06-24-22

DATE: ____________

NAME OF BARANGAY: ________________

CONCEPCION PUROK/SITIO: _____
3
LUBAO
MUNICIPALITY: ___________
PAMPANGA/ III
PROVINCE/ REGION: _____________

I. SURVEY RESULTS

A. TOTAL NO. OF HOUSES: 100

B. NO. OF HOUSES (+) FOR AEDES LARVAE/PUPAE: 0
C. TOTAL NO. OF CONTAINER INSPECTED: 1,570
D. NO. OF CONTAINER (+) for Aedes Larvae/ Pupae: 0
E. No. of Persons who slept in the house the night before the survey: 467

F. FINDINGS/OBSERVATIONS

Upon the observation on the houses in this Purok the surroundings are clean no mosquito larvae
was found on the bottles or any containers that were inspected.

ACTION TAKEN

Dengue Vector Surveillance, Fogging, and Inspection

RECOMMENDATION

Daily cleanliness and proper waste segregation.

 07-05-22
DATE: ____________

NAME OF BARANGAY: ________________

CONCEPCION PUROK/SITIO: _____
8
LUBAO
MUNICIPALITY: ___________
PAMPANGA/ III
PROVINCE/ REGION: _____________

II. SURVEY RESULTS

A. TOTAL NO. OF HOUSES: 100

B. NO. OF HOUSES (+) FOR AEDES LARVAE/PUPAE: 0
C. TOTAL NO. OF CONTAINER INSPECTED: 2, 369
D. NO. OF CONTAINER (+) for Aedes Larvae/ Pupae: 0
E. No. of Persons who slept in the house the night before the survey: 347

F. FINDINGS/OBSERVATIONS

Based on the inspection and survey that was done all the surroundings are clean and free of
mosquito larvae. Bottles and other containers are neatly stacked or properly stored

ACTION TAKEN

Dengue Vector Surveillance, Fogging and Inspection

RECOMMENDATION

Maintaining of cleanliness and daily practice of 4s and 4’o clock habit