Emerging and Re-emerging Disease Program

BACKGROUND
• Coronaviruses are large family of viruses,
some causing illness in people and others that
circulate among animals (including camels,
cats, and bats).

• Rarely, animal coronaviruses can evolve and

infect people and then spread between people
such as has been seen with MERS and SARS.

• Both MERS and SARS have been known to

cause severe illness in people

https://wwwnc.cdc.gov/travel/notices/warning/novel-coronavirus-wuhan-china

Emerging and Re-emerging Disease Program

BACKGROUND

Emerging and Re-emerging Disease Program

 BACKGROUND

CDC believes at this time that symptoms of 2019-nCoV may appear in as

few as 2 days or as long as 14 after exposure. This is based on what has
been seen previously as the incubation period of MERS viruses.

Emerging and Re-emerging Disease Program

Department of Health, Philippines
 BACKGROUND
• Does the new coronavirus affect older
people or younger people also
susceptible?

Emerging and Re-emerging Disease Program

 BACKGROUND
• Many characteristics of this novel coronavirus and how it may
affect people are still unclear.
• According to WHO Situation Report 7 as of Jan 27:
• Median of cases outside of China is 45 years ranging 2 to 74 years old
• 71% of cases were male.
– People of all ages can be infected by the new coronavirus (2019-nCoV)
– Older people and people with pre-existing medical condition
(asthma,diabetes,heart dse) appear to be more vulnerable to becoming
severely ill with the virus.

Emerging and Re-emerging Disease Program

 BACKGROUND
• According to WHO based on situation report #12:
– The main driver of transmission, based on current available data,
is symptomatic cases.
– WHO is aware of possible transmission of 2019-nCoV ARD from
infected people before developed symptoms.
– Thus, transmission from asymptomatic cases is likely not a major
driver of transmission.
– Person who are symptomatic will spread the virus more readily
through coughing and sneezing.
who.int/docs/default-source/coronaviruse/situation-reports/20200201=sitrep-12-ncov.pdf

Emerging and Re-emerging Disease Program

 BACKGROUND
• In France, for the first time outside China, a healthcare worker was
diagnosed as being ill with 2019-nCoV ARD.
• First instance of 3rd Generation human to human transmission
outside China has been identified in an individual who was exposed
to a confirmed case from the cluster in Bavaria, Germany.
• In Japan, a tour guide who is part of the same cluster of Japanese
cases who had contact with tourist from Wuhan; and in Thailand, a
taxi driver who had no travel history to China.

who.int/docs/default-source/coronaviruse/situation-reports/20200201=sitrep-12-ncov.pdf

Emerging and Re-emerging Disease Program

 BACKGROUND
• During the previous outbreaks due to coronavirus- MERS and SARS, human to
human transmission occurred through droplets, contact and fomites,
suggesting that the mode of transmission of the 2019-nCoV ARD can be
similar.

• To reduce the general risk of transmission:

who.int/docs/default-source/coronaviruse/situation-reports/20200201=sitrep-12-ncov.pdf

Emerging and Re-emerging Disease Program

Department of Health, Philippines
Department of Health, Philippines
Department of Health, Philippines
Department of Health, Philippines
 Global Situation
Update
• WHO situation report
#14 as of February 3,
2020

Emerging and Re-emerging Disease Program

Global Situation Update

Emerging and Re-emerging Disease Program

Global Situation Update

Emerging and Re-emerging Disease Program

 Global
Situation
Update

Emerging and Re-emerging Disease Program

 Global
Situation
Update

Emerging and Re-emerging Disease Program

 National
Situation
Update

Emerging and Re-emerging Disease Program

Timeline of Event (2019-nCoV)

Dec 31 – China alerts WHO Jan 1 – Wuhan’s Jan 5- Chinese Jan 7 – New Jan 11- China
to cluster of pneumonia seafood wholesale officials rule out CoronaVirus identified announces first
cases in WUHAN City market shut down SARS virus and isolated death

Jan 20- infection in Jan 19 – First case in Jan 12 – new

healthcare workers caring
for 2019-nCoV patients
- Human to human
transmission confirmed
Jan 13- WHO
Korea reported, 2 corona virus name
Jan 16- First case reports case in
cases in Beijing and 1 as 2019-nCoV
in Japan Reported Thailand. The first
in Guangdong province shared with WHO
outside China
reported genome sequence

Jan 30 – WHO
declare the
Jan 24- 835 cases February 1 – a
Jan 23 – Wuhan placed under outbreak an
reported in China ( total of 2
effective Quarantine. Air & Global Health
549Hubei, 286 from confirmed cases
Rail suspended Emergency
the 31 and 1 mortality in
-WHO declare emergency in -First confirmed
provinces/mun/speci Philippines
China but not global health case in
emergency/ PHEIC al administrative Philippines
regions)

Emerging and Re-emerging Disease Program

 Anu ang nagawa/ ginagawa ng Government ngayon?
• Close coordination with the inter-agency Task Force on Emerging
ang re-emerging Diseases - all agencies are united to ensure and
address the related health event.
• BOQ – on high alert and in constant coordination with authorities
from all ports of entry for stricter border surveillance
• Surveillance – heightened surveillance for travelers from China
• Health facilities are equipped and prepared to receive and care
persons for isolation

Department of Health, Philippines

Anu ang maari kong gawin para
makatulong?
• Encourage household members to practice
good sanitary and hygienic practices
• Inform the barangay captain if there’s a new
local in the community
• Never share unverified information so not to
cause panic.

Department of Health, Philippines

 Decision Tool for 2019-nCoV Assessment
(BOQ and Hospitals) as of January 30, 2020
Respiratory Travel
Fever
Infection History
History
(for the
>38 C of Case Category / Intervention
(current fever
(cough AND/OR past 14
or with Exposure
history of
colds) days in
fever) China)
+ + + + CATERGORY: PUI –Person under investigation
+ + + - Bureau of Quarantine
 Give mask and isolate PUI.
+ + - +  Collects and evaluate the BOQ Health Declaration
Card (yellow card).
+ - + +  Endorses patient for admission in a hospital.
 Arranges transportation of PUI to hospital.
- + + +
Hospitals
+ - + -  Complete the Case Investigation Form (CIF)
 Trained hospital staff collect specimen (NPS/OPS
- + + - collected within 24 to 48hrs) and send to RITM.
+ - - +  Coordinate with RESU for reporting and transport
of specimens.
- + _ +  Manages PUI accordingly.

Emerging and Re-emerging Disease Program

 Decision Tool for 2019-nCoV Assessment
(BOQ and Hospitals) as of January 30, 2020
Respiratory Travel
Fever
Infection History
History
(for the
>38 C of Case Category / Intervention
(current fever
(cough AND/OR past 14
or with Exposure
history of
colds) days in
fever) China)
+ - - - CATERGORY: PUM –Person under monitoring
- + - - Bureau of Quarantine
 Collects and evaluate the BOQ Health declaration
- - + + card (yellow card)
 Advises person to go on facility/home quarantine
- - + - for 14 days.
 IF symptoms worsen, immediately notify the
- - - + nearest hospital for consultation and provide travel
- - - - history.

Emerging and Re-emerging Disease Program

 ACTIONS TAKEN BY DOH
DAVAO CHD
• BOQ continuous screening and evaluation in all
ports of entry.
• Continuous disease surveillance in hospitals and
community.
• January 28, 2020 – Davao City Hospital Forum.
• Activated DOH-ICS and DOH-EREID RRT
• Strengthening referral hospital capabilities
(DRMC and SPMC)

Emerging and Re-emerging Disease Program

 WAY FORWARD
• February 3 – Regional Inter-agency Forum for 2019 nCoV and updating of
Regional Interagency Task Force (done)
• Feb 4 – Funding assistance to Davao City Health Office Orientation for
District Health Offices (ongoing)
• Feb 5 – PDOHO, PHO and Provincial hospitals Orientation and Training
• Feb 7 – Level 2 and level 3 hospital Orientation and Training (2019-nCoV,
Donning and Doffing)
• Feb 7 – Davao City orientation for private professionals.
• Orientation and Training for RHUs, CHOs, and DOH XI RRT.

Emerging and Re-emerging Disease Program

 HOTLINE NO.
• Official FB Page: Department of Health Davao Region
• RESU XI – 0939 614 7729
• HEMS – 0908 171 0468 or 0956 873 5621

• PNP PRO XI Hotline:

– SMART 0998 598 7026
– GLOBE 0917 707 8547

• SPMC IPCU - 227 2731 (loc 4208); 0942 018 0364

• SPMC ISOLATION FACILITY – 227 2731 (loc 4312)

• DRMC Hotline
– GLOBE: 0955 980 1761; SMART: 0912 641 7327
– Tel no: (084 )216 9145, 216 9156, 216 9131, 216 3151
Emerging and Re-emerging Disease Program
THE END

Emerging and Re-emerging Disease Program