Emerging and Re-emerging Infectious Disease Program

Description

In the recent past, the Philippines has seen many outbreaks of emerging infectious diseases and it continues to be susceptible to the threat of re-emerging infections such as leptospirosis, dengue, meningococcemia, tuberculosis among. The current situation emphasizes the risks and highlights the need to improve preparedness at local, national and international levels for against future pandemics. New pathogens will continue to emerge and spread across regions and will challenge public health as never before signifying grim repercussions and health burden. These may cause countless morbidities and mortalities, disrupting trade and negatively affect the economy.

There are several social determinants contributing to the emergence of novel infectious diseases and resurgence of controlled or eradicated infectious diseases in our country. These contributing factors are namely: (1) Demographic factors like the population distribution and density, (2) international travel/ tourism and increased OFWs, (3) Socio-economic factors and (4) Environmental factors. The latter includes our country’s vulnerability to disasters, increased livestock production, man- made ecological changes or industries and lastly the urbanization which encroach and destroy the animal habitats.


Emerging and Re-emerging Infectious Diseases are unpredictable and create a gap between planning and concrete action. To address this gap, there is a need to come up with proactive systems that would ensure preparedness and response in anticipation to negative consequences that may result in pandemic proportions of diseases. Proactive and multi- disciplinary preparedness must be in place to reduce the impact of the public the health threats. 

Vision

A health system that is resilient, capable to prevent, detect and respond to the public health threats caused by emerging and re-emerging infectious diseases

Mission

Provide and strengthen an integrated, responsive, and collaborative health system on emerging and re-emerging infectious diseases towards a healthy and bio-secure country.

Goal

Prevention and control of emerging and re-emerging infectious disease from becoming public health problems, as indicated by EREID case fatality rate of less than one percent

Program Strategies

The EREID Strategies are:

  • Policy Development
  • Resource Management and Mobilization
  • Coordinated Networks of Facilities
  • Building Health Human Resource Capacity
  • Establishment of Logistics Management System
  • Managing Information to Enhance Disease Surveillance
  • Improving Risk Communication and Advocacy

Target Population/ Client

All ages; Citizen of the Philippines

Area of Coverage

Philippines and it’s international borders

Partner Institutions

DOH Central and Regional Bureau’s/Offices, Other Government and Non-Government Offices, Medical Societies, Academe, Developmental Partners (World Health Organization, FAO-OIE, CDC, GPP-Canada)

Policies and Laws

  • Executive Order No. 168  -    Creating the Inter-Agency Task Force for the Management of Emerging Infectious Diseases in the Philippines
  • Administrative Order No. 10 s. 2011 - Creating the Philippine Inter-Agency Committee on Zoonosis, Defining Its Powers, Functions, Responsibilities, Other Related Matters and Providing Funds Thereof

Other Related Issuances/ Guidelines

  • Administrative Order no. 2012-0022 - National Policy for the Implementation of on International Health Regulation and Asia Pacific Strategy for Emerging Diseases in the Philippines
  • Department Memorandum No. 2017- 2558 - Creation of Functional Groups for the National EREID Program
  • Department Personnel Order No. 2005-1585 - Creation of a Management Committee on Prevention and Control of Emerging and Re-emerging Infectious Diseases (DOHMC-PCREID)
  • Department Memorandum No. 2017 - 0348 - Interim Technical Guidelines, Standards and other Instructions in the Implementation of Enhanced Human Avian Flu Surveillance, Management, and Infection Control in the Health Care Setting
  • Department Memorandum No. 2016 - 0169 - Interim Guidelines on the Clinical Management of Zika Virus Infection
  • Department Memorandum No. 2014 - 0257 - Preparedness and Response Plan for the Prevention and Control of Ebola Virus Disease
  • Department Memorandum No. 2014 - 0075 - Interim Guidelines on the Preparedness and Response to MERS-CoV
  • Department Memorandum No. 2009 - 0144 - Technical Guidelines, Standards and other Instructions for Reference in the Pandemic Response to Influenza A H1N1
  • Department Memorandum No. 2009-0250 - Interim Guidelines on the Prevention of Leptospirosis through the use of Prophylaxis in Areas affected by Floods
  • Department Memorandum No. 2005-0021 - Case Guidelines on the Management and Control of Meningococcal Disease

Strategies, Actions Points

To achieve this goal within the medium term, with a benchmark of less than one percent EREID case fatality rate, the EREID Program Strategic Investment Plan highlights the seven Strategic Priorities, each with the following goals:

  1. Policy Development: Establish updated, relevant, and implementable policies on EREID providing the overall direction in implementing the different Program components for all the network of health providers and facilities.
  2. Resource Management and Mobilization: Effectively manage and mobilize available resources from the DOH and partners both local and international needed in EREID detection, preparedness, and response.
  3. Coordinated Networks of Facilities: Organize adequate and efficient systems of coordination among network of facilities both public and private needed in EREID detection, preparedness, and response within the context of integrated health service delivery system at national and sub-national levels.
  4. Building Health Human Resource Capacity: Health care professionals skilled, competent and motivated in detection, prevention and management of EREID cases, with provision of supervised psychosocial support and risk communication at the national and sub-national levels.
  5. Establishment of Logistics Management System: Manage the systems of procurement and distribution of logistics for EREID detection, preparedness and response under each mode of disease transmission.
  6. Managing Information to Enhance Disease Surveillance: Improve case detection and surveillance of EREID to prevent and or minimize its entry and spread and to mitigate the possible impact of widespread community and national transmission.
  7. Improving Risk Communication and Advocacy: Institute a risk communication and advocacy system that is factual, timely and context relevant implemented at the national and sub-national levels.

Program Accomplishments/ Status

Policy Development and Review:

  • Zika Guidelines finalized and approved ; Avian Influenza Guidelines updated
  • Formation of the EREID Technical Working Group ; Experts Panel and EREID Management Group
  • Development of the Situational Analysis of EREID in the Philippines
  • Development of the EREID Manual of Operations for Preparedness and Response
  • Development of the EREID 5- Year Strategic/ Investment Plan
  • Active Participation in the finalization of the IRR of PhilCZ (AO No. 10)
  • Community Simulation Exercise –CALABARZON (Oct 2017)
  • Initial drafts of the Regional Preparedness and Response Plans (18) ; Initial drafts of the provincial Preparedness and Response plans (5) -CALABARZON

Resource Management and Mobilization:

  • Program Implementation Review (PIR) (February 2017)
  • Strategic Plan / Risk Communication Workshop (May 2017)
  • Health Promotion / M&E Tool Workshop (Sept 2017)
  • Participation in the Marawi Intervention
  • Co-handling / assistance to BAI on the Avian Influenza (H5N6) outbreak
  • Funding/ Sub- allotments to all regional offices ; RITM and 5 SNLs
  • Strengthened collaboration with DOH bureaus, government agencies, medical societies, academe, civil organizations and societies

Network of Facilities and Stakeholders:

  • CBCP, Schools, AFP and LGU ; 7 TWG meetings conducted
  • Medical societies as active (PIDSP, PISMD and PAFP)
  • Academe collaboration started with UP Manila and NIH
  • Philhealth, FAO and OIE, UP Manila, PGH as partners
  • Regional EREID Forums : Region V, Region VI, Region IV A
  • Field Visit : Region VI (RO, Hospital, RHU and LGU)

Logistic Management System:

  • Procurement of PPE (Personal Protective Equipment); Doxycycline; Oseltamivir;
  • Pre-positioning EREID supplies to all regional offices (18) ; RITM and Sub National Laboratories (SNLs)

Risk Communication and Advocacy:

  • Risk Communication Guidelines (per mode of transmission) –May 2017
  • IEC, media placements, FB, advisories on Zika, Leptospirosis, Avian Influenza and JE
  • Health Promotion Plan – Oct 2017

Calendar of Activities

WAYS FORWARD – 2018

  • Consolidation of all Regional preparedness plans and assistance to advocate to their Regional Directors and LCEs
  • Strengthening of the Rapid Response Team (RRT) – Regional, Provincial and LGU levels
  • Strengthened collaboration with HEMB, HPCS, EB, RITM and other partner DOH bureaus and private institutions
  • Institutionalize the ONE HEALTH Paradigm (animal, human and environmental health) in the EREID operational framework and activities
  • Integration of strategies addressing the emerging infectious diseases and the public health emergencies as in APSED III 2017 proposal
  • IHR Joint External Evaluation Tool (JEE)
  • Development of EREID National Policy and Program Monitoring Tool
  • MOP dissemination thru Training Modules / Capacity Enhancement (18 ROs)
  • One Health Strategy Workshops
  • Interim Clinical Guidelines/ Policies - Review and Updating
  • Field Support Visits / Annual Partners’ / Stakeholders’ Forum

Statistics

Zika: Case Fatality Rate:  Zero (0)  (2017)

AH5N6: No Human cases (2017)

Program Manager Contact Number

DR. GEMMA ARELLANO
Program Manager
Email add: ereidprogram.dohco@gmail.com
Trunkline: 651-7800 loc. 2354

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Last Updated: December 4, 2017