Emerging and Re-emerging

Disease Program
Dr. Kristine De Los Reyes
Dr. Venus Gutierrez
Dr. Migo Luis
Dr. May Pilares
Emerging infections
● Emerging infections is defined as newly diagnosed or
previously unknown infections.
● This may include new or drug-resistant infections whose
incidence in humans has increased within the past two
decades or whose incidence threatens to increase in the
near future.
Re-emerging infections

Re-emerging infections are defined as secondary to the

reappearance of a previously eliminated infection or an
unexpected increase in the number of a previously known
infectious disease
 Intro:

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.
 Social Determinants:

● (1) Demographic factors

○ Population distribution and density
● (2) International travel/ tourism and increased OFWs
● (3) Socio-economic factors
● (4) Environmental factors
● 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.
 A health system that is resilient, capable to prevent,
Vision:
detect and respond to the public health threats
caused by emerging and re-emerging infectious
diseases

Provide and strengthen an integrated, responsive,

Mission: 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:

1. Policy Development
2. Resource Management and Mobilization
3. Coordinated Networks of Facilities
4. Building Health Human Resource Capacity
5. Establishment of Logistics Management System
6. Managing Information to Enhance Disease Surveillance
7. Improving Risk Communication and Advocacy
Target Population

● All ages; citizen of the Philippines

Area of Coverage
● Philippines and its 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
 Other Related Issuances /Guidelines
● 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
 Other Related Issuances /Guidelines
● 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
Other Related Issuances /Guidelines
● 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, Action Points

To achieve this goal within the medium term, with a benchmark of

less than once percent EREID case fatality rate, The EREID
Program Strategic Investment Plan highlights the seven Strategic
Priorities, each with the following goals:
 Program Strategies:

1.Policy Development
2.Resource Management and Mobilization
3.Coordinated Networks of Facilities
4.Building Health Human Resource Capacity
5.Establishment of Logistics Management System
6.Managing Information to Enhance Disease Surveillance
7.Improving Risk Communication and Advocacy
 Strategies, Action Points

1. Policy development
● Establish updated, Relevant, and implementable policies on
EREID providint the overall direction in implementing the
different Program Components for all the network of health
providers and facilities
 Strategies, Action Points

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
 Strategies, Action Points

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.
 Strategies, Action Points

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.
 Strategies, Action Points

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.
 Strategies, Action Points

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.
 Strategies, Action Points

7. Improving Risk Communication 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

● Resource Management and Mobilization
● Network of Facilities and Stakeholders
● Logistic Management System
● Risk Communication and Advocacy
Policy Development and Review
● Zika Guidelines finalized and ● Development of the EREID 5- Year Strategic/
approved ; Avian Influenza Investment Plan
Guidelines updated ● Active Participation in the finalization of the
● Formation of the EREID Technical IRR of PhilCZ (AO No. 10)
Working Group ; Experts Panel and ● Community Simulation Exercise –
EREID Management Group
CALABARZON (Oct 2017)
● Development of the Situational
● Initial drafts of the Regional Preparedness and
Analysis of EREID in the Philippines
Response Plans (18) ; Initial drafts of the
● Development of the EREID Manual
provincial Preparedness and Response plans
of Operations for Preparedness and
(5) -CALABARZON
Response
Resource Management and Mobilization
● Co-handling / assistance to BAI on
● Program Implementation Review (PIR)
the Avian Influenza (H5N6) outbreak
(February 2017)
● Funding/ Sub- allotments to all
● Strategic Plan / Risk Communication
regional offices ; RITM and 5 SNLs
Workshop (May 2017)
● Strengthened collaboration with
● Health Promotion / M&E Tool Workshop
DOH bureaus, government agencies,
(Sept 2017)
medical societies, academe, civil
● Participation in the Marawi Intervention
organizations and societies
 ● CBCP, Schools, AFP and LGU ; 7
TWG meetings conducted
Program ● Medical societies as active
Accomplishment/ (PIDSP, PISMD and PAFP)
● Academe collaboration started
Status
with UP Manila and NIH
● Philhealth, FAO and OIE, UP
Manila, PGH as partners
NETWORK OF ● Regional EREID Forums : Region
V, Region VI, Region IV A
FACILITIES AND
● Field Visit : Region VI (RO,
STAKEHOLDERS Hospital, RHU and LGU)
 ● Procurement of PPE
Program
(Personal Protective
Accomplishment/ Equipment); Doxycycline;
Status Oseltamivir;
● Pre-positioning EREID
supplies to all regional
offices (18) ; RITM and Sub
LOGISTIC
National Laboratories
MANAGEMENT
(SNLs)
SYSTEM
Program ● Risk Communication
Guidelines (per mode of
Accomplishment/
transmission) –May 2017
Status ● IEC, media placements, FB,
advisories on Zika,
Leptospirosis, Avian
RISK Influenza and JE
COMMUNICATION ● Health Promotion Plan – Oct
AND ADVOCACY 2017
 THANK YOU!

Reference:
doh.gov.ph/emerging-and-re-emerging-infectious-disease-program
QUIZ TIME!
Question 1

What is the meaning of EREID?

Question 2

This refers to a Secondary reappearance of a previously

eliminated infection or an unexpected increase in the
number of a previously known infectious disease.
Question 3

What is the term for newly diagnosed or

previously unknown infections?
Questions 4-5

Enumerate 2 diseases mentioned earlier.

Questions 6-8

Give at least 3 Program Strategies.

Question 9

Which policy/law pertains to the creation of the

Philippine Interagency Committee on Zoonosis?
Question 10

Which policy/law pertains to the creation of Inter-

Agency Task Force (IATF)?
FEEDBACK TIME
Question 1

What is the meaning of EREID Program?

● Emerging and Re-emerging Infectious
Disease Program
Question 2

This refers to a Secondary reappearance of a previously

eliminated infection or an unexpected increase in the
number of a previously known infectious disease.
● Re-emerging Infections
Question 3

What is the term for newly diagnosed or

previously unknown infections?
● Emerging Infections
Questions 4-5

Enumerate 2 diseases mentioned earlier.

● Leptospirosis
● Dengue
● Meningococcemia
● Tuberculosis
 Questions 6-8
Give at least 3 Program Strategies.
● 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
Question 9

Which policy/law pertains to the creation of the

Philippine Interagency Committee on Zoonosis?
● Administrative Order No. 10 s. 2011
Question 10

Which policy/law pertains to the creation of Inter-

Agency Task Force (IATF)?
● Executive Order No. 168
Thank you!