sumatra Utara) or the Solidarity Humanitarian Coalition for the Natural Disaster in Aceh, North Sumatra.

Spread across two months, these missions the coalition committed itself to will demand alot of effort, volunteers and resources - we will appreciate any sort of contribution or assistance anyone has to offer. If you have a medical background and wish to volunteer, or if you wish to donate, please contact us here, or send an e-mail to komas_aceh@yahoo.com for any enquiries.

Saturday, January 15, 2005

Jerald Safe In KL

Jerald, our director from KOMAS, touched down safely in KLIA yesterday evening. Welcome home, Jerald!

Wednesday, January 12, 2005

Aceh Emergency Relief - Exploratory Team Returns


Dr. Jo Ann, Christie Chiam, Dr. Santhani, Prakash, Arul, Jo Hann

Six members from the KOMAS-SEAPCP Emergency Relief Mission returned after spending a week in Medan and in Aceh. They touched down at the Kuala Lumpur International Airport 12 Jan 2005 slightly after 20:00 (GMT +8).

They were in high spirits when they saw us at the arrival hall. Hugs, greetings, handshakes and smiles were exchanged. After the initial relief and excitement in meeting friends and loved ones after a week, we settled in at a nearby fast-food joint for a brief interview with Dharmender Singh from The Star.


Listening attentively to Dharmender's questions

Lead by Mr. Tan Jo Hann, the team briefly recapped their work at Aceh, sharing experiences and observations from their week in Aceh.

Jo Hann gave a brief background on the work of the KOMAS-SEAPCP relief team. Most international attention and relief work was focused in larger town areas with various aid stations and distribution centres, but not all patients could afford to travel to these stations because of the cost of transportation. In addition to that, it was reported that foreign aid missions traveling with armed security personnel also intimidated the locals.

The KOMAS-SEAPCP team carried out relief work at the fringe of the affected areas. Refugees fled to neighbouring villages, congregrated at refugee centers, or simply lived with their relatives and friends. As such, they brought ‘mobile’ treatment and medical aid to refugees, instead of having them travel to the aid centers.

Jo Hann also commented on how the media sensationalized the situation in Aceh. He agreed that the destruction was massive, and that there still were bodies lying around the affected areas, but they found themselves in no immediate danger. The locals were friendly and courteous, and they could communicate and connect with the team in a personal level.

Our biggest advantage in carrying out relief work with the locals is probably the ease of communication we had – Bahasa Indonesia is similar to Bahasa Malaysia, and also since the relief team worked closely with our longtime partners in the KSKBA coalition.

He also noticed that there were wet-markets running a good business a few streets from the area of destruction. It appeared that vegetables and other daily supplies were brought in from mountainous areas and from other parts of the island. The prices were slightly inflated, but sales of local vegetables such as sawi were brisk. Jo Hann even had a taste of chicken rice from a local stall.


Dr. Santhani, Dr. Jo Ann, and Chris Chiam recounting their experiences

Members of the medical team – Paramedic Chris Chiam, Dr. Tan Jo Ann and Dr. Santhini noted that they had sufficient clean water for drinking and daily bathing. They were well-fed and courteously treated by our hosts. The locals even took to referring them as Putera-Puteri Dari Malaysia (Princesses and princes from Malaysia).

Dr. Santhani reported that most of the patients they treated had no illness that posed immediate threat to their health. Other than superficial cuts and bruises, among the more common diagnoses were respiratory tract infections, skin irritation, and diarrhea.

She noted that most of them were still in shock, and indicated that some patients displayed symptoms of post-traumatic-stress. It was suggested that perhaps a psychiatric would be more effective in such cases. For such patients, the team dispensed health supplements and vitamins as placebos to give them a peace of mind, if rather superficially and temporarily.

Jo Hann also clarified that in a disaster managment of this scale, the relief phase would last only two months. The two other ensuing phases would be rehabilitation, and reconstruction – both of which would require more time and effort. The coalition has committed itself to the following two phases as well.

The next two teams will be sent on Jan 19 – Jan 26, and Jan 27 – 7 Feb. If you have a medical background and wish to volunteer, or if you wish to make a donation, please contact us.

-----------
EDIT: We are also featured in today's (14 Jan 2005) The Star (Metro, pg 4), as well as in their online version of the daily.

Updates From Jerald for 11 Jan and 12 Jan

These SMSs came in from Jerald this morning. He will be returning to KL on 14 Jan.

12 Jan 2005 09:31:43 (GMT +7)We went out to west but bridge collapse n no more access.we dont know how bad is it there.we went to a beach in loksmawhe.the serenety n beauty belies its ferocious strength just a few days ago.it is strange to see mass graves dug waiting for bodies to pile up.in refugee camps people still live in fear.the regular termors only add to their new desperate environment.tuesday

12 Jan 2005 09:47:56 (GMT +7) We are leaving for airport now...with a heavy heart.i leave friends n people who have lost so much.their pain is beyond us.body bags r still living the streets.the work to rebuild is long n hard.we leave hoping our support n tghe global support will come quick n enable the acehnese to once again go back to their homes....wednesday
Yesterday evening KOMAS office in PJ was a flurry of activity - preparing paperwork and purchasing medical supplies for transport to Medan. Our fellow NGO friend, Zaitun Kassim from Suaram will be bringing it to Medan for us together with her drum of chlorine pills, as she leaves for Aceh on a independent fact-finding mission. She left for the airport this afternoon. We pray for your safety, and hope you'll have a successful mission!

We also got a mysterious package in the mail yesterday. The envelope bore no return address nor name of the sender. Curious, we poured the contents out and found two fabric masks and some tabs of painkillers. Thanks, dear anonymous! although your contribution is comparatively smaller than that of the larger pharmaceutical companies, the envelope and its contents is seeing it's way to people who will appreciate it greatly!

Other news - The flight of our returning exploratory mission team was delayed. They'll be expected to reach Kuala Lumpur International Airport this evening at 18:30 (GMT +8). The staff at KOMAS will be leaving shortly to meet them at the airport.

Report From Banda Aceh (January 8-9, 2005)

BY TAN JO HANN

Tan Jo Hann filed the following report after spending 3 days in the ‘ground zero’ area, 500 kilometers from Medan City. The delay is attributed to inaccessible and unreliable telecommunication facilities.


Day 4 (January 8, 2005)
After Day 3, the SEAPCP-KOMAS medical team made their way to communities of ‘house-refugees’ providing mobile medical treatment, while the rest of us traveled to Banda Aceh.


KSKBA Posko in Banda Aceh

A four-wheel drive was rented for this purpose. Contingents of trucks and other vehicles overtook us constantly, carrying an assortment of aid from various international and local relief agencies. An assortment of Indonesian military vehicles passed by us too, mostly filled with heavily armed soldiers and some with engineering equipment.

This main trunk road was obviously not built for such traffic as witnessed in the last ten days after the tragedy struck Aceh. It was a long and arduous 12-hour journey.

First stop at POSKO in Langsa
Koalisi Solidaritas Kemanusiaan Bencana Alam Aceh Sumatra Utara (KSKBA) or the Solidarity Humanitarian Coalition for the Natural Disaster was our local coalition handling the Aceh emergency relief operations.

We stopped by Langsa, a small agricultural town about four hours north of Medan. Although Langsa was not directly touched by the tsunami, it housed a steady influx of refugees. They traveled 300km (8 hours) from the affected areas.

A local partner of the KSKBA coalition - Biduk Alam - coordinates Posko Langsa (Langsa "aid station"). 40 volunteers with varied backgrounds manage Posko Langsa – there were laborers, civil servants, and skilled craftspeople of Langsa. Their weekly shifts and tasks were rotated and divided to manage their own personal and working life alongside with relief-work.

Active since the second day of the disaster, Posko Langsa distributed aid to about 4,000 displaced ‘house-refugees’, over 400 of whom are children. Distribution was not an easy task, as refugees are spread out among 52 different community houses over a 5-10 kilometer area.

Perhaps more alarming is inadequate supply of food. Although donations are received from neighboring shops and local communities, this too is insufficient to meet the needs of all the 4,000 refugees.

Second stop at POSKO in Meunasa Drang

Two kids looking at the eroded beach front at Menusa Drang

This is an affected area located between Lokseumawe and Bireun on the north-eastern coast of Aceh, where more than 100 houses were destroyed. These families are now housed in a temporary refugee center in the compound of a mosque. Living conditions and facilities are relatively better as compared to that of other areas, refugees appeared to be sufficiently-fed and well- clothed.

The local school was ruined when the tsunami struck, and many houses were caught in the 3 meter flood that occurred then.


School ruined in Meunasa Drang

Fishing is the main livelihood of most families in Meunasa Drang. The eroded sea-front appeared to intimidate the locals, and most of them are now apprehensive or fearful of returning to sea. Also destroyed alongside their living quarters were fishing equipment and the livestock they once bred, eg. chickens.

“The older people in this area believes that the tragedy occurred because the society in general have been losing the traditional values and moral and it is Allah who bestowed this punishment upon us to warn us to go back to the path of righteousness”, said the local leader Mr Amrun.

“We need to quickly help the fishing families rebuild their lives by constructing their boats, buy nets and motors so that their lives can resume normally again,” said Mr. Ismail, the coordinator of the KSKBA Posko at Meunasa Drang. The local community leader also added, “We have many skilled boat makers here who can make these boats but we need some help from outside.”

Final Destination at Banda Aceh at POSKO Leung Bata
It was almost midnight when we reached the Banda Aceh Posko at the Tengku Luang Bata road, a few kilometers from the devastated town center.

The KSKBA posko handling aid distribution here in Banda Aceh played host to the five of our medic team from SEAPCP-KOMAS. The medic team was exhausted from their first day of visiting and treating almost 2,000 patients from five different communities.

Most of the patients needed only the most basic of medical attention. They were treated for cough, fever, infection of superficial cuts and bruises, skin irritation, and dressing of wounds. The more serious cases were forwarded to hospitals of medical treatment centers operated by larger medical relief agencies in the city center.

These survivors cannot afford to travel to these larger centers, nor did they have access to transportation - the disaster robbed them of everything, except for the clothes behind their backs. (Note: The medical team will post a comprehensive report after the debriefing tonight)

We set up base in the KSKBA post which is managed by a team of 5-7 volunteers mainly students from Aceh and other parts of Sumatra facilitated by the KSKBA. They handled the food and distribution of aid collected by the KSKBA coalition.

Day 5 (January 9th. 2005)
Kota Banda Aceh Wiped Out
The next morning, one of the KSKBA coordinators said to us in jest before we left Medan for Banda Aceh, “Good luck on your pilgrimage.”

Visiting the oft-photographed ‘ground-zero’ area was surreal, not unlike that of sensationalized news and features carried on local television stations or anything like the pictures displayed by then mass media.

Driving straight into the devastated town center, we saw a solitary mosque – Masjid Baitul Rahman – amidst a totally flattened and destroyed town.

The city was full of activity, if in a rather abnormal and morbid manner. Tractors, bulldozers, trucks and emergency relief vehicles were busy, as were the members of the press. It didn’t help that it rained the night before – the view was covered with a layer of grime, mud, and sand.

Even though it was two weeks since the tsunami hit, Banda Aceh was still clogged with debris from destroyed vehicles, houses, commercial buildings and schools.


Mosque surrounded by destruction

There were eyewitnesses who reported that the raging flood water swallowed up whatever that stood in the way, but slowed down when it was approaching the mosque. The floods then passed through but accelerated as it exited the compound of the mosque, and continued raging through the city, destroying everything in its deadly path.

There were a dozen or so other mosques around the city that were spared by the waters. We rationalized that it was perhaps the unique architecture or construction of the mosques, with open walls and strong columns holding the dome, which made it less susceptible to the force of the waters than that of a typical community house or shop house.

Our simple theory was disproved when we saw a surviving mosque with walls similarly built like that of an ordinary house, whereas there were no remaining wooden or stone houses in the area.

One cannot help but wonder how the local mosques survived the tsunami when everything else was wiped out. Could it be some supernatural force that protected this sacred place? Or was it a geological phenomenon, or architectural ingenuity in the construction of these places of worship? It is not easy to find answers to these questions.


Salvaging for scrap metal

In the midst of the mangled ruins, scavenging and salvaging has already begun. Scrap metal, furniture, and even toys or children bicycles. We also saw people towing and transporting destroyed and deserted vehicles - expensive sedan cars, four-wheel drives, jeeps, and other potentially rewarding scrap metal.

Our guide Iwan tells us that looting was rampant in the more affulent areas in town, where bigger bungalow houses were ransacked. Valuable electricals such as television sets and computers were safe from the floods in the upper floors.

Dead Bodies
We still saw bodies being collected as we passed the city. There were bodies in different colored plastic bags; others were wrapped in bed sheets or thin mattresses. On the day alone we saw at least 10 – 15 bodies being gathered for collection, pilled into open trucks that were already filled with body bags.

Curiously watching the evacuation team looking for bodies under piles of debris and garbage were two brothers about 7-10 years old. Upon enquiry, we found out that the two boys were in the paesantren (Islamic boarding school) not far from the scene of destruction. They were not caught in the floods, but matter-of-factly told us that they lost 13 relatives, including their uncles, aunties, cousins, and grandmother.

We drove further up towards the north and north-west coasts of Aceh to survey damages closer to the epicenter of the 9.0 Ritcher earthquake that struck Aceh two weeks ago.

We were confronted with what we estimated to be about 100 bags of bodies, waiting to be buried in a mass grave. The stench of decomposing human flesh assaulted our senses and churned our stomachs. The unpleasantness was less overwhelming when we covered up our noses and paid more attention to the direction of the wind.

We later used the presence of this foul odor also as an indication of detecting possibly more bodies buried under debris.

North And North-Eastern Coastal Areas - Lokhna, Ujung Batek, Kajhu, Kreung Raya

Jo Hann with backdrop - the destroyed Kajhu coastal area

Traveling further north brought us to the coast in an area called Kajhu.

Debris lined the coastal road, of which once perhaps was hugged by long stretches of white sandy beaches. The magnitude of the destruction and debris spread out across the area was shocking. It was a alarming realization when we started imagining how many houses stood here 15 days ago. The disturbing scenery hardly varied for the next two or three kilometers along the coast – everything was destroyed, flattened, and wiped out.

It was unsettling to think of the number of lives that perished in area this large within mere 15 minutes that the tsunami took, after the earthquake that struck on Dec 26 2004.


Kilometers of Kajhu houses destroyed

We did a rough estimate – if there were about 5,000 houses in Kajhu, and if each house had one or two families with five family members each...? The total number of lives swept away was stupefying.


KSKBA volunteers surveying the Ujung Batek beach

Passing through an area that appeared to be a recreational spot, we saw a surviving signboard that proclaimed it to be “Taman Recreasi Ujung Batek.” The only other living thing here was perhaps the tall coconut trees lined along the stretch of the beach. We noticed that the coconut fronds were an unusual greenish-yellow color, perhaps caused by contaminated salty sea water that was churned out of the deep sea. It also indicated the height achieved by the mass of sea water when the waves struck.

Krueng Raya is also along the north coast of Aceh, but was otherwise quite unaffected since it laid on higher land. Many makeshift refugee camps sprung up in response to mass exoduses of survivors who fled for safety. Temporary huts were constructed out of wooden planks and other materials. As with many other temporary refugee camps, clean portable water and proper sanitation was a main priority to prevent outbreaks of diseases and for general hygienic living.

These camps also built road posts to solicit donations and other items from passing vehicles. In some of the camps, these posts were managed by children barely of the school-going age. Although they had smiles on their faces and remained playful at times, one could hardly imagine the trauma they suffered, experiencing such a tragedy at that age.

The calamity in Aceh caused by the earthquake and tsunami is horrifying. But seeing the suffering of the people and the children is especially heartbreaking.

Tan Jo Hann. (Jan 11. 2005)
SEAPCP-KOMAS team
KSKBA Command Post
Medan Sumatra

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Read Day 1, Day 2, Day 3

Tuesday, January 11, 2005

Report From Medan - Aceh (January 7th 2005)

BY TAN JO HANN

Day 3 (January 2005)
Aceh 4:00pm (GMT +7)

(Note: Telecommunications services is still pretty unreliable other than that of Short-Messaging-Services (SMS). The following information is obtained through short interrupted telephone conversations and SMS with our friends in the field areas).

This morning the SEAPCP-KOMAS medic team, facilitated by the local emergency relief coalition - KSKBA, went to their first “house-refugee” community. This was the first of many communities among those outlining the outskirts of the Banda Aceh town, and along the upper eartern tip of north Sumatra.

The minute they stepped out of their van, people started to gather around to seek medical attention.

The team set up their treatment station in the open space within the small clusters of house. They also went around the small community and saw patients in whatever places that was available to be used as a temporary treatment station.

They attended to about 70-80 patients - women, men and children. Most of them complained about skin itchiness, and some had untreated cuts and wounds. Others appeared to have more serious cases of swelling in the leg, or had dark patches of wounds between their toes perhaps due to over-exposure to contaminated water and unclean environment.

Not all of them needed immediate medical attention, but insisted on being treated anyway. Our team gave out some Panadols to appease them but reserved the more important medicines for the really needy cases.

Since 1600 hours (Sumatra Indonesian time), the team were heading towards another nearby community where there are more serious and unattended cased needing medical attention.

Our medical team were in high spirits and still strong in their solidarity mission in providing assistance to the survivors of the Aceh crisis. The night before, our team had a dinner prepared by friends from KSKBA at their emergency Posko (post). They spent the night resting in rooms, in the van, or in whatever places they could find.

More reports will follow.
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Read Day 1 and 2 here.

Monday, January 10, 2005

General Announcement

Our exploratory team, lead by Mr. Tan Jo Hann, will return to KL on 12 Jan. We wish them a safe journey home.

EDIT: This one just came in from Jerald.

10 Jan 2005 21:30:17 (GMT +7) Hi.today was seeing destruction outside city.some villages badly hit.the coordination centres are manned by many volunteers from local areas n uni student. WE were in loksamahwe which has a port to bring in aid.pohd* from penang shipping 200 tones on wed.one ngo says that medic team still needed in more remote refugees centres.lets hope global response gets here on time.
In other news - more medical supplies came in today thanks to the generosity of Irene Leow & friends, also to individuals and friends who came in for enquiries and to provide support.

We still are looking for medical personnel to join our next team for the Jan 27 - Feb 7 mission, as well as medical supplies. Please send all enquiries to komas_aceh@yahoo.com, komasjj@pc.jaring.my or call 603-79685415.

----
[*POHD - Penang Office For Human Development]

Sunday, January 09, 2005

SMS Updates From Jerald, Medan - Aceh

These text messages came in from Jerald today.

8 Jan 2005 23:07:53 (GMT +7) We still at medan airport waiting for clearance to fly in.we may go in at 1am.tired.also check if we can get more doctor volunteers.

9 Jan 2005 09:22:31 (GMT +7) We are well-finally i got sleep after 42hours-today have lots of work.

9 Jan 2005 12:35:49 (GMT +7) Bodies everywhere.stench.collosal destruction.absolutely unfathomable.sad many would never know where their loved ones died.many will never know.

9 Jan 2005 15:39:19 (GMT +7) People living in very difficult conditions.now main focus is food n clothes.will update later.cleaning up process is slow.very few shops open. trsnptatn susah to find n petrol also scarce n expensive
It is very grim and sobering indeed. Yet, admist all the depression - life goes on for the living, and there's work that needs to be done.

Our ERM team brings all medical supplies along with them (KL -> Medan -> Aceh) direct to the affected villages and refugees, and provide them with whatever aid we are capable of. Our short-term goal is to build three Posko (aid centres) in Aceh by mid-January, and the long term plan, 16 centres.

At the top of our list is providing medical aid for the affected victims - we need volunteers, mostly medical personnel for our next mission (27 Jan - 7 Feb), as well as funds to purchase medical supplies. We appeal to both individuals and organizations for assistance. Please forward all enquiries to komas_aceh@yahoo.com.

Saturday, January 08, 2005

Jerald: KL -> Medan -> Banda Aceh

We left with 195 kgs of medical supplies early this morning for KLIA (Kuala Lumpur International Airport) to see Jerald off to Aceh on a Malaysian Airlines 9.30am flight to Medan, with a connecting flight from Medan to Banda Aceh.


Jerald checking in at the counter

It was nothing short of a miracle that all four carts of our supplies got through the check in point.


Crossing fingers...

Special thanks to En. Mohd Ishak and Cik Zaituna of MAS Customer Services for kindly taking the time to explain and provide the paperwork that exempted us from excess baggage charges - and not just the usual 100 kgs relief missions usually get, but all 195 kgs of supplies. We could hardly contain our joy watching all the 18 boxes being marked and loaded on the conveyor belt.


All 194.7 kgs worth of supplies!

We left after meeting up with Fabian and some discussion over breakfast and general caffeine refueling, but got news later of the flight being delayed to until 11 am (GMT+8). Our SEAPCP partner from Posko Medan, M. Haris Putra, is expected to meet them at the airport at 12 pm (GMT+8).


Breakfast with Fabian

In other news - Jo Hann will be in Banda Aceh for two nights. He will return to Medan on Jan 11, have a debriefing on Jan 12, and return to KL perhaps a day or two later.

Expect more updates on Monday.

------
UPDATE - 330 pm (GMT+8) - I just got news of Jerald arriving safely in Medan, and is waiting for his 5pm connecting flight to Banda Aceh.

Friday, January 07, 2005

Donations From Pharmaniaga Berhad

We'd like to thank Pharmaniaga for the 12 boxes of medicine (Diphenoxylate & Paracetamol) we received this morning! :)


Boxes of medical supplies

Our director, Jerald, is making preparations to leave tomorrow for Medan with as many of these donated medical supplies he can bring with him. This trip we're bringing supplies donated by both Pharmaniaga as well as frm the NSC. Have a safe trip, Jerald!

Thursday, January 06, 2005

Secretary-General Tells Tsunami Victims They Are "Not Alone"

Read - An update from UN HEADQUARTERS, NEW YORK, Wednesday, January 5, 2005

Report From Medan - Aceh (January 5th 2005)

BY TAN JO HANN

This report is from the SEAPCP-KOMAS Emergency Mission (ERM) Team covering the first 2 days in Sumatra Indonesia. The following information is obtained from several sources including local field organizers who had just returned from affected areas in Aceh and coordinators of the KSKBA command station.

KOMAS organized an all-Malaysian SEAPCP-KOMAS team. They are:
1. Mr. Tan Jo Hann (SEAPCP, Ground Operations Organizer)
2. Mr. Arul Prakkash (KOMAS, Video documenter)
3. Mr. Arumugam Marimithu (PERMAS, Ground Operations Organizer)
4. Ms. Cheam Swee Mui (individual, Paramedic)
5. Dr Tan Joe Ann (Doctor)
6. Dr Santhani M. Selvenidran (Doctor)

SEAPCP Team members from other parts of Indonesia are:
7. Mr. Don Marut (INSISTS, Yogjakarta)
8. Mr.Nus Ukru (BAILEO, Maluku)
9. Mr. Effendi (LPTP, Solo)


Preparing medicines

Day 1 (January 5, 2005)
The team faced some complications in the beginning stage when MAS refused to check in Arul Prakkash and Dr Tan because their passports were valid only for less than 6 months. Finally after much persuasion and a call to the Indonesian in Malaysia could they check in and were allowed to pass through immigration check point in Polonia Airport in Medan.

The team had an initial orientation followed by several rounds of briefings and discussions with the local KSKBA coordinators Sopyan Haris, chief medical officer Dr Sabhana and field organizers Iwan Munthe & Ahmad Taufik representing the Medan-based KSKBA (Humanitarian Solidarity Coalition for the Natural Disaster in Aceh North. Sumatra)

After much contemplation - taking into consideration the distance of the target locations, resources of SEAPCP-KOMAS team and length of time the doctors have for this mission - we finally decided to target areas on the outskirts of Banda Aceh. These are located along the eastern coast from Sigli all the way to the western tip of the Sumatran island at Lhoknga surrounding Banda Aceh.

The 4 boxes of medicines brought by the medic team from Malaysia were estimated to last only a few hours in the field! After consulting our SEAPCP partners in Yogjakarta and Kuala Lumpur, we made an immediate decision to purchase the medicines in Medan through a reliable source. We bought USD 1,100 worth of medicines and packed them ready for the mission’s trip to the remote areas the following day.


Washing in the river

Day 2 (January 6, 2005)
The medic team departed for the affected areas in Banda Aceh early in the morning, all 5 of them, accompanied by a local organizer. They will be going into small clusters of “house refugees” living along the short eastern coast near Banda Aceh around the Sigli areas. They will set up a treatment tent or using the community hall to treat the sick and injured, and move to a different area the next day.

The traveling time from Medan to the affected areas takes about 10-11 hours by land. Therefore this first exploratory mission has only four days to give medical aid in these areas. We targeted to treat at least 50-100 patients a day during the 4 effective days in the field.

General situation of target areas
Banda Aceh received much attention and aid from many sources, including at least 50 international agencies, yet we find it rather ironic that areas about 14-20 km on the outskirts of Banda are not receiving as much attention or aid items as it should.

The physical limitations of injured victims and the destroyed infrastructure has made such aid inaccessible to those who live in the outskirts. Distribution and medical aid to these areas are inconsistent. These people can only rely on the “mantri” (performs circumcision in the local community) for basic medical needs.


Loading medicines and getting ready for the trip

These communities sustained a huge influx of “house refugees”. They are people are taking shelter with relatives and friends after the disaster destroyed their homes. Sometimes up to three or four extended families cramp together under one roof in communities with less than 100 houses.

Apparently, huge communities of these “house refugees” are all spread out across the eastern coast and at the outskirts of Banda Aceh.

HOUSE REFUGEES - There are two types of refugees. One is the direct victims of the tsunami. The others are those who have chosen to move to refugee centers fearing the outbreak of diseases or for food although their own homes were unharmed by the tsunami.

It was also reported that some of these refugees have come from the mountainous regions taking advantage of the distributed aid, moving from a place to another depending on the availability of medicines and aid.

Many refugees lining up for treatment may not actually be sick or in need of medical attention but wait in line anyway because they want to stock up the medicine for their own usage.

Some of the most common ailments include various degrees of cuts and bruises; infection of these wounds, diarrhea, and those who have health complications arising from ingesting salt water. There are also many cases of fever, coughing, skin irritation, a symptom like burning sensation believed to be caused by long periods of exposure to contaminated water (?) and respiratory difficulties. This is also predominant among the children survivors and refugees.


Having a meal - Indomie with rice

Children and even adults lack proper balanced diet and nutrition because most of them are given “Indomie” (instant noodles). This is sometimes consumed raw due to the lack of cooking utensils and clean water. This, by itself, is not adequate to fulfill their hunger.

REFUGEE CAMPS - The facilities in the Banda Aceh refugee camps lack basic sanitation that caused many problems that could otherwise be avoided. Most refugees prefer to stay in schools and mosques because these facilities are already in place, although there are not many remaining.

Refugee camps house a few hundred families. In communities where there are house refugees, there are usually 1-6 houses.

Supplies of food such as rice and vegetable are sourced mostly from North Sumatra. Other potential food supply could also come from the mountainous regions in Aceh which was not affected by the disaster.


Iwan Munthe - Aceh Organizer (KSKBA) resting after a tiring day

Important points to consider for SEAPCP-KOMAS Medic Team
The most important point is the source of medicines and medical supplies. It is very difficult to get medicine unless bought directly from the pharmacies and shops in Medan. Necessities such as medical items are being hoarded and as a result, prices have soared high.

It is very difficult to transport supplies from Malaysia, Jakarta or other parts nearby to Aceh. Air transport is expensive and involves many bureaucratic processes.

Rental of vehicles have tripled in prices in Medan, Aceh and other affected areas. There is also a shortage of vehicles for hire as many aid agencies and government agencies requiring such services.

Medic team can be from 2-3 doctors plus 2 other paramedic or nurses per mission so that the team of 5 persons can fit into the van or vehicle going to the remote communities, and each mission should have sufficient medicine enough for at least 5-6 days of field work.

Flight for future medic teams should by all the way to Banda Aceh where they should be met with the vehicle and all necessary medical supplies and go directly to the affected areas. This would save a lot of time (2 days traveling time!).

Constant and large supplies of medicines are very crucial to the success of these missions. For instance, 1 truck of medicines will last only 1 day if the medic team services a refugee camp!

Our medic team will focus mainly on remote communities of "house refugees" with extended families. We will use the community or house visit approach, so that we can control the usage and maximize our limited resources. Furthermore we will be able to serve the people who need these services most but not being serviced by the 50 or more international aid agencies focusing their efforts in Banda Aceh.


Our medical team

Situation of our frontline teams in Medan and Aceh
It is clear that our friends in SINTESA-SPSU and other friends and organizations involved in this immediate response action under the banner of KSKBA is totally immersed in this effort.

Their resources are limited but they have an extensive network of friends, communities and members who volunteered their efforts and energies towards this disaster relief operation.

Prices have soared high in Aceh and surrounding area including other major towns such as Medan city. Prices of basic food items like meat and vegetables increased by 15-25% in general. Price of transportation has increased by 2-3 times, and the prices of clothes doubled.

Our frontline teams set up 3 Posko (aid stations) all over the affected areas including Medan (believed to have 150,000 internal refugees). The long term plan is to set up 16 Posko all over the affected areas.

The strategic plan for the future would be to try and develop local organizers who would become the eyes and ears of the KSKBA efforts in different remote communities, refugee camps. The Posko stations could then support and provide relief to the communities by the effort of their own local organizers.

The different SEAPCP partners (Sintesa, SPSU, INSISTS, BAILEO, KOMAS, absence of PEKKA) involved in supporting this relief operations coordinated a meeting in the command station in Medan. The SEAPCP partners will strive to improve and refine the coordination mechanism and strategies as planned.

- 6: 29 PM, 6 JAN 2005
- re-edited 5: 13 PM, 7 JAN 2005

Donations From NSC, SMS Updates And News

Getting Donations Frm National Sports Council Of Malaysia
We got four boxes of medication from the National Sports Council of Malaysia yesterday at a brief handover ceremony at Bukit Jalil. Thanks for the generous donation!

SMS Update From Jo Hann
And this sms came in from Jo Hann in the morning.

I'm writing report now also edit foto. Will send b4 130pm kl time. Gang left 4 banda aceh morn. 11 am ETA. 10pm msia time.

A Visit To The UN Office
We got back from the UN office and tried calling our NGO friends in Aceh and Jakarta but all the landlines and mobile phone networks were busy. SMS seems to be the best way to communicate, it seems.

There's been worrying humanitarian news from the brief press conference and handover of a memorandum concerning aid distribution in Aceh. Among the issues raised in the letter AltAld Aceh-Tsunami forwarded to UN were that of

1. Aid being sold instead of being distributed, such as (I assume, Maggi Mee Perisa Ayam (I saw on the news)) instant noodles we sent for distribution. This was reported by Malaysiakini and Washington Post. There are also eyewitness accounts that indicate the military are requesting aid recipientsto show identification.

2. Interpress Service also reported that the military resumed operations in Aceh. According to the Malaysian NST, Indonesian military killed three Gerakan Aceh Merdeka members since the disaster hit.

In the letter, AltAid Aceh-Tsunami then urged the UN to
1. Ask the Indonesian gov to clarify transparently, the aid distribution system currently at work
2. Ask the Indonesian government to investigate claims of corruption and intimidation within it's armed forces station in Aceh
3. Urge for more civilian aid groups to assist in Aceh, rather than the Indonesian military
4. Send international, independant observers into Aceh to monitor the current situation.

The UN representative, whose name Anis Yusal Yusuf, the United Nations Assistant Resident Coordinator, promised to look into it.

I also got off the phone with Zaitun Kasim, the representative of AltAid Aceh-Tsunami who presented the letter. She'll be heading to Aceh in a couple of days to do some fact finding to investigate those reports. This is good news indeed.

More Medication Needed
One of our local NGO contacts from Posko, Medan, Sintesa - (Study for Social Interaction and Advocacy) , faxed over a list of medication they need us to help bring over on Saturday.

1. Paracetamol
2. Folic Acid
3. Vitamin C
4. Vitamin B Complex
5. Cloxacilin
6. Povidone/Flavin (Dressing)
7. Oral Rehydration Salts
8. Bandages
9. Plaster
10. Augmentin
11. Amoxsicylin

Although we've already received some aid from NSC, it simply won't be enough. Mien tells me that 4 boxes will probably last us only two hours.

We accept donations from anyone, be it in cash or in the form of medical supplies or as volunteers. Please read how you can help us.

Am expecting an update with photos from Jo Hann, so look out for an update later tonight. Any enquiries please forward them to graceshu@gmail.com, komas_aceh@yahoo.com

Wednesday, January 05, 2005

SMS Update From Jo Hann, Medan

Yes in medan. Friends sleeping. 2moro to sigli. 12 hrs. Do hse to hse treating hse refugee. Our med supplies very litle will last only 1 hr. So buy rm5000 worth of med here and maybe last 3 to 4 days! I wil write report 2nite. Email.


Please see how you can assist us.

Related news link: Indonesia Starts Building Refugee Camps

Updates From Medan, Indonesia

The first relief mission troop arrived safely at Medan, Indonesia this morning and reported with the Posko emergency relief headquarters. The medical team will travel up to a village about 8-10 hours north tomorrow morning.

We also got feedback of desperate need of medical supplies, or cash to purchase medicine, which will be brought over this Saturday.

If you are able to assist in any manner,

PLEASE CONTACT
Pusat Komunikasi Masyarakat (KOMAS)
No 40-A, Jln 52/18, 46200 Petaling Jaya, Selangor, Malaysia.
Tel/Fax: 603-79685415
E-mail: komasjj@pc.jaring.my

CONTACT persons: Mr. VINESH PRABHUNAIDU or Ms LOR YEW MIEN or Ms GRACE


FOR DONATIONS
Please either directly and personally hand over to our office or deposit into our account as follows:

Name of Account: Pusat KOMAS
Name of Bank: Public Bank Berhad
Bank Address: New Town, Petaling Jaya, Selangor
Account No: 3127956418


Please direct any enquiries to komas_aceh@yahoo.com or graceshu@gmail.com.

Expect more updates later tonight.

KOMAS Aceh Relief Centre - Yahoo Group

For regular updates, enquiries, and reports, please see http://groups.yahoo.com/group/komas_aceh/. No membership required.

The SEAPCP-KOMAS Mission To Aceh

In Aceh Sumatra, our mission will be closely working in collaboration with the KSKBA (Koalisi Solidaritas Kemanusiaan Bencana Alam Aceh Sumatra Utara).

This is an emergency relief and rehabilitation multi-sectoral network comprising of 24 local organizations and it is established as an immediate response to the earthquake and tsunami disaster.

Our missions will target areas which are remote and have minimal or not yet been reached by any aid and emergency efforts to date. This effort will compliment the overall emergency relief efforts by others.

There are basically 3 main tasks for the SEAPCP-KOMAS mission to Aceh.

  1. Medical Personnel - Doctors, nurses, medical officers, para-medics and any qualified health volunteers will be organised to directly provide emergency medical services and relief to the survivors,the injured, and also to help in prevention of diesease outbreak in target communities. They will also ensure a transfer of basic skills to local persons who could carry on the task after the team departs.

  2. Field Operation Organizers - These persons will complement the local initiatives in Acheh in terms of direct organizing, management and supervision of ground relief and emergency works in communities, refugee centres and disaster struck areas

  3. Video & Photo Documenters - These skilled professionals will specifically document the process and specific issues including general situation of the devastation, conditions of the people, the state of local facilities, amenities, availability of foods, clean water, medicine and process of relief and emergency operations in specifically identified areas.

KOMAS has organized a RELIEF DRIVE asking for concerned individuals or organizations to do the following.
  1. CALLING FOR doctors, nurses, medical volunteers, and experienced paramedics to join SEAPCP-KOMAS missions into the affected areas in Acheh.

  2. DONATE essential medicine and other necessary medical supplies for these missions to be administered into the affected areas in Acheh.

  3. DONATE funds to secure much-needed drugs and medical supplies and also to help us organize regulr medical and relief missions to these affected areas in Acheh

    PLEASE CONTACT -
    Pusat Komunikasi Masyarakat (KOMAS)
    No 40-A, Jln 52/18, 46200 Petaling Jaya, Selangor, Malaysia.
    Tel/Fax: 603-79685415
    E-mail: komasjj@pc.jaring.my

    CONTACT persons: Mr. VINESH PRABHUNAIDU or Ms LOR YEW MIEN or Ms GRACE


    FOR DONATIONS -
    Please either directly and personally hand over to our office or deposit into our account as follows:

    Name of Account: Pusat KOMAS
    Name of Bank: Public Bank Berhad
    Bank Address: New Town, Petaling Jaya, Selangor
    Account No: 3127956418

Please pass the word around.

Any enquiries regarding the above, please forward to komas_aceh@yahoo.com or graceshu@gmail.com

Acheh, Indonesia - Emergency Relief Missions

The earthquake that struck the Indian Ocean on Dec 26th 2004 and the disasterous tsunami that followed brought the SEAPCP (South East Asia Popular Communications Programme) and Pusat KOMAS of Malaysia to initiate an Emergency Relief Missions into Aceh, Indonesia.

This blog will record and list all the relief effort and assistance needed.

komas_aceh@yahoo.com