Republic of the PhilippinesCordillera Administrative Region

Province of AbraMunicipality of Licuan-Baay

MUNICIPAL HEALTH OFFICE

September 20, 2012

FOR : HON. CHRISTOPHER L. MILLARE, SR.

Municipal Mayor

FROM : 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

SUBJECT : Morbidity Report

Morbidity Month 1-8 (January 01 to August 31, 2012)

DESIRED ACTION : For your Information and Action

FINDINGS:

Morbidity Month 1-8, (January 01 – August 31, 2012)Table shows the comparison of communicable diseases being monitored under the Philippine Integrated Disease Surveillance and Response (PIDSR) of MHO-LICUAN-BAAY.

Diagnosis2011 2012

% Change of Cases Cases Cases

Acute Bloody Diarrhea o 1 increased

Acute Encephalitis Syndrome 0 0 -

Acute Flaccid Paralysis 0 0 -

Adverse Event Following Immunization

0 0 -

Anthrax 0 0 -

Cholera 0 0 -

Dengue 0 0 -

Diphtheria 0 0 -

Hepatitis 0 0 -

Influenza Like Illness 0 719 increased

Leptospirosis 0 0 -

Malaria 0 0 -

Measles 0 0 -

Meningitis 0 0 -

Meningococcal Disease 0 0 -

Non-Neonatal Tetanus 0 0 -

Neonatal Tetanus 0 0 -

Pertussis 0 0 -

Paralytic Selfish Poisoning 0 0 -

Rabies 0 0 -

Typhoid Fever 0 0 -

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.

Jan Feb Mar Apr May Jun Jul Aug Total

2012 109 63 48 65 72 91 172 99 719

50

150

250

350

450

550

650

750

Fig. 1 ILI Suspects, Licuan-Baay, Morbidity Month January-August 2012

No.

of C

ases

105

51

83

47

83

28

42

267

20

13514

Fig.2. ILI Suspects, by Barangay, Morbidity Month 1-8, 2012

BONGLO (PATAGUI) BULBULALA

CAWAYAN DOMENGLAY

LENNENG MAPISLA

MOGAO NALBUAN

POBLACION SUBAGAN

TUMALIP

Female Male Total

2012 371 348 719

50

150

250

350

450

550

650

750

Fig. 3 ILI Suspects, by Sex, Morbidity Month January-August 2012

No.

of C

ases

0-15 16-30 31-45 46-65 66-75 76-90 Total

No. of Cases 367 78 125 108 20 21 719

Percent 0.51 0.11 0.17 0.15 0.03 0.03 1

50

150

250

350

450

550

650

750

Fig. 4 ILI Suspects, by Age Group 0-90 years, Morbidity Month January-August 2012

No.

of C

ases

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. Intensify Disease Surveillance Systems2. Early Detection and Response3. Information & Dissemination Campaign 4. Launching of ABKD Dengue Campaign 5. Oplan Balik Eskwela 20126. BHWs Seminar on Emerging Infections and Diseases7. Simultaneous Clean and Green Activity (IKAP) 8. Long Lasting Insecticide Nets Distribution9. Intensifying the role of CCT beneficiaries on Health Promotion and Disease Detection

OPLAN BALIK ESKWELA 2012 anchored with the theme: “ Magkaisa Tungo sa Malusog at Maunlad na Komunidad”

* Dengue & Malaria Awareness * Basic Nutrition* Promotion of Healthy Personal Hygiene * Healthy Lifestyle Initiative

- Strengthening the role of Pantawid Pamilya Beneficiaries on Health Promotion and Disease Detection

- BHW Forum on Health Promotion, Sanitation and Early 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,

- PHO Dr. Gaza, with MESU team Dengue Prevention Campaign

- PESU ABRA In Action : Disease Surveillance Awareness Campaign in Licuan-Baay

- Long Lasting Insecticide Nets Distribution w/ PHO Abra and Pilipinas Shell

- Malaria and Dengue Awareness Campaign

PESU ABRA with MESU LICUAN-BAAY during monitoring and installation of PIDSR 4.5 software

- Municipal Health Office Licuan-Baay Monthly Staff Meeting

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:

EROSBON L. SABEDO, RM.RN. RNHEALS Disease Surveillance Coordinator

NOTED:

MA. FLAVIE DG. BLANCA, MD. Disease Surveillance Officer

cc: - Mayor’s Office - Chairman, SB on Health - Barangay Captains - Municipal Health Council - DepEd Licuan-Baay - PHTL Abra - PESU Abra - RESU CAR