2.  Worst disaster ever in the Western Hemisphere  More than 300,000 deaths, 300,000 wounded, 1.2 million homeless, half a million displaced.  The quake  Time & place, sismic code  Largest search & rescue response ever  More than 1900 international rescuers from 30 countries  Some 50 USAR teams and 175 dogs who saved 132 persons

3.  State leadership  Communication  Airport & logistics  Humanitarian team in situ (logbase)  MINUSTAH beheaded  Ports  Security  Access to affected areas

4. In the first hours…  Fast local response but limited  300,000 wounded & no emergency services  Medical attention completely overloaded  Situation ex ante and epidiomology  Needs assessments  Coordination  with authorities, militaries, donors and partners

5.  Humanitarian leadership to be improved  Humanitarian country team not operational  Intercluster coordination capacity limited  Inclusion of national actors  Myriad of actors  Military assets needed to be absorbed

6.  Challenge of working in urban environment  Needs assessments inadecuate  Working conditions  Better understanding of the socio-economical environment and community-based context

13. National Level International Level HEALTH National Coordination Body Shelter…

14. National Coordination Body National Level International Level Shelter Health

15. National Level International Level National Coordination Body

16. National Level International Level UN UNDAC National Coordination Body CLUSTER SECTOR

17. IFRC National Level International Level National Coordination Body CLUSTER SECTOR SHELTER HEALTH PAHO