2013 08 23 Stakeholders MTNG MHO CHO FINAL2

Department of Health
Center for Health Development for

Ilocos
Regional Epidemiology and Surveillance Unit

(RESU)
UPDATES
Philippine Integrated Disease Surveillance and Response (PIDSR)
Event-based Surveillance and Response (ESR)
DOH-CHD Region I Municipal/City Health Officer Stakeholders Meeting

Hotel Supreme, Baguio City
22-23 August 2013
Philippine Integrated
Disease
Surveillance and
Response
(PIDSR)
Summary of Reported Notifiable

Diseases
Region I, Morbidity Weeks 1-33
Category I. Immediately Notifiable

Diseases/Syndromes
2
2013
Disease/
Syndrome
2012
MW 1-33
MW 1-33
Total
Cases
Deaths
%
Chang
e
Acute Flaccid
Paralysis (AFP)
11
11
14
Adverse Event
Following
Immunization
(AEFI)
Anthrax
Human Avian
Influenza
Cases
Death
s
Cases
Death
s
Summary of Reported Notifiable Diseases

Category I. Immediately Notifiable
Diseases/Syndromes
2013
Disease/
Syndrome
2012
MW 1-33
MW 1-33
Total
Cases
Deaths
%
Chang
e
Meningococcal
Disease
-50.0
Neonatal
Tetanus (NT)
-50.0
Paralytic
Shellfish
Poisoning
(PSP)
Rabies
-53.8
13
13
21
21
Cases
Death
s
Cases
Death
s

Category II. Weekly Notifiable
Diseases/Syndromes
2013
Disease/
Syndrome
2012
MW 1-33
MW 1-33
Total
Cases
Deaths
%
Chang
e
Acute Bloody
Diarrhea
25
-59.0
61
77
Acute
Encephalitis
Syndrome
Acute
Hemorrhagic
Fever
Syndrome
Cases
Death
s
Cases
Death
s

Diseases/Syndromes
2013
Disease/
Syndrome
Bacterial
Meningitis
Cholera
Dengue
Diphtheria
Hand, Foot and
2012
MW 1-33
MW 1-33
Total
Cases
Deaths
%
Chang
e
21
-56.3
48
62
16
-5.5
0
915
5360
0
567
100.
0
Cases
Death
s
Cases
Death
s
1
1
25
0
3
1
36
0

Diseases/Syndromes
2013
Disease/
Syndrome
Influenza-like
Illness (ILI)
Leptospirosis
Malaria
Non-Neonatal
Tetanus (NNT)
Pertussis
Typhoid and
2012
MW 1-33
Cases
Deaths
MW 1-33
%
Chang
e
3020
-18.8
15
2
3
0
41
0
Cases
377
-20.1
-
8
61
0
28.1
Death
s
Total
Cases
662
Death
s
12
0
0
342
1
47
0
34
51
13
0
198
0
303
Vaccine-Preventable Diseases
(VDPs)
Acute Flaccid
Paralysis (AFP)
Measles
Neonatal Tetanus
29th Session of the United Nations General
Assembly and the World Health Assembly
in 1974 established the goal of Universal
Child Immunization by the year 1990
Poliomyelitis
Diphtheria
Measles
Pertussis
Neonatal
Tuberculosis
Tetanus
Poliomyelitis
Diphtheria
Measles
Pertussis
Neonatal
Tuberculosis
Tetanus
Priority diseases for
elimination and
eradication
Poliomyelitis
Diphtheria
Measles
Pertussis
Neonatal
Tuberculosis
Tetanus
Priority diseases for
elimination and
eradication
In 1986, President Corazon Aquino signed

Proclamation No. 6
VPD Disease Eradication/

Elimination Goals
Global Polio Eradication
Eradicate wild poliovirus worldwide
Measles Elimination
Stop the transmission of endemic
measles virus
Neonatal Tetanus Elimination
Achieve and maintain <1 NT case per
1,000 live births in every
municipality/city every year
Acute Flaccid
Paralysis (AFP)
Acute Flaccid Paralysis (AFP) Cases

Region I, 2008-2012
2008
AFP
Province/
Reportin AFP
City
g Target Cases
Ilocos
Norte
2009
AFP
Cases
2010
AFP
Cases
2011
AFP
Cases
2012
AFP
Cases
Ilocos Sur
La Union
Pangasina
n
21
12
12
Region 1
37
17
23
11
Acute Flaccid Paralysis (AFP) Reporting

Region I
As of August 10, 2013
Province/
2013 Pop
City
Adequat
AFP
e
Children Reporting Reporte
<15 years
Target
d Case Specime
2/100,000
n
Ilocos Norte
579,500
220,210
0.00
Ilocos Sur
685,800
260,604
66.7%
La Union
784,700
298,186
60.0%
22
100.0%
38
11
72.7%
Pangasinan 2,888,500 1,097,630

Region 1
4,938,500 1,876,630

Region I
Province/
2013 Pop
City
Adequat
AFP
e
<15 years
Target
d Case Specime
2/100,000
n
Ilocos Norte
579,500
220,210
0.00
Ilocos Sur
685,800
260,604
66.7%
La Union
784,700
298,186
60.0%
22
100.0%
38
11
72.7%
Pangasinan 2,888,500 1,097,630

Region 1
4,938,500 1,876,630

Region I
Province/
2013 Pop
City
Adequat
AFP
e
<15 years
Target
d Case Specime
2/100,000
n
Ilocos Norte
579,500
220,210
Ilocos Sur
685,800
260,604
66.7%
La Union
784,700
298,186
60.0%
22
100.0%
38
11
72.7%
Pangasinan 2,888,500 1,097,630

Region 1
4,938,500 1,876,630
Acute Flaccid Paralysis Cases

Region I
Ilocos Norte
Ilocos Sur
La Union
Pangasina
n
Province/
Frequenc
Percent
Municipality
y
La Union
5
45.4
Bangar
Luna
Rosario
San Gabriel
Santo Tomas
Pangasinan
San Fabian
Binmaley
Ilocos Sur
Magsingal
San Emilio
Santa Cruz
27.3
27.3

Region I
Ilocos Norte
Ilocos Sur
La Union
Pangasina
n
Province/
Frequenc
Percent
Municipality
y
La Union
5
45.4
Bangar
Luna
Rosario
San Gabriel
Santo Tomas
Pangasinan
San Fabian
Binmaley
Ilocos Sur
Magsingal
San Emilio
Santa Cruz
27.3
27.3

Region I
Ilocos Norte
Ilocos Sur
La Union
Pangasina
n
Province/
Frequenc
Percent
Municipality
y
La Union
5
45.4
Bangar
Luna
Rosario
San Gabriel
Santo Tomas
Pangasinan
San Fabian
Binmaley
Ilocos Sur
Magsingal
San Emilio
Santa Cruz
27.3
27.3
AFP* by Disease Reporting Unit

Region I
Name of Disease Reporting Unit

Ilocos Training and Regional Medical
Center
La Union Medical Center
Frequenc
Percent
y
45.4
18.2
Gabriela Silang General Hospital
9.1
Region 1 Medical Center
9.1
Rosario Rural Health Unit
9.1
St. Martin de Porres Hospital
9.1
11
100.0
Total
*AFP - Acute Flaccid Paralysis
Rural Health Units with Reported AFP Cases

Region I
2010 - 2012
Name of Disease Reporting

Unit
No. of
Case
Year
Lingayen Rural Health Unit
2012
San Carlos City City Health Office
2012
Binmaley Rural Health Unit
2011
San Fernando City City Health Office
2010
Bauang Rural Health Unit
2010
Note: No AFP cases were identified by RHU staff in 2008 and

2009
Measles
Measles
Region I
Province/
City
Reporting
Target
2/100,000
Reported
Cases
Cases
with
Blood
Samples
Measles
2013
Pop
Ilocos Norte
579,500
12
100.0%
Ilocos Sur
685,800
14
16
100.0%
La Union
784,700
16
18
88.9%
Pangasinan
2,888,500
58
42
61.9%
Region 1
4,938,500
99
78
76.9%
Measles
Region I
Province/
City
Reporting
Target
2/100,000
Reported
Cases
Cases
with
Blood
Samples
Measles
2013
Pop
Ilocos Norte
579,500
12
100.0%
Ilocos Sur
685,800
14
16
100.0%
La Union
784,700
16
18
88.9%
Pangasinan
2,888,500
58
42
61.9%
Region 1
4,938,500
99
78
76.9%
Measles
Region I
Province/
City
Reporting
Target
2/100,000
Reported
Cases
Cases
with
Blood
Samples
Measles
2013
Pop
Ilocos Norte
579,500
12
100.0%
Ilocos Sur
685,800
14
16
100.0%
La Union
784,700
16
18
88.9%
Pangasinan
2,888,500
58
42
61.9%
Region 1
4,938,500
99
78
76.9%
Measles Cases (N=78)

Region I, January 1 August 17, 2013*
Ilocos Norte
Province
Ilocos Sur
La Union
Pangasina
n
Pangasinan
La Union
Ilocos Sur
Ilocos Norte
Total
No.
42
18
16
2
78
Percen
t
53.9
23.1
20.5
2.6
100.0
*Date of last reported case: July 31,

2013
Measles Cases (N=78)

Region I, January 1 August 17, 2013
Ilocos Norte
Age Range
Median Age
Sex
Distribution
Ilocos Sur
La Union
Pangasina
n
: 4 months 63
years
: 13 years
: Female 38
(48.7%)
Male 40 (51.3%)
Measles Vaccination Status of Cases

Status
No.
Percent
Vaccinated
36
46.2
Not vaccinated
16
20.5
Unknown
26
33.3
Reasons for Not Receiving Routine MV Region I

July 26, 2013
Reasons
Against belief
Child was sick
Mother was busy
Not eligible for
vaccination
No reason stated
Measles Cases
Province of Pangasinan (n=42)
Measles Cases
Province of Pangasinan (n=42)
Age Range
Median Age
Sex
Distribution
: 4 months 36
years
: 13 years
: Female 21 (50%)
Male 21 (50%)
Measles Vaccination Status of Cases

Status
No.
Percent
Vaccinated
22
52.4
Not vaccinated
3
7.1
Unknown
17
40.5
Measles Cases
Province of La Union (n=18)
Age Range
Median Age
Sex
Distribution
: 4 months 35
years
: 7 years
: Female 9 (50.0%)
Male 9 (50.0%)
Measles Vaccination Status of

Cases
Status
No.
Percent
Vaccinated
11
61.1%
Not
4
22.2%
vaccinated
Measles Cases
Province of Ilocos Sur (n=16)
Age Range
Median Age
Sex
Distribution
: 8 months 63
years
: 34 years
: Female 10
(62.5%)
Male 6 (37.5%)

Cases
Status
No.
Percent
Vaccinated
2
12.5
Not
8
50.0
vaccinated
Measles Cases
Province of Ilocos Norte (n=2)
Ages of
Cases
Sex
Distribution
: 6 months, 3 years
: Male 2 (100.0%)

Cases
Status
No.
Percent
Vaccinated
1
50.0
Not
1
50.0
vaccinated
Neonatal Tetanus Case

6-day old, female
Mother had no antenatal
check-ups - ..kept
pregnancy a secret
Home-delivered (by self)
Cord cut by scissors
Admitted: March 3
Died: March 4
Rabies Cases by Year

Region I, 2008-2013 (as of August 10)
No. of Cases
25
20
15
23
10
5
17
10
13
10
2008
2009
2010
2011
Year
2012
2013
Rabies Cases by Region

Philippines, 2012
No. of Cases
40
35
30
25
20
38
15
10
5
0
26
23
18
17
19
19
12
9
4
14
12
Region
Rabies Cases by Region

Philippines, 2012
No. of Cases
40
35
30
25
20
15
10
5
38
26
23
19
19
18
17
14
12
12
Region
Rabies Cases by Province (N=6)

Region I
As of August, 2013
Ilocos
Norte
Ilocos
Sur
La
Union
Pangasinan
Pagudpud (1)
Bacnotan (1)
Bangar (1)
San Fabian
(2)
San Jacinto
(1)
Dengue
Dengue Cases by Province

Region I
2013 (as of August 14) vs 2012
No. of Cases
Province
Reported Deaths
%
CFR
CFR
2013 2012 Chang 2013
2012
(%)
(%)
e
Pangasinan 3289
2557
28.6 14
0.4
10
0.4
883
744
18.7
0.2
0.5
Ilocos Norte 614
640
-4.0
0.0
0.3
1514
-62.1
0.0
0.4
Region 1 5360 5455
-1.7
16
0.3
22
0.4
Ilocos Sur
La Union
574
Dengue Cases by Month

Region I
2013 (as of Aug 14) vs Alert and Epidemic
Thresholds
No. of Cases
Month
Dengue Cases by Age Group and Sex

Region I
Age range
Age Group (Years)
Median age
Most
commonly
affected
age group
Sex
distribution
No. of Cases
: <1 month
91 years
: 12 years
: 10 14 years
: Female
47.7%
Male 52.3%
Dengue Cases
Province of Ilocos Norte
January 1 August 12, 2013
Municipality/City
Cases
Percent
174
28.3
Batac
67
10.9
Pagudpud
56
9.1
San Nicolas
56
9.1
Badoc
49
8.0
Pinili
41
6.7
Dingras
40
6.5
Sarrat
23
3.7
Bacarra
20
3.3
Piddig
16
2.6
Bangui
14
2.3
Vintar
10
1.6
Laoag City
Dengue Cases
Province of Ilocos Norte
Municipality/City
Cases
Percent
Nueva Era
1.5
Pasuquin
1.5
Paoay
1.3
Burgos
1.0
Currimao
1.0
Marcos
0.7
Solsona
0.5
Banna
0.3
Carasi
0.2
614
100.0
Total
Dengue Cases
Province of Ilocos Sur
Municipality/City
Cases
Percent
Cervantes
211
23.9
Narvacan
147
16.6
Santa Maria
106
12.0
Bantay
50
5.7
Nagbukel
41
4.6
Cabugao
34
3.9
Vigan City
31
3.5
Caoayan
26
2.9
Santo Domingo
22
2.5
San Emilio
21
2.4
Santa
21
2.4
Death
Dengue Cases
Municipality/City
Cases
Percent
Candon City
16
1.8
Sinait
16
1.8
Banayoyo
11
1.2
Magsingal
11
1.2
San Juan
11
1.2
Santiago
11
1.2
Santa Catalina
1.0
Burgos
0.9
Galimuyod
0.9
Salcedo
0.9
Death
Dengue Cases
Municipality/City
Cases
Percent
Death
Alilem
0.8
Suyo
0.8
Santa Lucia
0.7
Lidlidda
0.5
Santa Cruz
0.5
Quirino
0.3
San Ildefonso
0.3
San Vicente
0.2
883
100.0
Total
Dengue Cases
Province of La Union
Municipality/City
Cases
Percent
San Fernando City
131
22.8
Aringay
65
11.3
Luna
54
9.4
Rosario
52
9.1
Naguilian
46
8.0
Balaoan
33
5.7
Bacnotan
32
5.6
Bauang
31
5.4
Caba
20
3.5
San Juan
18
3.1
Agoo
15
2.6
Death
Dengue Cases
Province of La Union
Municipality/City
Cases
Percent
Pugo
11
1.9
San Gabriel
11
1.9
Tubao
11
1.9
Bangar
1.6
Bagulin
1.0
Santol
1.0
Santo Tomas
0.9
Sudipen
0.5
574
100.0
Total
Death
Dengue Cases
Province of Pangasinan
Dengue Cases
Municipality/City
Cases
Percent
Death
Dagupan City
294
8.9
San Carlos City
292
8.9
Urdaneta City
197
6.0
Rosales
163
5.0
San Fabian
161
4.9
Calasiao
159
4.8
Santa Barbara
152
4.6
Umingan
124
3.8
Santa Maria
116
3.5
Alaminos City
110
3.3
Bani
102
3.1
94
2.9
Bayambang
4
2
1
Dengue Cases
Municipality/City
Cases
Percent
Basista
90
2.7
Villasis
89
2.7
Lingayen
89
2.7
Sual
77
2.3
San Jacinto
73
2.2
Manaoag
66
2.0
Mangaldan
62
1.9
Asingan
60
1.8
Malasiqui
55
1.7
Binmaley
54
1.6
Urbiztondo
52
1.6
Death
Dengue Cases
Municipality/City
Cases
Percent
Dasol
48
1.5
Sison
33
1.0
Anda
32
1.0
Burgos
31
0.9
Laoac
30
0.9
Mabini
30
0.9
Bugallon
29
0.9
Pozorrubio
29
0.9
Natividad
28
0.9
Binalonan
27
0.8
San Manuel
26
0.8
Death
Dengue Cases
Municipality/City
Cases
Percent
Santo Tomas
21
0.6
Tayug
20
0.5
Bautista
18
0.5
Labrador
15
0.5
Infanta
14
0.4
San Nicolas
14
0.4
Agno
12
0.4
Balungao
10
0.3
San Quintin
0.3
Aguilar
0.2
Mangatarem
0.2
Death
1
Dengue Deaths (n=14)

Municipality
Ilocos Norte
San Fabian
Manaoag
Ilocos Sur
Santa Barbara
La Union
Pangasinan
Barangay
Date of Death
Sobol
12
Sobol
July 7
Sobol
July 16
June 24
Longos
16
Mermer
April 9
Bisal
31
July 27
Minien West
14
August 1
Maticmatic
23
July 10
July 28
Dagupan City
Lasip Grande
Pozorrubio
Poblacion
San Carlos
City
Santa Maria
Age
23
5
Namagbagan
19
August 10
August 5
July 21
July 1
Dengue Deaths (n=2)

Ilocos Norte
Municipalit
y
Ilocos Sur
La Union
Pangasinan
Date of
Death
Barangay
Age
Alilem
Alilem
Daya
(Poblacion)
July 15
Vigan City
Barangay
III
(Poblacion)
August 14
Source:
Source: PAHO/CDC
PAHO/CDC
Chikungunya
Chikungunya Cases (N=886)

Region I
April 27 August 3, 2013
Ilocos Norte
Province
Ilocos Sur
La Union
Pangasinan
Ilocos Norte
La Union
Pangasinan
Ilocos Sur
Region I
Cases
346
309
217
14
886
Percen
t
39.1
34.9
24.5
1.6
100.0
Chikungunya Cases by Onset of Illness

Region I
Ilocos Norte
Ilocos Sur
La Union
Pangasinan
April 27 August 3,
2013
304 cases (34.9%)

Region I
Ilocos Norte
Ilocos Sur
La Union
Pangasinan
April 27 August 3,
2013
304 cases (34.9%)
May 20 August 1,
2013
213 cases (24.5%)

Region I
Ilocos Norte
June 2 27, 2013

14 cases (1.6%)
Ilocos Sur
La Union
Pangasinan
April 27 August 3,
2013
304 cases (34.9%)
May 20 August 1,
2013
213 cases (24.5%)

Region I
Ilocos Norte
June 3 August 1, 2013

346 cases (39.1%)
June 2 27, 2013
14 cases (1.6%)
Ilocos Sur
La Union
Pangasinan
April 27 August 3,
2013
304 cases (34.9%)
May 20 August 1,
2013
213 cases (24.5%)
Profile of Chikungunya Cases

Region I
Sex
Province
No. of
Cases
Age
Median
Range
Age
Femal
(Years) (Years)
e
Ilocos
Norte
346
1 - 84
33
La Union
309
1 - 80
33
Pangasina
n
217
2 - 76
24
61.6
%
64.1
%
57.6
%
50.0
Male
38.4
%
35.9
%
42.4
%
50.0
Clinical Manifestations* of Chikungunya Cases

Region I
Fever
Rash
Arthritis
Arthralgia
Headache
Backpain
Myalgia
Nausea
Vomiting
Periarticular edema
10 20 30 40 50 60 70 80 90 100
Percent
*Multiple responses
Chikungunya Cases
Skin
Manifestations
Actions Taken
Investigation
of Cases
Actions Taken
Dialogue with
Local
Officials and
Health Officers
Actions Taken
Meeting with
Barangay
Captains/Officials
Actions Taken
Vector Surveillance
Vector Control
Results of Laboratory Examination

Chikungunya Cases in Region I
Province
Municipality
La Union
Rosario
San Fernando City
San Juan
Ilocos Norte
San Nicolas
Ilocos Sur
Burgos
Pangasinan
Sison
Alaminos City
Bolinao
San Fabian
Sual
Total
Serum Samples Tested for Chikungunya IgM

Result
No. Tested
Positive Equivocal Negative
31
18
13
11
4
7
19
14
5
38
1
1
1
1
13
Pending
3
3
2
1
1
24
Leptospira
interrogans
Leptospirosis
Leptospirosis Cases by Morbidity Month

Province (N=15)
Region I, January 1 August 9, 2013
Ilocos Sur
No. of Cases
La Union
and
Pangasinan
6
4
2
0
Jan
Feb
Mar
Apr
May
Month
Jun
Jul
Aug
Leptospirosis Cases
Region I
2013 (as of August 17) vs 2012
Ilocos Norte
La Union
Pangasinan
2012
140
120
No. of Cases
100
80
60
40
20
0
Jan Feb Mar Apr May Jun
Jul Aug Sep Oct Nov Dec
Month
Ilocos
Norte
Ilocos Sur
La Union
Leptospirosis (N=15)
Region I
Province/Municipality/Ci
ty
No.
Pangasinan
10
Dagupan City
20.0
San Carlos City
13.3
Bolinao
6.7
Calasiao
6.7
Mangaldan
6.7
Mangatarem
6.7
Santa Barbara
6.7
La Union
Pangasina
n
Percent
San Fernando City
13.3
Aringay
6.7
Luna
6.7
Ilocos Sur
Alilem
6.7
Leptospirosis Cases by Province (N=15)

Region I
No. of Cases
Province
Reported Deaths
%
Chang 2013
e
CFR
(%)
CFR
2012
(%)
2013
2012
10
31
-67.7
13.3
10.0
La Union
14
-71.4
6.7
1.6
Ilocos Sur
-87.5
3.3
Ilocos Norte
-100.0
5.0
Region 1
15
60
-75.0
20.0
12
20.0
Pangasinan
Profile of Leptospirosis Cases

Region I
Sex
Province
Pangasina
n
La Union
Ilocos Sur
Region I
No. of
Cases
Age
Median
Range
Age
Femal
(Years) (Years)
e
Male
10
5 62
29
70%
30%
4
1
15
18 35
25
5 62
26
25
80%
100%
100%
20%
Leptospirosis Deaths by Province/ Municipality (n=3)

Region I, January 1- August 9, 2013
Province/
Municipality
Sex
Age
(Years)
Date Died
Pangasinan
Calasiao
Male
62
7/25/2013
San Carlos City
Male
38
7/30/2013
Male
29
7/23/2013
La Union
Luna
Event-based Surveillance and

Response
(ESR)
History of ESR
1997
2004
2006
2009
Rumor Verification and Response

Epidemic Intelligence Unit (EIU)
Event Based Surveillance (EBS)
Event Based Surveillance and
Response (ESR)
ESR Manual of Operations (MOP)
2011 Started revision of ESR MOP
Draft of ESR AO
Event-Based Surveillance and

Response (ESR)
Organized and rapid capture of
information about a public health event
that may affect or had already affected an
individual, a group of individuals or an
institution
Process wherein reports or information
received are rapidly assessed for the risk
the event poses to public health and
responded to immediately and
appropriately
Event-Based Surveillance and

Response (ESR)
Based on unstructured descriptions and
reports
Information can be:
Rumors
Other reports transmitted through
routine reporting system (complements
PIDSR)
Reports from the media, health workers,
non-governmental organizations and
community
ESR Processes
Capture
Filter
Verification
Assessment
Response
Feedback and Information

Dissemination
ESR Reports
Region I
Province
Disease/ Event
Ilocos
Norte
Ilocos
Total
Pangasina Events
La Union
n
Sur
Food and WaterRelated

Diseases
24
Food Poisoning
20
Acute
Gastroenteritis
Bacterial
Diseases
Meningococcemi
a
Diphtheria
ESR Reports
Region I
Province
Disease/ Event
Viral Diseases
Ilocos
Norte
La Union
Pangasina
n
Total
Event
s
Ilocos
Sur
Hand, Foot and

Mouth Disease
(HFMD)
Measles
Chicken Pox
(Varicella)
Vector-borne
Diseases
13
Chikungunya
Dengue
ESR Reports
Region I
Province
Disease/ Event
Ilocos
Norte
Ilocos
Total
Pangasina Events
La Union
n
Sur
Zoonotic
Diseases
Rabies
Leptospirosis
Other HealthRelated Events
Heat stroke
Organophosphat
e
Poisoning
Roles of Local Government Units

Municipal/City Health Office
Set up and maintain a functional disease
surveillance system equipped with the
necessary resources and adequate local
financial support.
Collect, organize, analyze and interpret
surveillance data in their respective areas.
Report all available essential information (e.g.,
clinical description, laboratory results, number
of human cases and deaths, sources and type
of risk) immediately to the next higher level.
Roles of Local Government Units

Municipal/City Health Office
Implement appropriate epidemic control
measures immediately
Establish, operate and maintain a
municipal/city epidemic preparedness and
response plan, including the creation of
multidisciplinary/multi-sectoral teams to
respond to events that may constitute a
public health emergency.
Facilitate submission of weekly notifiable
disease surveillance reports form public
Framework of Public Health

Surveillance and Action
Core
Activities
Support
Activities
PIDSR Conceptual Framework
Disease
surveillance is
recognized as
the
cornerstone
of public
health
decisionmaking and
THANK
YOU for
your
effort and
support in
the
enhancem
ent of the

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Department of Health

Center for Health Development for

Regional Epidemiology and Surveillance Unit

Event-based Surveillance and Response (ESR)

DOH-CHD Region I Municipal/City Health Officer Stakeholders Meeting

Summary of Reported Notifiable

Category I. Immediately Notifiable

Summary of Reported Notifiable Diseases

Summary of Reported Notifiable Diseases

Summary of Reported Notifiable Diseases

Summary of Reported Notifiable Diseases

In 1986, President Corazon Aquino signed

VPD Disease Eradication/

Acute Flaccid Paralysis (AFP) Cases

Acute Flaccid Paralysis (AFP) Reporting

Pangasinan 2,888,500 1,097,630

Acute Flaccid Paralysis (AFP) Reporting

Pangasinan 2,888,500 1,097,630

Acute Flaccid Paralysis (AFP) Reporting

Pangasinan 2,888,500 1,097,630

Acute Flaccid Paralysis Cases

Acute Flaccid Paralysis Cases

Acute Flaccid Paralysis Cases

AFP* by Disease Reporting Unit

Name of Disease Reporting Unit

Gabriela Silang General Hospital

Region 1 Medical Center

Rosario Rural Health Unit

St. Martin de Porres Hospital

Rural Health Units with Reported AFP Cases

Name of Disease Reporting

Lingayen Rural Health Unit

San Carlos City City Health Office

Binmaley Rural Health Unit

San Fernando City City Health Office

Bauang Rural Health Unit

Note: No AFP cases were identified by RHU staff in 2008 and

Measles Cases (N=78)

*Date of last reported case: July 31,

Measles Cases (N=78)

Measles Vaccination Status of Cases

Reasons for Not Receiving Routine MV Region I

Measles Vaccination Status of Cases

Measles Vaccination Status of

Measles Vaccination Status of

Measles Vaccination Status of

Neonatal Tetanus Case

Rabies Cases by Year

Rabies Cases by Region

Rabies Cases by Region

Rabies Cases by Province (N=6)

Dengue Cases by Province

Ilocos Norte 614

Region 1 5360 5455

Dengue Cases by Month

Dengue Cases by Age Group and Sex

San Fernando City

San Carlos City

Dengue Deaths (n=14)

Dengue Deaths (n=2)

Chikungunya Cases (N=886)

Chikungunya Cases by Onset of Illness