Philippine Red Cross COVID-19 Operation Report As of May 13,2020
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Philippine Red Cross COVID-19 Operation Report as of May 13,2020 Situational Overview On 31 December 2019, Wuhan city in China reported cases of pneumonia of unknown origin, which was later confirmed to be caused by a new coronavirus now known as COVID-19. COVID-19 continues to spread, affecting 208 countries across all continents of the world. On 30 January 2020, World Health Organization (WHO) declared the COVID-19 outbreak a public health event of international concern. This is a call to action for all countries to be prepared for containment, including active surveillance, early detection, isolation, and case management, contact tracing and prevention of further spread. On 11 March 2020, following concerns about the level of spread and severity, WHO assessed that COVID-19 now characterized as a pandemic. According to the WHO as of May 13, 2020, a total of 4,139,794 cases and 285,328 deaths had been reported worldwide. In Philippines, on 20 January 2020, the first case of COVID-19 was reported in a 38-year-old female, Chinese national, who subsequently recovered. An immediate investigation and contact tracing were conducted. Her companion, a 44-year-old, male, Chinese national later also tested positive for COVID-19 and died on 1 February 2020. On 5 February 2020, the Department of Health (DoH) confirmed a third case in a 60-year-old Chinese woman who came from Hong Kong to Cebu on January 20 before she travelled to Bohol. After a month without new cases, on 6 March 2020, the DOH announced two cases consisting of two Filipinos. On 7 March 2020, the DoH raised its "Code Red Sub-Level 1", with the recommendation to the President of the Philippine Red Cross COVID-19 Operation Report as of May 13,2020 Philippines to impose a "public health emergency" authorizing the DOH to mobilize resources for the procurement of safety gear and the imposition of preventive quarantine measures. On 9 March 2020, the Philippines President, Rodrigo Duterte issued Proclamation 922, declaring the country to be in a state of public health emergency. On 12 March 2020, the Philippines raised the COVID-19 alert system to “Code Red Sub-Level 2” imposing a partial lockdown of the National Capital Region (NCR) and other mitigation measures, including suspension of classes, mass gatherings and non-essential work, flexible work arrangements, as well as restrictions on land, domestic air and sea travel. On 15 March 2020, President Duterte announced that the entirety of the Luzon island, the country’s largest and most populated island, would be placed under “Enhanced Community Quarantine. (ECQ) until 12 April 2020, and later, extended to May 14, 2020. Other areas of the Philippines outside of Luzon have also implemented ECQ, as well as introduced their own localized restrictions. On 17 March 2020, Duterte issued Proclamation No. 929, declaring the Philippines under a state of calamity for a tentative period of six months. On 24 March, the President signed the “Bayanihan To Heal as One” Act into law, providing him with emergency powers to further strengthen the government response to COVID-19. As of May 13, 2020. The Philippines Department of Health (DoH)’s COVID-19 tracker, the Philippines has recorded the following confirmed cases and deaths. 11,618 8,595 772 2,251 Confirmed Cases Active Cases Deaths of confirmed cases Facility-based recoveries/ completed 14-day home quarantine In accordance with the Philippine Red Cross (PRC) standard operating procedures (SOP), the Operations Centre (OpCen), which functions 24/7, is on heightened alert and has been receiving calls from concerned members of the public since February. With the spike in cases over the past weeks, the OpCen has worked closely with the DoH and standardized questions and answers – especially advice on prevention and treatment options. PRC contributed to the drafting of the COVID-19 National Contingency Planning workshop, organized by DoH and attended by key government agencies on 27-28 February 2020. The COVID-19 response strategy is based on the phase of the epidemic and the PRC role to support the local response. These may change over time, sometimes rapidly. PRC actions on prevention, preparedness and response for the COVID-19 are being implemented under the following pillars: 1) Surveillance; 2) Support to Healthcare Systems and Authorities; 3) Community Action; and 4) Business Continuity. Philippine Red Cross COVID-19 Operation Report as of May 13,2020 Surveillance Photo. RC set-up the Helpline 1158 located in PRC Tower, Mandaluyong City PRC “Helpline (1158)” has been established to take calls related to COVID-19. It is operational 24/7 and run by psychosocial support trained volunteers, who will provide information and advice to people in their own language. This also help address rumors and misinformation related to COVID-19. This service is equally important because of the ongoing community quarantine and other restrictions. Callers with suspected COVID-19 infection are being referred to the authorities for follow up. Recently, as PRC opened its Molecular laboratories, the average calls raised to 200 calls per day seeking for guidance about the COVID 19 testing parameters. Below is the graphical analysis of the calls received and how it is being managed by the team: Inquiries Testing inquiries 19% 22% Inquiries Transported Transported Transported by1% others Coordinated with0% DOH/LGU Transported by others 2% Suspected 3% Coordinated with DOH/LGU Relief concerns 8% Suspected APPOINTMENT Relief concerns Testing inquiries APPOINTMENT 45% Philippine Red Cross COVID-19 Operation Report as of May 13,2020 Mobilization of Red Cross 143 (RC 143) to prepare action plans and guidelines for community-based surveillance of COVID-19. Red Cross 143 is a community-based volunteering initiative implemented by PRC which comprises one (1) team leader and a minimum of 43 members, hence “RC 143”. The RC 143 are well placed to carry out health, disaster risk reduction, and other programs at the community level; provide accurate information based on community questions and concerns; give communities the tools for positive behavior change to reduce the risk of COVID-19 infection; document and correctly answer community feedback (questions, concerns, rumors); and communicate risks. Photo. Community-based surveillance in Ilocos Norte A pilot implementation was done to 21 different chapters nationwide. This allow to test the existing guidelines before its blanket roll out to all chapters. The purpose of this component is to RC 143 volunteers and PRC staff will also be trained on contact tracing processes and procedures ensuring that they can adequately support DOH efforts should they be required. PRC has also launched an RC 143 mobile app, which based on geo-location can trace and notify users who may have contact (direct or indirect) with a COVID-19 patient. Photo. Red Cross 143 mobilization in Lanao del Sur Philippine Red Cross COVID-19 Operation Report as of May 13,2020 Support to Healthcare Systems and Authorities Photos. Red Cross Medical Tents in UP PGH Manila and Quezon Institute. PRC with the support from its partners, has mobilized medical tents to support DOH address the increasing number of COVID-19 cases at designated hospitals. The DoH supplied the staff and manage these facilities. These will be equipped with air conditioners, lighting, hospital beds, power supply, water and sanitation in accordance with protection, gender and inclusion minimum standards including menstrual hygiene management, accessibility ramps and other accessible facilities for people with disabilities, and gender and culturally appropriate consultation and treatment spaces. Philippine Red Cross COVID-19 Operation Report as of May 13,2020 The PRC established molecular laboratories and testing facilities across the nation. Presently, 2 laboratories are now accredited by the DoH while 4 are subject undergoing the accreditation process. PRC staff and volunteers will receive training from the RITM to learn how to operate the testing machines. PRC is working closely with DoH and WHO to ensure that the laboratory follows the necessary accreditation and licensing requirements. This action has significantly increased the testing capacity of the country. Photos. Swabbing sites and molecular laboratory in Mandaluyong City Philippine Red Cross COVID-19 Operation Report as of May 13,2020 As the PRC boosted the testing capacity of the country, below is the trend analysis of performance of PRC molecular laboratories: CUMULATIVE TREND OF Molecular Laboratory: Daily Performance MOLECULAR LABORATORY 4500 40000 4,050 4000 35000 34163510 33,569 3500 30000 29,519 3000 26,009 2,406 25000 2500 22,593 1,980 1,980 20,793 1800 20000 18,813 2000 17,292 1,521 15000 14,886 1500 1,240 1,246 12,906 1,030 1,078 990 11,916 895 962 920867 10,12911,049 10000 8,883 1000 576 626 624 7,805 6,565 399 326 5,603 288 217 5000 4,6534,979 500 136101 99 196 2,7283,623 1,5901,6891,8852,102 0 902263276151,014 0 15-Apr-20 16-Apr-20 17-Apr-20 18-Apr-20 19-Apr-20 20-Apr-20 21-Apr-20 22-Apr-20 23-Apr-20 24-Apr-20 25-Apr-20 26-Apr-20 27-Apr-20 28-Apr-20 29-Apr-20 30-Apr-20 02-May-20 03-May-20 04-May-20 05-May-20 06-May-20 07-May-20 08-May-20 09-May-20 10-May-20 11-May-20 12-May-20 01-May-20 Philippine Red Cross COVID-19 Operation Report as of May 13,2020 PRC Ambulances are mobilized to support DOH with the transportation of suspected and confirmed with COVID- 19 individuals. As part of their overarching improving the response capacity, PRC 6 units of negative pressure ambulances; and “Epi Shuttle” medical isolation and transportation units to appropriately support COVID-19 infected patients.