Emergency relief officials and doctors have been deployed to flood devastated communities in the Philippines to prevent outbreaks of disease as the death toll jumped to 85. While floods have gone down significantly around the capital Manila, many areas in nearby provinces remained inundated as overflowing dams continued to release water, the national disaster coordinating agency said.
"As the waters receded they left behind clogged pipelines and trash everywhere. Sanitation has emerged as a key problem," Red Cross secretary general Gwendolyn Pang told AFP.
"We have deployed health officers in evacuation centres and in flood-hit communities with the likelihood of diseases erupting."
The Red Cross put up huge rubber bladder tanks for clean water, while local officials sent portable latrines to packed evacuation centres.
Food packs were also rushed to some 769,999 people displaced by the floods that submerged about 80 percent of Manila last week.
Civil defence office head Benito Ramos said more than half were living in dire conditions in 948 evacuation centres, which are mostly schools and churches converted into temporary shelter areas.
"Many have returned to their homes as the waters subsided, but it is far from a normal situation," Ramos said.
"We are trying to help them return to their normal lives with a massive clean-up operation. There is muck everywhere, and it would take some time."
The health department said water purification tablets were being distributed, while mass immunisations were being carried out to prevent an outbreak of colds, flu and other diseases.
Of particular concern is a possible outbreak of leptospirosis, a bacterial disease caused by exposure to water contaminated by rat urine.
More than 3,300 people were infected and 249 died of the disease in the aftermath of similar flooding in 2009, the biggest casualty figure for leptospirosis in the world, health authorities said.
"Many may have escaped the floods, but many could still die from leptospirosis or other diseases," Ramos said.
He said 19 more people were reported to have died, raising the death toll to 85 Sunday, with most of the casualties due to drowning.
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