What is the target for the Philippines for the elimination of

the disease?
National Objectives For
Health (NOH) 2011-2016
calls for the elimination
of Schistosomiasis as a
public health problem in all
endemic areas.
Standard:
Schistosomiasis is
eliminated as a public
health problem if the
Prevalence Rate is
maintained at <1% for at
least 5 years .

Endemic Areas
Regions

Provinces

Region II

Number of
Municipalities/Districts

Number of
Barangays

Cagayan

Region IV-B

Oriental Mindoro

33

Region V

Sorsogon

15

Region VI

Negros Occidental

Region VII

Bohol

Region VIII

Northern Samar

16

168

Region IX

Region X

Number of
Cities

Eastern Samar

10

222

Western Samar

142

Northern Leyte

24

343

Zamboanga del Sur

64

Zamboanga Sibugay

Zamboanga del
Norte

Lanao del Norte

41

Endemic Areas
Regions

Provinces

Number
of Cities

Number of
Municipalities/Distircts

Number of
Barangays

Region XI

Davao del Sur

Davao del Norte

41

Compostela Valley

10

58

Davao Oriental

Davao City

North Cotabato

15

14

13

35

13

118

Region XII

South Cotabato

Sultan Kudarat
Caraga

Agusan del Norte

Agusan del Sur

ARMM

Surigao del Norte

13

62

Surigao del Sur

29

Maguindanao

10

16

Lanao del Sur

14

Progression towards elimination of

schistosomiasis (WHO)

Schistosomiasis in Caraga

Schistosomiasis Control and Elimination Program Plan

2014-2016
Value
Statement:
Doing
things with
People

Vision:
Schistosomiasis
Free Philippines

Mission Statement: Synchronize and

harmonize public and private
stakeholders efforts in the elimination
of Schistosomiasis in the Philippines.

Overall Goal:
Schistosomiasis is
eliminated as a
public health
problem in all
Program Objectives:
endemic provinces.
1. To reduce the prevalence rate of Schistosomiasis in
endemic provinces below 1% by 2016 .
2. To increase the coverage of mass treatment to 85%
per year in all
endemic
areas.
Preventive
Transmissi
PublicAdvocacy and
Chemotherpay &
Infection Control

on Control

Private/P2P
Partnerships

Social
Mobilization

Program Thrusts/Strategies

Monitoring
and
Evaluation

DEMOGRAPHIC PROFILE
Number of Endemic Provinces
Number of Endemic Municipalities

4
43

Number of Endemic Barangays

244

Total Exposed Population

2011 Prevalence Rate

657,504
6.7

Endemic Municipalities Agusan del Norte

Endemic Pop71,525
PR 7 bgrys
JABONGA
(PR2011- 14.1
8.36)
1 bgrys TUBAY
Endemic
(PR-0)
Municipalities
1 bgrys
8
Magallanes
(PR-0)
Endemic
BUENAVISTA
CARMEN
Bgrys-35

7 bgrys
(PRKitacharao11.13)

SANTIAGO

3 bgrys
(PR-4.01)

3 bgrys
(PR-5.05)
CABADBARAN
RT ROMUALDEZ
7 bgrys
(PR-7.26)

NASIPIT

LAS NIEVES

5 bgrys
(PR11.13

Endemic Municipalities Agusan del Norte

Magallanes
Buenavista

Taod-ay
Abilan

Tubay

Sta. Ana, Doa Rosario, Doa Telesfora, Poblacion 2

Jabonga

Poblacion, Colorado, Magsaysay, Cuyago, Baleguian, Beltran, and

Maraiging

Kitcharao

Poblacion, Jaliobong, Canaway, Bangayan, San Roque, San Isidro

and Sangay

Santiago

Tagbuyakan, La Paz, and E. Morgado

Cabadbaran

Bay-ang, A. Luna and Calamba

Poblacion I, poblacion II, Basilisa, Tagbongabong, Humilog and
Panaytayon

RT Romualdez
Las Nieves

Butuan City

Malicato, Maningalab, Mat-I, Rosario, and San Isidro

Sto. Nino, Los Angeles, Baobaoan, sumilihon, Ampayon, Basag,
Lemon, Baan Km3, Mahay, PigDaulan, Tagabaca, Aupagan,
Salvacion, Tiniwisan, Cabcabon, Bobon, Banza, Maug, Buhangin,
Florida, tungao, Dankias, Amparo, Pinamanculan, Kinamlutan

Endemic Municipalities Agusan del Sur

Endemic Pop397,973
Sibaga
PR 2011- 5.81
t
Endemic
Bayug 10 bgry
Municipalities 13
an
(PR-29.68)
Endemic
14 bgry
Prosperi
(PR-5.49)
Bgrys-118
dad

12 bgry
(PR-27.34)
Espera
nza
7 bgry
San
21 bgry
San
(PR-0)
Francisco (PR-13.58)
12 bgry LuisTalacog
9 bgry (PRon
(PR-7.32)
Rosari12.18)
La Paz
7 bgry
12 bgry oBunawa
(PR-1.0)
10 bgry
(PR-4.32) n
11 bgry
Loreto
(PR-18.17)
Trento
7 bgry
(PR-11.75)
Veruel
Sta.
9 bgry
(PRa
Josefa
(PR-7.5)
30.48)

Endemic Municipalities Agusan del Sur

Catmonon, Crossing Luna, Cubo, Dakutan, Duangan, Guadalope, Hawilian, Labao,
Esperanza
Nato Piglawigan and Santa Fe
Culi, Dona Flavia, Dona Maxima, Nuevo Trabajo, Poblacion, San Mariano, and Santa
San Luis
Ines
Buena Gracia, Causwagan, Culi, Del Monte, Desamparados, La Flora, Labnig,
Talacogon
Marbon, San Agustin, San Isidro, San Nicolas and Zillovia
Halapitan, Langasian, Panagangan, poblacion, Sabang Adgawan, Sagunto and Villa
La Paz
Paz
Binucayan, Johnson, Kasapa, Magaud, Nueva Garcia, Poblacion, San Isidro, San
Loreto
Mariano, San Vicente, Sto. Nino and Violanta
Sta. Josefa
Angas, Aurora, Awao, Concepcion, Poblacion, San Jose, Sayon, Tapaz, and Pag-asa
Bucac, Cagbas, Fili, Maygatasan, Noli, Poblacion, Saguma, Salvacion, Taglatawan
Bayugan
and Verdu
Aurora, La Caridad, La Suerte, La Union, Las Navas, Lucena, Mapaga, Napo, PatinProsperidad
ay, Poblacion, Salvacion, San Pedro, San Rafael and San Vicente
Alegria, Barangays 1,2,3,4,5, Bayugan 2, Borbon,Buenasuerte, Caimpugan, Ebro,
Hubang, Karaus, Ladgadan, Lapinigan, Pasta, Pisa-an, Rizal, San Isidro, Santa Ana,
San Francisco and Tagapua
Bayugan 3, Cabantao, Cabawan, Libuac, Marfil, Novele, Santa Cruz, Tagbayagan
Rosario
and Wasi-an
Bunawan Brook, Consuelo, Libertad, Mambalili, Poblacion, San Andres, San Marcos,
Bunawan
Nueva era and San Teodoro
Trento
Basa, Kapatungan, Manat, poblacion, San Isidro, San Roque and Tudela
Bacay II, Binongan, Caigangan, Don Mateo, La Fortuna, Magsaysay, Masayan,
Veruela
Poblacion, Sampaguita, Sinobong, Sta. Emilia and San Gabriel

Endemic Municipalities Surigao del Norte

4 bgrys (PR-24)
Burgos

Sta. Monica
2 bgrys (PR-)
San Benito

4 bgrys (PR-3.70)

Del

1 bgrys (PR-)
Surigao City
San francisco
+

+
Sison +

5 bgrys (PR-6)
Malimono

6 bgrys (PR-)

San Isidro

Carmen
+

2 bgrys (PR-)
Pilar
Dapa +
+

1 bgry (PR-2)

Mainit
13 bgrys (PR-12)

General
Luna

Placer

Tubod
+

3 bgrys (PR-9)

Tagana-an

4 bgrys
(PR19)
Bacuag

7 bgrys
(PR-8.5)
Gigaquit

Alegria

+9 brgys

(PR-14.2)

Socorro

Claver

2 bgrys (PR-8.3)

Endemic Pop88,562
PR 2012- 8.1
Endemic
Municipalities 13

Endemic Municipalities Surigao del Norte

Tubod
Mainit
Alegria
Tagana-an
Placer
Bacuag
Gigaquit
Claver
Burgos
Sta Monica
Pilar
San Isidro
Del Carmen

Motorpool, Marga, poblacion, San Pablo, and Del Rosario

Magpayang, Mabini, Matin-ao, Magsaysay, Cantugas, roxas, San
Isidro, San Francisco, Siana, Mansayao, Tolingon, Quezon and Diano
Anahaw, Alipao, Gamutan, Ombong, Ouano, Poblacion, Pongtud, San
Juan and San Pedro
Himamaug
Amoslog
Campo, Pautao, Payapag and Pungtod
Camboayan, Mahanub, Poniente, San Antonio, San Isidro, Villafranca
and Villaflor
Daywan and Ladgaron
Matin-ao, San Mateo and Poblacion I
T. Arlan and Libertad
Caridad and San Roque
Buhing Kalipay, Del Pilar, Pelaez, Roxas and San Miguel
Cancohoy, Jamoyaon,

Endemic Municipalities Surigao del Sur

3 brgys (PR-0.54)
Carrascal
Cantilan Cortes

Madrid

2 brgys (PR-0.30)

8 brgys (PR0.76)

2 brgys (PR-0)
Carmen Lanuza
Tandag 8 brgys (PR Tago0.71)
San Miguel
Bayabas
Cagwait
Marihatag
San Agustin
Lianga
Barobo
1 brgys (PR-0)

Endemic Pop-56,50
PR 2011- 0.41
Endemic
Municipalities 8

Tagbina
1 brgys (PR-0) Hinatuan
Bislig
4 brgys (PR-0.22)
City

Lingig

Endemic Barangays in Butuan City

Los angeles, Baobaoan, Sumilihon,
Taguibo,tiniwisan,Ampayon
Basag,,tag abaca, Aopagan, kamayahan, Florida,
Tungao, Mandamo
Dangkias, sto nino, lemonBaan Km 3, Mahay,
Pigdaulan, SalvacionBanza
Bobon, cabcabon, Maug, Buhangin, Amparo,
Pinamanculan, Kinamlutan

General Guidelines:
1. Mass treatment is the primary intervention
for Schistosomiasis endemic areas to be
done yearly in the month of July.
2. Mass treatment shall be done for the entire
month simultaneous in all endemic areas
for Schistosomiasis covering school
children and the population, age 5-65 y.o.
completing no less than 85% of the target
population of the area covered.
The mass treatment shall be conducted until
the elimina-tion level is achieved(less than1%

guidelines
3. Mass treatment centers such as LGU
health facilities, schools, barangay multi
purpose centers and other facilities that may
be tapped in this month long activity.
4. The LGUs local health physicians and
staff and volunteer workers shall take the
lead in all these month long activity.
Schistosomiasis Mass Drug Administration
and Awareness Month July 2015 Theme:
Ang Schisto ay iwasan, makiisa sa taunang
gamutan.Makipag-ugnayan sa pinakamalapit
Na health center at pampublikong paaralan.

Mass Treatment Coverage

2014 for Agusan del Norte
Municipality

To. Endemic Target Pop

Pop

No. given
PZQ

Coverage

1.Buenavista
(Brgy.Abilan)

2,023

1,719

1,398

81.3%

2.Cabadbara
n

8,742

7,430

5,944

80.0%

3. Jabonga

12,583

10,696

9,466

88.5%

4. Kitcharao

18,599

15,809

15,374

97%

5.Las Nieves

7,179

6,102

1,834

30.1%

6.Magallanes 1,551
(BrgyTaod-oy

1,318

1,285

97.5%

7. RTR

14,568

12,383

11,627

94%

8. Santiago

6,280

5,388

4,952

92.7%

Total

71,525

60,845

51,880

85.30%

Mass Treatment Coverage

2014 for Agusan del Sur
Municipality

To. End.
Pop

Target Pop

No. given
PZQ

Coverage

1.Bayugan
City

34,011

28,910

24,572

85.00%

2. Bunawan

33,127

28,158

19,710

70.00%

3. Esperanza 25,394

21,585

15,108

70.00%

4. La Paz

30,443

25,877

24,354

98,10%

5. Loreto

24,947

21,205

16,964

80.00%

6.
Prosperidad

35,254

29,966

25,139

83.90%

7. Rosario

31,670

26,920

20,189

75.00%

8. San
Francisco

60,503

51,428

43,712

84.90%

9. San Luis

12,394

10,535

8,451

80.20%

Agusan del Sur

Municipality

To. Endemic Target Pop

Pop

No. given
PZQ

Coverage

10.Sta.
Josefa

21,632

18,388

15,774

85.70%

11.
Talacogon

29,187

24,809

22,182

76.00%

12. Trento

32,542

27,661

20,745

75.00%

13. Vereula

27,902

23,717

20,324

85.70%

Total

399,006

339,159

277,224

81.74%

Mass Treatment Coverage

2014 for Surigao del Sur
Mun/City

To. Endemic Target Pop

Pop

No. given
PZQ

Coverage

1. Tandag

1,670

1,419

1,430

100.78%

2. Tago

10,136

8,531

2,686

31.39%

3. Madrid

1,919

1,631

686

42.01%

4. Cantilan

5,524

4,751

3,152

66.34%

5.San Miguel 19,615

16,672

14,814

88.86%

6. Barobo

2,001

1,701

1,415

83.19%

7. Hinatuan

2,676

2,275

2,591

113.89%

8.Bislig City

12,024

10,220

9,312

91.12%

Total

55,565

47,200

36,086

76.45%

Mass Treatment Coverage

2014 for Surigao del Norte
Municipality

To.End. Pop

Target Pop

No. given PZQ Coverage

1. Alegria

11,642

9,896

7,406

74.80%

2. Bacuag

3,525

2,997

1,543

51.50%

3. Burgos

4,567

3,882

563

15.00%

4. Claver

5,319

4,522

945

21.80%

5. Del Carmen

2,228

1,894

1,001

52.80%

6. Gigaquit

16,636

14,141

6,563

46.40%

7. Mainit

23,122

19,654

16,797

85.00%

8. Pilar

3,040

2,584

1,546

59.80%

9. Placer

1,562

1,328

354

27.00%

Municipality

To. End.Pop

Target Pop

No.given
PZQ

Coverage

10. San
Isidro

3,395

2,886

2,106

72.90%

11. Sta.
Monica

1,015

863

715

82.80%

12.
Taganaan

1,600

1,360

892

65.60%

13. Tubod

7,560

6,426

2,380

37.00%

Total

85,211

72,430

42,811

59.10%

9,387

1,741

19.00%

Surigao City 11,043

Mass Drug Administration 2014

Region: XIII
Endemi
c
Provinc
es

Total No. of
Endemic
Municipaliti
es/Cities

Total No.
of
Endemic
Baranga
ys

ADN

35

ADS

13

SDS
SDN

Total
Populatio
n of 5-65
years old

Total No.
of 5-65
years
given PZQ
in MDA

106,679

90,676

61,488

120

399,006

339,148

277,224

29

55,565

47,200

36,086

13

62

96,254

81,617

44,552

246

657,504

558,641

419,350

TOTAL 42

Total
Population
of Endemic
Barangays
(Census
2010)

Mass Drug Administration (Summary of

Accomplishment and Variance by Year)
2014

Endemic Province
Percent Accomplished

85% coverage
(standard)

Variance

Surigao del Sur

76.40%

85

-8.55

Surigao del Norte

59.10%

85

-25.9

Agusan del Sur

81.74%

85

-3.26

Agusan del Norte

85.30%

85

+0.3

Caraga

75.6%

85

-9.4%

Mass Drug Administration

(Variance Analysis)

Region: XIII
Endemi
c
Provinc
e

Total
Population
of 5-65
years old

(B)

Total No.
of 5-65
years old
given
PZQ in
MDA

%
Accomplish
ment
(D)=(B/C)*
100

Service
Target
Coverage
= 85%

Varianc
e

(E)

(C)

(F)

(A)

ADN

90,676

60,845

85.30

85

+0.3

ADS

339,006

277,224 81.74

85

-3.26

SDS

47,200

36,086

76.45

85

-8.55

SDN

81,617

44,552

54.60

85

-30.4

419,350 75.10

85

-9.9

TOTAL 558,641

Sentinel Surveillance (Summary of Accomplishment by Year)

R.O: XIII
2010

Endemic
Province

2011

No.
examine
d (A)

No.
positive
(B)

No.
heavily
infected
(C)

% Rate
(D)=B/A*1
00

No.
examine
d (A)

No.
positive
(B)

No.
heavily
infected
(C)

% Rate
(D)=B/A*1
00

480

1.04

480

0.41

Surigao 240
del Norte

26

10.8

270

19

7.03

Agusan
del Sur

3.75

240

25

10.4

13

4.3

120

17

14.17

Surigao
del Sur

240

Agusan
300
del Norte

Sentinel Surveillance (Summary of Accomplishment

by Year)
R.O: XIII

2012

Endemic
Province

2013

No.
examine
d (A)

No.
positive
(B)

No. heavily
infected (C)

% Rate
(D)=B/A*1
00

No.
examine
d (A)

No.
positive
(B)

No.
heavily
infected
(C)

% Rate
(D)=B/A
*100

Surigao
del Sur

480

0.2

351

0.8

Surigao
del
Norte

240

16

6.6

Agusan
del Sur

270

10

3.7

Agusan
del
Norte

Sentinel Surveillance
(Summary of Accomplishment by Year)
R.O: XIII
2014

Endemic
Province

Surigao
del Sur
Surigao
del
Norte
Agusan
del Sur
Agusan
del
Norte

No.
examine
d (A)

No.
positive
(B)

No. heavily
infected (C)

% Rate
(D)=B/A*1
00

303

1.9%

No.
examine
d (A)

No.
positive
(B)

No.
heavily
infected
(C)

% Rate
(D)=B/A
*100

Plan for 2015

Engagement of Local Chief Executives to Health
Leadership Governance Program.
DMOs to intensify lobbying
Capacitate schisto endemic communities thru
BHLGP
Giving of Performance based Incentives/ Grant
for health workers.
Harmonization of different infectious diseases.
Capability building for LGUs for
Schistosomiasis Control.

Plan for 2015

Strengthen multi stakeholders meeting
with other partners.
Support for environmental program such
as Zero Open Defecation and National
Search for Barangay with Best Sanitation
Practices.
Focal Survey for the 4 endemic provinces
Regionwide RSIs basic malacological
training

What is schistosomiasis

e Cycle of Schistosomiasis

Signs and symptoms

Major Signs:
headache, weakness, pallor, Hematochezia
or blood streaked stools , seizures
Minor Signs:
abdominal pain, vague epigastric, pain,
dizziness, cercarial itch

Diagnosis
Stool examination gold standard (WHO)
- RHUs
Rectal biopsy More accurate
- Hospitals
COPT Circumoval Precipitin Test
- Reference Lab

Treatment
Praziquantel 600 mgs - drug of choice
Given at 60 mgs/kg in 2 divided doses (selective treatment)
Given at 40 mgs single dose for mass treatment

Why Do We Still Have Schistosomiasis?

Schisto eggs in Liver

Schisto eggs in
lungs

Autopsy result: schistosomiasis cause

ofschisto
death eggs in liver

Challenges

&

Source of Water

USPECTED AREA

SUSPECTED AREA

SNAIL SITE

SNAIL SITE

LAKE MAINIT

Schistosomiasis is a man
made disease, it is only you, the
people and the community
themselves who can stop the
transmission of the disease

Thank you