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FOR
HON. CHRISTOPHER L. MILLARE, SR. Municipal Mayor Municipal Epidemiology and Surveillance Unit (MESU) Ma. Flavie DG. Blanca, MD. Municiapl Disease Surveillance Officer Erosbon L. Sabedo, RM.,RN. RNHEALS / Municipal Disease Surveillance Coordinator
FROM
SUBJECT
DESIRED ACTION
FINDINGS:
2011 Diagnosis
Cases Cases Acute Bloody Diarrhea Acute Encephalitis Syndrome Acute Flaccid Paralysis o 0 0 0 Adverse Event Following Immunization Anthrax Cholera Dengue Diphtheria 0 0 0 0 0 0 0 0 1 0 0 0 increased -
Hepatitis Influenza Like Illness Leptospirosis Malaria Measles Meningitis Meningococcal Disease Non-Neonatal Tetanus Neonatal Tetanus Pertussis Paralytic Selfish Poisoning Rabies Typhoid Fever
0 0 0 0 0 0 0 0 0 0 0 0 0
0 719 0 0 0 0 0 0 0 0 0 0 0
increased -
INFLUENZA-LIKE-ILLNESS Morbidity Month 1-8 (January 01 to August 31, 2012) Figure 1 shows the number of influenza-like-illness suspects by Morbidity Month 1-8. Fig. 2 shows influenza-like-illness incidence by barangay. Fig. 3 shows ILI incidence by sex while Fig. 4 shows ILI incidence by age group. A total of 719 cases were reported by Barangay Disease Surveillance Units in the municipality from January 01 to August 31, 2012.
No. of Cases
500 400 300 200 100 0 2012 Jan 109 Feb 63 Mar 48 Apr 65 May 72 Jun 91 Jul 172 Aug 99 Total 719
14 135 20
105 51 83 47
BONGLO (PATAGUI) BULBULALA CAWAYAN DOMENGLAY LENNENG MAPISLA MOGAO NALBUAN POBLACION SUBAGAN TUMALIP
267 42 28
83
No. of Cases
600 400 200 0 Female Male Total Female 371 Male 348 Total 719
2012
Fig. 4 ILI Suspects, by Age Group 0-90 years, Morbidity Month January-August 2012
800 700 600
No. of Cases
500 400 300 200 100 0 0-15 51.00% 367 16-30 11.00% 78 31-45 17.00% 125 46-65 15.00% 108 66-75 3.00% 20 76-90 3.00% 21 Total 100.00% 719
DISCUSSION: Influenza-like Illness is an acute disease of the respiratory tract characterized by fever, headache, myalgia, prostration, coryza, sore throat and cough. In our Municipality the number of cases is high due to its climatic condition wherein Licuan-Baay is one of the upland municipalities in the Province of Abra with cool temperature. Changes in weather conditions also caused an increase in number of cases during the months of June to August, 2012 because of the rainy weather. One of the main reasons why there was an increase in the number of cases was that the Municipal Epidemiology Surveillance Unit just started sending reports to Provincial Epidemiology and Surveillance Unit and Regional Epidemiology Surveillance Unit Last Quarter of CY 2011. A total number of 719 cases were reported by Barangay Epidemiology Surveillance Units from January 01 to August 31, 2012. Majority of the cases were females (371). Fifty one percent (51%) of cases belonged to the 0-15 yr age group due to their higher susceptibility to illness. Barangay Nalbuan has the highest incidence rate with 267 cases. ACTIONS TAKEN: 1. 2. 3. 4. 5. 6. 7. 8. 9. Intensify Disease Surveillance Systems Early Detection and Response Information & Dissemination Campaign Launching of ABKD Dengue Campaign Oplan Balik Eskwela 2012 BHWs Seminar on Emerging Infections and Diseases Simultaneous Clean and Green Activity (IKAP) Long Lasting Insecticide Nets Distribution Intensifying the role of CCT beneficiaries on Health Promotion and Disease Detection
- Strengthening the role of Pantawid Pamilya Beneficiaries on Health Promotion and Disease Detection
- Launching of ABKD Campaign and Malaria Awareness, Healthy Lifestyle Initiative with Dengue Prov. Coordinator, Prov. Malaria Coordinator, Prov. Epidemiology Officer and Staff, MHO personnel, LGU Officials,
- Long Lasting Insecticide Nets Distribution w/ PHO Abra and Pilipinas Shell
PESU ABRA with MESU LICUAN-BAAY during monitoring and installation of PIDSR 4.5 software
RECOMMENDATIONS: 1. LGU must maintain a functional municipal disease surveillance system equipped with the necessary resources, logistical assistance and adequate local financial support. 2. MESU must strengthen the policies regarding the submission of disease surveillance reports from Barangay Health Stations. 3. Municipal Health Personnel especially Senior Nurses should be encouraged to learn how to use the computer for reporting purposes. 4. Creation of Local Ordinances on Health Promotion and Disease Prevention. 5. LGU should hire additional manpower (Encoder). 6. PESU and RESU must strengthen Continuing Education Programmes on Disease Surveillance. 7. Capacity-Building to ensure an adequate response to local situation.
PREPARED BY:
cc: - Mayors Office - Chairman, SB on Health - Barangay Captains - Municipal Health Council - DepEd Licuan-Baay - PHTL Abra - PESU Abra - RESU CAR