8 contents 5 The SONA and Sec. Ona 8 ComPack - Reaching the Poor with Medicines 11 Generics - Safe, Effective, Mura pa! Saan ka pa? 13 Universal Access to Medicines 17 Kapit Tuko 20 Progress Towards Malaria Elimination 23 A Healthier Ride 24 Dr. Fe del Mundo 26 NBA with DOH 28 A Taste of Energy 30 FDA: Beware of Health Claims of Water Products 26 31 Torn Between Two... 32 Challenging MMDA’s Smokefree Policy 32 37 37 Bloody Awards 45 Gulayan sa Paaralan 47 Health 100 49 Smart Oral Health Practices
NO HEALTH EXAM, MORE JOKES N’YO In celebration of our 15th Anniversary, we will not stress you out with a quiz, instead, we will treat you with more joke pages... FACEbeat 12 laughter HEALS 19 stress RELIEF 22 KALAbeat 44 SAbeat 50 HEALTH EXAM returns next issue. 49 July - August 2011 I HEALTHbeat 3 DEPARTMENT OF HEALTH - National Center for Health Promotion 2F Bldg. 18, San Lazaro Compound, Sta. Cruz, Manila 1003, Philippines HEALTHbeat Tel. No. (63-2) 743-8438 Email: [email protected] Anniversaries
Ah, anniversary! It is the annual recurring date that commemorates or celebrates a notable event, such as a birth, founding, wedding, and even death. According to Wikepedia, the word anniversary was first used for Catholic feasts to commemorate saints. In the recent past, however, a year has become too long a time. Teenagers and young adults have been making a milestone over a month’s last of their romantic relationships, and they call it a “monthsary”. Maybe this only shows that today’s love affairs are too fleeting.
In June, there were some notable anniversaries – the 150th birth anniversary of Dr. Jose Rizal on June 19, the 113th year of Philippine Independence on June 12; the 113th year also of the Department of Health on June 23; and the first year anniversary of President Editorial Board Benigno S. Aquino III on June 30. The latter, of course, became the favoriite of most Filipinos Irma L. Asuncion, MD, MHA, CESO IV Ivanhoe C. Escartin, MD as the President and his accomplishments were scrutinized, rated and praised or criticized. Rosemarie G. Aguirre These went on to July 25 when he delivered his second State of the Nation Address (SONA) in Congress and up to the end of the month. Editors-in Chief Anthony R. Roda May Elenor R. de Guzman Every minute the President delivered his speech, every wang wang that he uttered, every Managing Editor Donato Dennis B. Magat applause he received and even every cough he made were counted. Just how many? According Staff Writers Elizabeth G. Mascareňas to news reports, he spent 54 minutes in his SONA and there were 20 wang wang to describe Abigail Corpuz-Quetulio abusive use of authority, 49 claps, and 9 coughs. Cover Design Diosdado G. Angeles, Jr. Photographer Paquito P. Repelente Now, we will do our own count. Unlike other government agencies, the DOH was never Contributors mentioned, but at least PhilHealth made it in the list. Among health accomplishments, (Words) Tomas Marcelo G. Agana III immunization were mentioned twice and it was subsumed as a benefit of the Pantawid Joyce Anne dP. Ceria Pamilyang Pilipino Program and as one of the new laws recently passed in Congress. However, Catrina N. Eustaquio, RN Anna Melissa Guererro, MD the President did not include the controversial bills on reproductive health and tobacco excise Marinette J. Ladioray tax. Anyway, House Speaker Feliciano Belmonte mentioned them as priority bills in his Vanessa J. Saulog opening speech for the second regular session of the 15th Congress. Tato S. Usman, MD (Pictures) Adell R. Azuelo What the President did not highlight on health issues in the limited time of the SONA, Romeo S. Caparas Joerem P. Ceria HEALTHbeat will do lengthily here. This is our commitment to the public and we have been Cristina Gamboa-Juatchon doing justthat these past 15 years. And incidentally, this is our anniversary issue! Circulation DOH-NCHP Production, Dissemination – The Editors and Collection Section
FOR EDUCATIONAL PURPOSE ONLY. NOT FOR SALE. Opinions expressed in this publication do not necessarily represent those of the DOH. The mention of specific companies or of certain manufacturer’s products does not imply that they are endorsed or recommended by the DOH in preference to others of similar nature. Articles may be reproduced in full or in part without prior permission, provided credit is given to the DOH for original pieces. A copy of the reprinted or adapted version will be appreciated. Articles, artworks, photographs, caricatures, letters and other contributions are most welcome. Materials will be edited for clarity and space. Unsolicited manuscripts will not be returned. Contributors must indicate their names and addresses.
4 HEALTHbeat I July - August 2011 HEALTH reports The SONA & Sec. Ona SONA on Health
The Department of Health echoed the President’s State of the Nation’s Address (SONA) on July 25 as it reported that the government has already enrolled 5.2 million poor families identified in the Department of Social Welfare and Development’s National Housing Targeting Survey for Poverty Reduction (NHTS-PR) in the National Health Insurance Program or PhilHealth. Of the 5.2 million families, around 3.9 million families or an estimated 20 million beneficiaries were newly enrolled into the Sponsored Program with funds coming from the DOH budget allocation of The President’s SONA. Photo grabbed from
July - August 2011 I HEALTHbeat 5 PR members enrolled in PhilHealth admitted to encourage voluntary enrolment from Ona reminded the employees in public hospitals for these conditions. informal sector which include self-employed that President Aquino, upon assuming his Moreover, PhilHealth operations professionals and individuals who can afford office as the new president of the Republic, continue to be improved, and Php 350 to pay the premium. announced health as one of his top priorities. million have been invested to facilitate the “Let us work together to achieve In response to this challenge, the DOH has upgrading of its information technology (IT) Kalusugan Pangkalahatan or Universal laid out the health agenda of Kalusugan capabilities to streamline all its processes Health Care in three years,” Ona encouraged. Pangkalahatan which focuses on the including membership applications, plight of the poorest Filipinos. accreditation, claims payments, etc. Sec. Ona’s Report “Kalusugan Pangkalahatan The NHTS-PR is a mechanism is the DOH’s very own strategy for poverty to identify the poor Filipinos who will be On June 23, DOH’s 113th reduction; after all, healthy Filipinos are beneficiaries of the Pantawid Pamilyang anniversary and a week short of his first more productive and are better equipped to Pilipino Program of the DSWD. For 2012, year as health chief, Sec. Ona delivered an fight poverty,” he said. the DOH is targeting the enrolment of some inspirational message which outlined his In his message, Ona emphasized 10.8 million poor Filipino families identified administration’s accomplishments to the the implementation of his hospital facilities by the NHTS-PR which represent the poorest DOH employees. First and foremost of these enhancemen program. This started off 40% of the population. accomplishments included the expansion with the Ospital ng Pinoy campaign and The national government through of the social health insurance coverage noted that “we have seen the benefits of the proposed DOH budget of Php 12 billion of the poorest Filipinos, providing them cleaner and more orderly hospitals.” He will fully subsidize the 5.2 million poorest access to health and other services, and the also noted that under this program, the Filipino families while it proposed that the challenge the country faces in attaining the DOH will expand and upgrade the barangay next 5.6 million families will be subsidized by Millennium Development Goals by 2015, health stations, rural health units, local local governments. The DOH and PhilHealth particularly the reduction of mother infant government hospitals, and DOH Regional will also launch an intensified campaign and child mortality. Medical Centers.
PhilHealth Registration and Utilization - President Aquino’s priority program on health. In this photo, government officials unite for another round of PhilHealth Sabado registration campaign in public elementary schools in June. From left to right are: Gov. Alfonso Umali Jr. of the League of Provinces of the Philippines; DSWD Secretary Corazon Juliano Soliman; DOH Secretary Enrique T. Ona; PIA Director General Jose Fabia and PhilHealth President Dr. Rey B. Aquino. (Photo by Romy Caparas)
6 HEALTHbeat I July - August 2011 He said, “We embarked to implement the Public-Private Partnerships (PPP) in health owing to the insufficiency of our resources. We have set up the DOH PPP Unit to assist all of our hospitals and other offices in their PPP endeavor. We have also been recognized by the United Nations Economic Commission for Europe as the Specialist Center for PPP in Health.” In terms of attaining the MDGs for health, Ona said that the DOH has launched various campaigns and has begun to scale up public health programs. Last April to June, the Measles Rubella Supplemental Immunization Activity was conducted and 15 million children have been immunized nationwide. Over the past months, the DOH continued to be at the forefront in the battle against dengue. The multi-agency and multi-stakeholder approach against this disease has increased the awareness of Filipinos to be better equipped to prevent it. Ona also reported that the DOH has had several meetings with the Department of Budget and Management to lobby and to fight very hard for a 2012 budget of Php 80 billion pesos, almost triple the amount the department got this year. He said that this amount of money will enable the DOH to better serve our countrymen through more programs and projects designed to safeguard their health and well-being. He stressed, “I am fighting for this because I believe that we can do it. I am lobbying for this amount in 2012 because I It’s been a year since Health Secretary Enrique T. Ona took the helm of the DOH. (Photo by Paking am confident that we can move this money Repelente) and translate it to improved health services and better health outcomes for all Filipinos urged them to take public service to heart will best be enshrined in the shining records especially the poor.” and become part of the movement to effect of our toils,” Ona said. The success of Kalusugan change in the bureaucracy. In conclusion he said, “We work Pangkalahatan, Ona said, depends upon “The President’s call for honesty not for ourselves, but for the welfare of the the men and women of this institution in public service, for transparency in Filipino. Through our unity and cooperation, from the rank and file, from every region government transactions and programs, for let us let the people, through their and every hospital, up to the Directors and accountability for our words and deeds, for experiences, know of the effectiveness of our to the Executive Committee members. He excellence in the performance of our duties, programs, and the nobility of our intentions.”
July - August 2011 I HEALTHbeat 7 MEDICINES access
COMPACK Reaching the Poor with Medicines by JOYCE ANNE dP. CERIA, MARINETTE J. LADIORAY and VANESSA J. SAULOG Edited by ANNA MELISSA GUERERRO, MD DOH - National Center for Pharmaceutical Access and Management
Access to quality and affordable including the Philippines. Indeed, everywhere he went, there was the essential medicines is a vital component of clamor to make medicines continuously Kalusugan Pangkalahatan (Universal No Kalusugan Pangkalahatan and sustainably available. This problem – Health Care). Even at the global level, Without Medicines the inadequate supply of medicines from medicines have been recognized as the largest government tertiary hospitals important in their own right – a critical When Health Secretary Enrique T. down to the Botika ng Barangays – has tool to improve the health and lives of the Ona began making his rounds in government been documented in various surveys looking world’s poor. Target 8e of the Millennium hospitals as well as rural and barangay health into the responsiveness of the public sector Development Goals (MDGs) goes as far as stations last year, he saw the need to begin in providing the basic medicinal needs of setting a 2015 deadline to deliver essential the work of making medicines available in patients according to the prevailing diseases medicines and treatments but there has government health facilities especially at and health conditions in the country. generally been a slow and deficient effort the grassroots level as part of the mission to The 2009 World Health to meet this target in developing countries provide universal health care for all Filipinos. Organization (WHO) Health Facility Survey,
8 HEALTHbeat I July - August 2011 for example, demonstrates the poor aggravated in rural areas where there is indigents and other vulnerable sectors to availability of 15 key essential medicines in limited access to affordable medicines, reach the goal of universal health care. the public sector: 53.3% median availability which may be due to inadequate supply, With about a third of the population or for public health facilities and 33% for geographical location, or simply the lack of at least 30 million Filipinos falling below warehouses that supply the public health financial support. It is no wonder that often the poverty line, the challenge to ensure system. The average stock-out duration for poor patients do not take or complete their access to medicines is difficult but braving public health pharmacies is 24.9 days while treatments, fill their prescriptions or many the challenge is necessary. Kalusugan it is 43.8 days for public procurement. times do not even see a doctor for fear of Pangkalahatan cannot simply happen Meanwhile, the 2010 Drug incurring medical expenses that they cannot without medicines. The continued lack and Availability Study conducted by the afford. inadequacy of drugs in the public sector European Commission across 234 primary Over the last two years, medicines will not support goals of improving health, health care facilities and 65 hospital have been the subject of government price uplifting the lives of the poor and increasing pharmacies across 10 regions in the country controls which have resulted in the reduction public satisfaction to government health for an extended list of 44 essential medicines of the prices of some drugs previously services. shows an even worse situation with mean contributing to Php 15 billion in total sales in Thus, the Department of Health availability of medicines at only 25%. The the Philippine market. The price cuts made is bent on ensuring additional resources for lack of sufficient and continuously available the targeted medicines more affordable to health care including essential medicines stocks of medicines in the public sector more patients but are deemed insufficient in to majority of the population especially the compared to the private sector where there making them accessible to the poor who in indigent sector. Efforts shall be focused at is complete availability leaves no choice reality have to apportion first their meager the primary health care level where access particularly for poor patients who are forced resources to food, education and other to basic medicines is a vital component of to buy medicines at higher prices as private basic needs before they can even save for both cure and prevention averting the more outlets tend to apply higher mark-ups for medicines during times of sickness. There disastrous and costly complications that lead both branded and generic drugs. is an unquestionable need for government to hospitalization and greater poverty for This access problem is further to design access and subsidy programs for individuals, families and communities at large.
From P100 to DOH ComPacks
To reach the poorest Filipinos with essential medicines, the DOH through the National Center for Pharmaceutical Access and Management has re-designed the P100 Program piloted initially in government hospitals in 2008. The P100 program is now re-branded into the DOH Complete Treatment Pack (ComPack) program – a free drug access program for the poorest families covered by the Conditional Cash Transfer (CCT) Program of the Department of Social Welfare and Development (DSWD) otherwise known as the Pantawid Pamilyang Pinoy One of several rounds of Health Secretary Enrique T. Ona in government hospitals and health centers Program (4Ps) of the national government. nationwide where he saw the need of making medicines available in government health facilities When P100 was launched in 2008, especially at the grassroots level. (Photo by Paking Repelente) it did not only provide more affordable
July - August 2011 I HEALTHbeat 9 treatments to patients but also emphasized DOH ComPack Program rational drug use through promoting adherence to treatment. However, the P100 LIST OF MEDICINES packs were then still sold in government hospitals. This time, the DOH ComPacks are to be provided for free to the CCT beneficiaries NAME OF MEDICINES DOSAGE FORM in 1,020 municipalities addressing common ANTIBIOTICS conditions such as hypertension, diabetes, Amoxicillin (as trihydrate ) 500 mg capsule respiratory infections, diarrhea and infections common in the community. Amoxicillin (as trihydrate) 250 mg/ 5 mL granules/ powder for suspension, 60 mL Children and adults who are covered by the 4Ps program of the DSWD can Cloxacillin (as sodium salt) 500 mg capsule go to the rural health units (RHUs) where Cloxacillin, (as sodium salt) 125 mg / 5 mL powder for suspension, 60mL they are registered to avail of the medicine Cotrimoxazole 800 mg sulfamethoxazole + packages included in the DOH ComPack 160 mg trimethoprim, tablet program. After being seen and diagnosed Cotrimoxazole 200 mg sulfamethoxazole + 40 mg trimethoprim by the rural health physician, they should per 5mL suspension, 60 mL receive the ComPacks without any charges Cotrimoxazole 400 mg sulfamethoxazole + 80mg trimethoprim or fees provided that they comply with the per 5ml suspension, 60 mL following conditions: 1) must have a DSWD Erythromycin (as stearate) 500 mg tablet identification number; 2) must be registered Ciprofloxacin (as hydrochloride) 500 mg tablet in an RHU included in the CCT program; must Doxycycline 100 mg capsule be seen and diagnosed by an RHU physician; Metronidazole 500 mg tablet and must adhere to the treatment regimen and comply with the follow-up schedules as Mebendazole 50 mg/ mL suspension, 10mL advised by the physician. DIABETES The DOH ComPacks shall also Metformin (as hydrochloride) 500 mg tablet be made available in participating DOH Glibenclamide 5 mg tablet and local government unit (LGU) hospitals Gliclazide 80 mg tablet on a consignment basis to allow sales to HYPERCHOLESTEROLEMIA patients/consumers who are not covered Simvastatin 20 mg tablet by the 4Ps program at prices set by the DOH HYPERTENSION & CARDIO DRUGS National Center for Pharmaceutical Access Amlodipine 10 mg tablet and Management. (See table for the list of medicines included in the DOH ComPack.) Aspirin 80 mg tablet Enalapril (as maleate) 10 mg tablet Targeting Chronic NCDs Hydrochlorothiazide 25 mg tablet Losartan (as potassium salt) 50 mg tablet With the epidemiological Metoprolol (as tartrate) 50 mg tablet shift that is already happening in the BRONCHODILATOR Philippines where the top leading causes Lagundi 300 mg tablet of deaths and diseases are predominantly DIURETIC non-communicable diseases (NCDs), the availability and affordability of needed Sambong 250 mg tablet maintenance drugs to optimally control
10 HEALTHbeat I July - August 2011 diseases like hypertension, diabetes, asthma and chronic obstructive pulmonary disease (COPD) bring the issue of access to medicines to focus as health facility surveys conducted by the DOH and WHO consistently show poor availability of these medicines in the public sector. Medications for these chronic conditions have also been found to be not affordable for most Filipinos as the treatment courses still cost more than three- fourths of a day’s wage of the lowest paid government worker. By improving access to drugs targeting hypertension and diabetes, it GENERICS is hoped that a model of care for NCDs at the primary health care level emerges Safe, Effective, Mura pa! Saan ka pa? where the continuum of preventive lifestyle interventions and optimal control by through access to affordable treatment for TOMAS MARCELO G. AGANA III those already sick is addressed. The DOH President, Philippine Chamber of the Pharmaceutical Industry; ComPack program hopes to respond to the Chairman, ASEAN Pharmaceutical Club; President and CEO, PHAREX HealthCorp global challenge of making drugs for NCDs accessible and affordable for the poor – Parang kailan lang, ang hirap innovator brands continued to dominate the one of the key action areas to be addressed magkasakit. Ang sama ng pakiramdam at market. There were a few chosen branded during the United Nations High Level marahil, di pa makapagtrabaho! Nadagdagan generics in certain categories that had Meeting on NCDs this September. pa ang sakit pag nakikita mo ang presyo ng encroached on multinational territory. But The implementation of the DOH mga gamot na kailangan! Tataas ang blood as we approached the new millennium, ComPack shall follow the guidelines and pressure mo sa taas ng presyo ng gamot. prices of medicines continued to rise. treatment recommendations laid out in the Ngunit ngayon, iba na ang The first decade of the new WHO Package of Essential Noncommunicable panahon! Marami ka ng mapagpipilian! millennium saw a renewed battle to bring Disease Interventions for Primary Care Dahil sa Generics, may mga iba’t-ibang the cost of medicines by former President in Low-resource Settings to ensure cost- gamot na mapagpipilian, mga kapares ng Gloria Macapagal-Arroyo. There was effectiveness of the interventions with an brand ng gamot na dating ni-reseta ni Doctor an urgency as the country reeled from acceptable quality of care even in resource- para sa iyo! At itong mga generics na eto, the financial crisis and its own political- poor settings. Health system strengthening higit na mas mura pa! Saan ka pa? economic problems. The government in the area of NCD prevention and control is It really just seemed like yesterday, authorized parallel importation through the an expected impact of the program that will when then President Corazon C. Aquino Philippine International Trading Corporation, empower RHU physicians, health workers signed into law the Generics Act of 1988. The an unprecedented intervention into the and patients to address these diseases early whole world was watching our little nation, pharmaceutical marketplace. Of course, the in their course when action and response can as we became the first to create a legislative innovator multinationals were up in arms. yield the largest health benefits by preventing framework encouraging the use of generics And though it made for a great deaths and progression of disease, averting to widen access to medicines. political story, parallel importation lost more costly hospitalizations, decreasing out- And we continued to be watched. steam as resources dwindled, as the of-pocket costs and improving the quality of And watched. And watched. And for a long government realized that it neither had the life of patients. time, nothing seemed to be happening. The system nor the infrastructure to influence
July - August 2011 I HEALTHbeat 11 the marketplace significantly. Philippines, Filipino Drug Association, and companies voluntarily reduced their prices But even as all this was unfolding, Association of Philippine Pharmaceutical as a gesture of cooperation. Hence, the the local pharmaceutical companies Manufacturers. industry nightmare of price control through never strayed from its mission to continue The first Intellectual Property the Maximum Drug Retail Price and Gamot to provide low-cost, quality medicines. Forum was organized by the Intellectual na Mabisa at Abot-kaya Program finally Despite meager resources, the local industry Property Organization, DOH and PCPI in became real. managed to invest in continuing to upgrade 2006, to look into further stimulating the And true to form, the industry manufacturing practice and invest in development of generic products as more is still reeling from this, as shown by the marketing to continue to be competitive. and more patents expired. The output of the single-digit grown in the past 18 months, As this gathered momentum, the forum became the foundation for the 2008 unheard of in years past. But despite this, Philippine Chamber of the Pharmaceutical Cheaper Medicines Act. the local industry continued its investments Industry or PCPI was born in 2004, a Believing that innovator medicines in quality manufacturing and marketing. merger of four national pharmaceutical continued to be priced exorbitantly, the And we are proud to see the tide has turned organizations, namely Chamber of Filipino government implemented the Cheaper in our favor. Drug Manufacturers and Distributors, Medicines Act by imposing a half-price Finally, the era of Generics is at Inc., Association of Drug Industries of the off ceiling on certain medicines. Some hand! Today, the Filipino people are aware and comfortable with generics. The surveys have shown that acceptance of the FACEbeat quality of generics is high. The respondents welcome the big price differentials. Generic medicine is no longer the ‘inferior’ quality alternative to innovator brands. We are confident that our local generic medicine is the same as the innovator brand. The DOH - Food and Drug Administration will confirm this. And millions of patients who have been using our branded and unbranded generics will attest to this. It may have been a long road getting to where we are right now. But it was worth all the time and effort! Knowing that healthcare has become more affordable, more accessible is fulfilling! We in PCPI, the voice of the local pharmaceutical industry devoted to making generics available, will make sure that the Filipinos will continue to benefit by making Walang Corrupt, Walang Mahirap? more and more generic medicines available, especially as more and more patents expire. Salamat sa tiwala! Maasahan ninyo na patuloy ang paghandog namin ng IT’S COMPLICATED de-kalidad at abot-kayang Generic Medicines! Photo grabbed from a Facebook post Saan ka pa?
12 HEALTHbeat I July - August 2011 MEDICINES access Universal Access to Medicines The SARAH Access Framework 2011-2016 by ANNA MELISSA GUERRERO, MD DOH - National Center for Pharmaceutical Access and Management “...Pharmaceuticals constitute a medicines; 2) Quality assurance of drugs; 3) importation to bring in effective competition, dominant element of the health care system. Rational drug use by health professionals the establishment of thousands of Botika Their therapeutic capacities generate the and consumers; 4) Self sufficiency in the ng Barangay in underserved communities entire range of health benefits: protection manufacture and supply of drugs’ and 5) and the passage of two more monumental from disease; alleviation of its symptoms; cure. Tailored procurement to achieve efficiency laws deemed to further change the Thus, the interests of individuals, institutions and economies of scale in pharmaceuticals. pharmaceutical landscape in the country: and governments converge, coincide and For more than 20 years, the the Cheaper Medicines Law (Republic Act oftentimes clash in this area of concern.” Philippines has worked towards improving 9502) and the Food and Drug Administration - Dr. Alfredo R.A. Bengzon access to medicines grounded on the pillars of Act of 2009 (Republic Act 9711). Former Secretary of Health, the NDP and the Generics Law to address the The Cheaper Medicines Law, in 1986-1992 drug needs of Filipinos undertaking large- particular, gave government additional scale national health programs for priority powers to apply TRIPS (Uruguay Round In Support of Generics diseases and guiding health providers in the Agreement on Trade-Related Aspects of rational and cost-effective use of medicines Intellectual Property Rrights) flexibilities The Philippines is celebrating this in public sector health facilities through the for medicines still under patent deemed year 23 years of the generics advocacy – a essential medicines concept adopted in the vital to address public health priorities and fight that began when the Generics Act of selection of drugs for the Philippine National impose price ceilings on high-cost medicines 1988 became law under the revolutionary Drug Formulary (PNDF). where there are clear market failures lack government of then President Corazon C. Although achievements have of effective competition. The series of drug Aquino to make quality generics available been made albeit slowly over the last two price reductions in 2009 and 2010 led to and accessible to all Filipinos. decades after medicines were put at the dramatic changes in the local pharmaceutical The historic passing of the Generics center of national legislation and policy, market curtailing its annual growth from a Law and the first National Drug Policy (NDP) still large gaps remain in assuring access to previous high of 11-12% down to just 3% were designed to set up reforms in how medicines. According to the World Health in 2010 affecting both multinational and medicines are supplied and distributed in Organization (WHO, 2004), the poorest and local players. However, the price reductions the country, assure their safety and quality vulnerable sectors of the population still fall have been found insufficient in meeting its in the market and encourage prescribers, in the cracks of neglect with about a third of real objective of making drugs accessible dispensers and consumers to choose and use Filipinos not having regular and sustainable to the poor who in reality do not have the generics that will generate the most health access to essential medicines. purchasing power to buy their medicinal benefits and cost savings to individual needs. patients, the health system and the country Not an Easy Battle at large. Affordable is Not Enough The first NDP focused on five key At the turn of the millennium, action areas, known as the PQRST pillars: 1) a more serious and deliberate effort was While affordable generic drugs People empowerment to assist patients in mounted by the national government have now extensively penetrated the making informed choices with regard to their through measures such as parallel drug local market, their availability in public
July - August 2011 I HEALTHbeat 13 health facilities catering to the poor and Table 1. marginalized sectors is a different story. At Comparative procurement prices of selected drugs in four ASEAN countries present, drug availability surveys in many in terms of average GDP per capita in purchasing power parity prices (in US dollars) government health facilities still reveal Philippines Vietnam Malaysia Singapore that the mean availability of key essential Medicine ($ 3,500) ($ 3,100) ($ 14,700) ($ 62,200) medicines in public hospitals and primary 1. Amoxicillin + 0.8192 (BG) 0.2830 (BG) 0.2160 (BG) 0.1918 (BG) health care facilities is only at 25%. The Clavulanic acid average stock out duration of drugs in 2. Ciprofloxacin 0.4096 (BG) 0.0310 (BG) 0.0986 (BG) ---- the public sector ranges from 25 to 44 3. Ceftriaxone 11.3771 (BG) 3.8666 (BG) 3.3690 (B) 0.9927 (BG) 4. Atenolol 0.4869 (B) 0.0340 (BG) 0.3225 (BG) 0.0069 (G) days. This leads to a situation where even 0.0177 (G) indigent patients are forced to source their 5. Simvastatin 0.2207 (BG) 0.1430 (BG) 0.0873 (BG) 0.0180 (BG) medicines from commercial outlets where 6. Atorvastatin 0.6765 (B) 1.3000 (B) 0.2834 (BG) 1.2117 (B) price differentials are still high relative to 7. Insulin isophane 0.7964 (B) 1.4880 (BG) 0.0650 (BG) ---- the poor’s meager income and purchasing 8. Metformin 0.0569 (BG) 0.0303 (BG) 0.0120 (BG) 0.0093 (G) 9. Methotrexate 0.1925 (BG) 0.1020 (G) 0.0934 (BG) 0.0693 (BG) power. 10. Hydrocortisone 3.3587 (B) 1.0647 (B) 0.5230 (BG) 1.3100 (B) Even with the program of parallel 11. Ranitidine 0.2275 (BG) 0.0110 (G) 0.0380 (BG) 0.706 (BG) drug importation and the series of drug Legend: G = Generic, B = Branded, BG = Branded Generic price reductions pursued by the national government, there is still a problem of price surveys would point to skewed dug of essential medicines to patients who need relatively high drug prices in the Philippines prices in the country higher even than those them. Currently, medicines represent at even surpassing other countries in Asia with in some wealthy countries like Germany and least 40% of total health expenditures in higher average income levels. Cost and the United Kingdom. the Philippines and nearly half of household affordability issues do not only appear for Price, however, is not the only spending on health. In 2010, the DOH single-source monopolistic products where factor that acts as a barrier against the spent about 10% of its total budget for the median price ratios (MPR) were found at poor’s access to medicines. Other obstacles procurement of drugs for major public health 26.33 in 2009 compared to international include the lack of government financing programs and PhilHealth reimbursed Php 10 reference prices prior to the implementation that would give adequate inpatient and billion worth of medicines out of the total of government price ceilings. The price of outpatient drug coverage, fragmented and Php 30 billion payments made to health generic drugs which may cost only 30- inefficient supply and distributions systems providers. Local government unit (LGU) 70% of the innovator drugs depending on in the public sector, information asymmetry, spending for medicines together with the whether they are true generic or branded geographical factors, inadequate quality procurement of other government agencies generic products may also have to be assurance of affordable generics that are is estimated to be only at 3-5% in terms of evaluated especially if the prices charged to already widely available in the market and market share. patients seem higher than actual production problematic access to health facilities and With government investment in costs would justify. professionals that can provide knowledge medicines accounting for only about 10- In 2010, for example, comparative and information to patients on the 12% of the total market, it is easy to see procurement prices of drugs in selected treatments that are appropriate for them. how medicines in the country are paid for countries in the ASEAN region (See Table 1) largely through out-of-pocket spending show that one government tertiary hospital A Revolution that Must Continue by individuals and families. Thus far, the in the country was still procuring medicines, limited government financing for medicines mostly branded generics, way above the There is a formidable challenge through DOH and LGU budgets as well as acquisition costs obtained in Malaysia, to provide Kalusugan Pangkalahatan PhilHealth reimbursements has had little Vietnam and Thailand when compared in (Universal Health Care) in the next three to penetration and impact to the market to terms of GDP per capita in purchasing power five years and the execution of this mandate affect overall drug prices and improve access. parity dollar prices. Many other studies and will depend in part on the effective delivery With the Philippines facing
14 HEALTHbeat I July - August 2011 an epidemiological transition of old In the Preamble, the PMP recognizes how and adopt in a transparent, participative and and emerging infections, rising non- medicines are a vital part of any well- harmonious manner to achieve equity and communicable diseases and the threat of functioning health system and a sound sustainability in the provision of medicines pandemics, a bold and focused strategy to and humane socioeconomic policy of a emphasizing the roles and responsibilities of protect public health through a sustainable nation where it states: “Access to medicines all stakeholders. supply of life-saving medicines becomes forms part of the fulfilment of the human Understanding that access to an even more urgent priority. Old and new right to health where government plays a medicines is not solely the business of disease threats exert a tremendous pressure primary responsibility... The State plays the government, a consultative process was on the health system to meet its obligation primary role in the progressive realization done during its crafting involving various of bringing not only generic and off-patent of equitable access to medicines for all its actors to analyze country situation and drugs but even key patented medicines to citizens, especially the poor.” needs, evaluate past and present initiatives, poor populations regardless of their ability identify strengths and weaknesses in to pay (e.g. antiretrovirals, drugs against SARAH: More than a Name current efforts and draw commitment resistant tuberculosis, anticancer drugs). for a multi-sector and multi-stakeholder Thus, efforts to draw up a strategic The SARAH Medicines Access partnership in the goal of universal access plan to be implemented in the next five years Framework (See Figure 1) encompasses the to medicines. Those who were part of the began in 2009 to update the NDP and make five major pillars of the Philippine Medicines process include other government agencies country approaches and objectives attuned Policy 2011, namely: 1) Safety, Efficacy and with roles in medicines provision, health to the needs of the country in this most Quality (SEQ) of medicines, 2) Affordability provider associations and professional crucial time. The Philippine Medicines Policy and Availability, 3) Rational Use of Medicines, bodies, representatives from the local (PMP) 2011 is the expression of government’s 4) Accountability, Transparency and Good and multinational industry, DOH program highest political commitment to achieve Governance and 5) Health Systems Support. managers, DOH regional health offices, local better health outcomes for Filipinos through Table 2 (See next page) outlines the broad government officials and health workers, greater access to medicines consistent objectives of each main pillar and outlines development partners, non-government with the national aspiration for universal the strategies and policy instruments that organizations and civil society groups as well health care and the global commitment shall be undertaken in the next three to five as patient advocates. to forge partnerships on multiple fronts to years to improve access to medicines. The outcome is a policy document bring medicines to the poorest people as SARAH articulates the values and that is a manifestation of support, cooperation contained in the Millennium Declaration. principles that all stakeholders must pursue and partnership by all stakeholders. The PMP 2011 is therefore the roadmap of the entire Figure 1: health sector and all other partners who The SARAH Medicines Access Framework and how it contributes to health sector and socioeconomic goals bear responsibility for its outcome. The roadmap shall ensure that government adequately meets its obligation to protect public health through access to medicines while creating a climate conducive to the industry to continuously produce drugs and medicines compatible with the country’s public health needs. The roadmap contributes to the overarching goal of universal health care, social protection, sustainability and equity in the delivery of services, promotion of primary health care as well as transparency and good governance in the health system.
July - August 2011 I HEALTHbeat 15 Table 2. The SARAH Access Framework: Objectives and Strategies
PILLAR STRATEGIES
Safety, Efficacy and Quality (SEQ) • Beefing up institutional capacity of FDAand retention of income to upgrade facilities, personnel, equipment and technical proficiency To assure the safety, efficacy and quality of • Strict implementation of full GMP, GDP, GSP compliance and other regulatory standards medicinal products in the market • Quality assurance in the field system through regional Food and Drug Administration offices • Registration, regulation and oversight of clinical trials • Regulation of medicines promotions • Strengthening postmarketing surveillance • National Pharmacovigilance Program • Single-point of coordination for public authorities and private sector in the fight against counterfeit medicines
Availability and affordability • Increasing government financing through social health insurance and DOH budget • Promoting generics use in both the public and private sectors through information campaigns and incentive-based systems To ensure the continuous availability of essential • National Essential Medicines Facility (NEMF) with capacity for transparent pooled procurement and local medicines in the health care system at prices that and international sourcing of medicines to serve DOH and LGU health facilities are within the reach of patients, consumers & the • Simplified suppliers registration system (SSRS) for public procurement of medicineslisting eligible government GMP/GSP/GDP compliant firms that shall assure the best quality and cost advantage to government • E-logistics system for medicines • Drug price reference index (DPRI) for government procurement and PHIC reimbursement of medicines • Electronic drug price monitoring system (EDPMS) • Price negotiation and use of TRIPS flexibilities for high-priced patented essential medicines • Price regulation for essential medicines where there are clear market failures • Government access programs for indigent and vulnerable populations • Drug consignment system or forward stocking in government hospitals • Linking with private sector to make quality affordable medicines available in public and private outlets
Rational use of medicines • Enhancement of evidence-based selection processes and strict implementation of Philippine National Formulary in the supply, procurement, reimbursement and cost-effective use of medicines in the health sector To promote the rational use of medicines in the • National Standard Treatment Guidelines linked to selection of drugs in the national formulary public and private sectors using evidence-based • Truthful medicines promotions by industry and banning direct-to consumer advertisements and cost-effective treatments that will result in the • National Framework for Rational Use of Medicines best health outcomes for patients • Creation of Antimicrobial Resistance Control Program • Activation of Drugs and Therapeutics Committee in all health facilities
Accountability, transparency • Improved protocols for registration, licensing and inspection of drug establishments, selection, procurement, distribution, and good governance conduct of clinical trials and control of medicines promotions • Transparent data and information sharing on medicines in the health sector To institutionalize transparency, accountability and • Adherence to codes of conduct and ethical standards by government officials, health professionals, institutions, good governance along the registration, regulation, the academe and other stakeholders in the health sector selection, procurement and management of • Declaration of company sponsorships and management of conflicts of interests medicines in the health sector • Compliance of industry, LGUs and other stakeholders to regulatory standards for pharmaceuticals • Rewards and incentives system for good governance in medicines (GGM) for public and private sector stakeholders
Health systems support • Ensure adequate and competent human resources in all aspects of policy, management and implementation of the PMP • Update and revise curriculum of medical and allied health workers to integrate concepts and principles of PMP; To ensure that there is adequate health systems national standard treatment guidelines and national formulary;good governance in medicines, among others support from government and all stakeholders for • Support and conduct pharmaceutical research to guide policy formulation and program implementation the effective implementation of the PMP 2011 • Use of technology for efficiency in operations and pharmaceutical management • Create unbiased and evidence-based Medicines Information System • Provide technical support to LGUs to ensure enforcement of policies at the local level with DOH-CHDs as training hubs • Deputizing LGU agents and officials for the implementation of the different pillars of the Philippines Medicines Policy (PMP) • Forge public-private partnerships (PPPs) that shall contribute to the national goal of improving access to essential medicines
16 HEALTHbeat I July - August 2011 folk MEDICINE KAPIT TUKO Economics that claimed active substances in geckos not only enhance the immune system, When a tuko (gecko) clamps neutralize toxins, and on something – the bark of a tree or the remove malignant eaves of a house – it would be impossible tumors, especially in to dislodge. This is the reason for the idiom the digestive system. “kapit-tuko,” referring to some corrupt Although these leaders shamelessly holding on to their studies and claims have not positions. Now, a number of ordinary been substantiated as medical facts, Filipinos are seemingly holding their luck of the demand for geckos as traditional good fortune on these nocturnal lizards. The medicine ingredients has become sound the geckos make may be annoying, "rampant collection and trade," the but their current high value in the market Department of Enviornment and could be very gratifying. Natural Resources said. In one unconfirmed story, a Reports claimed that the Dabawenyo bank employee is said to have gecko is priced according to its weight and sold geckos to a certain Chinese buyer and this may range from P5,000 to as high as he became an instant millionaire. The lure of P500,000 or even more. Wildlife officials easy money has spread like wildfire, and the said that scammers may have infiltrated the catching and trading geckos have become gecko trade because of the exorbitant prices a lucrative business. Geckos are reportedly being quoted by buyers online or in the exported to Malaysia, China and South Internet. To supposedly fetch a higher price, Korea, where they are used as aphrodisiacs a gecko should sport red, orange or white as well as medical treatments for asthma, spots on its skin, their feet splayed flat and cancer, tuberculosis, impotence and HIV/ shaped like a flower. A marketable “perfect” AIDS. gecko should also weigh 400 grams or more, The numerous benefits of geckos to with a body length of at least 21 inches. It Medicine allegedly started when a scientific should look healthy with no severed body paper published the Journal of Chinese parts, and fed with food (mainly insects) Medicinal Materials (Zhong Yao Cai) in 1998 found in natural environment. said that the heads and feet of geckos “have obvious pharmacological action without Environment any toxic or side effects…” Further Internet search on the medicinal wonders of geckos Although environmental provided information of medical studies experts say that the gecko is not
July - August 2011 I HEALTHbeat 17 yet in danger of extinction, it may headed reptiles because of their high cost in the without appropriate permits is punishable that way if the demand for them rises and international wildlife market coincide with by imprisonment and fine, specifically, if the if little effort is done to prevent their being the rise in the number of dengue patients technique used in the capture of the gecko is smuggled. In the wild, geckos eat a variety being monitored by the Department of inappropriate." of insects found in forests. They keep the Health (DOH)." Collecting and trading geckos population of ravaging insects like locusts Villar, chairman of the Senate without permit can be punishable by up to at bay. Larger species hunt small birds and Committee on Trade and Commerce, filed four years in jail and a fine of up to P300,000. rodents. Senate Resolution No. 538 urging the Theoretically, if the number of committee to investigate on the reported Health geckos eating these insects decline, an massive trading of geckos. The probe aims environmental disaster may happen in the to create measures “that will protect the The DOH reiterated that there is no Philippines. Damaging insects could wreck specie from threats, ensure their survival proof to support claims that geckos can cure havoc in the countryside and this may lead and maintain the unique balance of our cancer, asthma, tuberculosis, impotence and to a shortage of products from crops and ecosystem.” HIV/AIDS. Thus, the department does not a big economic nightmare that can affect Meanwhile, the Protected Areas recommend it as cure for any ailment. farmers and market all over the country. and Wildlife Bureau (PAWB) reiterated that The use of geckos as cure, which is Then there is the health aspect it is illegal to buy and sell geckos without a unproven and have no scientific basis, could of this situation. As Senator Manny Villar permit from government. Under Republic be dangerous because patients might not expressed in a press statement, the hunting Act 9147 or the Philippine Wildlife Resources seek the proper treatment for their diseases of geckos may open doors for insects carrying Conservation and Protection Act catching like asthma which could become more diseases, like the dengue virus-carrying and selling of protected animals are illegal. serious and later require hospitalization mosquitoes, to thrive. Environment Secretary Ramon and other more complicated as well as more He said that “recent reports stating Paje said “The law expressly provides that expensive treatment. Further, this is likely to the rise in hunting and selling of these the collection, trade or transport of geckos aggravate their overall health and put them at greater risk. “Ang worry nga naming sa DOH, hindi nalang ‘yung kung nakakagaling or hindi. Baka sa halip na magpatingin o magpagamot, mag-rely sa paggamit ng tuko at sa halip na maagapan natin, baka lalong magkaroon ng problema," Dr. Lyndon Lee Suy of the National Center for Disease Prevention and Control said in a news interview. For diseases like asthma, there are now very effective treatments that are easily available and at affordable prices that can provide relief from asthma. With regular treatment, asthmatics can successfully control asthmatic symptoms and live a comfortable, healthy life. For patients with HIV, there are Photos in this article now available antiviral medications that can are grabbed from the Internet. control the progress of the disease. - o O o -
18 HEALTHbeat I July - August 2011 laughter HEALS CAT FIGHT Pretty Plastic
Nakasalubong ng nobya ang kanyang LIBBY: Sobrang tindi ng sikat ng araw nobyo na kasama ang kabarkadang ngayon, noh? Ang init ng babae... panahon... JOY: ‘Pag in-love pala, sometimes WENA: Take care, gurl at baka masunog you forget that you’re pretty. ka. Plastik ka pa naman! JAMES: But you’re always pretty. Bakit mo naman nasabi ‘yan?!? Science JOY: Paano ba naman, pati pangit na katulad niya (sabay turo sa ROSE: The past is passed. I learned my kabarkadang si Diane) lessons. History ko na lang siya. ay ‘di ko maiwasang ARLYN: May history nga kayo, may pagselosan. Chemistry naman kami ngayon! DIANE: Hooooy! Gusto mong sapakin CHIT: (Ngingiti-ngiti) Ano ba naman ko mukha mo! kayo girls. ‘Di ba ninyo alam na matagal-tagal na namin Panget ine-explore ang Anatomy Photo from
July - August 2011 I HEALTHbeat 19 infectious DISEASE PROGRESS TOWARDS Malaria Elimination by ABIGAIL CORPUZ-QUETULIO HEALTHbeat Staff
Considerable Progress were male and most of the cases belonged for testing and evaluating malaria rapid to the 1 to 10 years age group. The endemic diagnostic tests; evaluate commercially- If there is one target in the provinces in the country with the most available malaria rapid diagnostic tests in Millennium Development Goals (MDG) that number of cases were Palawan (292 cases), collaboration with the WHO; maintain a the Philippines has a high probability of Tawi-Tawi (185 cases), Occidental Mindoro regional malaria blood film; provide expert attaining, it is in the control and elimination (57 cases), Saranggani Province (37 cases), microscopy services to evaluate other of malaria. The country has already made Cagayan (31 cases) and Zambales (29 cases). malaria diagnostic and laboratory tests that considerable progress towards combating The improvement can be are in the product development stage; and malaria and is likely to meet its target of 24 attributed to the strong malaria control and provide applicable technical advice to WHO malaria cases per 100,000 by 2015. elimination program of the government. and other groups regarding laboratory- The Philippines has been cited in Health Secretary Enrique T. Ona emphasized based diagnosis of malaria. the World Malaria Report of 2008 as one of that the good performance of the malaria “This is a welcome enhancement the best performing countries in terms of control program for the past years is the in our efforts to eliminate malaria and a malaria morbidity and mortality reduction. result of continued collaboration between recognition of our commitment in advancing Malaria cases in the country have continued the DOH, local governments, local partners health research in the country,” Ona said. to decline for the past 10 years from an as well as international agencies. annual average of 41, 665 during 2000- As a malaria-eliminating country, Challenges Remain 2005 to only 19,150 in 2009 (52% decline). the Philippines receives nearly USD$70 Malaria admissions also fell sharply from million of support provided by the Global Although malaria cases have 2,242 to 757 cases during the same period Fund for the malaria activities. Another boost consistently been declining, some (66% decline), and deaths fell from 73 in to the program came recently when the DOH challenges still remain. The WHO lists the 2007 to 22 deaths in 2010. announced on August 5 the designation by Philippines among the 10 malaria endemic In the recent Disease Surveillance the World Health Organization (WHO) of countries in the Western Pacific region. The Report released by the Department of the Research Institute for Tropical Medicine disease is still endemic in 59 provinces, with Health’s National Epidemiology Center (DOH (RITM) as a collaborating centre for malaria 26 “Category A” provinces contributing about NEC), from January to May 14 this year, a diagnosis. 90 percent of the total reported cases. There total of 765 cases were reported and this is The RITM is the DOH’s principal are 10.8 million people at risk of acquiring 52% lower compared to same period last arm in advanced research and development the disease in these endemic areas, and year (1,595 cases). Of the total cases, 13 that contribute to the prevention and control malaria still has the ninth highest morbidity died; this is higher compared to the same of infectious and tropical diseases especially rate in the country. period last year (10 deaths). important for public health. The RITM, In malaria endemic provinces, only The NEC report also showed that through its Department of Parasitology, is certain municipalities actually have malaria the majority of documented cases of malaria now tasked to maintain a specimen bank cases and these are mostly rural, hard-
20 HEALTHbeat I July - August 2011 to-reach areas, and especially in forested, not until 1886 that it was accepted by Italian in the Philippines. P. falciparum largely swampy, hilly and mountainous regions scientists, who were then the leaders in causes severe disease and death. The other — the preferred habitat of the Anopheles medicine. In 1898, Sir Ronald Ross who was three are generally cause a milder disease mosquito that transmits the parasite. These working in the Presidency General Hospital that is rarely fatal. There is a fifth kind of areas are among the poorest in the country in Calcutta, India, discovered that the carrier plasmodium and this is called P. knowlesi. It and have a high percentage of indigenous of malaria is mosquitoes. is a disease of animals (zoonosis) that causes people. Malaria-carrying mosquitoes are malaria in macaques (a monkey specie) but Through early diagnosis and generally found in tropical and sub-tropical can also infect humans. prompt treatment, vector control through climates. The disease spreads from person The malaria parasite needs both the use of insecticide-treated mosquito to person through the bites of infected mosquitoes and humans to complete its life nets, spraying of insecticides, and early mosquitoes. However, there are other ways cycle. A female mosquito becomes infected detection and management of epidemics, in which the infection is transmitted, such when it sucks blood from an infected the Philippines can eliminate malaria. as blood transfusion or organ transplants, human. The parasite then develops within Current malaria-free provinces must also be sharing of needles (especially among drug the mosquito to a form that is infective on the lookout against any resurgence of the users), and tranplacenta (transfer of malaria to humans. Thereafter, the parasite is disease in their areas. parasites from an infected mother to her transmitted to humans that the mosquito The country sets its vision of unborn child). bites. malaria eradication by 2020. There are four known species of the In humans, the parasites are plasmodium parasite that cause disease in carried by bloodstream into the liver where About Malaria man: Plasmodium (P) falciparum, P. vivax, P. they invade liver cells, develop further and ovale and P. malariae. All of them are present multiply. The liver cells eventually swell Malaria is one of the oldest and burst, which releases the parasites diseases in history. It is an infectious into the bloodstream where they invade disease which causes about 2 million red blood cells, feed on the protein in the deaths worldwide and about 500 blood cells, multiply some more and million new cases yearly. develop further. In 48 to 72 hours the Malaria is derived from the Italian parasite-containing red blood cell word “mal aria” which means “bad air” ruptures and releases the form of because in the beginning it was believed the parasite that is infective to that the disease was caused by bad mosquitoes. air. Traditional beliefs such as this The typical presentation of continue to exist even in the malaria is high grade fever that periodically country today. In Davao del Norte, recurs every two to three days. The fever for example, the indigenous is preceded by several hours of shaking people, Ata-Manobo, still believe chills, and as the fever subsides the patient that malaria comes from food or the leaves experiences marked sweating. Other non- of certain trees. specific symptoms that characterize the On November 6, 1880, Charles Louis disease include fatigue, headache, dizziness, Alphonse Laveran, a French army surgeon loss of appetite, nausea, vomiting, muscle, stationed in Constantine, Algeria, had the joint and back pain, and dry cough. first true sighting of the protozoan parasite Malaria patients sooner or later (called plasmodium) in the peripheral blood develop anemia, but more dreadful and films taken from soldiers with malaria. His sometimes fatal complications of the disease discovery, however, was rejected by the such as kidney and liver failure, and cerebral medical community of the time and it was malaria occasionally occur.
July - August 2011 I HEALTHbeat 21 stress RELIEF BURNOUT! Duktor Lifeguard
NEIL: Dok, may side effect po ba ang LIFEGUARD: Sir, bawal umihi sa pool. Viagra?!? IVANHOE: Ikaw naman, lahat ay umiihi DUKTOR: Ano ka ba?!? Sa front ang effect sa pool, di ba? 'Di mo ba alam? nun at hindi sa side! LIFEGUARD: Opo, pero inside the pool po, hindi d’yan sa diving board. Dentista Teacher Pumunta si Sheila sa dentista at pag-upo niya sa silya biglang tinanggal ang panty sabay ULYSSES: Ma’am, pagagalitan ba ninyo ako bumukaka... sa bagay na hindi ko naman DENTISTA: Ah, Misis... dentista ako at hindi ginawa? OB-GYNE. TEACHER: Natural hindi. Rapist SHEILA: Alam ko po, Doc. Pero, ‘di ba kayo ULYSSES: Good! ‘Di ko po ginawa ang ang gumawa ng pustiso ng assignment ko, eh! Sumisigaw ang babaeng nire-rape... Mister ko?!? So, please paki AILEEN: Tulong! Tulong! tanggal lang po! Singer RAPIST: ‘Wag ka nang humingi ng tulong, kaya ko itong mag-isa! Manghuhula SINGER: Have you seen my latest TV ad? AILEEN: Sure ka?!? Ah, okay! ‘Wag na! I’m singing again. ‘Wag na! Kaya na daw niyang MANGHUHULA: Sorry Misis, but your BENJIE: Alam mo, yang boses na yan, mag-isa! husband will meet a mahirap pulutin dyan sa tabi-tabi. violent death. SINGER: You’re so nice,. Mahirap hanapin Prostitute VILMA: Alam ko po ‘yon, ang gusto ‘no? So unique kasi. kong malaman kung BENJIE: Anong unique? Mahirap pulutin JOEREM: Hey, are you free tonight?!? maaabswelto ba ako?!? kasi basag! PROSTITUTE: Anong free ka d’yan? I’m expensive!!! Mangkukulam Artist Housewife PRESCY: Magkano po ba ang LUNINGNING: Ito bang pangit na ‘to ang magpakulam sa inyo?!? tinatawag ninyong ART?!? ANAK: Mommy, hayop po ba ang talong? MANGKUKULAM: P3,000. Ang pangit, nakakasuka! EVITA: ‘Di yun hayop anak, gulay yon. PRESCY: Wow! Bakit ang mahal? Painting ba ‘to? Bakit mo naman naitanong? MANGKUKULAM: Asa ka pa, girl. Barbie at ARTIST: Ah, eh... Hindi po Ma’am, ANAK: Sabi kasi ni yaya kay Dad, “Hayop Ken kaya ang gamit ko! salamin yan! ang talong mo Kuya, ang laki!”
(-: Jokes and photo from the Internet :-)
22 HEALTHbeat I July - August 2011 HEALTH promotion A HEALTHIER RIDE with Tricycle Drivers Tricycle, a motorcycle with a sidecar (passenger-cabin), is a popular and inexpensive form of public transportation in the Philippines, mostly plying short distances on smaller roads. Increasingly popular in South Cotabato Province in Southern Philippines are the tricycle drivers who have embarked on a new journey — the route to better health. These drivers are making a difference in their communities by contributing to a healthier, better educated population. The initiative began in March 2009 when USAID supported South Cotabato’s Provincial Health Office in conducting a behavior change communication planning exercise. The Provincial Health Office saw the need to address myths and misconceptions on maternal and child health, family While waiting for more passengers, a member of the Drivers for Health uses a brochure to discuss family planning, HIV/AIDS and tuberculosis. USAID’s planning with a passenger. “For the first time in 20 years a new role for us as health advocates was recognized,” says Hipulito Peligro, member-driver. (Photo by Ledesma/USAID/HealthPRO) Health Promotion and Communication Project (HealthPRO) assisted the local The drivers transformed of the provincial health referral system. In government in crafting a program for the their privately owned tricycles into 2010 alone, they were able to disseminate Drivers for Health to deliver basic health “mini IEC (information, education and health information on family planning messages to community members. Thirty communication) mobiles,” placing stickers and maternal and child health to more members of a tricycle drivers’ association in with health messages on them. Initially, than 100,000 passengers, referred more Koronadal City joined the pioneering efforts. the drivers were disseminating basic health than 1,000 women to health facilities, The drivers received training from information and referring their passengers and brought hundreds of patients to USAID and the Provincial Health Office on to the health clinics for family planning the provincial hospital. Supported and basic health message dissemination and and other services as needed. Later on, they recognized by the local government, the were provided with health promotion also became free “transporters” of patients Drivers for Health are carrying out their materials. Inspired and empowered, the – often pregnant and postpartum women duties as advocates for health, encouraging drivers, who were busy earning a living – referred by local health officials to the and providing inspiration to other drivers, during the day, completed the series of provincial hospital in emergency situations. and building trust and recognition in evening classes spread out over a period of Now, the Drivers for Health have communities. two months. nearly doubled membership and are part - o O o -
Reprinted with permission from “Telling Our Story” by the US Agency for International Development
July - August 2011 I HEALTHbeat 23 TRIBUTE The Mother of Philippine Pediatrics DR. FE DEL MUNDO (November 27, 1911 - August 6, 2011) Dr. Fe del Mundo, the country’s immunizations in the country. The absence inexpensive incubator made of bamboo that distinguished pediatrician and national of well-equipped laboratories for analysis can be easily made for rural communities. scientist, passed away on August 6 at the did not restrain her from determining the She also developed an improvised bamboo age of 99. nature of the sickness. Dr. del Mundo would radiant warmer and a photo therapy device As national scientist, Dr. del Mundo send specimens or blood samples for polio that could cure babies with jaundice. These conducted important pioneering researches to New York, measles to London, rubella to inventions reflected her interest in rural on infectious diseases and dedicated much Switzerland, and chickenpox to Japan. In health, particularly those in underserved or of her life to the cause of pediatrics in the 1954, she helped characterize dengue fever unreached rural areas. country. at the clinical and laboratory levels, which She also formulated strategies Her most significant researches contributed to a better understanding of the to incorporate the ways of the hilot or dealt mainly with viral diseases, particularly disease. traditional birth attendant to the family those on poliomyelitis, rubeola, rubella and Dr. Del Mundo also invented planning and birth attending framework varicella. These clinical researches served two devices to help people in the rural of health services in rural communities. Dr. as reference in the use of vaccine and communities. In 1973, she invented a simple del Mundo pioneered the building up of
Health Secretary Enrique T. Ona delivers a eulogy for Dr. Fe del Mundo, national scientist and the grand dame of Philippine pediatrics. (Photo by Paking Repelente)
24 HEALTHbeat I July - August 2011 from different schools to be trained at her hospital, an idea she adapted from the Harvard Medical School. She was admitted at the National Academy of Science and Technology, Philippines in 1979 in recognition of her important contributions to science and the community as a pediatrician, teacher, researcher, humanitarian, and grand dame of Philippine Pediatrics and Medicine. In 1980, Dr. del Mundo became the first woman National Scientist when she was conferred the Rank and Title of National Scientist President Benigno S. Aquino III conferred the Order of the Golden Heart with the rank of Grand Collar posthumously on National Scientist Fe del Mundo. (Photo by Paking Repelente) - the highest honor that the Philippine Government can bestow on a Filipino indigenous health workers and organized Philippines when she was appointed as scientist for her outsanding contributions to rural extension teams to advise mothers director of the Manila Children’s Hospital science and technology. on breastfeeding and child care. She (later renamed as Dr. Jose R. Reyes Memorial Her undeniable devotion to child promoted the idea of linking hospitals to the Medical Center) in 1943. She was also the care earned her numerous prestigious community through the public immersion first diplomate of the American Board of national and international awards, of phsyicians and other medical personnel Pediatrics (1947), which introduced the including the Elizabeth Blackwell award for to facilitate greater coordination among Filipino women and physicians to the world. outstanding service to mankind in 1966, the health workers and the public for common She was also the first Asian president of the distinguished Ramon Magsaysay award for health programs such as immunization Medical Women’s International Association public service by a private citizen in 1977, and nutrition. She called for the greater and became the first woman president of the Blessed Teresa of Calcutta award in 1980, integration of midwives into the medical the Philippine Medical Association, a first in and recently, the 2010 Order of Lakandula community, noting their more visible the association’s decade-long hispory. More with the rank of Bayani by the Philippine presence within rural communities. than a decade after, she became the first Government. In 1957, Dr. del Mundo established Philippine delegate to the World Academy of Dr. del Mundo was a valedictorian the Children’s Memorial Hospital which was Science in Trieste, Italy (1993). of the University of the Philippines College later renamed Dr. Fe del Mundo Medical Dr. del Mundo joined the faculty of Medicine (1933). She placed third in the Center. To do this, she sold her own home of the University of Santo Tomas as an national medical board exams thereafter and personal effects. The hospital was associate professor of Pediatrics from 1943- and was named the Most Outstanding expanded in 1966 with the establishment 1954. She then transferred to Far Eastern Scholar in Medicine in the Philippines in of an Institute of Maternal and Child Health, University (FEU) as professor of Pediatrics 1933. She was granted a scholarship by the first of its kind in Asia. The hospital and chairman of the Pediatrics Department then President Manuel Quezon in 1936 and continues to admit thousands of children from 1954-1974. She eventually became she obtained a post-graduate training in requiring quality medical help. Professor Emeritus of FEU in 1974. The Pediatrics at Harvard Medical School for A woman of many firsts, Dr. del Philippine Women’s University, the Medical five years. In 1940, she received her Master Mundo was the first female and first Asian Women’s College of Pensylvania, Smith in Bacteriology from Boston University in to be enrolled in Pediatrics at the prestigious College in Northampton, Massachusettes, Massachussets. all-male Harvard Medical School (1935- and the University of the Philippines --- 1940) as a Philippine Commonwealth conferred on her Honoris Causa degrees. This article is taken from the Programme of scholar. She was also the first woman to Part of her commitment to quality medical Necrological Services prepared by the National head a government general hospital in the education was her acceptance of students Academy of Science and Technology.
July - August 2011 I HEALTHbeat 25 HEALTH & fitness
NBA with DOH NBA FIT returned to the important in attaining one’s health and well- The NBA FIT Philippines 2011 Philippines from July 25 – August 7, across being. featured Filipino-American Miami Heat head Metro Manila, and this year it was fully Non-communicable diseases coach Erik Spoelstra, who led his team to the endorsed by the Department of Health. It (NCDs) such as cardiovascular diseases, NBA Finals this season. Spoelstra, an NBA FIT is the National Basketball League’s (NBA) diabetes, cancers and chronic respiratory team member and NBA Ambassador to the global comprehensive health and wellness diseases are the leading causes of Philippines was assisted by some staff of his program that encourages physical activity preventable illnesses, disability and deaths Heat coaching staff, as well as local health and healthy living for children and families in the country, and even in most parts of and wellness experts and celebrities. through programs and events. the globe, today. And NCDs are strongly During the two-week event, NBA FIT is congruent with the associated and causally linked with four Spoelstra conducted NBA FIT Clinics held at DOH’s ongoing healthy lifestyle campaign, behaviors: unhealthy diet, tobacco use, grade schools, high schools, universities and dubbed as Ehersisyong Pangkalusugan harmful use of alcohol and physical shopping malls. These interactive health Para Sa Lahat,” to convey the message that inactivity. All roads lead to the prevention seminars focused on three keys to a healthy engaging in daily physical activity and and control of NCDs, as health ministers lifestyle – regular physical activity, better regular exercise is for everyone, regardless of and world leaders tackle this in the United daily nutrition and smart personal choices. age, gender and social status and it is very Nations Summit in New York this September. Participants took part in various health tests,
26 HEALTHbeat I July - August 2011 enjoyed health cooking demonstrations and sponsored. of vices.” he said. joined in a timed fitness obstacle course Health Secretary Enrique T. Ona, in For his part, Spoelstra emphasized challenge. Also included in the event were a press statement, said that the school was that he had a really fulfilling trip last year basketball camp and celebrity challenge at chosen as a setting for the event to emphasize working with Filipino families and youth the Araneta Coliseum as well as a fun run the need to start early in promoting healthy and he was equally thrilled to come back held at the Fort Bonifacio Global City. lifestyle. “Healthy behaviors need to be to the Philippines this year. “Healthy living The NBA FIT event was expanded taught early so that it can be carried on and physical activity are so important and to include a basketball clinic held at the until adulthood. Physical education and NBA FIT is a chance for me to give back to the Florentino Torres High School in Tondo, sports programs, which are well within the local community where basketball is such a Manila which the DOH, Department of mandate of the schools, should incorporate passion amongst the people,” he added. Education and the City of Manila co- the message of healthy diets and avoidance - o O o -
Filipino-American Miami Heat head coach, Erik Spoelstra, returns to the Philippines for a series of NBA FIT health and wellness activities. Below, he holds a basketball clinic for students of Florentino Torres High School in Tondo, Manila. Right, he gives a personalized signature basketball to Director Irma L. Asuncion of the National Center for Health Promotion. Bottom, Representatives from the DOH, DepEd, F. Torres High School and City of Manila join Spoelstra and his coaching staff in a DOH-initiated awareness drive on physical activity and exercise. (Photos in this article by Joerem P. Ceria)
July - August 2011 I HEALTHbeat 27 FOOD products
A taste of ENERGY by DONATO DENNIS B. MAGAT HEALTHbeat Staff
“So many things to do, but oh so workers) kababayan are not new to this kind improve the performance of its athletes. It little time...” of work schedule. Call it multi-tasking or was invented for the football team of the This has been a common complaint whatever, but given the opportunity to earn University of Florida, the Gators, hence the of every busy individual today. The God- more for a better life, any man/woman will name Gatorade. The drink was designed given 24 hours now seem inadequate to do just about anything. The need to stretch primarily to aid hydration of the Gator perform all the tasks scheduled for the one’s energy, productivity, alertness and to athletes and lengthen their performance day. Also, man’s sleeping pattern has been stay focus on the job paved the way for the levels. slowly changing due mainly to stress, traffic, popularity of energy drinks. In 1985, Jolt Cola was introduced different work environment and biological In order to stay wide awake and in the United States. Its marketing strategy clock pattern. alert on the job, Japan in 1960 released centered on the drink’s caffeine content In some countries, it is not Lipovitan. This so called “energy drink” was which aimed at promoting wakefulness. uncommon to see people having two or marketed mostly to the blue collar workers. Pepsi Cola Company also even three jobs in order to make both ends Also in the 1960s, Gatorade was introduced in the market its line of energy meet. Some of our OFW (overseas Filipino introduced in the United States in order to drink in 1995 named Josta but was Photo by Joerem P. Ceria P. Joerem by Photo 28 HEALTHbeat I July - August 2011 discontinued in 1999. Some of the common ingredients this in your drink certainly will not hurt. A In 2001, Coca Cola introduced its found in energy drinks are: 200 mg/day seems to be the standard dose, own line of energy drink, Powerade. Other Caffeine - the most common but you can safely take up to 2700 mg. Rare energy drinks introduced in the market were stimulant, found in coffee, is also found in side effects such as diarrhea and headache Blue Bolt, Blue Charge, Hype, and Monster. most soft drinks sold in the market today. have been reported. In 2007, energy drinks in powder and tablet The only difference is that energy drinks Ginkgo Biloba - This ingredient form became common in the market. contain caffeine at much higher doses. is named after the rare tree it originated Today, Red Bull dominates the Caffeine stimulates the central nervous from. It is believed to help with memory long list of energy drinks in the market system giving the body a sense of alertness. retention, concentration, circulation, and as with a market share of about 47% after its It can raise heart rate and blood pressure an anti-depressant. A 60 mg is a standard introduction in 1997. while dehydrating the body. A lot of people supplementation dose, but a 240 mg should Indeed, the demand for energy experience side effects above 200 mg, which be taken with caution. People on anti- drinks grew by leaps and bounds. By 2007, include sleeplessness, heart palpitations, depressants should not take ginkgo. Some the energy drink market in the US has grown headaches, nausea, and most commonly side effects include blood thinning, nausea, to a whopping $5.4 billion. the jitters. Large amounts of caffeine can vomiting, diarrhea, headaches, dizziness, Energy drinks are attractive to increase blood pressure and sometimes heart palpitations and restlessness. young people. Approximately 65% of energy impair blood flow to the heart. It may also L-Carnitine - An amino acid drink consumers are between the ages of trigger abnormal heart rhythms, which may usually created by the liver and kidneys. 13 and 35 years old. A 2008 Patient Poll be life-threatening in some people. This helps on metabolism and energy levels. conducted by the Pennsylvania Medical Ephedrine - an ingredient found Because of the way it interacts with the Society Institute for Good Medicine found in many decongestants, which may cause body, it may act as a thermogenic and help that 20% of its respondents aged 21-30 heart problems. This is one reason why increase weight loss and endurance during years have used energy drinks in high school health experts advise pregnant women and exercise. Rare side effects include nausea, or college in order to stay awake longer to young children to avoid taking energy drink. vomiting, abdominal pain and diarrhea. study or write a paper. Taurine - is an amino acid that the Sugars - Glucose is the body’s Presently, there are a total of 67 body naturally produces. It helps regulate preferred fuel. It is for this reason that one energy drinks registered with the Philippine heartbeat, muscle contractions, and energy gets hyper with a lot of sugar. Energy drinks Food and Drug Administration (FDA). levels. Usually, the body makes enough that contain an overdose of sugar, which is However, the FDA can not mention the brand it does not need supplementation. However, transformed into energy. However, too much names as this might be construed as form of it is believed that under “stress conditions” sugar intake may result to diabetes. advertisement or promotion of product. The like illness, physical exertion or injury, the Yerba Mate - This substance is complete list of registered energy drinks in body does not create enough of it. derived from leaves of a shrub in the Holly the market can only be obtained from the Guarana – is a plant that family. It is a natural source of caffeine, but Philippine FDA upon request. The FDA also originated from South America. Amazonians some believe that the form of caffeine in stressed that not all energy drinks sold in the have used it for a long time to increase Yerba Mate does not produce the negative country are tested, validated, and registered. alertness and energy. Guarana is also found side affects like the caffeine in coffee and The use of energy drinks to stay in coffee and tea, and are known stimulants. guarana. awake is nothing new. Based on label B Vitamins - These are essentially Creatine - is naturally obtained by declaration, energy drinks commonly the things that help convert sugar into eating meat. Creatine helps with supplying contain sugar and lots of caffeine. Its energy. It also improves muscle tone. energy to the muscles and is usually found caffeine should not exceed 200 ppm (parts Ginseng – an herb known to in energy drinks and products that are per million). A typical energy drink contains increase energy and has some anti-fatigue marketed to body builders. about 80 milligrams (mg) of caffeine similar components, like relieving stress, and Acai (pronounced ah-sah-ee) to a cup of coffee, while an average soft drink increasing memory. Ginseng is nothing that Berry - This ingredient is finding its way only contains about 18-48 mg of caffeine. is naturally created by the body, so having into more and more energy drinks. Acai
July - August 2011 I HEALTHbeat 29 berry comes from the Acai Palm tree which dangerous, since alcohol is a depressant and is found in South America. The berries are has a tranquilizing effect on the body. rich in anti-oxidants, but not as much as Energy drinks can lessen some blueberry. Most of the acai berry benefits of the subjective effects of alcohol while have no scientific basis and are attributed to the drinker may feel more stimulated and marketing hype. less fatigued. This mixture can be very fatal Energy drinks have their down as energy drinks can mask the influence of side. In an article at the Manila Bulletin alcohol and the drinker may misinterpret dated March 7, 2011, it was suggested their actual level of intoxication. that consumers of energy drinks should Popular energy drinks abroad. Photo grabbed Studies have shown that alcohol go slow in taking them because excess from < menstuff.org> plus energy drink significantly reduces consumption can cause agitation, headache, subjective alcohol-related symptoms such palpitation, anxiety, irritability, insomnia consumed while exercising or indulging in as headache, weakness, dry mouth, and and indigestion. a sport activity because caffeine is a diuretic impairment of motor coordination, which These adverse effects, which are (i.e., it causes one to urinate very often) means, when alcohol and an energy drink attributable primarily to caffeine, are very which promotes dehydration. are combined, one may inadvertently common in energy drinks because of at Energy drinks are different from, consume very large amounts of alcohol. least a couple of reasons. Firstly, unlike hot and should not be confused with, sports On November 2010, the US FDA coffee that is sipped slowly, an energy drink drinks that are formulated to keep people warned four companies that caffeine added is consumed rather quickly. Secondly, many hydrated during intense physical activity. to their malt alcoholic beverages is unsafe. ingredients in energy drinks are believed to Energy drinks are generally safe There is evidence linking the combination work synergistically with caffeine, which as long as they are taken in moderation and of caffeine and alcohol on these products greatly enhances not only the desired but not mixed with any alcoholic substance. posed a public health concern. also the adverse effects of the latter. Nowadays, an emerging trend is mixing Red Bull may be the best selling Another word of caution in taking an energy drink with gin or vodka in order product in the market today but this was these energy drinks is that it should not be to make a high-energy cocktail. This is banned in 2000 by the French government HEALTH advisory FDA: Beware of Health Claims of Water Products
On August 9, the Department antioxidant, greater absorption of nutrients, of Health Related Device Registration for of Health - Food and Drug Administration and other physiological or health benefits. water purification devices that produce (FDA) issued a warning on the use of non- Likewise, their flyers and brochures contain safe drinking water or purified water. These certified therapeutic or clinical claims for testimonials and anecdotal evidences lacking water products labeled as “alkaline water,” the promotion of water purification devices scientific or clinical studies associated with “oxygenated water,” “pi water,” “ionized producing water labelled as “alkaline water,” using their water products. water” or “energized water” were never “oxygenated water,” “pi water,” “ionized The FDA warns the public that these issued a Certificate. The list of companies water” or “energized water.” therapeutic/clinical claims are not validated that have been issued with this Certificate Examples of unproven claims by the agency and are not supported by any for their water purification devices by the advertised by companies selling the so- certification issued by its Center for Device CDRRHR is available at the DOH website called water products include: disease Regulation, Radiation Health, and Research
30 HEALTHbeat I July - August 2011 after an 18-year old Irish athlete died after consuming four cans of Red Bull. French laws dictate the maximum amount of caffeine Torn Between TWO... that companies can add to a product, and by Red Bull exceeds the limit. Denmark and CATRINA N. EUSTAQUIO, RN Norway have also banned the drink. Other Nurse Volunteer countries like Canada require the can to carry Dr. Jose N. Rodriguez Memorial Hospital a warning label for pregnant women and children. Some of the reported adverse effects of excessive intake of energy drinks to I'm not singing. but for the stuff that needs to be done. the body are: I am reading a book entitled After I weighed things, prayed • Sleeping problems resulting "Setting your Heart on Fire, Seven on my own, after I sought experts’ advice, insomnia due to high amounts of Invitations to Liberate your Life" by and after I talked to my loved ones, I made caffeine; Raphael Cushnir. I just want to share one this decision: to ignore, as of this moment, • Dehydration from loss of body fluid topic that I think fits every RN's common all opportunities that are beyond the since caffeine is a diuretic; dilemma – to work or not? I will start this perimeter of nursing practice. • Dizziness, nausea, and irritability with the author's one line, "CLARITY and "As of this moment" does not also from caffeine; STRENGTH of PURPOSE are what fulfill your suggest that I don't have conviction. I • Allergic reactions like hives, rashes, HEART'S DESIRE." just want to acknowledge the presence itching or oral swelling; I'll ask you first. As a registered of life's surprises. Every decision has its • Liver toxicity if vitamin B3 exceeds nurse (RN), what is your heart's desire? consequence. And mine is that I can't 3000 mg and skin lesions or burning RNs who are not financially help my family with penny issues for now. sensation if vitamin B6 exceeds stable (and I must add, who pressured (What's yours?) 100 mg; themselves) are torn between these two Consistent actions will be • Gastrointestinal problems because options: to work (commonly on a not MAINLY based on HUMAN INTERVENTIONS energy drinks contain too much nursing-related job) or not. I cannot judge – mainly on my efforts; primarily on my carbohydrate. This makes it hard others decision for we do not have the plans. "Mainly" does not imply that it's the for the body to absorb the nutrients same situations. "ONLY". from the intestines going to the The author makes me realize I made my plan not to make bloodstream; and that whatever my decision might be, myself believe that these things SHOULD • Diarrhea because most energy CONVICTION and CONSISTENCY are of great happen (in a snap). Instead, it's a reminder drinks contain large quantities of impact. I shall quote, "All that's necessary that these are the consistent actions that inositol. is enough AWARENESS and CONVICTION to will HELP fulfill my heart's desire. "In a The rule of moderation should support your intention with CONSISTENT snap" means that TIME has also its say. always be considered when consuming action." (Pray for patience.) energy drinks. Instead of energy drinks, It's really difficult to weigh But above all these, I still believe try natural energy-giving foods like cereal, things where you'll be benefited the most in DIVINE INTERVENTION because if God pasta, rice, bread, starchy food like potato, (or where your family will be) though and fate allow me and these things to kamote, corn, to name a few, and B complex you're certain about your heart's desire. happen, NO hindrances can halt. The Lord vitamins which are necessary for the body’s CLARITY is vague – not for what you want blesses Philippine nurses. production of energy, coupled with a balanced diet and the right amount of sleep SHARE YOUR THOUGHTS ON HEALTH ISSUES. EMAIL US AT and exercise. - o O o - [email protected]
July - August 2011 I HEALTHbeat 31 tobacco CONTROL
C H A L L E N G I N G MMDA’s Smokefree Policy by ANTHONY R. RODA, MaHeSoS HEALTHbeat Staff Tobacco Industry’s the tobacco industry has been doing in the information dissemination drive, MMDA Same Old Tactic country. The focus of their attention now is strictly implemented the smoking ban in all the No Smoking in Public Places Policy of the public areas in Metro Manila, which means One tactic the tobacco industry Metropolitan Manila Development Authority smokers caught violating the new policy will uses to perpetuate their business despite (MMDA). be apprehended and fined. the obvious hazards their products bring The term “tobacco industry” The MMDA is not on its own in to both smokers and non-smokers is to includes the tobacco companies and those implementing this policy, they are strongly undermine the efforts of health advocates representing the interests of the tobacco supported by the 17 Metro Manila local and regulatory agencies pushing for stronger industry (e.g. retailers groups, law firms, government units (LGUs), Department of No Smoking or smokefree policies. This is a public relations/advertising agencies, and Health, Department of Justice, Civil Service standard operating procedure worldwide other front groups). Commission, University of the Philippines- and lately, for the nth time, this is what On July 1, after a month-long College of Law, Framework Convention on
32 HEALTHbeat I July - August 2011 Tobacco Control Alliance Philippines, and them identification cards which are clearly the Environmental Enforcer for issuance of the Land Transportation and Franchising visible and displayed. They are in charge of ticket. The Environmental Officer tells the Regulatory Board (LTFRB). issuing Environmental Violation Receipts violator of the details of his/her violation, The MMDA is responsible for major (EVRs) to persons caught violating the No and the proper payment process. thoroughfares (loading bays, footbridges, Smoking Policy. The penalty ranges from P500 stairwells of train stations), and in public Environmental enforcers are up to P1,000 for the first offense, or 8-hour utility vehicles and land transportation deployed in teams. Each team has a team community service. LGUs, as well as other terminals in coordination with LTFRB; the leader and an assistant team leader, who government agencies may impose different LGUs are responsible for city roads and will both have the exclusive authority penalties in amount or in kind. establishments in their jurisdiction; and the to issue EVRs. They are assisted by a The MMDA records in its Civil Service Commission is responsible for photographer and a recorder to document website the total number of anti-smoking government vehicles and offices. each apprehension made by their team apprehensions they made, and as of August Deputized “environmental leader or assistant team leader. 5, there were already 4,668 violators. enforcers” are deployed to monitor the Spotters are also deployed by the areas within the MMDA's jurisdiction. MMDA for each team to monitor possible Pros and Cons These enforcers wear mint green polo-shirt violators of the agency's regulations. It is uniform with MMDA logo and carry with the spotter's duty to bring the violator to On May 29, when the MMDA announced to the media its smoking ban in public places, the TV Patrol text poll on ABS-CBN showed 91% of the viewing public agreeing with the new MMDA policy. This is evident of a silent majority of the population who are against tobacco use, especially in public places. Several public health advocates also threw their support behind MMDA. Dr. Oscar Tinio, president of the Philippine Medical Association said, “It is an irrefutable fact that cigarettes cause health deterioration and more devastatingly, death in one of every two of its users. MMDA’s smokefree campaign, which we greatly support and are encouraged by, is one of the crucial measures needed to fight tobacco and save the lives of our loved ones. As doctors and guardians of health, PMA and other sectors of society are here to campaign for truly smokefree Philippines.” Emer Rojas, the Global Cancer Ambassador for the Philippines and president of New Vois Association of the Philippines - a tobacco control advocacy group composed mainly of cancer victims that attribute MMDA environmental enforcers issuing a ticket to an offender on the first day of implementing the their cancer to smoking, said, “A smokefree smoking ban policy. Photos in this article courtesy of MMDA. Please turn to page 35...
July - August 2011 I HEALTHbeat 33 Legal Bases of MMDA’s No Smoking Policy
WORLD HEALTH ORGANIZATION this Act. This provision shall be implemented by the LGU's. FRAMEWORK CONVENTION ON TOBACCO CONTROL • IRR, SECTION 1. Ban on Smoking.- The Local Government Units (LGU's) shall within six (6) months from the effectivity of these Implementing Rules and • The Philippines is a signatory to the World Health Organization - Framework Regulations, implement or enforce a ban on smoking inside a public building or Convention on Tobacco Control (WHO-FCTC) Treaty in 2005. in any enclosed area outside of one's private residence, private place of work or any duly designated smoking area which shall be enclosed REPUBLIC ACT 9211 The Tobacco Regulation Act of 2003 CIVIL SERVICE COMMISSION MEMORANDUM CIRCULAR NO. 17-2009 • Section 4 (n) defines a "public place" as enclosed or confined areas ofall Re: 100% Smoke-Free Environment Policy hospitals, medical clinics, schools, public transportation terminals and offices, and buildings such as private and public offices, recreational places, shopping • Legal Basis: RA 9211 and WHO-FCTC malls, movie houses, hotels restaurants and the like." • Salient Provisions: • The absolute smoking ban applies to the following public places: - Absolute Prohibition of Smoking in or on the premises, buildings, and - centers of youth activity such as schools, preparatory schools, grounds of government agencies providing health, education and/or elementary schools, high schools, colleges and universities, youth social welfare and development services such as hospitals, health hostels and recreational facilities for person under 18 centers, schools and universities, colleges, etc. - elevators and stairwells - No "Smoking Areas" shall be designated in such places - locations in which fire hazards are present, including gas stations and - Exception: An outdoor space designated by the head of agency that storage areas for flammable liquids, gas, explosives or combustible meets with defined requirements materials - Ashtrays to be removed except in smoking areas - within the buildings and premises of public and private hospitals, - Smoking prohibited in government vehicles medical, dental and optical clinics, health centers, nursing homes, - Building administrators are required to ensure strict compliance with dispensaries and laboratories the no-smoking policy • public conveyances and public facilities including airport and ship terminals • Penal Provision: violations shall be ground for disciplinary action pursuant to and train and bus stations, restaurants and conference halls, except for separate Rule XIV (Discipline) of the Omnibus Rules Implementing Book V of EO 292 smoking areas. (Section 5) • The Court's ruling concludes that where no "Smoking Areas" have been • Because of the overarching definition of public places, the foregoing designated in a relevant area covered by Section 6 of RA 9211, the smoker enumeration is construed to mean only such places which are enclosed or should only be warned, not penalized. confined • Section 6 of the Act refers to areas where smoking is restricted. Owners/ LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD proprietors/administrators of such areas are required to designate smoking/ MEMORANDUM CIRCULAR NO. 2009-036 non-smoking areas: - all enclosed spaces open to the general public; • The LTFRB prohibits smoking in all public utility vehicles and public land - private workplaces; and transportation terminals - other places not covered under Section 5 where non-smokers may be exposed to tobacco smoke LOCAL GOVERNMENT UNITS ORDINANCES/ISSUANCES ON TOBACCO CONTROL/NON-SMOKING REPUBLIC ACT 8749 Clean Air Act of 1999 and its • Each of the Local Government Unit of Metro Manila has its own policy on Implementing Rules and Regulations (IRR) tobacco control • All cities, except Caloocan, Muntinlupa, Mandaluyong, and Navotas, reiterate • RA 8749, Section 24. Pollution From Smoking. Smoking inside a public RA 9211 building or an enclosed public place including public vehicles and other means • The cities mentioned above have stricter rules. They have expanded definition of transport or in any enclosed area outside of one's private residence, private of public places to include open spaces to include open spaces or have deleted place of work or any duly designated smoking area is hereby prohibited under the word "enclosed" from definition of public places.
SOURCE: Frequently Asked Questions - No Smoking in Public Places Policy: 12 Things You Need to Know” posted in the MMDA Website.
34 HEALTHbeat I July - August 2011 ...Continued from page 33 the tobacco industry. environment discourages smoking Trade groups have also and helps in reducing the risks of attempted to impose burden on cancers brought about by second MMDA’s campaign. In June, the hand smoke. Cancer is the number Federation of Philippine Industries three killer in the world. It is one (FPI) wrote a letter to Executive of the most dreadful among non- Secretary Paquito N. Ochoa communicable diseases. MMDA’s inquiring about the jurisdiction initiative saves lives." of MMDA to enforce provisions Speaking for the DOH, of RA 9211 and other smokefree Assistant Secretary Eric Tayag said, policies. The website of FPI shows “We hope that one day, there will that Philip Morris is a valued be no need for apprehension of sponsor and Philip Morris Fortune smokers, that the entire Philippines Tobacco Corporation’s (PMFTC) will be voluntarily and completely Managing Director Chris Nelson smoke-free.” sits on their Board of Directors. But all is not well with the The Philippines is a party MMDA policy. There is the tobacco to World Health Organization’s industry to contend with. As Framework Convention on MMDA Chairman Francis Tolentino Tobacco Control. In compliance revealed, “From the beginning, we with Article 5.3 of this treaty, the knew that this policy would not country needs to be alert and firm be met with the favor of cigarette in protecting its tobacco control companies. However, there is this policies from the commercial and irrefutably miserable statistic that vested interests of the tobacco begs to be addressed: a Filipino industry. dies a tobacco-related death every It seems like even Yosi Kadiri is being apprehended by no less than 6 minutes. As public servants, we MMDA General Manager Corazon T. Jimenez. The Legal Battle are determined to push policies that protect our people.” Barely a week after the MMDA These threats are not the only being offered assistance in their health fully implemented its smoking ban policy, attempts of the tobacco industry to interfere projects and being intimidated on the Chris Nelson said in a Malaya news report on in MMDA’s initiatives to promote public pending cases of business establishments July 7, the PMFTC is prepared to take action health. During the first quarter of the project, not complying with the policies on tobacco against the MMDA on the regularity of the a representative of the tobacco industry advertisements and promotions. issuance. He was even quoted as saying, "It visited the offices of MMDA in search of A Joint Memorandum Circular may not even be us, it could be a smoker documents on the marketing strategies of between Civil Service Commission and who may take action." the smokefree campaign. DOH No. 2010-01, however, states that And it happened. Two smokers Local government units are government officials shall not accept have taken the MMDA to court after they also feeling the pressure. Officials from any offer for assistance from the tobacco were fined for smoking in public. On July Quezon City, Marikina, and Las Piñas have industry. Also, it prohibits unnecessary 26, the Philippine Daily Inquirer reported, relayed the increased number of visits from interactions with their representatives. This Antony Clemente and Vrianne Lamsen, representatives of tobacco firms since the is to protect the bureaucracy from potential in their petition, asked the Mandaluyong beginning of MMDA’s smokefree policy. impediment of tobacco control measures by Regional Trial Court to stop the MMDA from According to the health officials, they are those who work to further the interests of implementing a ban on smoking in public
July - August 2011 I HEALTHbeat 35 places in Metro Manila. The two were said that public safety is the backbone of this dismissed the news report as “unreliable,” to have been apprehended by an MMDA smokefree policy.” claiming his client was misquoted. enforcer after they were caught smoking on On Friday, August 19, tobacco the sidewalk on EDSA, near Farmers Market Turn of Events: Hotter by the Day farmers from La Union were reported to have in Cubao, Quezon City, on July 6. helped pay for the P100,000 bond required Lawyer Luis de la Paz told the On August 15, Monday, Judge by the court. This signalled the start of a Inquirer that the area where the two Carlos Valenzuela of Branch 213 of the 20-day TRO on the enforcement of the no- complainants were caught smoking was Mandaluyong Regional Trial Court issued smoking policy on sidewalks and public not covered by Republic Act (RA) 9211 or the temporary restraining order (TRO) for 20 thoroughfares in Metro Manila. the Tobacco Regulation Act of 2003. He was days ruling in favor of the two complainants. Also on Friday, MMDA filed a further quoted as saying, “We also contest They were required to post the P100,000 motion for reconsideration before the court the authority of the MMDA to collect fees and bond, which would cover the claims of to lift the TRO based on Clemente’s disclosure impose punishment on supposed violators.” damages if the court’s final decision went in Tuesday night. MMDA Chairman Tolentino On August 2, a group of lawyers MMDA’s favor. said, “The complainants were planted and supportive of the MMDA ban has questioned On Tuesday, one of the their arrest by our environmental enforcers De la Paz’s motives for going to court in a bid complainants of the smoking ban, identified was planned that’s why we can say that to halt the agency’s efforts. HealthJustice, as Antony Clemente, claimed in an interview some businessmen were interested in this a non-profit public health law think- with ABS-CBN News that he did not pay case.” tank that has helped gain popularity for for the required bond to file the case. He Despite this temporary setback, the various tobacco control measures, issued a said, “Hindi ko naman siya kayang bayaran MMDA together with the local government press release that claimed that one of the kasi minimum wage lang naman ako. Bale units would still pursue the enforcement clients of De la Paz’s law firm (Gonzales nagkakaugnayan lang d’yan, attorney lang of its smoking ban in areas covered by RA Batiller David Leabres & Reyes) is Philip ho. ‘Yung Philip Morris ang naaapektuhan 9211. Meanwhile, the DOH issued a press Morris Manufacturing Inc., as listed on the kasi. Dahil sa pinapatupad na paghuhuli na statement that said it supports MMDA’s company’s website. (Eventually, ABS CBN ‘yan, syempre ‘yung negosyo, naaapektuhan.” decision. The statement concluded, “In its news report showed that Philip Morris was The supposed admission sparked pursuit of Kalusugan Pangkalahatan, already removed from the list of clients.) an outrage among tobacco control the DOH stresses that the right of a smoker In several interviews, De la Paz was advocates. Dr. Jaime Galvez Tan, former ceases when he or she violates the rights of also quoted to exclaim that the smoking ban health secretary, expressed his dismay in others to protect their own health.” of MMDA is unconstitutional. a press statement, “The admission of the As of this writing, the case “Where is it written that you have complainant that the case was fabricated still progresses, but everyone should the right to smoke in sidewalks, side streets, should appall Filipinos to no end. The tobacco be reminded of the 2006 landmark US and thoroughfares? What is the grave and industry is obviously pulling out all stops to government lawsuit against the major irreparable injury to smokers when they block laudable public health measures like tobacco companies where District Court cannot smoke in those areas?” argued the MMDA’s enforcement campaign.” Tan Judge Gladys Kessler found they have University of the Philippines College of Law further said, “Cases like these show how the violated civil racketeering laws, defrauded professor Teddy Te. “On the other hand, tobacco industry belittles the competence of the public, lied for decades about targeting what is constitutional is the government’s medical authorities in guarding the health of children and health risks of smoking. obligation to uphold the right to health of its of our citizens. In planting a witness against Kessler said, “The tobacco industry citizens.” MMDA, they undermine the authority of the is an industry… that survives, and profits Atty. Ipat Luna of HealthJustice government to take care of its people.” from selling a highly addictive product which reiterated, “The national predicament The following days, PMFTC issued causes diseases that lead to a staggering stands: hundreds of Filipinos die every single a statement denying the allegations that number of deaths per year, an immeasurable day because of both cigarette addiction the company was behind the complaint. amount of human suffering and economic and second-hand smoke. Let us not forget Meanwhile, the petitioners’ lawyer loss...”
36 HEALTHbeat I July - August 2011 BLOOD program BLOODY Awards The Department of Health staged the guest speaker during the awarding but the country is still short of 200,000 a bloody award, but there was no need to ceremony, lauded local chief executives. units. She urged local executives to sustain sound the alarm. On the contrary, it was more “Hindi sayang ang paglahok ninyo dito sa their efforts to ensure an adequate supply of of a happy occasion as 335 outstanding local programa, as this really extends the life of voluntary blood. government executives were recognized our fellow Filipinos,” he said. The advocacy for voluntary blood in the 13th National “Sandugo” Awards for Meanwhile, Health Assistant donation was given a great boost in 1994 giving their full support and be personally Secretary Paulyn Jean Rosell-Ubial said that, when Republic Act 7719 was passed by involved in the DOH National Voluntary as of last year, the voluntary blood-letting Congress and signed by then President Fidel Blood Services Program (NVBSP). The program has produced 800,000 blood units, V. Ramos. Pursuant to law, both government winners comprised of 4 governors, agencies and private organizations 7 city mayors, 34 municipal mayors are mobilized to promote voluntary and 290 barangay captains. blood donation and collect the Traditionally, there would lifesaving fluid. have been only one awarding The criteria for the selection of the ceremony to recognize all awardees. Sandugo awardees include: personal But owing to the growing number involvement and commitment to of local government executives the NVBSP; provision of resources committed in implementing NVBSP in the promotion of voluntary blood in their areas, the DOH, since donation; being instrumental for last year, held several awarding the high percentage of voluntary ceremonies – one each for Luzon, blood donation in the jurisdiction Visayas and Mindanao’s first and which inludes blood collected by second time awardees, and another government and private hospitals, exclusively for governor, mayor and Philippine National Red Cross Blood hall of fame awardees. A third year Centers, local health services and win meant elevation to the hall of non-government organizations; fame. The awarding ceremony in and exemplary administrative Manila was held at the Diamond action in support of the NVBSP such Hotel on July 26, and it also served as issuances within the last three as a culminating activity for the years of at least one of the following National Voluntary Blood Donation policy tools, namely: memorandum Month. circular, Sangguniang Bayan Secretary Jesse Robredo DILG Secretary Jesse Robredo and DOH Assistant Secretary Paulyn Jean resolution, ordinance, executive Rosell-Ubial lead the holding of the “bloody” and happy 13th National of the Department of the Interior Sandugo Awards ceremony at the Diamond Hotel in Manila on July 26. (Photo order, administrative order or and Local Government, who was by Romy Caparas) memorandum of agreement.
July - August 2011 I HEALTHbeat 37 13th SANDUGO AWARDS for Outstanding Local Government Executives
TENTH TIME AWARDEES • Alfredo R. Pagdilao • Angelita B. Rosel • Vicente B. Pedres, Sr. Brgy. Captain - Brgy. Magugpo South Brgy. Captain - Brgy. San Nicolas Brgy. Captain - Brgy. Tula-Tula Pequeño DAVAO REGION (Region 11) Tagum City, Davao Del Norte Panabo City, Davao Del Norte Ligao, Albay • Julito T. Nacorda • Jimmy C. Tablo • Antonio M. Rio Brgy. Captain - Brgy. Panibasan Brgy. Captain - Brgy. Manga Brgy. Captain - Brgy. Mankilam WESTERN VISAYAS (Region 6) Maco, Compostela Valley Matanao, Davao Del Sur Tagum City, Davao Del Norte • Philmore Bacharo • Noel L. Tabacon • Maximo D. Suico Brgy. Captain - Brgy. Zone 3 Brgy. Captain - Brgy. Busaon SIXTH TIME AWARDEES Brgy. Captain - Brgy. San Miguel Cadiz, Negros Occidental Tagum City, Davao Del Norte Tagum City, Davao Del Norte • Anthony V. Javelosa WESTERN VISAYAS (Region 6) • Romeo M. Baquirel Brgy. Captain - Brgy. Aguisan NINTH TIME AWARDEE • Warren C. Batiles Brgy. Captain - Brgy. Mahayag Himamaylan, Negros Occidental Brgy. Captain - Brgy. Zone 5 Davao, Davao Del Sur • Allan G. Leonida DAVAO REGION (Region 11) Cadiz, Negros Occidental Brgy. Captain - Brgy. Nabali-an • Jose C. Edig • Lanie A. Galleron FIFTH TIME AWARDEES Himamaylan, Negros Occidental Brgy. Captain - Brgy. Canocotan Brgy. Captain - Brgy. Luna • Erlenito L. Castillo Tagum City, Davao Del Norte Cadiz, Negros Occidental WESTERN VISAYAS (Region 6) Brgy. Captain - Brgy. Pinggot • Felicidad T. Badajos • Joedith C. Gallego Ilog, Negros Occidental EIGHTH TIME AWARDEES Brgy. Captain - Brgy. Su-ay Brgy. Captain - Brgy. E. Lopez • Joel S. Senares Himamaylan, Negros Occidental Silay, Negros Occidental Brgy. Captain - Brgy. Nagasi DAVAO REGION (Region 11) • Rita Ann L. Tamargo • Norma R. Balbin La-Carlota, Negros Occidental • Efrenia A. Sistoza Brgy. Captain - Brgy. Poblacion 1 Brgy. Captain - Brgy. Brgy. 1 Brgy. Captain - Brgy. Magnaga Himamaylan, Negros Occidental Sipalay, Negros Occidental NORTHERN MINDANAO (Region 10) Pantukan, Compostela Valley • Edmundo M. Jaranilla • Elir D. Borres • Merando A. Bentuan, Sr. • Santiago T. Neo Brgy. Captain - Brgy. Poblacion 9 Brgy. Captain - Brgy. Camindangan Brgy. Captain - Brgy. Silae Brgy. Captain - Brgy. Magugpo Kabankalan, Negros Occidental Sipalay, Negros Occidental Malaybalay, Bukidnon Tagum City, Davao Del Norte • Edwin Pahilanga • Domingo D. Hingpit • Manuel V. Suaybaguio III ZAMBOANGA PENINSULA (Region 9) Brgy. Captain - Brgy. Bubog Brgy. Captain - Brgy. St.Peter Brgy. Captain - Brgy. Magugpo North • CELSO L. LOBREGAT Talisay, Negros Occidental Malaybalay, Bukidnon Tagum City, Davao Del Norte Mayor – Zamboanga City, • Benjamin M. Maputi, Sr. Zamboanga Del Sur DAVAO REGION (Region 11) Brgy. Captain - Brgy. Imbayao SEVENTH TIME AWARDEES • LORENZO L. BALBIN, JR. Malaybalay, Bukidnon DAVAO REGION (Region 11) Mayor - New Bataan, Compostela Valley • Glorio D. Sajulga WESTERN VISAYAS (Region 6) • MANUEL B. BRILLANTES, JR. • JUAN CIPRIANO CELSO V. SARENAS, ME Brgy. Captain - Brgy. Aglayan • Jude V. Semillano Mayor - Monkayo, Compostela Valley Mayor - Pantukan, Compostela Valley Malaybalay, Bukidnon Brgy. Captain - Brgy. Brgy. Camansi • Nick D. Alaba • Manolito G. Cuasito • Renato S. Sumbongan Kabankalan, Negros Occidental Brgy. Captain - Brgy. Poblacion Brgy. Captain - Brgy. Sawangan Brgy. Captain - Brgy. Caburacanan • Ronilo M. Sarito Maco, Compostela Valley Mawab, Compostela Valley Malaybalay, Bukidnon Brgy. Captain - Brgy. XIII • Maria Cecilia C. Neri • Danilo A. Dapat Victorias, Negros Occidental Brgy. Captain - Brgy. New Leyte Brgy. Captain - Brgy. Nueva Visayas DAVAO REGION (Region 11) Maco, Compostela Valley Mawab, Compostela Valley • ARTURO T. UY EASTERN VISAYAS (Region 8) • Jacinto G. Napitan • Ruperto S. Gonzaga III Governor - Compostela Valley • Jesus P. Estrada Brgy. Captain - Brgy. Katipunan Brgy. Captain - Brgy. Poblacion • RODOLFO P. DEL ROSARIO Brgy. Captain - Brgy. Talahid New Bataan, Compostela Valley Mawab, Compostela Valley Governor - Davao Del Norte Almeria, Biliran • Welfredo C. Acdal • Antonio L. Urbano, Jr. • JOSE L. SILVOSA, SR. • Hilarion C. Lanugan Brgy. Captain - Brgy. Katipunan Brgy. Captain - Brgy. Andili Mayor - Panabo City, Davao Del Norte Brgy. Captain - Brgy. Pili, Almeria, Biliran Panabo City, Davao Del Norte Mawab, Compostela Valley • HADJI AMIR B. MUÑOZ • Rosalie P. Gentiles Mayor - Mabini, Compostela Valley DAVAO REGION (Region 11) Brgy. Captain - Brgy. Kasilak FOURTH TIME AWARDEES • EVALINA J. JAMPAYAS, MD • REY T. UY Panabo City, Davao Del Norte Mayor - Mawab, Compostela Valley Mayor - Tagum City, Davao Del Norte • Pablo V. Libre, Jr. CENTRAL LUZON (Region 3) • JOSEPH NILO F. PARREÑAS, MD • ARTHUR CARLOS VOLTAIRE R. RIMANDO Brgy. Captain - Brgy. Buenavista • VICTOR A. YAP Mayor - Asuncion, Davao Del Norte Mayor - Maco City, Compostela Valley Panabo City, Davao Del Norte Governor – Tarlac • LOLITA A. MORAL • Ferdinand A. Gocon • Abebon A. Magarang BICOL REGION (Region 5) Mayor - Braulio E. Dujali, Davao Del Norte Brgy. Captain - Brgy. Mabunao Brgy. Captain - Brgy. Datu Abdul Dadia, • EVELYN S. YU • ROEL O. PARAS Panabo City, Davao Del Norte Panabo City, Davao Del Norte Mayor - Calabanga, Camarines Sur Mayor - Malalag, Davao Del Sur
38 HEALTHbeat I July - August 2011 • VICENTE A. FERNANDEZ • Samuel U. Angoy THIRD TIME AWARDEES WESTERN VISAYAS (Region 6) Mayor - Matanao, Davao Del Sur Brgy. Captain - Brgy. Apokon • LAWRENCE MARXIEN J. DELA CRUZ • Margarito A. Alcos, Jr. Tagum City, Davao Del Norte CAGAYAN VALLEY (Region 2) Mayor - Don Salvador Benedicto Brgy. Captain - Brgy. Ngan • Arthur S. Ansale • MARILYN J. TAGUINOD Negros Occidental Compostela, Compostela Valley Brgy. Captain - Brgy. Cuambogan Mayor – Penablanca, Cagayan • Edwin P. Dalumpines • Venerando T. Ocampo Tagum City, Davao Del Norte Brgy. Captain - Brgy. Dulao Brgy. Captain - Brgy. Bagongon • Rudy M. Corpuz Bago, Negros Occidental Compostela, Compostela Valley Brgy. Captain - Brgy. La Filipina CENTRAL LUZON (Region 3) • Remy B. Jalea • Jose Narciso L. Collera Tagum City, Davao Del Norte • EDGARDO S. FELIPE Brgy. Captain - Brgy. Binubuhan Brgy. Captain - Brgy. Cadunan • Ronald S. Eliot Mayor - Anao, Tarlac Bago, Negros Occidental Mabini, Compostela Valley Brgy. Captain - Brgy. Visayan Village • Gerald S. Constantino • Eduardo T. Javier • Charles B. Calamba Tagum City, Davao Del Norte Brgy. Captain - Brgy. Sta. Ines Brgy. Captain - Brgy. Caduhaan Brgy. Captain - Brgy. Cabacungan • Celedonia M. Mamayabay Plaridel, Bulacan Cadiz, Negros Occidental Nabunturan, Compostela Valley Brgy. Captain - Brgy. Nueva Fuerza • Zenaida V. Po • Norberto D. Porcadilla Tagum City, Davao Del Norte BICOL REGION (Region 5) Brgy. Captain - Brgy. Zone 4 Brgy. Captain - Brgy. Basak • Deogracias A. Andrin, Sr. • RUEL T. VELARDE Cadiz, Negros Occidental Nabunturan, Compostela Valley Brgy. Captain - Brgy. Bulacan Mayor - Tinambac, Camarines Sur • Ray F. Yee • Guillermo B. Zabala Malalag, Davao Del Sur • Andy R. Posillo Brgy. Captain - Brgy. Cabahug Brgy. Captain - Brgy. Cabidianan • Roel C. Cantonao Brgy. Captain - Brgy. Tula-Tula Grande Cadiz, Negros Occidental Nabunturan, Compostela Valley Brgy. Captain - Brgy. Mabini Ligao, Albay • Eden H. Bacordo • Victor D. Balonos Malalag, Davao Del Sur • Medina R. Capricho Brgy. Captain - Brgy. Bagong Silang Brgy. Captain - Brgy. San Roque • Nerie I. Bustamante Brgy. Captain - Brgy. Sta. Salud Don Salvador Benedicto, New Bataan, Compostela Valley Brgy. Captain - Brgy. Lower Katipunan Calabanga, Camarines Sur Negros Occidental • Julius B. Recto Padada, Davao Del Sur • Jeffrey C. Moralde • Emmanuel T. Castro Brgy. Captain - Brgy. Cabinuangan • Alfonsa U. Saragena Brgy. Captain - Brgy. Peñafrancia Brgy. Captain - Brgy. Cabanbanan New Bataan, Compostela Valley Brgy. Captain - Brgy. N. C. Ordaneza Naga, Camarines Sur Himamaylan, Negros Occidental Padada, Davao Del Sur
Governors, mayors and barangay captains commit to support the National Voluntary Blood Services Program. (Photo by Romy Caparas)
July - August 2011 I HEALTHbeat 39 Enchong Dee - athlete and matinee actor - donates blood at the DOH in response to the call for more voluntary blood donors as this is will help patients needing blood and its components, like dengue cases. (Photo by Paking Repelente)
40 HEALTHbeat I July - August 2011 • Angely S. Gonzales • Victor M. Bontog • Simporiano T. Remedios • Miguel P. Niez, DBA Brgy. Captain - Brgy. Hilamonan Brgy. Captain - Brgy. Ceboleda Brgy. Captain - Brgy. Tapia Brgy. Captain - Brgy. A.O. Floirendo Kabankalan, Negros Occidental Laak, Compostela Valley Montevista, Compostela Valley Panabo City, Davao Del Norte • Benjie M. Miranda • Moises D. Doca • Lupicinio C. Bagaslao • Manuel O. Palban Brgy. Captain - Brgy. Tan-awan Brgy. Captain - Brgy. Kapatagan Brgy. Captain - Brgy. Santa Maria Brgy. Captain - Brgy. Cacao Kabankalan, Negros Occidental Laak, Compostela Valley Nabunturan, Compostela Valley Panabo City, Davao Del Norte • Jose Luis A. Jalandoni • Camilo A. Mag-aso, Sr. • Hipolito A. Baluis • Dionisio C. Repuela, Sr. Brgy. Captain - Brgy. I Poblacion Brgy. Captain - Brgy. Langtud Brgy. Captain - Brgy. Pangutosan Brgy. Captain - Brgy. San Pedro La-Carlota, Negros Occidental Laak, Compostela Valley Nabunturan, Compostela Valley Panabo City, Davao Del Norte • Joel E. Rumbines • Anita S. Montojo • Vicente Y. Diano, Sr. • Mario M. Sambalilo Brgy. Captain - Brgy. Balabag Brgy. Captain - Brgy. Kaligutan Brgy. Captain - Brgy. Magsaysay Brgy. Captain - Brgy. New Malitbog La Carlota, Negros Occidental Laak, Compostela Valley Nabunturan, Compostela Valley Panabo City, Davao Del Norte • Leoni Mieh R. Salvador • Romeo S. Sumaliday • Ireneo A. Jubane • Edwin P. Ballesteros Brgy. Captain - Brgy. Batuan Brgy. Captain - Brgy. Binasbas Brgy. Captain - Brgy. Antequera Brgy. Captain - Brgy. Liboganon La Carlota, Negros Occidental Laak, Compostela Valley Nabunturan, Compostela Valley Tagum City, Davao Del Norte • Joel G. Sarol • Danilo J. Tazo • Abundio C. Cubio • Ruthman B. Ladia Brgy. Captain - Brgy. 5 Poblacion Brgy. Captain - Brgy. Amorcruz Brgy. Captain - Brgy. Panag Brgy. Captain - Brgy. Madaum Sipalay, Negros-Occidental Laak, Compostela Valley New Bataan, Compostela Valley Tagum City, Davao Del Norte • Nelly A. Acuña • Bibiano F. Bunayog • Lorna V. Arangcon • Clarita B. Rey Brgy. Captain - Brgy. 5 Brgy. Captain - Brgy. Del Pilar Brgy. Captain - Brgy. Tibagon Brgy. Captain - Brgy. Magdum Victorias, Negros-Occidental Mabini, Compostela Valley Pantukan, Compostela Valley Tagum City, Davao Del Norte • Randy R. Opisan • John Elmer V. Lawas • Carolina H. Legaspi EASTERN VISAYAS (Region 8) Brgy. Captain - Brgy. Cuambog Brgy. Captain - Brgy. Bongabong Brgy. Captain - Brgy. Poblacion • MANUEL A. LABRADOR, SR. Mabini, Compostela Valley Pantukan, Compostela Valley Hagonoy, Davao Del Sur Mayor - Silago, Southern Leyte • Aurelia E. Sasutil • Elizabeth E. Mabiscay • Ronaldo T. Enangkile • Crisanto S. Petargue Brgy. Captain - Brgy. Anitapan Brgy. Captain - Brgy. Fuentes Brgy. Captain - Brgy. Pitu Brgy. Captain - Brgy. Iyusan Mabini, Compostela Valley Pantukan, Compostela Valley Malalag, Davao Del Sur Almeria, Biliran • Juan Climaco G. Abelleja • Wahidon B. Takasan • Franquilio S. Guinogom • Elena C. Gonzal Brgy. Captain - Brgy. Elizalde Brgy. Captain - Brgy. Matiao Brgy. Captain - Brgy. Savoy Brgy. Captain - Brgy. Patag, Culaba, Biliran Maco, Compostela Valley Pantukan, Compostela Valley Matanao, Davao Del Sur • Antonio A. Ang • Roberto M. Yugo, MPA • Darwin T. Gepitulan NORTHERN MINDANAO (Region 10) Brgy. Captain - Brgy. Anibongan Brgy. Captain - Brgy. Kingking Brgy. Captain - Brgy. Upper Limonso • Eleazar J. Condes Maco, Compostela Valley Pantukan, Compostela Valley Padada, Davao Del Sur Brgy. Captain - Brgy. Sto. Nino, • Edgardo C. Barriga, Sr. • Alvin S. Almeda, Sr. • Avelino T. Abad Malaybalay, Bukidnon Brgy. Captain - Brgy. Lapu-Lapu Brgy. Captain - Brgy. New Bantayan Brgy. Captain - Brgy. Calubihan • Juan P. Galacio Maco, Compostela Valley Asuncion, Davao Del Norte Banaybanay, Davao Oriental Brgy. Captain - Brgy. Maligaya • Noemi F. Gadong • Francisco O. Cabalisa • Emedio S. Mante Malaybalay, Bukidnon Brgy. Captain - Brgy. Malamodao Brgy. Captain - Brgy. Canatan Brgy. Captain - Brgy. Cabangcalan • Paciencia R. Gamboa Maco, Compostela Valley Asuncion, Davao Del Norte Banaybanay, Davao Oriental Brgy. Captain - Brgy. 08 • Carmen C. Mira • Jocelyn R. Magtulis • Sergio P. Marcos Malaybalay, Bukidnon Brgy. Captain - Brgy. Langgam Brgy. Captain - Brgy. Dujali Brgy. Captain - Brgy. Rang-ay • Jocelyn B. Rodriguez Maco, Compostela Valley Braulio E. Dujali, Davao Del Norte Banaybanay, Davao Oriental Brgy. Captain - Brgy. Nazareth • Roland D. Alviso • Florencio E. Padasas Cagayan De Oro, Misamis Oriental Brgy. Captain - Brgy. Bawani Brgy. Captain - Brgy. New Casay SECOND TIME AWARDEES Mawab, Compostela Valley Braulio E. Dujali, Davao Del Norte DAVAO REGION (Region 11) • Melchor C. Ang, Sr. • Romel J. Beldua CENTRAL LUZON (Region 3) • CESAR C. COLINA, SR. Brgy. Captain - Brgy. Nuevo Iloco Brgy. Captain - Brgy. Luna • Rosemarie I. Torres Mayor - Maragusan, Compostela Valley Mawab, Compostela Valley Kapalong, Davao Del Norte Brgy. Captain - Brgy. Rizal, Anao, Tarlac • TEOPISTA T. JAUOD • Victorino N. Delgado • Arturo M. Beltran, Jr. • Wilfredo G. Velasco Mayor - Montevista, Compostela Valley Brgy. Captain - Brgy. Concepcion Brgy. Captain - Brgy. Mabantao Brgy. Captain - Brgy. Bantog • EDGARDO L. TIMBOL Mawab, Compostela Valley Kapalong, Davao Del Norte Anao, Tarlac Mayor - Kapalong, Davao Del Norte • Marjorie J. Donato • Baltazar R. Solis, Jr. • Harry C. Cabiling Brgy. Captain - Brgy. Malinawon Brgy. Captain - Brgy. Sampao BICOL REGION (Region 5) Brgy. Captain - Brgy. San Miguel Mawab, Compostela Valley Kapalong, Davao Del Norte • Manuel B. Bangate Compostela, Compostela Valley • Joseph Arvin S. Garillos • Maria Theresa R. Timbol Brgy. Captain - Brgy. Malama • Ramon A. Eyas Brgy. Captain - Brgy. Salvacion Brgy. Captain - Brgy. Maniki Ligao, Albay Brgy. Captain - Brgy. Mangayon Mawab, Compostela Valley Kapalong, Davao Del Norte • Nicolas S. Aluzan Compostela, Compostela Valley • Elena M. Tambis • Letecia C. Cabactulan Brgy. Captain - Brgy. Ponglon • Felipe C. Vibora Brgy. Captain - Brgy. Saosao Brgy. Captain - Brgy. Lower Panaga San Jose, Camarines Sur Brgy. Captain - Brgy. Siocon Mawab, Compostela Valley Panabo City, Davao Del Norte Compostela, Compostela Valley • Nestor S. Tormis • Sabino L. Hista WESTERN VISAYAS (Region 6) • Benjamen L. Amahan Brgy. Captain - Brgy. Tuboran Brgy. Captain - Brgy. Kauswagan • Caroline Mendoza Brgy. Captain - Brgy. Naga Mawab, Compostela Valley Panabo City, Davao Del Norte Brgy. Captain - Brgy. Calumangan Laak, Compostela Valley Bago, Negros Occidental
July - August 2011 I HEALTHbeat 41 • Severino G. Villanueva • EMMANUEL T. PRADO Brgy. Captain - Brgy. Napoles Mayor - Camaligan, Camarines Sur Bago, Negros Occidental • Elmer A. Lorica • Dionesio J. Villaruz Brgy. Captain - Brgy. Mi-isi Brgy. Captain - Brgy. Cadiz Viejo Daraga, Albay Cadiz, Negros Occidental • Pedro S. Patriarca • Bartolome E. Barbon Brgy. Captain - Brgy. Mauraro Brgy. Captain - Brgy. Pinowayan Guinobatan, Albay Don Salvador Benedicto, Negros Occidental • Melquiades T. Bellen, Jr. • Juanito D. Pedrosa, Jr. Brgy. Captain - Brgy. Catburawan Brgy. Captain - Brgy. Kumaliskis Ligao, Albay Don Salvador Benedicto, Negros Occidental • Amado V. Manlangit • Rolando A. Cabasag Brgy. Captain - Brgy. Pandan Brgy. Captain - Brgy. San Rafael Ligao, Albay Hinoba-An, Negros Occidental • Mario O. Olarte • Nicasio E. Caderon Brgy. Captain - Brgy. Tagpo Brgy. Captain - Brgy. Gil Montilla Ligao, Albay Sipalay, Negros Occidental MORE BLOOD. MORE LIVES. Young police officers donate their precious blood to • Eleuterio L. Quililan • Jose D. Dignadice save lives during the blood letting activity at the Ynares Complex in Antipolo City Brgy. Captain - Brgy. Cavasi Brgy. Captain - Brgy. VI-A during the World Blood Donors Day on June 14. (Photo by Romy Caparas) Ligao, Albay Victorias, Negros Occidental • Lourdes R. Rolda • Melba A. Silava Brgy. Captain - Brgy. Tomolin Brgy. Captain - Brgy. XVIII-A • Rene S. Hingone, Sr. • Yolindo C. Solamo, Sr. Ligao, Albay Victorias, Negros Occidental Brgy. Captain - Brgy. Camansa Brgy. Captain - Brgy. Poblacion • Ernesto R. Arandia Asuncion, Davao Del Norte Banaybanay, Davao Oriental Brgy. Captain - Brgy. Tablon, Oas, Albay DAVAO REGION (Region 11) • Eduardo A. Domat-ol SOCCSKSARGEN (Region 12) • Ramon Jr. B. Mirasol • REYNALDO B. NAVARRO Brgy. Captain - Brgy. Sua-on • Antonio S. Alegada Brgy. Captain - Brgy. Bombon Mayor - Laak, Compostela Valley Kapalong, Davao Del Norte Brgy. Captain - Brgy. Macebolig Tabaco, Albay • MARCELINO A. PERANDOS • Rufo G. Galvan Kidapawan, North Cotabato • Edgardo O. Abarro Mayor - Carmen, Davao Del Norte Brgy. Captain - Brgy. Capungagan • Ronnie L. Duak Brgy. Captain - Brgy. San Jose • NESTOR L. ALCORAN Kapalong, Davao Del Norte Brgy. Captain - Brgy. Nuangan Bombon, Camarines Sur Mayor - New Corella, Davao Del Norte • Edgar A. Yongque Kidapawan, North Cotabato • Harry S. Benitez • PEDRO T. MEJOS Brgy. Captain - Brgy. Limbaan Brgy. Captain - Brgy. San Antonio Mayor - Banaybanay, Davao Oriental New Corella, Davao Del Norte FIRST TIME AWARDEES Bombon, Camarines Sur • Wilfredo C. Ang • Dominador J. Mosa • Augusto O. Laure Brgy. Captain - Brgy. Poblacion Brgy. Captain - Brgy. Dapco CORDILLERA ADMINISTRATIVE Brgy. Captain - Brgy. San Roque Compostela, Compostela Valley Panabo City, Davao Del Norte REGION (CAR) Bombon, Camarines Sur • Florencio B. Felisilda • Dizon P. Namuag, MBA • CHRIS MARK S. DELA CRUZ • Ferdinand V. Brazil Brgy. Captain - Brgy. Cabuyoan Brgy. Captain - Brgy. New Visayas Mayor - Rizal, Kalinga Brgy. Captain - Brgy. Sto. Domingo Mabini, Compostela Valley Panabo City, Davao Del Norte • Flordeliza D. Magkilat Bula, Camarines Sur • Rando S. Masig • Vicente C. Pagaduan Brgy. Captain - Brgy. Calaocan • Juanito B. Escaro Brgy. Captain - Brgy. Libudon Brgy. Captain - Brgy. Sindaton Rizal, Kalinga Brgy. Captain - Brgy. Fabrica Mabini, Compostela Valley Panabo City, Davao Del Norte Calabanga, Camarines Sur • Ray S. Nebrea • Criselda S. Soriano CAGAYAN VALLEY (Region 2) • Edgardo Sargento Brgy. Captain - Brgy. Pindasan Brgy. Captain - Brgy. Sinayawan • Jovito R. Allam Brgy. Captain - Brgy. Sibobo Mabini, Compostela Valley Hagonoy, Davao Del Sur Brgy. Captain - Brgy. Cabasan Calabanga, Camarines Sur • Pacita B. Obeja • Lorcel F. Colango Penablanca, Cagayan • Jose Ruperto S. Sinogba Brgy. Captain - Brgy. Anislagan Brgy. Captain - Brgy. Paniquian Brgy. Captain - Brgy. Labao Maco, Compostela Valley Banaybanay, Davao Oriental CENTRAL LUZON (Region 3) Libmanan, Camarines Sur • Carlito N. Aton • Merlita O. Dimpas • Manolito C. de la Cruz, Sr. • Josephine G. Fandiño Brgy. Captain - Brgy. Tagnocon Brgy. Captain - Brgy. Caganganan Brgy. Captain - Brgy. Sipat Brgy. Captain - Brgy. Colacling Nabunturan, Compostela Valley Banaybanay, Davao Oriental Plaridel, Bulacan Lupi, Camarines Sur • Susana A. Calooy • Valerio P. Literatus Jr. • Maximo V. Lazaro • Rogel Abel A. Flores Brgy. Captain - Brgy. Magsaysay Brgy. Captain - Brgy. Puntalinao Brgy. Captain - Brgy. Agnaya Brgy. Captain - Brgy. Sto. Domingo New Bataan, Compostela Valley Banaybanay, Davao Oriental Plaridel, Bulacan Milaor, Camarines Sur • Celso D. Lariwan • Nenita B. Obeniet • Oliver S. Espera • Gerry M. Sta. Ana Brgy. Captain - Brgy. Napnapan Brgy. Captain - Brgy. Mogbongcogon Brgy. Captain - Brgy. San Martin de Porres Brgy. Captain - Brgy. Amparado Pantukan, Compostela Valley Banaybanay, Davao Oriental San Jose Del Monte, Bulacan Milaor, Camarines Sur • Omar B. Muñoz • Rene R. Quibo • Cesar C. Bautista • Marciano C. Balderaje Brgy. Captain - Brgy. Bongbong Brgy. Captain - Brgy. Piso Brgy. Captain - Brgy. Casili, Anao, Tarlac Brgy. Captain - Brgy. Pipian Pantukan, Compostela Valley Banaybanay, Davao Oriental San Fernando, Camarines Sur • Edgar T. Castillo, RN • Diosdado M. Satera, Sr. BICOL (Region 5) • Juan P. Olbara Brgy. Captain - Brgy. Cambanogoy Brgy. Captain - Brgy. Maputi • LUISA DC. ANGELES Brgy. Captain - Brgy. Dolo Asuncion, Davao Del Norte Banaybanay, Davao Oriental Mayor - Bombon, Camarines Sur San-Jose, Camarines Sur
42 HEALTHbeat I July - August 2011 • Anacorita I. Dullas • Francisco D. Oplas • PEDRO F. CAMINERO, JR. • Lucrecio R. Royo Brgy. Captain - Brgy. South Villazar Brgy. Captain - Brgy. Ara-al Mayor - Padada, Davao Del Sur Brgy. Captain - Brgy. Kimamon Sipocot, Camarines Sur La Carlota, Negros Occidental • Graciano T. Abellanida Santo Tomas, Davao Del Norte • Cassidy S. Buatag Brgy. Captain - Brgy. Banbanon • Vicente A. Chatto WESTERN VISAYAS (Region 6) Brgy. Captain - Brgy. VII Laak, Compostela Valley Brgy. Captain - Brgy. San Agustin • ALFREDO G. MARANON, JR. Victorias, Negros Occidental • Nestor C. Sevillano Tagum City, Davao Del Norte Governor - Negros Occidental • Alexander L. Palanca Brgy. Captain - Brgy. Tagnanan • Merlinda A. Dumat • AGUSTIN ERNESTO G. BASCON Brgy. Captain - Brgy. III Mabini, Compostela Valley Brgy. Captain - Brgy. New Balamban Mayor - Himamaylan, Negros Occidental Victorias, Negros Occidental • Fervencio A. Apit Tagum City, Davao Del Norte • EVELIO R. LEONARDIA Brgy. Pangi, Maco, Compostela Valley • Rodito B. Pielago Mayor - Bacolod City, Negros Occidental EASTERN VISAYAS (Region 8) • Romel L. Albarico Brgy. Captain - Brgy. San Isidr • ALEJANDRO Y. MIRASOL • DOMINADOR O. AGAJAN Brgy. Captain - Brgy. Lahi Tagum City, Davao Del Norte Mayor - Binalbagan, Negros Occidental Mayor - Almeria, Biliran Maragusan, Compostela Valley • Silverio P. Quibradero • Danilo U. Famoso • ROMEO M. GOMEZ • Ernesto G. Abucay Brgy. Captain - Brgy. Pagsabangan Brgy. Captain - Brgy. Sampinit Mayor - Hinunangan, Southern Leyte Brgy. Captain - Brgy. Libasan Tagum City, Davao Del Norte Bago, Negros Occidental • Evangeline Y. Ganoza Nabunturan, Compostela Valley • Amelita C. Armecin • Sergio T. Piansay Brgy. Captain - Brgy. Victory • Tito R. Amora Brgy. Captain - Brgy. Tagansule Brgy. Captain - Brgy. Poblacion Abuyog, Leyte Brgy. Captain - Brgy. Kao-Sto. Niño Malalag, Davao Del Sur Bago, Negros Occidental • Jonathan L. Balo Nabunturan, Compostela Valley • Victorino C. Fernandez • Jacinto V. Torres, Jr. Brgy. Captain - Brgy. Tahusan • Elsa A. Daanoy Brgy. Captain - Brgy. Tubalan Brgy. Captain - Brgy. Don Jorge Araneta Hinunangan, Southern Leyte Brgy. Captain - Brgy. San Roque Malita, Davao Del Sur Bago, Negros Occidental • Apolonio F. Engcoy Nabunturan, Compostela Valley • Filomeno M. Uy • Helen Doza Brgy. Captain - Brgy. Sto Niño • Cirila A. Engbino Brgy. Captain - Brgy. Bolila Brgy. Captain - Brgy. Sicaba Hinunangan, Southern Leyte Brgy. Captain - Brgy. Tagdangua Malita, Davao Del Sur Cadiz, Negros Occidental Pantukan, Compostela Valley • Ptolemy T. Lanticse • Rodel Evidente ZAMBOANGA PENINSULA (Region 9) • Cecilio B. Cinco Brgy. Captain - Brgy. Palili Brgy. Captain - Brgy. Burgos • JAMES L. YECYEC Brgy. Captain - Brgy. Camoning Padada, Davao Del Sur Cadiz, Negros Occidental Mayor - Pitogo, Zamboanga Del Sur Asuncion, Davao Del Norte • Juliver A. Sarno • Jose Dino Hautea • Leo E. Manunday • Cornelio C. Adaya Brgy. Captain - Brgy. Harada Butai Brgy. Captain - Brgy. 8 Brgy. Captain - Brgy. Liguac Brgy. Cebulano, Padada, Davao Del Sur Cadiz, Negros Occidental Pitogo, Zamboanga Del Sur Carmen, Davao Del Norte • Cipriano M. Sayson, Jr. • Nyorlito Jubay • Harrisio B. Vendencia • Lynsiel C. Inso Brgy. Captain - Brgy. Punta Piape Brgy. Captain - Brgy. Bonifacio Brgy. Captain - Brgy. Colojo Brgy. Captain - Brgy. Aleja Padada, Davao Del Sur Cadiz, Negros Occidental Pitogo, Zamboanga Del Sur Carmen, Davao Del Norte • Ronald D. Chavez - Brgy. Mahayag • Aladino S. Lumayno • Apolonio T. Ledesma Banaybanay, Davao Oriental Brgy. Captain - Brgy. Balintawak NORTHERN MINDANAO (Region 10) Brgy. Captain - Brgy. Tubod • Ruel Q. Diola Escalante, Negros Occidental • IGNACIO W. ZUBIRI Carmen, Davao Del Norte Brgy. Captain - Brgy. Causwagan • Salvacion G. Gonzales Mayor - Malaybalay City, Bukidnon • Visluminda P. Librero Banaybanay, Davao Oriental Brgy. Captain - Brgy. Mambagaton • DEXTER B. YASAY Brgy. Captain - Brgy. Anibongan, • Renato D. Miguel, Sr. Himamaylan, Negros Occidental Mayor - Opol, Misamis-Oriental Carmen, Davao Del Norte Brgy. Captain - Brgy. Pintatagan • Jonathan B. Guancia • Marbie S. Binahon • Romeo D. Obial Banaybanay, Davao Oriental Brgy. Captain - Brgy. Poblacion 2 Brgy. Captain - Brgy. 2 Brgy. Captain - Brgy. Mabaus • Vicente G. Montera Himamaylan, Negros-Occidental Malaybalay, Bukidnon Carmen, Davao Del Norte Brgy. Captain - Brgy. San Vicente • Pablo M. Libo-on • Michael P. Daniot • Romeo L. Flores Banaybanay, Davao Oriental Brgy. Captain - Brgy. Caradi-on Brgy. Captain - Brgy. 03 Brgy. Captain - Brgy. Katipunan Himamaylan, Negros-Occidental Malaybalay, Bukidnon Kapalong, Davao Del Norte CARAGA (Region 13) • Elbert B. Miguel • Edgar P. Evacuado • Nestor D. Galos • ERNESTO T. MATUGAS Brgy. Captain - Brgy. San Antonio Brgy. Captain - Brgy. 10 Brgy. Captain - Brgy. Mamacao Mayor - Surigao City, Surigao Del Norte Himamaylan, Negros Occidental Malaybalay, Bukidnon Kapalong, Davao Del Norte • Aladino M. Quiquiles • Zaldy T. Singatao • Vicente F. Cardeño, Jr. Brgy. Captain - Brgy. Poblacion 4 Brgy. Captain - Brgy. Kulaman Brgy. Captain - Brgy. Patrocenio Himamaylan, Negros Occidental Malaybalay, Bukidnon New Corella, Davao Del Norte • Francisco L. Bilbao • Virgilio G. Tadlas • Danilo D. Mahinay Brgy. Captain - Brgy. Po-ok Brgy. Captain - Brgy. Magsaysay Brgy. Captain - Brgy. New Cortez Hinoba-An, Negros Occidental Malaybalay, Bukidnon New Corella, Davao Del Norte • Myra A. Cardinal • Jacinto G. Tadlas • Rodolfo O. Comidoy Brgy. Captain - Brgy. Asia Brgy. Captain - Brgy. Casisang Brgy. Captain - Brgy. Poblacion Hinoba-An, Negros Occidental Malaybalay, Bukidnon New Corella, Davao Del Norte • Ma. Teresita B. Sarino • Fernando U. Candol Brgy. Captain - Brgy. Daug DAVAO REGION (Region 11) Brgy. Captain - Brgy. Tibungol Hinoba-An, Negros Occidental • JESSIE S. BOLO Panabo City, Davao Del Norte • Elmar O. Aries Mayor - Compostela, Compostela Valley • Rex C. Mellijor Brgy. Captain - Brgy. RSB • ROMEO C. CLARIN Brgy. Captain - Brgy. Sta. Cruz La Carlota, Negros Occidental Mayor - Nabunturan, Compostela Valley Panabo City, Davao Del Norte
July - August 2011 I HEALTHbeat 43 KALAbeat Kilig Moments
Kilig Fight 2 Days
EDGAR: Sobrang tamlay ng pag-ibig ko... DINKY: Ginawa ko naman lahat eh. EMAN: Pumayag ka na please... BRIAN: Talaga, ‘pre?!? Minahal kita sa paraan na Dalawang araw lang naman EDGAR: Oo, pag-ihi na lang ang dahilan alam ko. Pero, bakit naging kitang mamahalin... ng pagkilig ko... ganun pa rin? ELLEN: Dalawang araw lang?!? TERE: Are you starting a fight with me? EMAN: Oo… ARAW-ARAW. Type DINKY: No, I’m just finding a reason to fight for you. 4 Words ED: Anong blood type mo? MAY: Type O. Eh ikaw? Away MARIO: There are only four words that is ED: Type ko? U. so much better than I LOVE YOU. FRANK: Nag-away na naman kami EVELYN: I love you, too?!? Hirap ng girlfriend ko. MARIO: No! That is – I’M HERE TO STAY. ERNIE: Sabihin mo lang yung dalawang JOAN: Kaya naman naghihirap ang salita na gustong-gustong Quote Pilipinas eh… marinig ng mga babae. JUN: Dahil ba sa mga corrupt sa FRANK: “Mahal Kita”? “It’s not the goodbye that hurts... gobyerno? ERNIE: Hindi. “Mali ako.” but the flashbacks that follow.” JOAN: Hindi, dahil lagi na lang tayong nagmamahalan.
Bagyo
FRANCIS: Bagyo ka ba? LUZ: Uh, ah, hindi, bakit? FRANCIS: Kasi the moment you left my area of responsibility, you leave my heart in the state of calamity!
Daan
NITO: Dadaan pa ba ako sa inyo? EDNA: Ikaw?!? Ikaw ang bahala. NITO: O, didiretso na lang ako sa puso mo? BASAGAN NG MOMENT! Photo grabbed from a Facebook post.
(-: Jokes and photo from the Internet :-)
44 HEALTHbeat I July - August 2011 Muslim HEALTH
GULAYAN sa Paaralan by TATO M. USMAN, MD, MPAIM DOH Center for Health Development - Autonomous Region in Muslim Mindanao
Low Intake of Fruits & Veggies stroke, diabetes and many types of cancer. Several studies claim that dietary fiber delays A recently published WHO/Food and the absorption of carbohydrates after a meal The World Health Organization Agriculture Organization report recommends and thereby decreases the concentration (WHO) said about 1.7 million (2.8%) of a minimum of 400 grams of fruit and of insulin in the blood. It increases satiety, deaths globally is attributed to low fruit vegetables per day (excluding potatoes and reduces hunger, and decreases energy intake & vegetables consumption. Particularly, other starchy tubers) for the prevention and hence contributes to weight control it is estimated to cause around 14% of of chronic diseases such as heart disease, and avoidance of obesity which may lead to gastrointestinal cancer deaths, around 11% cancer, diabetes and obesity, as well as for type 2 diabetes. In addition, water-soluble of ischemic heart disease deaths and around the prevention and alleviation of several dietary fiber decreases both total and 9% of stroke deaths. In the WHO Western micronutrient deficiencies, especially in less low-density lipoprotein (LDL) cholesterol Pacific Region, where the Philippines belong, developed countries. while not affecting levels of high-density low intake of fruits and vegetables ranks as Many constituents and functional lipoprotein (HDL) cholesterol. Dietary fiber is the fourth leading risk factors attributable to aspects of vegetables may be responsible also associated with lower blood pressure in death. for their apparent protective effects on the several observational studies. In the Philippines, only 19% development of diabetes and cardiovascular Dietary folate, on the other hand, of national population eat fruits and diseases (CVDs). Among these are have vasculoprotective effects, meaning it vegetables more than four times a day. The fibers, folate, potassium, magnesium, has the ability to protect the vascular system recommended standard should be 100% phytoestrogens and antioxidant contents. from damage. In one randomized control eating five servings daily. Other components of vegetables like trial, supplementation of the diet with folic According to the National Cancer vitamins, minerals and phytochemicals acid and vitamin B6 was shown to reduce Institute (NCI), eating vegetables reduces may play a role in the prevention of chronic markers of endothelial dysfunction and the risk of hypertension, heart disease, noncommunicable diseases. progression of subclinical atherosclerosis.
July - August 2011 I HEALTHbeat 45 Part of implementing strategies is the creation of Agri-Pinoy Implementing Team (APIT) consisting of key players and stakeholders in the Department of Health, National Nutrition Council, Department of Social Welfare and Development, Department of Agrarian Reform, Department of Environment and Natural Resoruces and the Department of the Interior and Local Government to be led by the DA. Other strategies include masterlisting of eligible schools, social preparation and value formation by identified focal person of APIT, training programs on growing vegetables using self-produce organic fertilizer and the establishment of school gardens. One of the training programs on Gulayan sa Paaralan held in ARMM. In the Autonomous Region in Muslim Mindanao, several training programs Meanwhile, dietary potassium identified in commonly consumed fruits, to implement the Gulayan sa Paaralan have is said to lower blood pressure in both vegetables, and whole grains. Soybeans, been conducted which were participated by hypertensive and normotensive persons, clover and alfalfa sprouts, and oilseeds (such elementary and high school educators and while dietary magnesium plays an important as flaxseed) are the most significant dietary some LGU representatives in the region. role in insulin action, and hypomagnesemia sources of isoflavones, coumestans, and is well recognized in persons with diabetes. lignans, respectively. Planting and Eating in Islam Hypomagnesia may impair insulin secretion and promote insulin resistance in diabetic Increasing Vegetable Intake In Islamic perspective, everybody patient. is encouraged to plant fruits, vegetables Dietary antioxidants, or substances At the start of the year, and other crops as part of food security. in food that act like a broom in sweeping Agriculture Secretary Proceso J. Alcala Anent this, Prophet Muhammad (peace and away harmful chemicals in the body, issued Administrative Order No. 5 on the blessings be upon him) said: “Whoever plants stimulate the production of antibodies and Programang Agrikulturang Pilipino – Gulayan a crop thereby eaten by man or animal or interferon that protects the body from viral sa Paaralan (Vegetable Garden in School). bird is charity” (narrated by Al-Bukharie). invaders and cancer cells thereby building This is consistent with the Department of This means that the one who planted the the body’s immune system. This process Agriculture’s goal to attain food self-reliance plants will gain charity as reward if it is eaten may not be achieved overnight but it is a and self-sufficiency via vegetable growing. by animal or even stolen by somebody but guarantee that a body with a strong immune Specifically, the program aims the stealer will incur sin. system will not be prone to viral attack. The to promote vegetable production through Moreover, growing vegetables in dietary antioxidants are Vitamin E, Vitamin natural farming in public elementary and school is part of physical activity or exercise. C, and Selenium. high schools, to establish or maintain Likewise, using organic fertilizer is healthier Dietary phytoestrogens – broadly school gardens to serve as food basket practice. The Prophet was reported to have defined to include isoflavones, coumestans, or main source of vegetables to sustain said: “The stomach is the tank of the body and lignans – play an important role in supplementary feeding and to showcase and the veins go down to it. When the prevention of menopausal symptoms, small-scale food production model in schools stomach is healthy the veins come back in osteoporosis, cancer, and heart disease. A for the household communities to replicate a healthy condition, but when it is in a bad number of these compounds have been and promote family food security. condition, they return diseased.”
46 HEALTHbeat I July - August 2011 LIFESTYLE camp Taiwan Adventist College’s HEALTH 100 by ELIZABETH G. MASCAREÑAS HEALTHbeat Staff Nutrition is one of the most Taiwan because of its natural environment. powerful and important elements that The TAC has three departments – Theology, affect proper health. The food we take English and Health Promotion. everyday matters to our physical health. In Health Promotion, students This is the concept of “Health 100,” a 10-day are trained for health ministry work. They community immersion program or “lifestyle undergo training on hydrotherapy, massage, camp” of the health promotion department natural remedies and lifestyle management. of the Taiwan Adventist College (TAC). Health ministry is proven as a useful tool to Taiwan is historically known as reach more people and spread the gospel. “Formosa,” meaning beautiful island. It is “Health 100” is a health promotion an island of East Asia the western Pacific program designed to prevent chronic Ocean and located off the southeast coast of diseases and help people who had developed mainland China. The island forms over 99% conditions such as hypertension, diabetes, of the current territory of the Republic of or high blood cholesterol control to recover China (ROC) following the Chinese Civil War from their conditions in the most natural in 1950. way. This program is based on the Adventist In 1951, the Taiwan Adventist Church’s eight healthy principles called College (TAC) was founded. It is one of the “NEWSTART” — balance Nutrition, regular 5,000 Seventh-day Adventist education Exercise, drink enough Water, Sunlight, institutes around the world and considered Temperance, fresh Air, proper Rest and Trust as one of the most beautiful campus in in God.
The author (extreme left is one of the participants of the Health 100 - Lifestyle Camp.
July - August 2011 I HEALTHbeat 47 During the 10-day program, they have more nutrient contents than white opportunity for the facilitators to interview participants learn how to exercise, cook sugar. Moreover, the use of seeds (sesame, the participants and know the changes or nutritious food and eat properly as well as sunflower, pumpkin, flex) and nuts (almond, improvements they have experienced during engage in spiritual reformation. Also, by cashew, walnut) are encouraged because the program. applying the eight healthy principles, the they are good sources of unsaturated fatty The use of natural and plant base body system gradually excretes accumulated acids and antioxidants like vitamin E. They food sources will largely reduce the danger toxins and restores its self-healing power also help the body reduce excess blood of toxins found in processed or animal food, that God has set in the body. Finally, recovery cholesterol, fight disorders and build strong which is one of the causes of acquiring of the body’s proper function happens and cells. cancer and/or chronic diseases. health is regained. Participants are also taught to During the program, participants In the “Health 100” lifestyle camp, take vegetable and fruits not in same meal, are required to take biochemical test, before the nutrition aspect applies the principles of meaning fruits should be taken on an empty and after 10 days. The test results would low salt, low fat with no refine oil, low sugar stomach to detoxify your system, especially show lifestyle changes that would give great with no refine sugar, and no animal products, for those who have digestive problems. After impact in blood cholesterol, triglyceride, but use whole grains, vegetables and fruits each meal, participants are also encouraged blood sugar and blood pressure control. abundantly. No refine sugar means the use to do brisk walking around the campus Some of the participants have lost weight of molasses, dates or honey only because for at least 10 minutes. This becomes an from 1 to 3 kilograms after the program. HEALTH 100 Sample Recipes Pumpkin Macaroni Soup Ingredients: Pumpkin (medium size) 1kg Macaroni 300g Black mushroom 2-3pcs Carrot (diced) 1/2cup Onion (diced) 1 cup Salt to taste Cashew nut (unbaked) 1/2 cup Soy milk (optional) 1/2cup Parsley (fresh or dry) pinch
Steps: 1. Peel the pumpkin and remove seeds, cut into cubes, and steam until soft. When the pumpkin becomes soft, mash it with a spoon or fork. 2. In a blender, blend 1/2 cup of cashew nuts with 1/2 cup of water, until it becomes very fine liquid. Set aside. 3. Soak the black mushroom in water, until soft, cut into cube. 4. Boil macaroni until cooked. 5. In a cooking pan, boil 1 cup of water. When water is boiling, add onion, cook until it turned transparent. Add another 3-4 cups of water(you may adjust the amount of water). Put diced carrot and black mushroom. Cook until carrot becomes soft. 6. Add mashed pumpkin into soup, cook for 2-3minutes, and then add cooked macaroni, blended cashew nut liquid and soy milk (optional). Add salt to taste. 7. Sprinkle fresh or dry parsley, and then turn off the fire.
48 HEALTHbeat I July - August 2011 oral HEALTH Smart ORAL HEALTH Practices Oral health is forget fruits and vegetables. essential to general health and • Don’t share toothbrush wellbeing. By practicing good or eating utensils with the baby. dental habits with children The bacteria in one’s mouth can at home, visiting the dentist cause tooth decay in the child. regularly and following a • Check the baby’s teeth balanced diet, parents can help and gums for early tooth decay. keep their children smiling with Look for white spots on the teeth, confidence. swelling, bleeding or pimples on Unfortunately, many the gums. children are without proper oral • When the child is health care and can develop about 2 years old, help her brush severe tooth decay, known as with a small amount of fluoride early childhood caries. Children toothpaste twice a day. experiencing tooth decay • Ask the dentist about can suffer from severe pain, fluoride or fluoridated drinking problems eating and speaking, water and other ways to protect and an inability to concentrate child’s teeth. and do well in school. • Supervise children The following tips to while they brush their teeth, parents and caregivers can help making sure they use a small children ages 0 to 5 develop amount of toothpaste and brush healthy oral health habits to thoroughly. Young children need protect their teeth for a lifetime: help brushing their teeth until • Breastfeed the baby. they are about 7 years of age. Smile, Denise, smile... (Photo by Cristina Gamboa-Juatchon) This will prevent painful early • Show and help the childhood caries or what is child how to floss until he/ known as baby bottle tooth decay which is training cups at 6 months of age. she develops the skills to do it on his/her acquired by letting the baby fall asleep with • Give the child water rather than own. Remember, parents are children’s first a bottle in the mouth. juice when thirsty. After six months of age, teacher and can help them develop healthy • Wipe or brush baby’s teeth one small serving of juice a day is sufficient. habits that last a lifetime. daily, especially after eating, with a clean • Once the baby is eating solid Smart oral health practices are just washcloth or a moist, soft child’s toothbrush, foods, limit the number of sweet and sticky one step in preparing children to reach their without toothpaste. foods. Instead, offer a variety of healthy greatest potential in school and in life. • Encourage the child to use foods from all of the food groups. Don’t - o O o -
July - August 2011 I HEALTHbeat 49 SAbeat Food Trip READER DISCRETION IS ADVISED Bigas
TITSER: Class, alam niyo ba na ang bawat butil ng bigas ay galing sa dugo at pawis ng mga magsasaka? CLASS: Eeewww! Yuck! Kadiri! Chocolates Pizza
Kanin ROSIE: I love how chocolates melt in my Sa Pizza Hut... hands... NOEL: Anong mga specialties n’yo dito? Sa isang dinner date, napansin ng lalaki na BECCA: Bakit naman, Mare?!? WAITER: Sir, we serve all kinds of pizza. ang kanyang date na may kulangot malapit ROSIE: Ano ka ba? Isa lang ibig sabihin NOEL: Talaga?!? Bigyan mo nga ako ng sa kanyang labi... nun... I’m so hot! Shakey’s! GERRY: Ah, eh... may kanin ka yata near your upper lip. Itlog Na Pula Burger JUVY: (Dinilaan niya ito) Ikaw talaga, hindi naman kanin eh... ULAM! Sa palengke... Nakita ng customer kung paano inipit ng cook MARIBETH: Mare, kapag nakakakita ako ng sa kanyang kilikili ang hamburger... Dinner itlog na pula, naalala ko ‘yung RIA: ‘Yan na ang pinakababoy na kumpare mo... nakita ko sa restaurant ninyo! ABBY: Nag-dinner kami ng BF ko kagabi. JOSIE: Bakit, Mare? Ganoon ba kalaki COOK: Ma’am, hindi pa ninyo nakikita Impressed ako, ang laki ng resto, ang itlog ni pare? kung paano ko ginagawa yung ang dami ng choices. MARIBETH: Hindi. Ganoon kaalat! donut! BETH: Ows? Ano pangalan ng resto? ABBY: Food Court. Siopao Beer
Cake Sa Restaurant... OSCAR: Kuha mo pa nga ako ng beer... EDWIN: Siopao nga, yung babae. DELIA: Hoy! Tama na yang beer mo JUNJUN: Pare, tikman mo itong cake. WAITRESS: Babae? masyado ka magastos! Masarap! Gawa ng Mommy ko EDWIN: Oo, yung may papel na sapin, OSCAR: Ikaw, ang mga make-up mo ang ‘yan! parang napkin. magastos! AJIE: Ikaw na lang titikman ko, pare. WAITRESS: Ah! Lalaki ang nandito. DELIA: Nagpapaganda ako para sayo! Tutal gawa ka din naman ng EDWIN: Lalaki? OSCAR: Ako naman, umiinom para Mommy mo. I Love You, Pare! WAITRESS: May itlog po! gumanda ka!
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50 HEALTHbeat I July - August 2011