GOD BLESS YOU PRESIDENT CORY!

GOD BLESS YOU PRESIDENT CORY!
Showing posts with label flu. Show all posts
Showing posts with label flu. Show all posts

Friday, May 22, 2009

First Confirmed H1N1 Case in the Philippines — Bakit sa Malaysia Sinabi Yung Airlines & Flight No. Nung First H1N1 Case, Bakit sa Pilipinas, Hindi?

22 May 2009

At the end of this post is the latest update as of May 22 in the new DOH website.  It is dated May 21 but I'm sure it was posted only today.

What is evident in this latest update by the DOH is that IT DOES NOT TELL US THE AIRLINES AND FLIGHT NO. which brought this 10-year old girl back home to the Philippines.

Let's compare this first H1N1 case handling by the Philippine DOH with the first H1N1 case handling by Malaysia, our next-door neighbor.

This is a screenshot of a ChannelNewsAsia video report on May 15, 2009:



This are two screenshots of a Star video report on May 15, 2009 clearly identifying Malaysia Airline flight MH091 from Newark, New Jersey, USA as the flight taken by the first Malaysia H1N1 case patient:



and asking the passengers of said flight to contact the Health Ministry at its hotlines:

  

This is the video clip of the Star report from youtube:



Why is it that the Malaysians could disclose the airlines and flight no. which took the first H1N1 case patient to Malaysia from the United States while here in the Philippines, the health authorities have, so far, told us nothing?!  

Paano tayo magiging VIGILANT kung WALA TAYONG ALAM?!!!

To sum up, heto po yung detalye nung first Malaysian H1N1 case:

MALAYSIA FIRST H1N1 CASE

Patient Name :  Undisclosed   

Age :   21

Country of Origin :  United States

City of Origin :  Newark, New Jersey, USA
Destination :  Kuala Lumpur, Malaysia

Airlines :  Malaysian Airlines

Flight No. :  MH091

Arrival Date :  May 13, 2009

Arrival Time :  7:15am


This is the first Philippines H1N1 case:

PHILIPPINES FIRST H1N1 CASE

Patient Name :  Undisclosed  (Understandable because she's a child)

Age :   10

Country  of Origin :  United States

City of Origin :  Not disclosed to the public (why?)
Destination :  NAIA or maybe, Centennial (probably)

Airlines :  Not disclosed to the public (why?)

Flight No. :  Not disclosed to the public (why?)

Arrival Date :  May 18, 2009

Arrival Time :  Not disclosed to the public (why?)

What is the difference between Malaysia and the Philippines? 

The Malaysians have a better right to know?  Bakit?!


Ok, here now, is the latest update on as of May 22 in the new DOH website. 

 UPDATE NO. 18 - RP's FIRST H1N1 CASE

21 May  2009 

The Department of Health is officially announcing this evening the first confirmed case of Influenza A (H1N1) in the Philippines.

A female traveler arrived in the Philippines on May 18, Monday, from the United States and Canada. A throat specimen was collected, and was tested at the Research Institute of Tropical Medicine (RITM) on May 20, Wednesday, after she developed fever, sore throat and cough.  

Today, RITM confirmed that the specimen tested positive for the novel Influenza A (H1N1) on PCR using the primers sent by the US Centers for Disease Control and Prevention (CDC).  

She was immediately started on an antiviral, Oseltamivir, and given supportive care. At this time, the patient is continuously being monitored. She no longer has fever or cough, but still has sore throat.  

The DOH would like to emphasize that there is no community level outbreak in the country and measures are being done by the government to prevent transmission, starting with the quarantine of household close contacts.

The family of the patient has been informed and advised about the situation. We would like to thank them for their cooperation and willingness to comply with the recommendations of the DOH. They were advised to observe self-monitoring, home quarantine, social distancing, proper hygiene and respiratory etiquette procedures.  

We appeal to our media partners and the rest of the nation to respect the privacy and anonymity of the patient and her family. Rest assured that any information vital to protect public health and safety will be appropriately shared to those concerned.  

The DOH also stresses that the discovery of this first case of Influenza A(H1N1) in the Philippines is something we have been preparing for and is a result of the collective efforts of both public and private sectors as well as the effective surveillance system which we have put in place.

The DOH has already notified the International Health Regulations (IHR) and will submit its official report in 24 hours.

Influenza A (H1N1) is currently affecting 41 other countries with 11,034 cases and 85 deaths. Thus far, the behavior of the virus is to cause generally mild illness and low mortality (<1%)>

This development only shows the vulnerability of all countries to the threat of Influenza A (H1N1) which indicates that no nation and no government should be complacent. Thus, we continue to strengthen our systems for surveillance, early detection and management and effective response. We are also closely coordinating with the WHO, other agencies of government and the private sector to effectively combat the virus.

Our stockpiles of Oseltamivir is currently sufficient at 1 million capsules and have been distributed in regional hubs all over the country. We would like to remind the public that Oseltamivir may only be dispensed and taken upon the advice of your doctor. Irrational use can result in drug resistance that causes the drug to become ineffective in the future.

We reiterate to the public that government is on top of the situation and everyone is advised to be vigilant. If you have arrived from an affected country and develop flu-like symptoms (or TRANGKASO) such as fever, sore throat and cough, immediately consult a medical professional or call the DOH Hotline at (02) 711-1001 or 711-1002.

This situation is evolving globally. We will give regular updates to the media and the public as information becomes available.  

To know more about Influenza A(H1N1), you may go to the DOH Influenza A(H1N1) Website at www.doh.gov.ph/h1n1

More on this when I return.

Thursday, May 21, 2009

First Confirmed H1N1 Case in the Philippines Announced by DOH Secretary Duque from Switzerland

BREAKING NEWS

21 May 2009  11:27pm, Manila time, 15:32pm GMT

The inevitable has happened — speaking from Geneva, Switzerland, DOH Secretary Duque has announced the first confirmed H1N1 flu virus case in the Philippines involving a 10-year old girl who has returned from the United States on May 18.

Ces Oreña Drilon and Henry Omaga-Diaz has just reported on this major breaking news at ABS-CBN's Bandila just a few minutes ago.

I made a Google search and this Reuters report datelined 21 May 2008 14:50:57 GMT appears to be the only thing on the Internet about it as I write this blog post:

MANILA, May 21 (Reuters) - The Philippines has recorded its first case of the new H1N1 flu virus, a 10-year-old girl who had returned from a trip to the United States and Canada, Health Secretary Francisco Duque said on Thursday.

The Filipino girl returned on May 18 and was stopped at the airport when found to be suffering from a fever, sore throat and a cough, Duque told reporters. He said the girl was confirmed to be suffering from H1N1 on Wednesday but was recovering. (Reporting by Manny Mogato; Editing by Paul Tait)
I am presuming that this young girl has been given Tamiflu and it's a good thing she appears to be alright.

I remember Ces Oreña-Drilon saying that the child is not being named for reasons of privacy which is well and good.   

However, I believe that the Flight Number and Name of Airlines which brought this girl home from the United States (or Canada) should have been announced publicly so that those who were in it would know immediately about the situation and present themselves voluntarily or contact the nearest hospital or DOH office. That is the quickest way to "contact trace" these people. I believe it is a tactical error on the part of the DOH not to have done this. I guess we're losing valuable time and the opportunity to contain this may be slipping away.  

The longer this probably-contaminated batch of people are exposed to the local populace here, the greater the chances of the spread of local contamination in case these people already carry the H1N1 virus.

I hope I'm wrong but if the item below is an indication of our capabilities, then I believe this H1N1 flu virus might be catching us flat-footed.

At this time, 11:52pm, Manila time (15:52pm, GMT), this is the update we have at the new DOH website:

Update No. 17 - Influenza A(H1N1) Monitoring

H1N1 UPDATE NO. 17
May 21, 2009

As of May 21, the Department of Health has identified seven new cases under observation, five of whom were from NCR, one from Region 6 and one from Region 8. All cases had history of travel from Influenza A (H1N1) affected countries.  Four of the new cases’ laboratory test results for Influenza A (H1N1), together with three cases reported previously, are still pending. All other previous cases tested negative for Influenza A (H1N1). While the intensive laboratory testing procedures for individuals possibly infected with Influenza A (H1N1) is on-going, the DOH reiterates that influenza-like illness monitoring at the community level is also enhanced. This is to ensure that outbreaks of influenza are detected early and control measures are implemented immediately.

More on this when I return.

It's now 22 May 2009, 12:05am Manila time, 16:05pm, GMT and this is what the new DOH website is telling us (please click on the image to enlarge):


     
Please note that there is nothing in this official DOH update dated "May 21" (Thursday) which speaks of a confirmed H1N1 case. Why is that so when the Reuters report above says that "the girl was confirmed to be suffering from H1N1 on Wednesday ..."  which, of course, is May 20?




Monday, May 18, 2009

May 18, 2009 - Latest DOH Update on the H1N1 Flu Virus

18 May 2009

This is the latest update on the H1N1 flu virus from the  new DOH website:

H1N1 Update No. 14 

18 May 2009

H1N1 UPDATE NO. 14

From May 1, 2009 to date, a total of 62 cases under observation (CUOs) at different government and private hospitals had their specimen tested at RITM. Sixty one were found to be negative for the Influenza A (H1N1) virus. One case still has pending laboratory result.              

The above cases had history of travel from the following countries with confirmed influenza A (H1N1) cases: Australia, Canada, China (Mainland), HongKong SAR, Ireland, Italy, Japan, Korea, Malaysia, Mexico, Netherlands, Spain, Switzerland, United Kingdom and the United States of America.              

Globally, the World Health Organization has reported three new countries with confirmed cases of Influenza A (H1N1): India, Malaysia and Turkey. The total number of confirmed Influenza A (H1N1) case reported in 39 countries is now 8, 480. This is 3 % higher compared with the number of case reported the previous day (8,451). This day, most (11/29) of the new confirmed cases were from Panama. There were no new reported deaths.  The total number of deaths from Influenza A (H1N1) affected countries is still 72. 

The threat of Influenza A (H1N1) is getting nearer our country. In the western Pacific region where the Republic of the Philippines is located, there are already 6 countries affected. These are Malaysia, China, Republic of Korea, Japan, Australia and New Zealand. This is the very reason why the Department of Health remains vigilant in its guard against the possible entry of Influenza A (H1N1) to our country. Thus, the DOH reiterates that all incoming passengers from countries with confirmed Influenza A (H1N1) should closely monitor their health status for 10 days from arrival. Should they develop flu-like signs and symptoms, they are advised to seek medical consult early for prompt testing for Influenza A (H1N1) and immediate institution of proper medical management.  


Republic of the Philippines

Department of Health Influenza A (H1N1) Surveillance Progress ReportAs of May 18, 2009, 8:00 am  Summary Statistics 

Status of CUOs:  Affected Country of OriginNo. of CUO
No. still under observation1 
  1. Australia
1
No. Discarded61 
  1. Canada
2
Total No. of CUOs62 
  1. China (Mainland)
2
   
  1. Germany
1
No. of laboratory tests done62 
  1. Hong Kong
8
No. with pending laboratory results1/62 
  1. Ireland
1
No. positive for Influenza A (H1N1)0 
  1. Italy
4
   
  1. Japan
2
No. of Filipinos34/62 
  1. Korea
6
   
  1. Malaysia
2
   
  1. Mexico
2
Sex:    Males36/62(58%) 
  1. Netherlands
1
            Females26 (42%) 
  1. Spain
1
Age range:11 mos.-81 years 
  1. Switzerland
1
   
  1. UK
4
   
  1. USA
24

 Prepared by:                                                                                                                                                                                                                  Noted by:                                                 ___________________________                                       ______________________________                              ____________________________________________        Edna M. Lopez, RN                                                          Vito G. Roque, Jr., MD, PHSAE                                       Enrique A. Tayag, MD, FPSMID, PHSAE   Approved by:                                                                                                                                                ________________________________________________Usec. Mario C. Villaverde, MD, MPH, MPM, CESO I                             Summary of Cases 

Case No

Date of ArrivalDate ReportedAge/SexNationalityFilipino (Y/N)Affected Country of OriginPlace of Observation/Referring HospitalRegionClassificationOutcome
 New Cases as of May 18, 2009
58May 14May 1528/MNChinaPrivate HospitalRegion 7Not A H1N1Discarded*
59May 10May 1532/MYUSAPrivate HospitalRegion 10Not A H1N1Discarded
60May 16May 166/MNMalaysiaRegional HospitalRegion 9Not A H1N1Discarded
61May 16May 1620/MYMalaysiaRegional HospitalRegion 9Not A H1N1Discarded
62May 16May 1611mo/MYJapanRITMCavitePendingCUO**

   * Discarded – patient is not a case of Influenza A H1N1

** CUO – case is still under observation


end


 
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