Republic of the Ph組ppines

Department of Health
OFFICE OF THE SECRETARY

June 7, 2023

哩臆T1OU S臆DISEASE母音臆APVISQ壁土

GUIDANCE IN ANTICIPATION OF POSSIBLE INCREASE IN

DENGUE CASES DURING THE RAINY SEASON AMIDST COVID_19

The recent data collected from the continuous monitoring of cases by the surveillance
SyStemS Placed by the D印arment of Heal血(DOH) shows that cunulative nunber of cases
repo鵬d for Dengue from January l, 2023 to May 13, 2023 was detemined at 48,109 cases
wi瓜176 deaths and O.4 Case Fatality Rate (CFR). This data shows 38% increase compared
to血e same period last year with 27,686 cases, 150 deaths and O.5 CFR.

While we are still facing the threat of COVID-19, all Centers for Health Development
(CHDs) and Ministry of Heal血- Bangsamoro Autonomous Region in Muslin Mindanao
orOH-BARMM) are advised to implement the 5S Strategy Against Dengue, Chikungunya
and Zika, given the anticipation of the possible increase in Dengue cases during the rainy

In line wi他心is, We Would like to reiterate the制owing :

A. Continue血e advocacies and implementation of the 5S- Strategies.

l. S- Search and destroy breeding sites

2. S- Seek early consultation
3. S- Selfprotection
4. S- Say yes to fogging only in hotspot areas where increase in cases is registered
for two consecutive weeks
5・ S-Sustain hydration

B. Intensify vector survei11ance activities

l. Identify m勾Or breeding sites - SeaI℃h and destroy mむor breeding sites.

2. Monitor high-risk areas based on vector population u§ing Aedes Vector

Surveillance Indices such as Breteau Index (BI) and House血dex (HI),

3. Monitor fluctuations in the vector population, Which can serve as an early wammg
Of an impending outbreak.
4. Provide evidence for recormending prevention and control measures.
5. Assess血e impact ofvector control measures.

Likewise, ref訂to National Aedes-bome VIral Diseases Prevention and Control Program

aVAVDPCP) Manual of Operations (https:M)it.1y壁坐Z竣CPニMOP), velume 2. Vector, VIrus

and Case Survei11ance for血e operational procedure of the different vector surveillance

methods for your guidance.

C. Initiation of Integrated vector Management

Indica筒on ` Ti皿血g

Larviciding a.Whenanareaisdeclaredahotspot
b.Whenanareahasclusteringofcases

Directline朝19502串Ie免は‥ (632) 7431 829‥ 7431786 ・ URL: http:〃ww両刷mVPh ; E-ma出血hosec@doh-竺OV-Ph

 信whenthereisanoutbr eak or an impending outbreak
岨Whenanareaisdecla. as dengue-SenSitive (Hl of more瓜an
5%,OrB丁ofmoretharl 20%).
’e.WhenDenguehasbee一
recorded in the past
fAs partofroutinel COntrOl measures, When vector
Surveillance data sucI as Ovi-Larva Index (OLI) and Adult
PupaIndex(API)area avai賞able

SpaceSpraying a.Whenanareaisdeclari a hot spot or with clustering ofcases

b.Inthepresenceofoutb: Or an impending outbreak
C.Theareaexceedsthe Vector Thrcshold Index (cvidenced by
VectorSurveillanceDa ta: Hl, BI).
d.Frequency:Atlcastfol (4) cycles with at least 7-day interval in
betweencycle§

e・埋重畳豊:
' MostFavorable:E乞 arly moming at 6:30 - 8:30 AM or late
evenmgat4;00to8
筆 Acceptable:Early to mid-mOmng Or late aftemoon or
ear看yevenmg.

鴫rgeted a.嶋rgetstherestingstaE
ge of mosquitoes which is l.5 meters
Residual 什omthe皿○○r
Spraying 雪 b.Whenthereisclusterir
Of cases (i・e. at least 3 cases reported

in4consecutiveweeks) Or during outbreaks

C.2-3timesayear,inthe absence of rain.

d.ForschooIs,targeted indoor residual spraymg Or targeted
Outdoorresidualsprayl ng must be conducted during weekends
Orholidays

D- All commodities for dengue listed in Department Memorandum 202l-0398 must be

made available in all heal血institutions:

a. NSI Rapid Diagnostic Tests

b. Intravenous Fluid (as needed in RHUs/CHOs)
C. Oral Rehydration Salts
d. Long-Lasting Insecticidal Nets (LLENSs)
e・ Insecticide-Treated Mosquito Nets

f Chemicals (Larvicides, Adulticides)

Please be guided by your regional EpidemioIogical Surveillance Units regarding the

mandated reporting of Notifiable Diseases as iden揃ed in RepubIic Act No. 11332:
Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concem
^ct.

For your guidance and strict compliance.

ENRI Q UE PHSAE, FPSM暮D, CESO III

Un derse cret
Field Implementation and Coordination Team