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Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data Reported by the Department of Health on 30 August 2021

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Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data Reported by the Department of Health on 30 August 2021 Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data reported by the Department of Health on 30 August 2021 Situation summary Please see the Philippines Department of Health (DOH) daily Situation Update for further information. 1,989,857 1,810,847 33,448 13,836,357 Cases Recoveries Deaths Vaccinated • Out of a total 1,989,8571 confirmed cases reported in the Philippines as of 31 August 2021, 51% are male, with the most affected age group 20-29 years (28%). • DOH recorded 145,562 active cases with the majority of the patients exhibiting mild symptoms (139,606; 95.9%). • 27.6% of the total number of active cases are from the National Capital Region (NCR), followed by CALABARZON (22.1%), Central Luzon (12.9%), Central Visayas (5.5%), Western Visayas (4.8%). • Out of the total 33,533 confirmed deaths, 57% are male, with the most affected age group 60-69 followed by the age group 70-79 years and the age group 50-59 years. • 29.6% of the total number of deaths reported are from NCR, followed by Central Luzon (12.7%), CALABARZON (12.5%), Central Visayas (8.6%), Western Visayas (6.6%). • DOH recorded 23,611 health care workers infections of COVID-19. Of these, 23,148 (98.0%) have recovered, 103 (0.4%) have died and 360 (1.5%) were active cases. Of these active cases, 235 (65.3%) were mild cases, 77 (21.4%) were asymptomatic, 24 (6.7%) in severe condition, 9 (2.5%) in critical condition and 15 (4.2%) in moderate condition. • DOH Alert Levels were publicly posted, with 82 areas under Alert Level 4 and 30 areas under Alert Level 3. Escalated to Level 4 from Level 3 are Lucena City (Region 4A), Misamis Occidental (Region 10), and Surigao del Sur (CARAGA). Also escalated to Level 3 from Level 2 is Siquijor province (Region 7) 1 Data as of 31 August 2021 can be found in the following DOH’s BEAT COVID-19 report. 1 Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data reported by the Department of Health on 30 August 2021 Transmission stage assessment The Philippines remains in Stage 2, localized community transmission with some geographic areas showing higher transmission intensity and indications of widespread community transmission. There is ongoing evidence of higher transmission in Region III, Region IV-A and in the NCR which are at Stage 3, large scale community transmission. Regional assessments Among the different regions of the Philippines, a major increase in the number of cases was detected in Region I, Region II and Region X. High mobility trends are seen in Region III, Region IV-A, Region VIII and Region XIII. An increasing trend on ICU and total bed utilization is seen in certain areas of the Regions I, II, III, VI, VIII, XIII and NCR. Cases of Delta variant have been detected in NCR and in the Regions I, III, IV-A, X and XI. The WHO Country Office is closely monitoring trends in areas where cases of Delta variant have been detected and continues to assess the surge capacity of ICU beds, total bed occupancy and oxygen supply at regional and local levels. In terms of the overall situation of the Philippines, there were 115,453 new cases (104.8 cases per 100,000 population) reported in week 34, that is 15% higher than the previous week (100,206 new cases, 90.9 cases per 100,000 population). A higher 7-day positivity rate (number of individuals that tested positive/number of individuals tested) was reported for week 34, 26.4% (117,854/447,178), compared to week 33 at 24.8% (109,590/441,191). There was also an increase in the daily number (7-day average) of COVID-19 dedicated ICU beds occupied (3,018 beds this week compared to 2,925 beds last week). An increase in the use of COVID-19 dedicated mechanical ventilators (7-day average) for week 33 (1,731 ventilators compared to 1,632 ventilators last week) was also observed. Data for analysis was extracted on 30 August 2021 from DOH COVID-19 Case Tracker wherein ROFs and records with no regions were excluded in the analysis. Projected 2021 population (national, n=110,198,654) was used as the denominator. 2 Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data reported by the Department of Health on 30 August 2021 Updates from the last 14 days Epidemiological updates As of 30 August 2021, a total of 1,989,857 confirmed COVID-19 cases and 33,448 deaths have been reported in the Philippines. The case fatality ratio is 1.7%. Epi Update Tests Cases Deaths ICU Occupancy COVID-19 1,126,311 180,049 1,042 73% Tests past 14 days Cases past 14 days Deaths past 14 days 4,225 17,668,960 1,605,762 33,533 ICU beds for COVID-19 cases Cumulative unique Cumulative cases Cumulative deaths individuals tested 12.1 % Cumul. Positivity rate Health service 23,611 1,286 39,773 146,664 provision Healthcare worker cases Hospitals admitting Total hospital beds TTMF beds for COVID-19 as of 31 August COVID-19 patients for COVID-19 COVID-19 cases (cumulative) patients (as of 30 August) 360 68% HCW active cases hospital beds for COVID-19 occupied Strategic approach to COVID-19 Prevention, Detection and Control Health Service Delivery • With the continued increase in hospital usage for COVID-19 patients, rationale use of bed capacity is essential to provide care to those most in need. WHO Philippines discussed with the Department of Health mechanisms on implementing step-up care (a holding area for those awaiting Intensive Care Unit (ICU) admission) and step-down care (an area to transfer patients no longer requiring ICU admission) within hospitals. Several options were considered including the transfer of recovering patients to modular hospitals, Temporary Treatment and Monitoring Facilities (TTMFs), hotel isolation facilities and schools converted into isolation facilities. • WHO visited Ospital ng Makati, a Level 3 hospital with a 300-bed capacity, Pasig City Centralized Isolation Facility, and Philippine International Convention Center Isolation Facility. To ensure the hospital receives only COVID-19 cases requiring hospital care, staff work closely with the City Emergency Medical Services (EMS) and City Epidemiology and Surveillance Unit (CESU) to triage patients and provide consultations through telemedicine. WHO also met with health facilities in Cagayan Valley to discuss pre-hospital triaging systems and healthcare pathways. • PhilHealth approved the Home Isolation Benefit Package and planned for roll-out in part through a Policy and Practice Forum Series. Home isolation remains a key measure for controlling transmission 3 Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data reported by the Department of Health on 30 August 2021 and reserving hospital beds for those who need them most. WHO is supporting this roll-out through presentations and information material. Laboratory and Testing • WHO Philippines supported the Research Institute for Tropical Medicine (RITM) for increased gene sequencing capacity. Five subnational laboratories (two in Manila, one each in North Luzon, Mindanao, and the Visayas) are planned to be equipped with Nanopore MinION technologies. WHO is also supporting the Philippine Genome Center (PGC) on sequence sampling and a vaccine effectiveness study. • WHO analyzed the laboratory network in BARMM and advised on the efficient transport of samples. Two molecular laboratories are being set up in BARMM, one in Maguindanao Provincial Hospital (MPH) and one in Sulu Provincial Hospital. • WHO visited the laboratory of the Lung Center of the Philippines (LCP) where plans are underway to expand their Emerging and Re-emerging Infectious Disease laboratory facility with funding support from Asian Development Bank and World Bank. LCP is seeking government funding support for staffing and operational costs. This facility is set to be the site for laboratory expansion. LCP has also built 5 hospitainers (facilities built from steel containers) that can accommodate additional 100 in-patients. Surveillance and Contact Tracing • WHO is supporting the Epidemiology Bureau COVID-19 Surveillance and Quick Action Unit to finalize a guidance document for Whole Genome Sequencing (WGS) sampling methodology. WHO also conducted an analysis on percent distribution of Whole Genome Sequencing (WGS) samples by lineage and week of collection. Contact Tracing Management • A Joint Administrative Order (DICT, DOH, DILG, and NPC) on the guidelines for the inter-operability of digital tools on Contact Tracing was released by DICT, signed and for routing to other government agencies • WHO Philippines facilitated a peer-learning session on the utilization of digital tools for Contact Tracing between Quezon City and Baguio City. WHO also led the discussion and planning with the private sector through the T3 Task Force (Test, Trace, and Treat), and Quezon City on the potential areas of collaboration on digital contact tracing. 4 Philippines Coronavirus Disease 2019 (COVID-19) Situation Report #84 30 August 2021 Data reported by the Department of Health on 30 August 2021 • WHO served as panelist on the Policy Forum on COVID-19 Home Isolation Benefit Package event of PhilHealth in partnership with USAID-ReachHealth project. WHO provided a refresher course on contact tracing, highlighting it as an entry point to the health care pathway. Risk Communication and Community Engagement • WHO Philippines published the feature article, “Pasig City: A COVID-19 Success Story” and a video on how the city was able to successfully vaccinate all its senior citizens with at least one dose of the COVID-19 vaccine. The story features best practices in improving the access of the elderly to COVID- 19 vaccines.
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