Republic of the Philippines Department of Health

Form 1 Re$. 10.02//.

HEALTH EMERGENCY MANAGEMENT STAFF

Ground Floor, Bldg. 12, San a!aro "ompound Ri!al #$enue, Sta. "ru!, %anila &elefa'( )*+,2-.11,1//10 .1/,2/+/0 .1+,/2*3 &el( )*+,2-.11,1//20 .1+,/2+3 &run4 line 5os. .1+,3+/1 loc 22// to 22/. 6mail( doh7hems89ahoo.com: doh7hemsopcen89ahoo.com

HEARS PLUS REPORT

FOR THROUGH ( ( ;5ame of Secretar9< Secretar9 of Health ;5ame of =ndersecretar9< =ndersecretar9 of Health Health Program De$elopment "luster ;5ame of Director< Director >>> ;5ame of 6?D< 6mergenc9 ?fficer on Dut9 HEALTH EMERGENCY ALERT REPORTING SYSTEM (HEARS) REPORT ;Date<

FROM

( (

SUBJECT DATE

( (

&here @as0@ere ;AA< ne@ incident0s of health emergenc9 monitored at the H6%S ?peration "enter from 3(// am of ;starting date< to 3(// am of ;ending date<(
No.

1 # $

New Incident <Title: What and Where of the Incident>

Brief Description <Nature of emergency, Time, Exact location, How the incident started>

Health Effects <No of deaths, ill, in!ured, missing>

Actions Taken <"gency, actions>

H6%S,?P"65 is continuousl9 coordinating @ith the Regions to gather updates on pre$iousl9 reported incidents. &he follo@ing updates are a$ailable(
No.

1 #

Old Incident <Title: What and Where of the Incident>

Update <%&dated information on casualties, actions ta'en, &ro(lems encountered>

Follow-up Actions <)ollow*u& actions needed>

For 9our information.

"c( ;5ame of ?ffice 1< ;5ame of ?ffice 2<