HEALTH exam Make the Healthier Choice
_____ 1. The rubella virus is the virus that causes... a) Chickenpox b) German Measles b) Measles
_____ 2. Exclusive breastfeeding means giving only breast milk for babies from the first hour of life up to... a) 4 months old b) 6 months old c) 2 years old
_____ 3. Which of the following is considered a dispensable organ or can be safely removed without compromising one’s life... a) Brain c) Heart c) Kidney
_____ 4. The most common form of diabetes is called... a) Type 1 Diabetes b) Type 2 Diabetes c) Gestational Diabetes
_____ 5. The most common type of childhood cancer in the Philippines is... a) Brain Cancer b) Leukemia c) Lung Cancer
_____ 6. The most common man-made source of ionizing radiation that people can be exposed to today is from... a) Cellular Sites b) Nuclear Power Plants c) X-ray Machines
_____ 7. The electronic cigarette emits... a) Air b) Smoke c) Vapor
_____ 8. To prescribe regulated drugs like morphine, Filipino doctors need... a) Business Permit b) PRC License c) S2 License
_____ 9. ISO is not an abbreviation of International Organization for Standardization but derived from the Greek word “isos” meaning... a) Equal b) Partner c) Standard
_____ 10. The suffix “cidal” in ovicidal and larvicidal (OL) mosquito traps, a device designed to reduce the population of the dengue-carrying mosquitoes, connotes... a) Catch b) Death c) Hatch
Answers on Page 49 March - April 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) 743-8440 Email: [email protected] 6 Amidst... contents
Popularizing Universal Health Care 6 Amidst recent disasters in Japan and New Zealand, the political unrest in Middle East countries, the displacement of overseas Filipino workers, the rising transportation costs Iligtas ang Pilipinas sa Tigdas 9 and the influx of new graduates seeking employment, the health sector is trying very Abortion is NOT an Option 12 hard to immediately implement the Aquino Health Agenda on universal health care. This political health reform aims at bridging inequities in access and utilization of health Ona on RH 13 services. Somehow, it is hoped, that these health needs would not be added burdens to the millions of poor Filipino families which comprise the majority of our population. 10 Reasons to Pass the RH Bill 15 Trapping Dengue 18 Amidst the hundreds of people who joined the Department of Health’s quest to popularize the concept of universal health care through a logo and slogan contest, Breastfeeding TSEK 19 a 61-year old retired human resources practitioner, Ms. Lorna B. Ballesteros, hit it right. This Editorial Board The DOH Quest for ISO Certification 24 only shows that talent and creativity remain in all of us even in our twilight years. Asuncion M. Anden, MD, MPH, CESO II Ivanhoe C. Escartin, MD Takbo, Bilis, Takbo 26 Amidst the controversial macho dancing of a weeping 6-year old boy in a popular television Rosemarie G. Aguirre game show that branched out into the issue of child abuse in media as well as the very cute Editors-in Chief Anthony R. Roda The GOOD RAPE 28 boyfriend-girlfriend relationship of preschoolers depicted in a fastfood chain television May Elenor R. de Guzman 7 Changes to Control Your Diabetes 30 commercial that questioned values formation in children, the DOH intensified its major Managing Editor Donato Dennis B. Magat child health programs, like the “Breastfeeding TSEK” – a comprehensive approach to rapidly 9 Staff Writer Elizabeth G. Mascareňas Virtues of Kidney Donation 31 increase the number of babies enjoying the life-saving and health-boosting benefits of exclusive breastfeeding, and “Ligtas Tigdas” – a nationwide door-to-door measles-rubella Cover Design Diosdado G. Angeles, Jr. The Lord’s Clinic 33 immunization for children aged 9 months to less than 8 years old in order to meet the Cover Photo John Robert D. Omandac Freedom From Pain 34 36 country’s international commitment to eliminate measles as a public health problem in the Photographer Paquito P. Repelente country by 2012. Contributors Tahan-Tahanan 36 (Words) Leni Carreon Amidst the thousands of photos Healthbeat gathered in the measles campaign, we chose Jude O. Doblas, MD Radiation Concerns 39 the one submitted by John Robert D. Omandac, a 16-year old and recent graduate of the Roberto C. Mirasol, MD, FPCP, FPSEM Emmanuel A. Tiongson, MD RxBox 42 Kidapawan City National High School as this issue’s cover. He is fond of taking pictures of Tato S. Usman, MD, MPAIM nature and landscapes as well as portraits. “I like to capture the motion and emotion of (Pictures) Rowena M. Bunoan The Fuzz Over E-Cigarette 44 people in a certain event,” he said. Aside from photography, his talents also include school Joerem P. Ceria publication editing and layouting, and designing logos and graphics. Many of his works have Jezzierette Clyde Cafe-Daquilanea Pasma 46 won praises and awards. And we are glad that his interests at a very young age include health. DOH Multi-purpose Cooperative 19 Angelina Lansang Godfrey Tacadena Thus, amidst the chaos surrounding our everyday lives, there are good news in health. Circulation DOH-NCHP JOKES N’YO Production, Dissemination -The Editors and Collection Section 17 laughter HEALS
FOR EDUCATIONAL PURPOSE ONLY. NOT FOR SALE. 30 TIDbeat 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 43 KALAbeat 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. 50 SAbeat 4 HEALTHbeat I March - April 2011 39 HEALTH agenda Popularizing UNIVERSAL HEALTH CARE
Health Umbrella production company. The finalists were then (pun intended), she thought of an umbrella presented to the DOH Executive Committee, as cover from harsh realities. In Pilipino, Lorna B. Ballesteros of Parañaque composed of the Secretary and his “payong” also means advice, as in “payong City is the winner of the Department of undersecretaries and assistant secretaries, kaibigan,” which rhymes with “payong Health’s Universal Health Care (DOH-UHC) who selected the grand winner. kalusugan.” Further, “isilong” (go under) slogan and logo contest. She is a 61-year sounds like “isulong,” (put forth) too. Hence, old retired human resources practitioner Profile of A Winner the entry was born. of a private company who now works as a This first-timer in such endeavors volunteer Court mediator in Parañaque. She The idea sprang from an inspired has it in her genes, though. Her father, won Php 30,000. alpha moment in a retiree’s life. That was dentist Ricardo P. Baloy, exemplified “Like an umbrella, Universal Health how Ballesteros attributed her logo/slogan universal health care during World War Care or KALUSUGANG PANGKALAHATAN entry. With time in her hands, she would II. Based in Subic and its more progressive offers caring and complete protection, safety read the Philippine Daily Inquirer thoroughly barrio Olongapo, Baloy treated, aside from and coverage to all Filipinos. Stylized figures and came upon the DOH-UHC advertisement townmates, both American and Japanese are rendered in the colors of the Philippine of its contest. That evening, before retiring patients. He just made sure the guerilla- flag to denote all Filipinos,” Ballesteros mates of family friend Ramon Magsaysay explained her winning entry. would not attack the Japanese in his clinic! The DOH received a total of 221 On the other hand, her mother, logos and 213 slogans from 114 participants Angela, a pharmacist, came from the from January 12 – February 4. The age Lesaca-Afable clan of doctors, two of the participants ranged from 15 of whom became Congressmen, to 80 years old from all over the too. No wonder, then, that Ricardo country, including overseas Filipino and Angela produced a pharmacist workers based in Saudi Arabia. The and a doctor also. Lorna got into breakdown of participants are: 57 Psychology, Human Resources and TOP: Health Secretary Enrique T. Ona (center in blue shirt) amidst the volunteer registered nurses assigned in Northern Samar under the RNheals Registered from Metro Manila; 31 from Luzon; court-annexed mediation. Another Nurses for Health Enhancement and Local Service) project. ABOVE LEFT: Ms. Lorna B. Ballesteros, the winner of the DOH Universal Health Care Logo/Slogan 6 from Visayas; 15 from Mindanao; sister was enrolled in Nutrition, but Contest. ABOVE RIGHT: The unveiling of the winning logo and slogan . In the photo, from left to right, are Northern Samar (1st District) Congressman Raul A. 3 from Riyadh, Saudi Arabia; and 2 shifted to English; she would later Daza, DBM Secretary Florencio “Butch” Abad, DSWD Secretary Corazon “Dinky” Juliano-Soliman, DOH Sec. Ona, DepEd Secretary Armin Luistro, DOH Eastern Visayas Regional Director Edgardo Gonzaga, and Northern Samar Governor Paul Daza. unknown or they put their email co-establish her own advertising address only. agency that would render Lorna’s “If you want flowery, go to the orchidarium, tribute to her school, she wrote, “There was UHC and RNheals The shortlisting of finalists entry to actuality. but please don’t beat around the bush, too.” a line everywhere — for flag ceremony, was made by a 7-member team Described as submitting one of She credits Saint Theresa’s College, Quezon confession, clinic, notebook margins, The unveiling of the winning logo of creative people from the DOH, the simplest entries, Ballesteros says City for her training in straight thinking sentence diagrams, between right and was held in Catarman, Northern Samar PhilHealth and a private media that is her style — direct and clear. and precise communication. In a previous wrong, always.” during the ceremonial deployment of 201
6 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 7 child HEALTH Iligtas ang Pilipinas sa TIGDAS Ligtas Tigdas the percentage of eligible children – from on November 15 – December 15, 2010. 9 months to before reaching their first Last year, there were 6,200 The Philippines has an birthday – who get measles vaccines in confirmed measles cases reported all over international commitment to eliminate health facilities) was below 95%. Data show the country, and the majority of cases were The DOH leaders, responsible for moving the Aquino Health Agenda on Universal Health Care to reality. during the 2nd National Staff Meeting in Antipolo measles as a public health problem in the only 82% coverage from 1998-2003, and children below 8 years old. The International City on April 6-8. (Photo by Paking Repelente) country by 2012. That’s next year, and time 92% and from 2005-2006. Health Regulation also reported that there is running out. This low coverage resulted to are measles cases recently seen in Canada volunteer nurses under the Registered population is the essence of Universal Health information technology (IT) in all aspects of The most important strategy to measles outbreaks in several areas of the and New Zealand that were linked to travel Nurses for Health Enhancement and Local Care. The Aquino Administration sets its health care; eliminate measles is to maintain and sustain country from 2009 up to the early months to the Philippines. Service (RNheals), a priority project of the priority health directions on: • Increased attention to trauma, at least 95% immunization coverage over of 2011. Recent efforts to interrupt the This year, the country begins Aquino Health Agenda using the framework • Expansion of national health the 4th leading cause of death; a long period of time. During the mass circulation of the virus included outbreak the process of measles elimination. An of Universal Health Care. insurance program coverage by enrollment • More aggressive promotion immunization campaigns in 1994, 2004 and response immunization in some regions estimated 18 million children, from 9 – 95 Health Secretary Enrique Ona of the poorest of the poor as well as the of healthy lifestyle to prevent non 2007, the coverage reached 95%. However, with pockets of outbreak and the measles- months (below 8 years) old, are expected to said the volunteer nurses will be providing informal sector or self-employed and communicable diseases: heart disease, the routine immunization coverage (or rubella immunization activity in Pasay City get the measles-rubella vaccine on April 4 to medical and health care, and at the same professionals that will provide access to stroke, diabetes, obesity May 4 nationwide. time undergo learning and development inpatient and outpatient services through • Attention to emerging diseases Measles is a highly contagious to enhance their professional experience. PhilHealth; as well as diseases brought about by climate respiratory infection best known for the Meanwhile, Dr. Edgardo Gonzaga, director • Particular attention to the change; full-body rash it causes and the flu-like of DOH Center for Health Development - construction, rehabilitation, and support • Improved access to quality symptoms, including a fever, cough, and Eastern Visayas, said that Northern Samar of health facilities – local government and affordable medicines runny nose, it brings. needs lots of health attention from the regional hospitals, rural health units and • Improved governance and There are two types of measles, government because it is one of the poorest barangay health stations; regulation to eliminate graft and corruption each caused by a different virus. Although provinces in the country. • Attainment of Millennium in all areas of health care; and both produce a rash and fever, they are really RNheals is an immediate answer Development Goals 4, 5, and 6 or the • improve the plight of health different diseases. The rubeola virus causes to improve access to health services of the reduction of maternal, neonatal, and infant workers through interventions in education, "red measles," also known as "hard measles" country, especially mothers and children. mortality and containment/elimination placement, compensation, among others. or just "measles." Although most people Deliberate attention and action of age old pubic health diseases (malaria, KALUSUGAN PANGKALAHATAN ay recover without problems, rubeola can lead to the needs of millions of poor Filipino dengue, tuberculosis); narito na! to pneumonia or inflammation of the brain families which comprise the majority of our • Manage efficiency by using - o O o - (encephalitis). The rubella virus, on the other hand, causes "German measles," also known as "three-day measles." This is usually a Catch Healthbeat Online milder disease than red measles. However, this virus can cause significant birth defects http://www.doh.gov.ph/healthbeat.html Photo by Jezzierette Clyde Cafe-Daquilanea if an infected pregnant woman passes the
8 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 9 virus to her unborn child.
Strictly Door-to-Door
By the way of its rallying cry “Iligtas sa Tigdas ang ‘Pinas” sounds like, the Department of Health is very determined to reach its objective to reduce the number or pool of children who are at risk of getting, or being susceptible to, measles and achieve at least 95% measles-rubella immunization coverage. This measles supplemental immunization activity (SIA) for a measles- free Philippines applies a strictly “door-to- door” immunization strategy. Unlike the previous national immunization campaigns, As what Health Secretary Ona emphasized, Ligtas Tigdas is a strictly a door-to-door campaign. (Photo this year, no vaccination sites will be installed by Paking Repelente) in other areas like day care centers, schools, malls, groceries, or churches. The vaccination directed to go home to be vaccinated. forgotten in the past campaigns include teams will directly visit homes to inject the Each child vaccinated is issued slum areas, “new” settlements, poor measles-rubella immunization to eligible with an immunization card provided for this settlements around factories, minority children. campaign. A house sticker is also posted communities, scattered houses, high-rise The “doors” referred to in this for every household visited with or without apartments, commercial/industrial areas, campaign includes all doors of houses, eligible children. along highways in or between cities, along condominiums, apartments, tenements as Children whose houses were riversides in urban and per-urban areas, and well as the so-called “non-conventional” visited by the vaccination team but who streets with known street children. doors in the community. were not available for vaccination for some Non-conventional doors include reason (example: the child was not at home Adverse Event the following: 1) informal settlements such or the parents refused, etc) are referred to as families/persons living under the bridge; “missed” children. Revisits are made by the An adverse event following inside the parks, cemeteries and open vaccination team or health supervisor until immunization or AEFl is a medical incident spaces; in tents, carts, abandoned buildings, all eligible children in the household are that happens after immunization. old vehicles/trains/motorboats, under the vaccinated. Although the vaccines used in the national trees, in road islands on the middle of the Aside from missed children, immunization program are extremely safe street, etc.; 2) all business/commercial missed areas are also given emphasis in this and effective, adverse events can occur establishments and market stalls where campaign. Missed areas or “pockets” are the following vaccine administration. In addition children may reside; and 3) institutions like most dangerous type of campaign failure to reactions to the vaccines themselves, orphanages and halfway homes. because the entire community remains the process of injection preparation and Health Secretary Enrique T. Ona injects the Eligible children of mobile and unvaccinated. In such areas, the virus is likely administration is a potential source of ceremonial measles-rubella vaccine to an eligible roaming families with no house or no to persist, flourish and spread to neighboring adverse events. child in Paraňaque City to signal the start of the permanent house shall be identified and communities. It is critical that missed areas Vaccine reactions may be month-long nationwide door-to-door Ligtas given immunization. All eligible children are promptly identified and covered during classified into “common” and “rare”. The Tigdas immunization campaign on April 4. Mayor majority of vaccine reactions are mild, settle Florencio Bernabe (left) looks on. (Photo by found in the parks, playgrounds, streets, the campaign. Paking Repelente) markets, and other public places shall be Missed areas that have been without treatment, and have no long-term
10 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 11 reproductive HEALTH consequences. The most common minor manage it properly. Early recognition of should report each week on the presence event are pain and redness at injection signs of anaphylaxis should lead to early or absence of suspected measles cases. “We cannot stop our efforts to pursue the enactment of a site; fever; rash which only occurs in 5 to treatment to prevent loss of lives. • At least 80% of the reported suspected 15 percent of children vaccinated; and cases should be reported within 48 national population and reproductive health (RH) policy.” infections, like cellulitis. Measles-Free Certification hours of rash onset. The most serious but very rare • At least 80% of the reported suspected adverse event in the course of immunization Another first in this rigorous cases should be investigated within 48 is anaphylaxis or severe whole-body allergic health campaign is the issuance of measles- hours of report. reaction. The tissues in different parts of the free certification to provinces and cities that • At least 80% of specimens should be body release histamine and other substances meet the national standard. This means taken from initial contact until 28 days which cause the airways to tighten and all barangays passed the rapid coverage post rash onset and reach the laboratory lead to other symptoms. It occurs once in assessment with no missed child and more in a suitable state for testing. OnaExcerpts on from the Message of RH about 3 million vaccinations. According to than 95% house marking accuracy. Moreover, • At least 80% of specimens must be Hon. HEALTH SECRETARY ENRIQUE T. ONA the DOH National Epidemiology Center, in there should be no measles case for the next tested and the results reported back to during the National Conference of Catholics for Reproductive Health the 1998 Ligtas Tigdas campaign, only one three months after the campaign; and the the surveillance unit within 7 days of at the GT Toyota Center, Diliman, Quezon City on March 17, 2011 anaphylaxis case occurred out of 13 million measles surveillance indicators have been receipt of the specimen in the laboratory. vaccinations made. met. The certification process will start The road to the establishment as to dare to effect changes in the health Anaphylaxis occurs within the The measles surveillance indicators after the month-long campaign. Everyone of a national population and reproductive sector for achieving universal health care for first few minutes after injection, so health are: must be committed now to help totally health policy is indeed long and winding. all Filipinos. With the current government, workers must be prepared to detect and • At least 80% of surveillance sites eliminate measles in the country. For after the 11th Congress when this bill we can all say that we have a better chance was first filed, we still find ourselves at this to advance our advocacy. The stand of the moment with the same call. A common Aquino government on the enactment of SOUL food ground between religion and public policy responsible parenthood and reproductive on reproductive health has been so elusive. health remains consistent. As we all know, Public discourse has dragged the issue the policy of the government is geared into mere rhetoric at the expense of poor towards enabling couples and individuals ABORTION is NOT an OPTION mothers dying because they cannot achieve to choose the number, spacing, and timing their desired fertility; adolescents getting of their children based on the demands A worried woman went to her to take care of two babies at the same time, pregnant for lack of information; and poor of responsible parenthood and informed gynecologist and said: 'Doctor, I have a let's kill the one in your arms. This way, you families seeing helplessly their children choice. And, as we have always maintained, serious problem and desperately need your could rest some before the other one is born. suffering from ignorance and poor health as leaders, what we should do is to face the the focus of our efforts are the very poor help! My baby is not even 1 year old and I'm If we're going to kill one of them, it doesn't because of too many children to support. challenge that is thrown to us who are now Filipinos who do not have access to health pregnant again. I don't want kids so close matter which one it is. There would be no As time has shown, the given the opportunity to improve the lives of and reproductive services. together. risk for your body if you chose the one in your government has been a determining factor the Filipino people. Instead of focusing on Consider these statistics from So the doctor said: 'Ok and what do arms. in the advocacy for reproductive health in what has gone wrong in the past, the more the National Health and Demographic you want me to do?' The lady was horrified and said: 'No the country. The advocacy for reproductive pressing question before us as leaders in the Survey 2008: the fertility rate of women She said: 'I want you to end my doctor! How terrible! It's a crime to kill a health in the government especially government is, “what stand should I take who belong to the lowest income quintile, pregnancy, and I'm counting on your help child!’ during the previous administration was on the issue?...is my stand favorable to the meaning, those who are the poorest 20%, is with this.' 'I agree,’ the doctor replied. 'But you characterized by “accommodation” and a welfare of the people whom I am entrusted 5.3 yet their desired fertility rate is 3.3. This The doctor thought for a little, and seemed to be okay with it, so I thought policy of vaccilation. By their own reasons, to serve?” Let us look at the prospects rather means that couples who belong to the very after some silence he said to the lady: 'I think Photo circulates in the Internet. maybe that was the best solution.' previous national leaders have chosen or than the mistakes of history. poor actually want to have fewer children I have a better solution for your problem. It's The doctor smiled, realizing that he were forced not to take the less traveled I joined the Aquino Administration but they are unable to accomplish this less dangerous for you too.' had made his point. He convinced the mom that there is no difference road of reproductive health apparently essentially because I am one of those because of lack of access to family planning She smiled, thinking that the doctor was going to accept in killing a child that's already been born and one that's still in the because of political accommodations. But who believe in the promise of a better services. Contrast this with the fertility rate her request. Then he continued: 'You see, in order for you not to have womb. The crime is the same! we do not dare to question their decisions governance and “matuwid na daan” as well of women belonging to the richest 20% of
12 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 13 HEALTH policy our population. They have an actual fertility In the meantime, we cannot stop Health Policy Directions of the Aquino rate of 1.9, and a desired fertility rate of our efforts to pursue the enactment of a Administration includes the attainment of 1.6. These women have the knowledge and national population and reproductive health the Millennium Development Goals 4,5 and 10 Reasons to Pass the access to reproductive health services that policy. We commend the legislative move of 6. their poorest counterparts often do not advocates and champions in the Congress The Commission on Population have. in advancing the Responsible Parenthood on the other hand, has a renewed mandate Let me just emphasize that we are and Reproductive Health Bill (HB 4244) at to advance the responsible parenthood not forcing them to have smaller families. the House of Representative and the other program not only focusing on the promotion What the government would like to ensure version in the Senate. We can be assured of of scientific natural family planning but also RH BILL is that the moment these couples, especially substantial number of national executives on modern methods. Pending the national Lifted from a leaflet produced by the the poor, decide to plan their families, the who are likewise supportive of our cause and policy, we can rally behind these priority REPRODUCTIVE HEALTH ADVOCACY NETWORK means and methods they choose to use to who stand along the declared policy of the health agenda to ensure that men and carry out their reproductive decisions are current administration. women are given equal opportunities to Reproductive Health (RH) is present in all social classes and regions, but made available to them. Likewise, in the absence of exercise their reproductive rights. now a byword that has gripped the public is biggest among those who are poor. With this stand, this government the desired policy, we cannot waver on I believe that what we achieved consciousness. Majority have supported RH of the people is, nonetheless, preserving our efforts to promote and protect the is an understanding not of the differences in endless surveys while congressional and and nurturing a democratic process of reproductive health needs of our people. between religious faith and reproductive presidential debates have erupted on the 2. enacting a significant national policy. The Our advocacy should not be focused only on health principles that we are advocating, issue. Why is there majority support for RH? SAVE BABIES government respects cultural diversity and what “should be” but also on what we can do but more of their convergence. This kind Many strategic and practical reasons. Here Proper birth spacing reduces the Constitutional guarantee on religious now given the available opportunities. On of understanding is much needed by are 10 easy ones: infant deaths. The WHO says at least two freedom that is why we are engaging with the part of the Department of Health, we are government officials as well as religious RH does… years should pass between a birth and the the Catholic hierarchy to find common now intensifying the Aquino Health Agenda leaders who continue to close their eyes to 1. next pregnancy. In our country, the infant 4. ground not only in principles but more which is geared towards Achieving Universal the realities at the ground. As Pastor Lian PROTECT THE HEALTH mortality rate of those with less than two PROMOTE EQUITY importantly in actions. We are also bent Health Care for All Filipinos. The Priority of Malaysian Care said, "It is one thing to & LIVES OF MOTHERS years birth interval is twice those with three. FOR POOR FAMILIES on engaging other religious groups on the believe and practice our faith, it is another The World Health The more effective and user-friendly the FP RH indicators show severe issue. thing to really go down to the ground and Organization (WHO) estimates method used, the greater the chances of the inequities between the rich and poor. For We are reaching out to see how our faith can be translated into that complications arise in 15% next child to survive. example, 94% of women in the richest them not because of political use for people who are asking of pregnancies, serious enough quantile have a skilled attendant at birth accommodation but we want to for help." As advocates, we to hospitalize or kill women. 3. compared to only 26% in the poorest. The make a bridge where we can help our religious leaders From the 2 million plus live RESPOND TO THE MAJORITY richest have three times higher tubal ligation join our efforts towards the and government officials births alone, some 300,000 WHO WANT SMALLER FAMILIES rates compared to the poorest. welfare of the people whom recognize this. maternal complications occur Couples and This equity gap in tubal ligation we commonly serve. We We continue to go out of yearly. This is 7 times the DOH’s women nowadays want partly explains why the wealthy hardly believe that there is more our way and make bridges annual count for tuberculosis, 19 times for smaller families. When exceed their planned number of children, space for commonality of rather than conflicts with heart diseases, and 20 times for malaria in surveyed about their while the poorest get an extra two. Infant actions than differences in our perceived oppositions. women. As a result, more that 11 women die ideal number of deaths among the poorest are almost ideas. Although the Catholic It is now high time to needlessly each day. children, women in three times compared to the richest, which Bishops Conference of the make our voices strong Adequate number of skilled their 40s want slightly partly explains why the poor plan for more Philippines (CBCP) has publicly especially in the halls of birth attendants and prompt referral to more than three, but those in their teens and children. The RH law will promote equity expressed to suspend their the Congress and at the hospitals with emergency obstetric care are early 20s want just slightly more than two. in health through stronger public health participation to the on-going ground. We can make proven life-saving solutions to maternal Moreover, couples end up with services accessible to poor families. dialogue, we are still optimistic that things happen together and complications. For women who wish to stop families larger than what they desire. On we can reach a consensus in due time. What with our concerted effort, we childbearing, family planning (FP) is the best average, Filipino women want close to two 5. we can be assured of is that the President can have healthy, happy, and progressive preventive measure. All three interventions children but end up with three. This gap PREVENT INDUCED ABORTIONS will hold unto his stand on the issue. Filipino families. are part of RH. between desired and actual family size is Unintended pregnancies precede
14 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 15 laughter HEALS almost all induced 7. 9. abortions. Of GUARANTEE FUNDING FOR & REDUCED CANCER DEATHS all unintended EQUAL ACCESS TO HEALTH FACILITIES Delaying sex, avoiding pregnancies, 68% RH will need and therefore support multiple partners or occur in women the improvement of many levels of health using condoms prevent without any FP facilities. These range from barangay health genital warts or HPV method, and stations for basic prenatal, infant and FP (human papilloma virus) JOWA JOKES 24% happen to those using care; health centers for safe birthing, more infections that cause READER DISCRETION IS ADVISED traditional FP like withdrawal or calendar- difficult RH services like IUD insertions, and cervical cancers. Self-breast abstinence. management of sexually transmitted infections; examinations and Pap If all those who want to space or and hospitals for emergency obstetric and smears can detect early signs of Masarap Hindi Ko Kaya Ano Gusto Mo Sa Akin? stop child-bearing would use modern FP, newborn care and surgical cancers which can be cured if treated early. abortions would fall by some 500,000 – close contraception. Strong All these are part of RH education and care. Nagsisiping ang mag-asawa... MAY: Hindi ko na kaya ‘to! Araw-araw JOY: Sweetheart, ano ba talaga to 90% of the estimated total. In our country RH facilities will be the Contraceptives do not heighten cancer risks; JOEREM: Love, magsalita ka naman diyan nalang tayong nag-aaway... ang gusto mo sa akin, ang where abortion is strictly criminalized, and backbone of a strong combined pills actually reduce the risk of para mas masarapan pa ‘ko... Mabuti pa, umalis na ako magandang mukha ko o where 90,000 women are hospitalized yearly and fairly distributed endometrial and ovarian cancers. LEN: Oooh...aaah... Wala na tayong sa bahay na ‘to! ang seksing katawan ko? for complications, it would be reckless and public health facility bigasss... Siping na lang tayo ED: Ako rin, sawang-sawa na! Away JAMES: (Tinitigan ang Misis mula ulo heartless not to ensure prevention through system. 10. lagi... Mamamatay tayo sa rito, away roon! Mabuti pa siguro, hanggang paa.) Alam mo, Love, F P. SAVE MONEY THAT CAN BE USED gutoooooom! Demonyo kaaah! sumama na ako sa ‘yo! gustong-gusto ko talaga ang 8. FOR EVEN MORE SOCIAL SPENDING sense of humor mo. 6. GIVE ACCURATE & POSITIVE Ensuring modern FP for all who Maluwag Papatunayan Ko SUPPORT & DEPLOY MORE SEXUALITY EDUCATION need it would increase spending from Php Ibang Posisyon PUBLIC MIDWIVES, NURSES & DOCTORS TO YOUNG PEOPLE 1.9 billion to Php 4 billion, but the medical Habang la-lovemaking ang mag-asawa... EMAN: Para mapatunayan ko na mahal RH health services are needed Currently, most costs for unintended pregnancies would OSCAR: Bakit maluwag na ito? na mahal kita, aakyatin ko ang EDWARD: Honey, subukan naman natin ang wherever people are establishing their young people enter fall from Php 3.5 billion to Php 0.6 billion, DELIA: Paano diyan ko minsan kinukuha Mt.Everest ng naka-wheelchair. ibang posisyon ngayong gabi. families. For example, a report by a United relationships and even resulting in a net savings of Php 0.8 billion. ‘yung pambayad ng koryente, ELLEN: Talaga?!? JOSIE: Sige ba. Dito ka sa plantsahan Nations Millennium Development Goals married life without the There is evidence that families with fewer tubig, matrikula ng bata at pati EMAN: Oo, ikaw ang taga-tulak! at d’yan ako, manonood ng TV. Task Force points out the need for 1 fulltime benefit of systematic children do spend more for health and na pang bisyo mo! Hmp. midwife to attend to every 100 to 200 inputs by any of our education. Maging Masaya Ka Lang Sa Wakas annual live births. Other health staff are social institutions. Buksan Mo Pinto needed for the millions who need prenatal As a result of just NITO: Alam mo honey, gagawin ko ang DONATO: ‘Pag namatay ka, isusulat ko sa and postpartum care, infant care and family one faulty sexual decision, many young women NEIL: Hon, buksan mo ang pinto! lahat para ikaw ay maging nitso mo, “Malamig noong buhay, planning. Investing and men can lose their future, their health and MACON: Hindi pwede. Wala akong suot. pinakamasayang babae dito sa mas malamig noong namatay!” in these core public sometimes their lives. We insist on young voters’ NEIL: (Tumawa) Ok lang, wala akong mundo. VILMA: Ah, ganoon ba? Puwes, sa nitso health staff will education for an activity that occurs once every kasama. EDNA: Talaga? Mami-miss kita! mo ilalagay ko naman ay “Sa serve the basic three years, but leave our young people with See
16 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 17 dengue PREVENTION BREASTFEEDING Trapping DENGUE Breastfeeding TSEK by Health Secretary He added that this year, ANTHONY R. RODA, MAHeSoS Enrique T. Ona and Science the country may be witnessing HealthBeat Staff and Technology Secretary a far worse outbreak of dengue Breastfeeding Movement from both civil society organization and partnership and focused participation of the Mario G. Montejo signed fever. An early dramatic peak government pushed for the passage of the stakeholders in the legislative process. What a memorandum of under- in the number of cases has Only breast milk for babies from “Milk Code” into law. Republic Act (RA) 7600 is unique about the new legislation is that it standing on April 14 to roll- already occurred into the first the first hour up to six months of life – no or Rooming-In/Breastfeeding Act of 1992 mandates all private and public institutions out ovicidal and larvicidal (OL) two months of 2011 and there water, no “am” (boiled rice water) and other and RA 10028 or the Expanded Breastfeeding and offices, medical and non-medical to mosquito traps – a low cost are no signs of letting up of liquid, no infant formula or food. This is the Promotion Act of 2009 were other support breastfeeding mothers by creating but effective device designed this epidemic. Already, there one message that the Department of Health landmark laws achieved through genuine a private space as well as time in the day for to reduce the population of have been more than 13,281 wants to deliver to new and expectant mothers to either feed their babies or save the dengue-carrying Aedes dengue cases admitted in DOH mothers, primarily in lower-income areas, as and store their breast milk. aegypti and Aedes albopictus sentinel hospitals. However, it launched Breastfeeding TSEK (Tama, Sapat The Breastfeeding TSEK movement by attracting female mosqui- this number is still 7.71% at EKslusibo) campaign on February 23. seeks to encourage mothers to practice toes and killing their eggs. lower than that the same As the campaign is held exclusive breastfeeding for six months The OL mosquito Science and Technology Secretary Mario Montejo (seated left) and Health Secretary period of 2010. simultaneously with the 25th Anniversary as well as to educate them about proper Enrique T. Ona (seated right) sign a Memorandum of Understanding for the roll-out trap system involves a black of ovi/larvicidal traps for Aedes mosquitoes for dengue vector control. Although the case of EDSA People Power Revolution, the breastfeeding and its numerous container and a strip of wet fatality has been kept at 1% DOH is reviving the strong breastfeeding health benefits. It also aims at lawanit board inside the trap. this year, serious dengue support seen in 1986, when then advocating adequate support from The DOST explained that the OL mosquito months. The DOH, on the other hand, will outbreaks continue to occur in highly President Corazon Aquino, enacted family, employers, health care providers, trap is not a new technology and it has identify the households and assist in the endemic regions particularly in the Asia- the “Milk Code” (EO 51) or the National and the community to enable mothers to been known since 1969, but what is novel distribution of the traps. Pacific which already account for 70% of all Code of Marketing Breastmilk Supple- exclusively breastfeed their babies. about it is the natural ovicide and larvicide Following the successful launch dengue cases. But the threat of dengue is ments and Related Products. Thus, Health Secretary Enrique T. Ona incorporated to the system. These are in in February when 200,000 OL traps were increasing at a particularly alarming rate and Breastfeeding TSEK is turning out to be more stressed that “breast milk is the perfect food the form of pellets made from organic distributed to various regions, the DOST is into new geographic areas where it was not than a campaign, but a movement. for infants as it contains the specific nutrients compounds derived from plants. These now set to produce additional 500,000 kits found before. New outbreaks are exploding Staunch breastfeeding advocates required for growth and development.” He pellets are not toxic to humans. When the to be distributed to 125,000 households as temperatures warm and as rains come in pellets are incorporated to the system, these nationwide. longer and earlier expanding the lifespan of become ovicidal and larvicidal. The suffix According to Montejo, the the dengue epidemic each season. “cidal” connotes death. Once the egg touches distribution of additional OL traps just “Climate change, rapid urbaniza- the solution, it will die. If the egg hatches, proves that the government is really bent on tion and international travel have all made the larvae will die and will not become pupa, reducing the number of dengue cases in the dengue the world’s most important viral the pupa will not become adult and no adult country. vector-borne disease and the country’s most to lay eggs. Ona, meanwhile, explained that disturbing health concern among all re- The Department of Science and the country experienced last year the worst emerging infectious diseases,” Ona said. Technology (DOST) will provide 700,000 OL dengue outbreak in 10 years. More than The key intervention against mosquito trap kits to selected households 135,355 cases were recorded exceeding the dengue is primary preventive action and nationwide in identified sites with high record high infection rates in 1998 when it must stem from the affected and at risk dengue incidence. These households will other countries in the Southeast Asian region communities. also be given free OL pellets monthly for six also reported major dengue outbreaks. - o O o - BREASTFEEDING TSEK - the start of a new breastfeeding movement.
18 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 19 practioners and their supporters. Galon, lactation management and for serving as a the Certificate of Commitment for the MBFHI former health undersecretary, is recognized practicum area for Infant and Young Child from 2007 to present; at least 7 out of 80 for her leadership in implementing the Feeding (IYCF) counseling course. provinces, 9 out of 120 cities and 175 out of Mother-Baby Friendly Hospital Initiative Breastfeeding institutional 1,425 municipalities have passed resolution/ (MBFHI), making the Philippines as No. partners were also recognized for the distinct ordinance in support of IYCF; at least 2,159 1 at one time in the implementation of work and initiatives in implementing the breastfeeding support groups have been this international initiative. Ramirez, is IYCF/Breastfeeding in strategic settings, organized at the barangay level; at least 88 recognized for her efforts in establishing the namely: hospital, community, workplace, breastfeeding-friendly workplaces; and the Alay Gatas Community (human milk donor) school and industry. (See complete list of integration of IYCF in the medical curricula is Program at the Philippine Children’s Medical awardees next page.) ongoing. Center (PCMC) for newborns who are Health Assistant Secretary Paulyn Meanwhile, the DOH Center for critically ill and with breastfeeding problems Jean Rosell-Ubial said that DOH data currently Health Development-Metro Manila also LEFT: Health Undersecretary David Lozada read Health Secretary Enrique Ona’s speech. RIGHT: At the luncheon press conference with (from left to right: Fr. that led her invention of a local small scale show at least 47 out of 1,487 hospitals have provided certificates of recognition to Luke Moortgat of CBCP, Dr. Soe Nyunt-U of WHO, Assistant Secretry Paulyn Ubial of DOH, Vanessa Tobin of UNICEF, and Daphne Oseña-Paez, celebrity and breast milk pasteurizing machine. UNICEF special advocate for children. Special Awards were given to SM also described how immune factors that can from employers, private businesses and the web application of the disciplines of Supermalls and Dr. Jose Fabella Memorial only be found in breast milk protect infants different local government units including communication – from personal selling to Hospital. from all sorts of diseases such as diarrhea the religious and faith-based organizations health education, to social mobilization, to SM Supermalls is recognized and other infectious diseases. to join the movement on creating an publicity and advertising – to put a “brand” for its corporate social responsibility by In the 2008 National Demographic environment to support breastfeeding on exclusive breastfeeding with the ultimate establishing Breastfeeding Stations in all and Health Survey (NDHS), 85% or mothers. With many working women in goal of achieving behavioral results. of its 38 malls nationwide. As of December more than 8 out of 10 mothers “initiate” the Philippines, it is important that support The DOH banks on international, 31, 2010, these breastfeeding stations have breastfeeding after birth, but 50% of them is given to mothers by allowing them time national and local partners to implement already served more than 93,000 mall-going stopped exclusive breastfeeding at three to breastfeed their baby, or to express their this comprehensive approach to rapidly mothers and their babies. On the other weeks. Despite the known breastfeeding breast milk and store it. increase the number of babies enjoying the hand, the Fabella Hospital is recognized benefits, only 34% of Filipino mothers Dr. Soe Nyunt-U, World Health life-saving and health-boosting benefits of for providing quality training program in would exclusively breastfeed for the first six Organization (WHO) representative to the exclusive breastfeeding. months of life. Philippines, noted strong research evidence Vannesa J. Tobin, UNICEF supporting the effectiveness of post natal Breastfeeding Partners representative to the Philippines, home visits by peer counselors in increasing emphasized research results that showed the prevalence and duration of exclusive The launching of the Breastfeeding that when mothers are given proper breastfeeding. In a landmark study by DOH TSEK movement also served as an opportune information and support, they tend and WHO in Barangay Pembo in Makati, time for honoring living people with to breastfeed. “Creating a supportive it was documented that peer counseling outstanding contribution in the protection, environment for mothers to breastfeed caused mothers to change from mixed promotion and support to breastfeeding in begins with having all the facts,” she said, feeding or exclusive formula feeding to the country. “and that’s how we start tearing down the exclusive breastfeeding. Hailed as National Honorees were: breastfeeding divide that has isolated many “The findings from this research Dr. Elvira Santo Niño-Dayrit, Dr. Margarita mothers from the rest of society – including are the basis for the Breastfeeding TSEK Galon and Dr. Gloria Ramirez. their husbands and family, co-workers, peers movement using the WHO-recommended Dayrit, former director of the then and friends and the community.” a method for strategic communication DOH Maternal and Child Health Service, is Tobin said that breastfeeding is planning termed as Communication for recognized for her confidence and firmness not just an issue for mothers, but a concern CLOCKWISE: Named breastfeeding national honorees are: Dr. Elvira Santo Niño-Dayrit represented by her nephew, Oscar Santo Niño... former Health Behavioral Impact (COMBI),” Soe added. in implementing the Milk Code in its early Undersecretary Margarita Galon... and Dr. Gloria Ramirez, who is seen here being awarded by ASec. Paulyn Ubial. Representatives of SM Supermalls — for every Filipino to take a stand and fight The peer counselors or support groups will years when resistance were high at various recognized for its corporate social responsibility by establishing Breastfeeding Stations in all of its 38 malls nationwide — pose with Director Asuncion child malnutrition. She appealed for support be complemented by an interconnected fronts, from the milk industry to health Anden (fourth from right) and ASec. Ubial.
20 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 21 Breastfeeding PARTNERS
National Honorees • Ateneo de Zamboanga University • New City Commercial Center, MAA • Dr. Elvira Santo Niño-Dayrit (Zamboanga City) (Davao City) • Dr. Margarita Galon • MEIN College (Zamboanga City) • Davao City International Airport • Dr. Gloria Ramirez • STI College (Zamboanga City) Terminal (Davao City) • Brent College (Zamboanga City) • Tagum Agricultural Development Special Awards • Pilar College (Zamboanga City) Corporation (Panabo City) • SM Supermalls • St. Augustine College (Zamboanga City) • Provincial Capitol of Davao del Norte • Dr. Jose Fabella Memorial Hospital • Universidad de Zamboanga • Gaisano South Citi Mall (Davao City) (Zamboanga City) • Dujali Municipal Government Breastfeeding Partner Hospitals • Brokenshire College (Davao City) (Davao del Norte) • Gubat District Hospital (Sorsogon) • Saint Louis University (Baguio City) • Stanfilco (Panabo City) • Vicente Sotto Memorial Medical Center • South Eastern Mindanao Bus Owner (Cebu City) Breastfeeding Partner Communities Association (SEMBOA) Celebrity breastfeeding mothers – Gladys Reyes-Sommereux (left) and Daphne Oseña-Paez (right) – add glitter and substance to an already elaborate extravaganza by hosting the launching and awarding ceremonies. (All photos in this article is courtesy of the DOH Multi-purpose Cooperative.) • Eastern Visayas Regional Medical Center • Barangay Mercedes, Camarines Norte • Davao City Overland Transport Terminal (Tagbilaran City) • Municipality of Inabanga, Bohol (Davao City) their local government units (LGUs) that her wonderful experience exclusively they are done with breastfeeding. She • Zamboanga City Medical Center • Municipality of Lawaan, Eastern Samar • Banaybanay Municipal Government, have exerted efforts for the promotion of breastfeeding her three children, including then appealed to celebrities to think twice (Zamboanga City) • Zamboanga City Davao Oriental breastfeeding through the development of expressing her breast milk using breast in promoting milk products, even if these • Brent Hospital (Zamboanga City) • Davao City • Yellow Bus Line local ordinances, engagement and training pumps while on tapings and storing it. She products are not for infants. • Ciudad Medical Center (Zamboanga City) • Barangay Bula, General Santos City • Sitel, EPZA Loakan (Baguio City) of volunteers resulting to the establishment also said that breastfeeding can not only Other important personalities • Mayor Hilarion A. Ramiro Sr. Regional • Barangay Bagnen, Bauko, • Pasig City Hall of functional breastfeeding support groups be bonding moments for the mother and who graced the Breastfeeding TSEK Teaching and Training Hospital Mountain Province • Market-Market Mall B (Taguig City) in different barangays. her child but also between friends. Gladys launching and recognition rites were: Health (Osamiz City) • Luba Municipality, Luba, Abra • SM City Lucena served as an inspiration for her best friend, Undersecretary David Lozada, Quezon City • SOCSARGEN County Hospital (Cotabato) • Barangay Maybunga, Pasig City • SM City Cagayan de Oro Celebrity Moms Judy Ann Santos-Agoncillo, to practice Vice Mayor Josefina Belmonte, and Father • Baguio General Hospital and • Barangay Signal Village, Taguig City • SM Baguio breastfeeding. The two would bond together Luke Moortgat of the Catholic Bishops Medical Center (Baguio City) • Mother and Child Friendly Maternity Clinic, • SM Davao City Celebrity breastfeeding mothers breastfeeding their children, sharing stories Conference of the Philippines’ Episcopal • Notre Dame de Chartres Hospital Barangay Bagumbayan, Taguig City • Globe Telecommunications, Inc. – Gladys Reyes-Sommereux and Daphne on motherhood and child rearing and Commission on Health Care. (Baguio City) Oseña-Paez – added glitter and substance techniques on breastfeeding. The DOH National Center for • Dr. Ricardo S. Provido Sr. Breastfeeding Partner Workplaces Breastfeeding Partner to an already elaborate extravaganza Daphne, a fashion and lifestyle Health Promotion (NCHP) together with Memorial Hospital (Calinog, Iloilo) • Labo Local Government Unit Metro Manila LGUs by hosting the launching and awarding TV host and at the same time the UNICEF the National Center for Disease Prevention • Iloilo Provincial Hospital (Iloilo City) (Camarines Norte) • Caloocan City ceremonies. Special Advocate for Children for almost and Control are the major players in the • Sen. Gerardo Roxas Memorial • BQ Mall (Tagbilaran City) • Malabon City Celebrities are excellent role two years, expressed some obstacles in Breastfeeding TSEK movement. District Hospital (Roxas City) • Universal Canning Factory • Makati City models to change whatever negative terms of marketing exclusive breastfeeding Dr. Asuncion M. Anden, director • Roxas Memorial Provincial Hospital (Zamboanga City) • Mandaluyong City image or perception people might have to mothers. She said it is hard to compete of NCHP, said that with all sectors of society (Roxas City) • ZAMCELCO (Zamboanga City) • Muntinlupa City on breastfeeding. The Breastfeeding TSEK with the advertising and promotion done acting together and more concertedly to • Puyaoan General Hospital (Cagayan) • PERMEX Canning Factory • Quezon City movement will try to engage as many by milk companies. Celebrity mothers like bring back the culture of breastfeeding in • Tumauini Community Hospital (Cagayan) (Zamboanga City) • Parañaque City celebrity moms to the breastfeeding cause. her are often the target of these companies the country, Filipino babies will be given • Philippine Ports Authority • Pasay City Hearing celebrity stories can motivate and to promote their milk. She said she knew of not only a fighting chance to live but also Breastfeeding Partner Schools (Zamboanga City) • Pasig City inspire new mothers to succeed, as well as other celebrities who know the importance to become physically strong and healthy • Bicol University College of Nursing • Ports Management – PPA • Valenzuela City help dispel their myths and misinformation. of breastfeeding but when milk companies and also more intelligent and emotionally (Legaspi City) (Cagayan de Oro City) Gladys, actress and TV host, narrated offer them with huge amount of money, secure.
22 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 23 HEALTH management
and positive contribution to most aspects of people’s lives. Standards ensure desirable characteristics of products and services such The DOH Quest for as quality, environmental friendliness, safety, reliability, efficiency and interchangeability and at an economical cost. When products and services meet public expectations, they tend to take this ISO Certification for granted and be unaware of the role of standards. However, when standards are absent, they soon notice. ISO standards The Journey Begins What is ISO? institutes of 159 countries, one member per provide technological, economic and societal country, with a Central Secretariat in Geneva, benefits. On March 14, Health Secretary ISO is short for International Switzerland, that coordinates the system. Enrique T. Ona led a simple ceremony Organization for Standardization, the ISO is a non-governmental organization ISO 9001:2008 and parade inside the Department of world's largest developer and publisher of that forms a bridge between the public and Health (DOH) compound to launch what is international standards. Founded in 1947, private sectors. The ISO 9000 family of standards termed as the DOH’s journey towards ISO ISO is a network of the national standards According to ISO, "ISO" is not an represents an international consensus on certification for quality management system abbreviation. It is a word, derived from the good quality management practices. It (QMS) or ISO 9001:2008. Greek “isos,” meaning "equal", which is the consists of standards and guidelines relating ISO certification means taking root for the prefix "iso-" that occurs in to quality management systems and related steps towards achieving excellence. a host of terms, such as "isometric" supporting standards. If an institution is ISO certified, (of equal measure or ISO 9001:2008 is the standard that then it should be efficient dimensions) and "isonomy" provides a set of standardized requirements Dr. Gerardo Bayugo, health assistant secretary and quality management representative to oversee for a quality management system (QMS), implementation of ISO Certification, signs the Pledge of Commitment during the launching at the DOH and will be able to (equality of laws, or of Central Office compound on March 14. (Photo by Paking Repelente) minimize wastage people before the regardless of what the user organization in time, efforts and law). The name ISO does, its size, or whether it is in the private and energized bureaucracies with adequate offices to follow. Meanwhile, the Central resources to hurdle is used around the or public sector. It is the only standard in means to perform their public service. Office Bids and Awards Committee and the over unorganized world to denote the family against which organizations can The management and staff of Information Management Service have and unnecessary the organization, be certified – although certification is not a bureaus, centers and offices inside the DOH already started with their ISO initiatives processes. thus avoiding compulsory requirement of the standard. Central Office compound are up to their ahead of other offices inside the DOH Central O n a the assortment The other standards in the family sleeves to begin the process towards ISO Office compound. encouraged of abbreviations cover specific aspects such as fundamentals Certification within six to 12 months. Health The steps in ISO Certification members of that would and vocabulary, performance improvements, Assistant Secretary Gerardo Bayugo serves include: orientation of management and the executive result from the documentation, training, and financial and as the Quality Management Representative staff; gap assessment, QMS planning; committee, translation of economic aspects. to oversee implementation while Director training on QMS documentation; QMS regional directors, "International QMS is deemed important in Kenneth G. Ronquillo of the Human Health training and implementation; training on chiefs of the Organization for government as it promotes integrity, Resource Development Bureau (HHRDB) Internal Quality Audit (IQA); conduct of corporate and special Standardization" into accountability, proper management of heads the ad hoc committee of ISO IQA; corrective action; management review; hospitals, central office the different national public affairs and public property as well certification. The Development Academy of final gap assessment; preparation for directors, and all DOH languages of members. as establishes effective practices aimed the Philippines has been tapped to provide certification; and finally ISO Certification. employees and DOH partners Whatever the country, the at the prevention of graft and corruption. technical assistance to the DOH. The next Immediate step is to roll to make this happen. ”Kaya natin short form of the organization's Moreover, QMS in government agencies The HHRDB has achieved ISO out the process to DOH hospitals and Centers ‘to!,” he said with much enthusiasm name is always ISO. and personnel creates conditions that will 9001:2008 certification on December 12, for Health Development. and conviction. Standards make an enormous transform them into professional, motivated 2010 and it serves as the model for other - o O o -
24 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 25 HEALTHY lifestyle Takbo, Bilis, Takbo by LENI CARREON DOH Center for Health Development - Central Luzon
TOP: They’re not the Pink Sisters, but they surely are worthy of being named “Best in Uniform.” Aba, tumakbo naman kayo, ‘Day! RIGHT: Haaay, malayo pa ba? Lawit na mga dila namin. Tumabi kayo, mga Pink Sisters, dadaan kami... BELOW: Atty. J. Lacanlale finishing first in the Male Top Management Category. “Tawagan n’yo Nanay ko, nanalo ako... nanalo ako! “
Dr. Rio L. Magpantay , director of the Center for Health Development-Central Luzon (center) leads the “Takbo...Bilis...Takbo Para sa Koalisyon” Fun Run in celebration of the Heart Month. LEFT: Kili-kili ko yan! Hahaha! Some 500 government officials Health, Monina Laus, graced the event in The Fun Run was divided into the RIGHT: Director Rio Magpantay (front left) and and employees in Central Luzon gathered behalf of Pampanga Governor Lilia Pineda. following categories: top management; Pampanga Board Member Monina Laus (front right) dance to the groove with the Abztract Dancers (back at the Bren Z. Guiao Sports Complex in San She acknowledged the participation of the individual, divided into age brackets, 20 to row). “Sa palagay mo kaya ba Abztract dancers na Fernando City, Pampanga to join in the different agencies and even provided cash 35 years old, 36-49 years old and 50 and magsayaw ng naka-shades? Hindi!!!” “Takbo...Bilis...Takbo Para sa Koalisyon” Fun incentives to those who participated in the above; and team. The participants were BELOW: Nasaan ang finish line? Nasaaaaaaaan?!? Run on February 11, in celebration of the Fun Run. Laus, a first- termer board member, indorsed by their head of office, and a P500 Heart Month. This activity was organized vowed to do all things possible to support registration fee was required per participant by the Department of Health-Health and health programs. for the runner’s kit. The winners received Lifestyle Organization-Central Luzon (DOH- CHD Director Rio L. Magpantay, cash prizes and medals/trophies. HALO-CL), an interagency coalition of the host of the day-long event, announced The Fun Run was the third of a series government offices to promote the “Healthy that the DOH will support community-based of successful events held in Central Luzon to Lifestyle (HL) to the Max” campaign. groups that will adapt and promote healthy advocate for HL to the Max. The other two HL to the Max aims to promote lifestyle activities. events held last year were “Sampung Libong consciousness on the risk factors of lifestyle Abztract Dancers, a popular Hakbang Para sa Koalisyon” and the “Search diseases like heart diseases, stroke, diabetes, celebrity dance group, supported the event for the Biggest (Weight) Loser 2010. chronic respiratory diseases and cancer. by advocating dance exercise to be a part of The generous sponsors of the Fun The Fun Run enhanced the a person’s healthy lifestyle habits. They even Run were Pampanga Governor Lilia Pineda, excitement of officials and employees of posed as models for the event. Meanwhile, San Fernando City Mayor Oscar Rodriguez, Central Luzon who has built support groups professional runners were hired by CHD to CLTV - 36, UNTV –37, Nestle Philippines, and alliances for healthy lifestyle. facilitate the Fun Run and assist the needs of Coca-cola, San Miguel Foods and Mini-stop. Pampanga Board Member on runners. - o O o -
26 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 27 personal HEALTH
on his mother’s side have Type 2 diabetes. documented the link between medical A cousin on the father’s side and another science, proper exercise, practice of religion The cousin on the mother’s side have Type 1 and living in a nature-rich environment. diabetes. And two of his nephews have Type One example of a positive effect 2 diabetes. of being pious was in a 1989 study of 400 Type 1 diabetes (formerly called Caucasian men in Evans County, Georgia, juvenile diabetes or insulin-dependent Share your USA. Duke researchers found a significant diabetes) is usually first diagnosed in protective effect against high blood pressure GOOD RAPE children, teenagers, or young adults. It is among those who considered religion very based on the personal case study of an autoimmune disease characterized by PERSONAL important and who prayed everyday. DR. JUDE O. DOBLAS the destruction of the insulin-producing According to the latest results Municipal Health Officer - Balilihan, Bohol cells in the pancreas. Symptoms include HEALTH of a medical research, comprehensive excessive excretion of urine (polyuria), thirst lifestyle changes including a better diet Keep those eyebrows down and disorder, which is inherited as a simple rate for diabetes was four per cent, and that (polydipsia), constant hunger, weight loss, stories with us and proper exercise can lead not only to a the mouth shut, this is not about a crime of Mendelian recessive. It is an enormous is a big jump in the last five years, because vision changes and fatigue. These symptoms Write your story or we will send a writer better physique and mental state but also to passion but, believe it or not, about healthy problem in Asia and it is getting worse. it translates to over one million people who may occur suddenly. nearest you to do your story. Contact us at swift and dramatic changes at the genetic lifestyle to prevent the onset of diabetes The Diabetes Atlas Fourth Edition developed diabetes in a short period. Type 2 diabetes (formerly called [email protected] level. The activity of disease-preventing mellitus in an individual harboring the genetic (2009), published by the International Meanwhile, the prevalence rate for adult-onset diabetes or noninsulin- genes increased, while a number of disease- trait. Diabetes Federation, puts the prevalence impaired glucose tolerance (IGT) is a higher dependent diabetes) is the most common mysteries of the Holy Rosary at one mystery promoting genes shut down. This is the story of Dr. Jude O. rate for diabetes in the Philippines at 6.7 per 9.6 per cent which translates to 4.8 million form of diabetes. People can develop Type 2 per km. The 10 fingers are used as substitute According to Doblas, this is an Doblas, municipal health officer of Balilihan, cent of the population which translates to people more at risk of developing diabetes. diabetes at any age – even during childhood. for the rosary beads. exciting finding because people can do a Bohol which he termed as “a 29-year real life 3.4 million out of 51 million adult population IGT is an intermediate condition in the This form of diabetes usually begins with • Stationary gentle running indoors lot to change the course of their genetic on-going personal case study.” aged 20 - 79 years old. transition between normality and diabetes. insulin resistance, a condition in which fat, with mental praying of the three mysteries disorder by adopting the good lifestyle. Diabetes Mellitus is a hereditary In 2003, the national prevalence It occurs when the blood sugar level of a muscle, and liver cells do not use insulin of the Holy Rosary carries the same benefits person is higher than normal but below the properly. Symptoms may be similar to those as gentle running outdoors. Recommendation level of a person with diabetes. of Type 1 diabetes, but are often less marked. • Warm-up for 20 minutes using In the next 20 years, it is estimated As a result, the disease may be diagnosed GLEE or Good Lifestyle Exercises Everyday Doblas admits that a double-blind that more than half of the adult population several years after onset, once complications before starting and another 10 minutes of study is more ideal. His one constraint is worldwide will have diabetes. have already arisen. Until recently, this type GLEE to cool down before ending. how to gather a big sample size of qualified According to Doblas, his on-going of diabetes was seen only in adults but it is subjects who can adhere to the daily study aimed at showing that this inherited now also occurring in children. Results “Spartan-like discipline of the methodology abnormality may be prevented from being a Doblas, in his still ongoing study, for a long period of time. fully developed disease through a wholistic is trying to arrest and control the genetic Throughout the 29-year period, Despite these limitations, he approach – both physical and spiritual. development of diabetes by doing what Doblas monitored his body weight and recommends that the GOOD lifestyle Doblas was born on December 8, he calls as a GOOD lifestyle, which stands blood pressure readings. He also monitored methodology be made as the standard for 1946 and was 34 years old when he began for Good nutrition, Optimum rest, Orderly his blood sugar readings once every three lifestyle modification. He said that national his single-subject study. He is now 63 years recreation and Daily prayerful physical months. The results showed that his blood government should make the GOOD lifestyle old. exercise. And he call his methodology as sugar remain within the normal range and methodology as a priority national policy In Doblas’ hereditary profile, his RAPE or Running And Praying Everyday. he remains free of diabetes symptoms. for preventive health care. And finally he father, a lawyer, had Type 1 Diabetes and How’s that, you might ask? Well, However, there was slight elevation of his urged further studies of the GOOD lifestyle his mother, a registered nurse, had Type 2 here is his regimen: body weight and blood pressure readings. methodology be undertaken bearing a large diabetes. His brother and sister also have • Gentle running and power Doblas admitted that the sample size. Type 2 diabetes. And branching out in their walking with mental praying of the Holy RAPE as his methodology is somewhat ‘Wanna have a GOOD RAPE, family tree, four uncles and an aunt on the Rosary for three kilometers (km) daily, rain unconventional. Part of it relies on anyone?!? Dr. Jude O. Doblas. (Photos courtesy of Angelina Lansang) father’s side and two uncles and an aunt or shine. The 3 kms correspond to the three the hundreds of research studies that - o O o -
28 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 29 BEHAVIOR change Muslim HEALTH 7 CHANGES Virtues of to control your diabetes by ROBERTO C. MIRASOL, MD, FPCP, FPSEM KIDNEY DONATION Philippine Society of Endocrinology and Metabolism by TATO M. USMAN, MD, MPAIM There are several ways to control gardening. immediately. Know what to do when eating DOH Center for Health Development - Autonomous Region in Muslim Mindanao diabetes. It is believed that knowledge 3. MONITOR YOUR BLOOD outside. When you get sick, you should alone is insufficient. The knowledge should SUGARS. Daily self-monitoring of your be able to make decisions regarding food, Indispensable & Dispensable Organs kidneys. Of these, the kidney is the most ESRD almost always follows be translated to behavior change to be blood glucose will provide you with feedback activity and medications. Know what to common internal organ grafted from a living chronic kidney disease. A person may have able to achieve metabolic control. These as to the effect of food, physical activity and do when travelling. These problem solving The human body is made up donor to be transplanted to a recipient. At gradual worsening of kidney function for seven behavior changes were developed medications on blood glucose levels. Learn skills are continuously put to use because billions of cells that are grouped into times, organs from the deceased due to 10 - 20 years or more before progressing to by the American Association of Diabetes how to use a blood glucose meter. Ask your the disease is progressive and chronic tissues to become various organs that are accidents are harvested for donation and ESRD. Patients who have reached this stage Educators called AADE7
30 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 31 number of hemodialysis treatments is Conditions associated donation and transplantation in its 8th hold of it with his teeth and climbed up a needy person is a charitable deed, while whether it be a human or even a dog, 1.5 per week with less than half of the with deceased donors Session held between 28 Rabi'ul Thani to 7 and gave the dog water. Allah thanked him supporting a relative is two charitable deserves great reward. So, what about patients surviving beyond a year. Moreover, Jumadal Ula, 1405. for his (good) deed and forgave him.” The deeds: spending money and strengthening assisting a human being who is fighting data suggest that of the 30,651 patients • It must be done after having The Fiqh Academy of the people asked, “O Allah’s Messenger! Is there the ties of kinship.” (Reported in Al-Jami` between life and death like donating kidney? who started dialysis from January 2005 to ascertained the free consent of the Organization of the Islamic Conference in a reward for us in serving (the) animals?” He As-Saghir by Ahmad, At-Tirmidhi, An-Nasa’i, Manifestly, it then entails much greater and December 2009, 17,274 patients died on donor prior to his/her death. It can be Jeddah, during the hijra calendar year 1408, replied, “Yes, there is a reward for serving any Ibn Majah, and Al-Hakim on the authority of multiple rewards remarkably if the grafting dialysis treatment without the benefit of through a will to that effect, or signing and the Mufti of Egypt Dr. Sayyed At-Tantawi living creature.” (Reported by Abu Hurayrah, Salman Ibn Amir; verified by Al-Hakim, and is between related donor and recipient or a kidney transplant. With a survival rate the donor card, etc. also allowed the use of the body organs of as related in Al-Lu’lu’ Wal-Marjan 1447). supported by Adh-Dhahabi, as related in the so called directed donors. surpassing that of dialysis treatment, kidney • In a case where organ donation a person who has died in an accident, if the Also, the Prophet (peace and Faydul-Qadir by Al-Manawi 4/237). Allah Almighty knows best. transplantation has become the treatment consent was not given prior to a donor’s necessity requires the use of any organ to blessings be upon him) said: “Supporting As such, it can be deduced that - o O o - of choice for ESRD. death, the consent may be granted by cure a patient, provided that a competent the deceased’s closest relatives who are and trustworthy Muslim physician makes Views of Islamic Scholars on in a position to make such decisions on this decision. Organ Donation & Transplantation his/her behalf. It is important to note that most spiritual HEALTH • It must be an organ or tissue that is of the Islamic jurists have only allowed the Sheikh Ahmad Kutty, a senior medically determined to be able to save donation of the organs. They do not allow lecturer and an Islamic scholar at the Islamic the life or maintain the quality of life of the sale of human organs. Their position is Institute of Toronto, Ontario, Canada, issued another human being. that the sale of human organs violates the the following Fatwa (Islamic Ruling): "Organ • The organ must be removed only from rules of the dignity and honor of the human The Lord’s Clinic donation is permitted in Islam if it is done the deceased person after the death being, and so it would be haram (unlawful) within the permissible limits prescribed by has been ascertained through reliable in that case. “ I went to the Lord’s Clinic to have my routine check-up and I • Every hour take one pill of patience, one cup the Shari`ah. medical procedures. confirmed I was ill. of brotherhood, and one glass of humility. The following are the conditions • Organs can also be harvested from Multiple Rewards in Saving Life • When getting home, take one dose of love. stipulated by Islamic scholars for donating the victims of traffic accidents if their When the Lord took my blood pressure, He saw I was low in • When getting to bed, take two caplets organs from the living donors or deceased identities are unknown, but it must be It is well-known that donating tenderness. When He read my temperature, the thermometer of clear conscience. ones. done only following the valid decree of money is a highly esteemed deed in Islam; registered 400 of anxiety. He ran an electrocardiogram and found • Do not give in to sadness or depression for Conditions associated a judge." Allah is pleased with such deeds, so He that I needed several “love bypasses” since my arteries were what you are going through today. with a living donor Moreover, Dr. Muzammil Siddiqi, accepts them and multiplies their reward up blocked with loneliness and could not provide for an empty heart. former president of the Islamic Society of to seven-hundred-fold and more, by His Will. God knows how you feel. He knows exactly and with perfection • He/she must be a person who is in full North America, states the following: “The Allah the Almighty says: “And whoso saveth I went to the orthopedist, because I could not walk by my brother’s what is being allowed to happen to you in your life at this precise possession of his/her faculties so that Supreme Council of `Ulama in Riyadh in their the life of one, it shall be as if he had saved side and I could not hug my friends, since I have fractured myself moment. His purpose for you is simply perfect. He wants to show he/she is able to make a sound decision Resolution No. 99 dated 6 Dhul Qi'dah 1402 the life of all mankind” (Al-Maidah: 32). when tripping with envy. He also found I was short-sighted, since you things that only you can understand by living what you are for himself/herself; (Hijra Calendar) has allowed both organ Moreover, it is reported that I could not see beyond the shortcomings of my brothers and living, by being in the place you are now. May God give you... • He/she must be an adult and, donation and organ transplantation in the Prophet Muhammad (peace and blessings sisters. When I complained about deafness, the diagnostic was preferably, at least twenty-one years case of necessity. be upon him) declared that supporting the that I had stopped listening to Jesus’ voice talking to me on a daily For every storm, a rainbow... old; The organ can be taken from the needy, even animals, deserves great reward basis. For every tear, a smile... • It should be done on his/her own body of a living person with his/her consent in Allah’s Sight. The Prophet (peace and For every care, a promise... free will without any external pressure and approval and also from the body of a blessings be upon him) said: “While a man For all that, the Lord gave me a free consultation thanks to His And a blessing in each trial. exerted on him/ her; dead person. In the case of a living person, was walking he felt thirsty and went down mercifulness, so my pledge is, once I leave this clinic, to only take • The organ he/she is donating must the Islamic jurists have stipulated that this a well and drank water from it. On coming the natural remedies He prescribed to His words of truth: For every problem life sends, not be a vital organ on which his/her donation should not deprive him/her of vital out of it, he saw a dog panting and eating a faithful friend to share... survival or sound health is dependent organs. It should also not cause risk to his/ mud because of excessive thirst. The man • Every morning, take a full glass of gratitude. For every sigh, a sweet song... upon; her normal life. said, ‘This (dog) is suffering from the same • When getting to work, take a spoon of peace. And an answer for each prayer. • No transplantation of sexual organs is The Fiqh Academy of the Muslim problem as that of mine.’ So he (went down allowed. World League, Makkah also allowed organ the well), filled his shoe with water, caught Photo by Godfrey Tacadena
32 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 33 pain RELIEF
to pain management is a fundamental monitoring and evaluation for a Morphine Distribution for Cancer Pain Relief human right, and every physician has more streamlined approach to cancer the moral obligation to provide relief control. Likewise, amendments on of pain for those suffering from it. Yellow Pad Prescrip-tion issuances Meanwhile, the Declaration are currently being completed. Freedom from Pain of Policy of the Comprehensive The problems being encountered by Dangerous Drugs Act of 2002 stated in the distribution of morphine EMMANUEL A. TIONGSON, MD that, “The government shall aim to in hospitals are still the same. Dangerous Drugs Abuse Prevention and Treatment Program - Office for Special Concerns achieve a balance in the national drug Thus, advocacy and information One of the strategies of the many ways. It may be dull, aching or sharp; seven (7) out of 100 females would have control program so that people with dissemination are now being Aquino government to fulfil the mandate constant, intermittent, mild, moderate or died from cancer before age 75. Of these legitimate medical needs are not strengthened to make doctors and of universal health care for all Filipinos is severe. Fifteen years ago, following the numbers, they will require some form of prevented from being treated with pharmacists aware of the accessibility to improve access to quality affordable introduction and adaptation of the World cancer pain relief, and the need for more adequate amounts of appropriate of opiates in the DOH and other medicines. In the area of cancer care, the Health Organization (WHO) Analgesic accessible and available morphine for this medications, which include the use selected hospitals as well as to get Department of Health has purchased some Ladder as the benchmark for cancer pain unfortunate lot becomes mandatory. Sadly, of dangerous drugs”. Unfortunately, feedback from them on the common Php 10 million worth of morphine drugs relief, guidelines for the cancer pain program the majority of them would die without the this balance is not attained because problems they are encountering intended for indigent patients suffering was set into motion for providing opioid benefit of using a strong opiate that could doctors find the process of prescribing in providing free morphine to from pain. However, problems arise in the accessibility and availability for the country. relieve them of the agonizing pain. strong opiates like morphine too indigent patients. Meanwhile, the distribution and use of these medications The Philippines immediately The major obstacles for not tedious and difficult. Doctors should PDEA has made the renewal of S2 that hinder patients from achieving freedom adopted pain management as one of the receiving adequate treatment for cancer have a S2 license, and getting it licenses easier by accepting online from pain. major components of the DOH’s cancer pain, according to a study done by the requires them to undergo a drug registrations for physicians applying Not everyone with cancer prevention and control program under the Philippine Cancer Society and the Pain test. Moreover, in prescribing these for renewal via their website
34 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 35 HOSPITAL operations
A patient can be admitted after Charity Sweepstakes Office (PCSO) provided childhood cancer, have a common disease passing the following qualifications: 1) Php 3 million financial assistance for infra- process — cells grow out of control, develop pediatric cancer patient aged 0-20 years structure and operation. Furthermore, abnormal sizes and shapes, ignore their old; 2) with a clinical abstract from his/ the Tahan-Tahanan may decide to refer typical boundaries inside the body, destroy her pediatric oncologist; 3) with residence patients to PCSO for medical assistance and their neighbor cells, and ultimately can outside Metro Manila, and updated residence treatments. Some of the furniture, appliances spread (or metastasize) to other organs and and barangay certificates; 4) social abstract and paintings were donated by people with tissues. from a medical or barangay social worker; good hearts. Volunteers who are willing to As cancer cells grow, they demand 5) without any communicable disease; 6) donate their time, talent and treasure and more and more of the body's nutrition. with good compliance in treatment; and 7) more importantly their love and affection to Cancer takes a child's strength, destroys with patient/parent/caregiver’s willingness children with cancer are very much welcome organs and bones, and weakens the body's to participate in all activities of the center in order for this project to succeed with all its defenses against other illnesses. Childhood like household chores, skills training, endeavors. cancers often are hard to recognize, can occur socialization, play therapy, support group suddenly and without early symptoms, but and family counseling sessions. Cancer in Children have a high rate of cure if diagnosed early. Tahan-Tahanan was established The most common symptoms of Caring for Children with Cancer with a budget of Php 7 million. The Philippine All kinds of cancer, including pediatric cancer are dizziness; vomiting; TAHAN-TAHANAN by ELIZABETH G. MASCAREÑAS HEALTHbeat Staff There’s a revolutionary concept much-awaited realization of a dream to which a person lives, but an environment that is being claimed to be the first in the provide best quality holistic care for children offering security and happiness together world in the care of indigent children with with cancer. The team is composed of with the family. Thus, Tahan-Tahanan is cancer at the East Avenue Medical Center pediatric oncologists, nurses, psychologists, made with the purpose of providing a (EAMC). This is “Tahan-Tahanan” – a halfway teachers and volunteers as well as the homey, safe, secure, well-ventilated, clean home for patients and their family members/ patients and their families. and environment-friendly living experience caregivers who come from the provinces and “This is our legacy, our way of for its clients. seek treatment in Metro Manila hospitals. paying it forward, our chance to make a The clients are provided with free Tahan-Tahanan is so special that difference, and live a life with meaning board and lodging coupled with a 24/7 it was inaugurated on Valentine’s Day by and significance,” Abesamis said. “Fighting comprehensive enrichment program, such no less than President Benigno S. Aquino cancer has a huge effect not only on child’s as home-study, arts and crafts, sports, music, III, together with House Speaker Sonny life but for the whole family as well. Tahan- theater, dance as well as skills training for Belmonte, Quezon City Mayor Herbert Tahanan creates an atmosphere to make life the parents/caregivers. Play, being the Bautista, Health Secretary Enrique T. Ona with cancer easier and as much as possible, essential part in a child’s life, is the center of and EAMC Director Roland Cortez. live in a normal way,” she added. activity and the Tahan-Tahanan is complete Dr. Ma. Victoria M. Abesamis, Tahan-Tahanan is the combination with essential fixtures, including playground the head of the multidisciplinary team of of the words “tahan,” an endearing summon equipment and especially hand-crafted age- EAMC Pediatric Oncology and the one who to a child to stop crying, and “tahanan,”which appropriate educational toys to meet the TOP LEFT: Dr. Ma. Victoria M. Abesamis head of the Tahan-Tahanan at East Avenue Medical Center. TOP RIGHT AND BOTTOM LEFT: The playroom. BOTTOM conceptualized the facility, said this is the is more than a physical structure within developmental needs of the children. RIGHT: A patient enjoying a book in her room. (Photos by Paking Repelente)
36 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 37 RADIATION unexplained fever or recurring fever; lymphoma) neuroblastoma, osteoracoma, information. They must learn about the unexplained weight loss; frequent retinoblastoma, rhabdomyosarcoma, and disease, its risks, and its treatment. Coping headaches; fatigue; paleness; sudden eye Wilm’s tumor. with the illness will be more manageable if or vision changes; excessive bruising or The most common type of cancer the whole family knows what to expect both bleeding; swelling or pain in the joints, in children in the Philippines, Abesamis said, from the medical and emotional viewpoint. bones, pelvis, back or legs; lump in the is leukemia or cancer of the blood cells. It The diagnosis and treatment of armpit, leg, chest, stomach or pelvis; and usually begins in the bone marrow where childhood cancers take time, and there are recurring or persistent infections. blood cells are formed. In leukemia, the bone both short-term and long-term side effects. Abesamis, a member of the marrow produces abnormal white blood Cancer has huge implications for the quality Philippine Society of Oncologist, said there cells. Over time, as the number of abnormal of the child’s life. The child’s schooling are approximately 2,500 children diagnosed white blood cells builds up in the blood, they might get disrupted when hospitalization is with cancer in the country every year, and crowd out healthy blood cells. This makes it needed and it would also mean missing out the survival rate, if diagnosed early, is around difficult for the blood to carry out its normal on the normal growing-up period that most 80 - 85% (or 1,000 children). But still, cancer functions. Acute lymphoblastic leukemia children and teenagers experience. is the second most common cause of death can be cured and treatment includes But thanks to medical advances, among children between the ages of 5 and chemotherapy, other drug therapy, and more and more kids with cancer are finishing 14 years, according to the 2005 Philippine radiation. In serious cases, bone marrow and successful treatment, leaving hospitals, and Health Statistics. The different types of blood stem cell transplant is needed. growing up just like everybody else. cancer in children are acute lymphocytic Once cancer has been diagnosed, The EAMC aspires that the Tahan- leukemia, bone cancer, brain and spinal it is important for parents to seek help from Tahanan would be replicated in other cord cancer, Erwing’s sarcoma, lymphomas a medical center that specializes in pediatric hospitals in all regions nationwide. RADIATION (Hodgkin’s disease and non-Hodgkin’s oncology. The best defense for parents is - o O o - If Your Child Has Cancer CONCERNS It is never easy to talk about a cancer diagnosis with your as hair loss, fatigue, loss of appetite, etc. The devastating 9.0 magnitude radiation (IR). This energy can travel as either People can also be exposed to family or friends, but it is more difficult to talk about it if it is your • Let them know that you’ll communicate openly with them earthquake that spawned the massive electromagnetic waves (gamma or X-rays) radiation from human-made sources. child who has cancer. Many parents in this situation wanted to as best you can about what’s happening. wave in Japan on March 11 and set off a or as particles (neutrons, beta or alpha). Today, the most common man-made source know the best way to approach the subject with their children. • Keep a daily routine if possible as children find much comfort nuclear crisis on the following days have The atoms that emit radiation are of ionizing radiation are certain medical Here are some ideas to consider: in this. led to radiation concerns in this part of the called radionuclides. The time required for devices such as X-ray machines. • If you have more than one child, try to schedule one-on- one Pacific and the rest of the world. The series of the energy released by a radionuclide to The radiation dose can be • Take in mind the age and maturity of your child. What do time with each of them to make sure to keep those special disasters also have some devastating effects decrease by half (i.e., the "half-life") range expressed in units of Sievert (Sv). On average, they relate to? What might work for one moments together. You’ll find that it’s during these moments on Congress proposals in establishing nuclear from tiny fractions of a second to millions of a person is exposed to approximately 3.0 child, may not work for another. If that they might talk about their fears or ask questions they power plants in the country. years depending on the type of atoms. mSv/year of which, 80% (2.4 mSv) is due to they’re at the age when they’re reading might have been too shy to ask in front of others. The World Health Organization naturally-occurring sources (i.e., background books, you may want to get a book that released the following frequently asked Are people normally exposed to radiation), 19.6 % (almost 0.6 mSv) is due describes what cancer is in very simple It might also be a good idea to look for resources to questions that would help us understand ionizing radiation? to the medical use of radiation and the terms. If they’re an older child or teen, assist you in communicating this news; such as books, DVDs, radiation and hopefully appease our fears of Human beings are exposed to remaining 0.4% (around 0.01 mSv) is due to they really just need you to be honest peer support groups, and even weekend camps. Most of all, be a nuclear event. natural radiation on a daily basis. The other sources of human-made radiation. with them and give them facts, while supportive and open with their questions and concerns. Keep the radiation comes from space (cosmic rays) as In some parts of the world, levels at the same time reassuring them that lines of communication open and continue the hugs, love and What is ionizing radiation? well as natural radioactive materials found of exposure to natural radiation differ due you’ll be there for them. support. When certain atoms disintegrate, in the soil, water and air. Radon gas is a to differences in the local geology. People in • Describe any physical changes that Text by Lyndria Miller from Healthy Living Blog. either naturally or in man-made situations, naturally formed gas that is the main natural some areas can be exposed to more than 200 might occur during treatment, such Cartoons grabbed from the Internet. they release a type of energy called Ionizing source of radiation. times the global average.
38 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 39 How are people exposed to ionizing symptoms that may develop after whole- the thyroid gland and increase the risk of steps such as evacuation of from both external and internal radiation? body doses above 1 Sv (i.e. about 300 times thyroid cancer. Among persons exposed to people within a certain distance irradiation, as well as from Ionizing radiation may result the annual dose to background radiation). It radioactive iodine, the risk of thyroid cancer of the plant, providing shelter to inhalation of radioactive material. from sources outside or inside of the is related to the damage of the bone marrow, can be lowered by taking potassium iodide reduce exposure and providing Taking shelter is a simple and body (i.e. external irradiation or internal where the blood cells are produced. At higher pills, which helps prevent the uptake of the iodine pills for people to take to protective action that can be contamination). doses (>10 Sv) other organs may be affected radioactive iodine. reduce the risk of thyroid cancer). implemented promptly during the Internal contamination may result (e.g. gastrointestinal, cardiovascular). The risk of thyroid cancer following If warranted, steps such early phase of an incident. from breathing in or swallowing radioactive In a nuclear power plant accident, radiation exposure is higher in children and as restricting the consumption material or through contamination of the general population is not likely to be young adults. of vegetables and dairy products What are potassium iodide wounds. External irradiation is produced exposed to doses high enough to cause produced in the vicinity of the pills? when a person is exposed to external such effects. Rescuers, first responders and Which public health actions are most power plant can also reduce Potassium iodide pills sources such as X-rays or when radioactive nuclear power plant workers are more likely important to take? exposure. Only competent are a source of stable (i.e. non- material (e.g. dust, liquid, aerosols) becomes to be exposed to doses of radiation high Health effects can only occur if authorities who have conducted a Japan’s triple disasters: earthquake, tsunami and radiation spill. (Editorial radioactive) iodine. The thyroid attached to skin or clothes, resulting in enough to cause acute effects. someone is exposed to radiation, thus the careful analysis of the emergency cartoon circulates in the Internet.) gland requires iodine to produce external contamination. main protective action someone can take situation are in a position to thyroid hormones. The presence of External contamination can often What long-term effects can be expected is to prevent exposure. Those closest to the recommend which of these public health handled appropriately and disposed of stable iodine in the body in an appropriate be washed off the body. from radiation exposure? radiation are at greatest risk of exposure and measures should be taken. according to accepted national procedures. amount blocks the thyroid from absorbing Exposure to radiation can increase the greater the distance away, the lower the radioactive iodine (radioiodine), reducing What type of radiation exposure could the risk of cancer. Among the Japanese risk. This is why when a nuclear accident How can I protect myself? When people are advised to stay the risk of thyroid cancer which may follow occur in a nuclear power plant accident? atomic bomb survivors, the risk of leukemia occurs, the recommended public health Keep you and your family informed indoors, what does this mean? from exposure to radioiodine. If a nuclear power plant does increased a few years after radiation actions involve evacuation and sheltering of by obtaining accurate and authoritative When a radiological or nuclear Potassium iodide pills are not not function properly, radioactivity may exposure, whereas the risks of other cancers those near the site. information (for example, information from event occurs, public health authorities may "radiation antidotes". They do not protect be released into the surrounding area by a increased more than 10 years after the These necessary actions depend authorities delivered by radio, TV or the order residents in the affected areas to stay against external radiation, or against mixture of products generated inside the exposure. on the estimated exposure (i.e., the amount Internet) and following your government's indoors rather than to evacuate. You may any other radioactive substances besides reactor ("nuclear fission products"). The Radioactive iodine can be released of radioactivity released in the atmosphere instructions. be advised to take shelter at home, at work, radioiodine. They may also cause medical main radionuclides representing health risk during nuclear emergencies. If breathed and the prevailing meteorological conditions The decision to stockpile or take or in public shelters. The recommendation complications for some individuals with are radioactive caesium and radioactive in or swallowed, it will concentrate in such as wind and rain. The actions include potassium iodide tablets should be based is usually issued to protect people from poorly functioning kidneys. Potassium iodine. Members of the public may be on information provided by national health exposure to radiation. iodide should be taken only when there is a exposed directly to such radionuclides in authorities who will be in the best position If you are advised to stay indoors, clear public health recommendation. the suspended air or if food and drink are to determine if there is enough evidence to you should find the safest room in your contaminated by such materials. warrant these steps. house or office building that has a minimum When and why should I take potassium Rescuers, first responders and number of windows or doors. Ventilation iodide? nuclear power plant (NPP) workers may If I have been exposed to high levels of systems, such as heating and cooling You should only take potassium be exposed to higher radiation doses due radiation, what should I do? systems, should be shut down. iodide when it is recommended by public to their professional activities and direct If you are coming indoors after In sub-zero temperatures, it is health authorities. If you are at risk or have exposure to radioactive materials inside the radiation exposure, undress in the doorway important to keep warm. If you have been been exposed to radioiodine, potassium power plant. to avoid further contamination in your home instructed to shelter in your home, office, or iodide pills may be given to protect the or shelter. Remove clothing and shoes and other structure, it may not be safe to burn thyroid gland from uptake of radioiodine. What are the acute health effects of place them in a plastic bag. Seal the bag and fuels — such as gas, coal, or wood — to This can reduce the risk of thyroid cancer in radiation exposure? place it in safe location, away from living keep warm. Carbon monoxide poisoning the long run, when given before or shortly If the dose of radiation exceeds a areas, children, and pets. may occur in rooms that are not properly after exposure. certain threshold level, then it can produce Shower or bathe with warm, ventilated and should not be used in this acute effects, such as skin redness, hair not scalding hot, water and soap. Notify circumstance. If available, electrical forms of Should I take iodized salt to protect loss, radiation burns, and acute radiation Nuclear power plant meltdown following the devastating earthquake and tsunami in Japan. (Photo authorities that you may have contaminated heating would be safer. myself from radiation? syndrome (ARS). ARS is a set of signs and circulates in the Internet.) clothing and personal belongings to be Shelter can provide protection No, you should not take iodized
40 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 41 KALAbeat salt to protect yourself from radiation. It is HEALTH information dangerous to take large amounts of iodized salt in order to increase the amount of stable iodine in the body. Increasing one's daily intake of iodized salt will cause more harm this than good. The main ingredient of iodized salt is sodium chloride, which is linked with RxBox hypertension (high blood pressure) and The Department of Health professionals and facilities.” guy’s in love other medical disorders. The iodine content forged an agreement with the Department Aside from measuring vital signs, in iodized salt is too low to prevent uptake of of Science and Technology (DOST) to the RxBox is also equipped with a camera with you, pare radioiodine. strengthen the National Telehealth Service to capture and send images of patient or Sodium chloride is acutely toxic in Program. This allows health workers in body parts being examined. Its hands-free large amounts: even tablespoon quantities the field, especially those in far flung video conference mode enables doctors of salt repeatedly taken over a short period community, to have an access to guidance from different locations to consult each Kaibigan Beer Pa Nga! Bagong Kasal of time could cause poisoning. from clinical specialists to improve their other. Moreover, its sound transmission provision of health services through the features enable doctors to listen and save EDGAR: Ang KAIBIGAN ay isang Isang araw... ABBY: Ano ba? Two days na tayong Can I take other forms of iodine? use of short messaging system (SMS), actual patient sounds. The UP telehealth makahulugang salita… ERWIN: Waiter, beer pa nga! kasal, wala pa rin?!? No, you should not take products email or the Internet. team is also designing a custom software BRIAN: Bakit naman, ‘pre? WAITER: Sir nakakarami na kayo, ah. EDMOND: Pagod nga kasi ako. that contain iodine, other than medicines An important instrument for the RxBox to smoothly interface with EDGAR: Dahil, paano na lang ang IBIGAN, Ang sama siguro ng araw ABBY: Sige ka, kapag ayaw mo pa rin, recommended by public health authorities. developed for this telehealth service computers, server databases, mobile kung wala KA?!? ninyo, noh? maghahanap ako ng lalaki! Iodine is found in a number of is the “RxBox” that uses information phones and personal digital assistants ERWIN: Oo, natuklasan ko na bakla EDMOND: Sige! Dalawahin mo pa! different household and industrial products. and communications technology (ICT) (PDA). Tulak pala ang Kuya ko. Tig-isa tayo. For example, iodine may be found in some to measure, store and send patient Health Secretary Enrique T. Kinabukasan... disinfectants, antiseptics, and water- information, such as heart rate, electro- Ona said that the UP-Manila National IVAN: Bro, I need help. Patulak naman WAITER: O, sir, ano naman ang May I Confess sterilizing solutions. These products should cardiogram, blood pressure, pulse rate and Telehealth Center has been working with ‘to. Ayaw umandar eh. problema ninyo ngayon? not be taken as an alternative to potassium blood oxygenation. the DOH Doctors to the Barrios Program BENJIE: Okay. I’ll be there. Where you at? ERWIN: Hay naku, nalaman kong JEFF: Dad, may I confess po me sa ‘yo... iodide pills, because such products contain Research teams from the and other municipal health officers in IVAN: Nasa swing. bakla rin pala ang bunso kong Bakla po ako... Huwag po ninyo other ingredients that are harmful if University of the Philippines (UP)-Manila since 2008. The DOH is committed to kapatid. akong bugbugin please.. swallowed. National Telehealth Center and the expand telehealth for the next 3-5 years. Pugante Sa sumunod na araw... JUN: Ssshhhh!! Wag kang masyadong UP-Diliman Electrical and Electronics “We intend to eventually cover WAITER: O, sir, maglalasing ulit kayo? loud at baka ma-hear tayo ng Can pregnant women take potassium Engineering Institute of the Department 600 municipal health officers in fourth to Isang takas na bilanggo ang pumasok sa ERWIN: Oo, bigyan mo ko ng mudra dear mo! Kapag dalawa iodide pills? of Computer Science and the National sixth class municipalities in the country as isang kuwarto at tinali ang mag-asawa sa kalahating case na beer agad! lang tayo, carry mo akong Yes, pregnant women can take Institute of Physics developed the system. well as 1,000 towns having communities kama. Lumapit ito sa babae, hinalikan sa WAITER: Hay naku, wala na bang tawaging mother. potassium iodide pills, following the The RxBox saves the information that are beneficiaries of the Pantawid tenga at pumunta sa banyo... miyembro ng pamilya mo instructions of public health authorities. and then transmit it via wired and wireless Pamilyang Pilipino Program. Telehealth ang nagkakagusto sa babae? Basketball Potassium iodide will cross the placenta and networks to a remote medical specialist shall also assist us in collecting nationwide MARIO: Nakita ko kung paano ka niya ERWIN: Meron, yung asawa ko! protect the thyroid of the growing fetus, as who reads and interprets the sent data. health data, such as maternal, infant and hinalikan. ‘Wag kang pumalag GLEN: Bro, napanaginipan kita kagabi. well as the mother’s. This way, the specialist can assist the child mortality rates in real time,” Ona said. para makalabas tayo dito ng Sa CR... DENNIS: Tungkol saan ‘pre?!? doctors at the base station who personally The DOST is procuring RxBox buhay. Maging matatag ka... GLEN: Naglalaro daw tayo ng basketball. Can breastfeeding women take attend to patients. units and the Philippine Council for Health I love you. Nagkasabay sa CR ang macho at bakla... Then I stumbled. Tapos pagkasalo potassium iodide? DOST Secretary Mario G. Research and Development provides JOAN: Hindi niya ako hinalikan, binulong ANTON: Wow, ang laki naman n’yan... mo sa akin, biglang nagkalapit Yes, breastfeeding women can take Montejo said that “the RxBox is a local technical and administrative assistance niya sa akin na bakla siya at MACHO: Wala na itong silbi dahil iniwan ‘yung mga lips natin. potassium iodide, following the instructions technology that responds to the health to ensure the success of the telehealth tinanong kung nasaan ang na ako ng GF ko... puputulin ko DENNIS: Pwede ba, tama na… of public health authorities. care needs of the people from areas that program. KY jelly. Ang sabi ko nasa banyo. nalang at ipapakain sa aso! GLEN: Too much info ba, bro? - o O o - have inadequate access to quality health - o O o - Maging matatag ka... I love you. ANTON: Grrrrrrr.... Aw! Aw! Aw! DENNIS: Hindi. Kinikilig kasi ako.
42 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 43 tobacco CONTROL
"smoked" anywhere traditional cigarettes mice," Lautenberg was quoted as saying. widely advertised and used. It does not are not allowed. Tobacco control advocates, Although the e-cigarette does not have any baseline product standard. Some The Fuzz Over however, discourage e-cigarette users to emit the same odor and smoke produced by a countries like Israel, Australia and Canada “smoke” in non-smoking public places. real cigarette, there are preliminary scientific have reportedly banned them over safety The Associated Press reported in findings that the vapors these products emit issues. February that in the US, the Department have detectable levels of known carcinogen Other countries, like the Philip- of Transportation prohibited the use of and toxic chemicals to which users could pines, are still in a quandary on what to do E-Cigarette e-cigarettes on airplanes as it interprets potentially be exposed. However, there is still with them. Aside from safety, there are issues smoking regulations to include e-cigarettes. no data on what chemicals are released into on legalities – such as product registration, by This is in response to Sen. Frank Lautenberg the air by these products. Meanwhile, there license to sell after proper consumer ANTHONY R. RODA, MAHeSoS of New Jersey, who wrote the 1987 law that are unverified reports that some e-cigarettes protection evaluation, warning labels or HealthBeat Staff banned smoking on airplanes and asked may contain other substances like marijuana list of ingredients, prohibition of use in E-cigarette or electronic cigarette from tobacco control advocates. They said transportation officials to clarify the rule. or other illegal drugs. smoking restricted areas, etc. Now that the is a plastic and metal device that heat a that if it contained no nicotine the smokers "We still don't know the health The e-cigarette is reported to have e-cigarette is here, government authorities liquid nicotine solution in a disposable will not use it since they will not get their effects of e-cigarettes, and we don't want been invented in 2004 by a Hong Kong- should already craft and implement the cartridge, creating vapor that the "smoker" nicotine fix or kick. They said that some to turn airline passengers into laboratory based firm, and now it easily available, necessary policies and procedures. inhales. A tiny light on the tip even glows e-cigarettes claim to have no nicotine, but like a real cigarette. laboratory tests found that they actually do. In February, an e-cigarette trader Nicotine is what makes smoking in the Philippines released an advertorial pleasurable. It is the addictive component (paid advertisement that looked like a news of tobacco. It is absorbed into the blood report) that stated, “The answer to clean, and affects the brain within 10 seconds. It safe and smoke-free environment has finally causes smokers to feel good because of the arrived in the country in full support of the chemicals in the brain that it releases. It also Department of Health’s anti-lung cancer and causes a surge in heart rate, blood pressure, healthy heart campaign.” It also claimed and adrenaline which also feels good. that the product is completely nicotine-free However, stimulation is then followed by and has ingredients they call as “E-liquid” depression and fatigue, leading the smoker and “E-juice” that are said to be organic and to seek more nicotine and puffs another found in many food products. cigarette. Addiction to nicotine results in For the DOH, there is withdrawal symptoms when a person tries misrepresentation in the deceptive to stop smoking. advertorial which dragged the name of Tobacco control advocates agency and made it look like the DOH is also argued that if there is no nicotine in endorsing the product. However, the stand SMOKE EVERYWHERE?!? We hope not. Photo electronic cigarettes and they are really of the DOH on e-cigarette which was issued grabbed from
44 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 45 folk ILLNESS
Some causes of pasma, according to rural folks, are the washing of hands or feet when tired, or showering or even a sponge bath after a hard day’s work. Other possible causes include bathing after sex as PASMAby it is believed that cold may enter the body DONATO DENNIS B. MAGAT through the vagina, cervix, and uterus. HEALTHbeat Staff Washing hands after ironing clothes is also another cause for pasma. However, there Everything’s in the Internet, that’s translation in English or any other language. culture and tradition, and so I thought. is no known or documented bad effect of what we are made to believe. Just Google it, My quest continued and using my ironing after washing clothes. and so I did. I just wanted to find out what are Department of Health connection I tried Onli in Da Pilipins In short, any kind of prolonged the health effects of washing your hands or setting appointments for interviews from and repetitive activity that causes undue bathing after ironing clothes. I heard it again doctors – neurologist, orthopedic surgeon, Despite the leaps and bounds in tiredness followed by bathing or washing of lately from Manang, our laundry woman. gastroenterologist, dermatologist and even medical science, many beliefs handed down tired body parts should be avoided for fear My search for answers in the Internet led obstetric-gynecologist. To my dismay, no one from generations simply refuse to die. Some that it might eventually lead to a condition me to a web of more confusion. People from would want to “officially” describe pasma may be considered as regional mythologies called pasma. other countries answering “Yahoo! Ask” or and just referred it as a “medical fallacy.” like the belief in tikbalang, kapre, dwende, Michael Tan, a renowned health “Ask Doctor” sites never heard of any effects No Filipino doctor would want to nuno sa punso, etc. and medical anthropologist in the country, to health. Filipinos however are pointing damage their reputation by going against an Today, rural villagers still whistle referred to pasma as a “folk illness.” Filipinos to pasma, a Tagalog term that has no old-age belief that form part of the country’s to summon the wind for a refreshing complain about pasma all the time, Tan breeze. Some predict tomorrow’s weather wrote in his column in Philippine Daily conditions based on the night skies. Others Inqurer in 2007. People with the perceived offer chickens to drive away evil spirits. pasma complain about hand tremors, Many beliefs and practices on sweaty palms, numbness and pain, among health are about pregnancy, childbirth and other varied signs and symptoms usually child rearing, among them are lihi, binat, attributed to an interaction of init (heat) Pasmang matanda, on the other work or any strenuous activity in order not and usog. These may have contributed much and lamig (cold). These symptoms are quite hand, is a common arthritic affliction of the to disrupt the balance of heat-cold system in the high maternal and infant death rate of different from the original Spanish word hands, feet, and knees in older patients, and in the body, and for women to avoid bathing the country. “espasmo,” which means spasm. is also attributed to the frequent practice or washing after sexual intercourse, during Some diseases seen in rural People also perceive certain of cold bathing when tired. Pasmang mata, menstrual periods, and 12-14 days after areas are still being diagnosed and treated occupations to be more vulnerable the frequent blinking and visual blurring of giving birth. by village healers called herbolarios (or than others to pasma, for example, a person’s eye, is believed to be the effect of Rural healers also have improvised herbalists). These herbolarios diagnose a farmers, secretaries, pianists, students, spending the whole day in a hot and sweaty different massage concoctions to heal or disease from imagined signs in a slaughtered athletes, factory workers, househelp and environment and then washing the face soothe tired muscles to avoid pasma. Some pig’s liver, raw eggs or melted candles in laundrywomen. in other words, anyone with cold water. of these home-made ‘formula’ are salt and water. This kind of diagnosis is often referred working with their hands. Until now, pasma continues lukewarm water, salt and guava leaves, to as pagtatawas. Other variations of the pasma are to baffle medical experts, hence no salt and kerosene, and rice water. The usual One common belief that has stood pasmang bituka, pasmang sapatos, pasmang straightforward approach on its kind of practice is to soak the affected body parts in the test of time is pasma. According to matanda, and pasmang mata. Pasmang treatment. However, rural healers provide the concocted solution. In some province, Filipino belief, it is a disorder caused by the bituka is a form of abdominal pain or some folkloric therapeutics to remedy its the warm first morning urine is used as imbalance of hot and cold in the body. Cold flatulence attributed to drinking cold water occurrence. These are avoiding tiresome a soak-and-wash prescription against water is believed to be harmful to the body when tired and when coming from the heat. repetitive movements of the upper tremors, numbness, and excessive sweating. if a person is exposed to it after a strenuous Pasmang sapatos is the sweating of the feet extremities, avoid washing of clothes after Other form of treating pasma are physical exertion. due to tiredness and getting wet in the rain. ironing, avoid bathing after a hard day’s digging and lying covered with sand for
46 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 47
TEST results
3-5 hours and a 30-minute steam bath of Pasma and Stress more vulnerable to stressors. Answers to “Make the Healthier Choice” on Page 3 lagundi and kalamansi leaves. The researchers did find that the The simple way to avoid pasma is Tan noted in his column of a women with pasma tended to have longer b) German Measles. The rubella virus causes “German measles,” also exposed to radiation from man-made sources, and today, the most common just do not go into water when a person is small study in a physiology class of medical work hours. And while laundrywomen known as “three-day measles.” On the other hand, the rubeola virus of which are certain medical devices such as X-ray machines. (See “Radiation too tired or has been exposed to heat. Relax students in the University of the Philippines usually attribute pasma to ironing, the causes "red measles," also known as "hard measles" or just "measles." Concerns” on page 39.) and take an hour of rest before doing so. titled “Clinical and Neurophysiological profile researchers found that women with pasma Although German measles is usually a milder disease, the virus can cause Modern medicine view pasma as of Laundrywomen With and Without Self- actually had longer washing hours, rather significant birth defects if an infected pregnant woman passes the virus to c) Vapor. E-cigarette or electronic cigarette is a plastic and metal device that her unborn child. (See “Iligtas ang Pilipinas sa Tigdas” on page 9.) mere product of imagination of the olden perceived Pasma: A Cross-Sectional Survey.” heat a liquid nicotine solution in a disposable cartridge, creating vapor that than the ironing itself. the “smoker” inhales. Although it does not emit the same odor and smoke times. Some conditions diagnosed by Although is a small study, it is designed Could it be then that pasma is the b) 6 months. Only breast milk for babies from the first hour up to six produced by a real cigarette, there are preliminary scientific findings that the herbalist as pasma turned out to be real, very well and yielded intriguing results. The Filipino’s way to dramatize their state of months of life – no water, no “am” (boiled rice water) and other liquid, vapors the e-cigarette emits have detectable levels of known carcinogen and existing medical condition that can be cured research team recruited 17 laundrywomen, their being tired and overworked? no infant formula or food. This is the one message that the Department toxic chemicals to which users could potentially be exposed. However, there is scientifically. For example, tremors could be all from Pasay City, who perceived themselves Tan concluded in his column: of Health wants to deliver to new and expectant mothers, primarily in still no data on what chemicals are released into the air by these products. (See lower-income areas, as it launched the Breastfeeding TSEK (Tama, Sapat “The Fuzz Over E-Ciagerette on page 44.) a symptom of Parkinson’s disease, or other to have pasma and compared them with 16 “So, when your household helpers express at EKslusibo) campaign. (See “Breastfeeding TSEK” on page 19.) underlying conditions like hypertension, other women, also laundrywomen, without fears of pasma, or complain that they have c) S2 License. Majority of Filipino doctors do not have S2 license for prescribing diabetes mellitus, thyroid dysfunction or pasma. The women went through a battery pasma, you should see this as a polite way c) Kidney. The organs that are dispensable and can be safely removed regulated or narcotic drugs and they would not want to bother themselves just plain old age. Extremity edema (or a of tests, including blood pressure, body mass of complaining about the work load. Don’t without compromising one’s life, include the appendix, uterus, eyes and with going through the process of applying for one at the Philippine Drug condition of abnormally large fluid volume index, blood chemistry (fasting blood sugar) think it’s ‘all in the mind’; there is such a one of the two kidneys. Of these, the kidney is the most common internal Enforcement Agency (PDEA) since this would entail additional burden and organ grafted from a living donor to be transplanted to a recipient. At in tissues between the body’s cells) could and various neurological tests. responsibility. This becomes a problem to many patients suffering from pain thing as somatization, where psychological times, organs from the deceased due to accidents are harvested for who desperately need morphine drugs. (See “Freedom from Pain” on page 34.) be from kidney or heart diseases; numbness Most of the medical tests in the stress leads to very real physical signs and donation and transplantation. (See “Virtues of Kidney Donation” on page of the hands from carpal tunnel syndrome; study did not have significant differences symptoms. A good employer should be 31.) a) Equal. “ISO” is not an abbreviation. It is a word, derived from the Greek palm sweating from hyperhydrosis; and between the women with and without sensitive enough to reduce the work load, “isos,” meaning “equal”, which is the root for the prefix “iso-” that occurs in extremity numbness from diabetes or pasma, but they had one important finding: lest he end up with more than pasma on the b) Type 2 Diabetes. It is formerly called adult-onset diabetes or a host of terms, such as “isometric” (of equal measure or dimensions) and noninsulin-dependent diabetes and the most common form of diabetes. lumbosarcal disease. the pasma group generally took longer for “isonomy” (equality of laws, or of people before the law). The name ISO is used helper’s hands… and on his conscience.” People can develop Type 2 diabetes at any age—even during childhood. around the world to denote the organization, thus avoiding the assortment The Filipino’s belief on pasma could their blood pressure to return to normal after My laundry woman may really be This form of diabetes usually begins with insulin resistance, a condition of abbreviations that would result from the translation of “International have aggravated existing medical conditions certain tests, alerting the researchers to the complaining now. Should I give her a raise, in which fat, muscle, and liver cells do not use insulin properly. (See “The Organization for Standardization” into the different national languages of needing immediate attention. possibility that people with pasma might be then?!? GOOD RAPE” on page 28.) members. Whatever the country, the short form of the organization’s name is always ISO. (See “The DOH Quest for ISO Certification” on page 24.) b) Leukemia. The most common type of childhood cancer in the Philippines is leukemia or cancer of the blood cells. It usually begins in b) Death. The ovicidal and larvicidal (OL) mosquito trap system involves a black TIDbeat the bone marrow where blood cells are formed. In leukemia, the bone container and a strip of wet lawanit board inside the trap. The Department of marrow produces abnormal white blood cells and over time, they crowd Science and Technology (DOST) explained that the OL mosquito trap is not a out healthy blood cells making it difficult for the blood to carry out its new technology and it has been known since 1969, but what is novel about it normal functions. Acute lymphoblastic leukemia can be cured and is the natural ovicide and larvicide incorporated to the system. These are in the RELATIONSHIP Sign Language treatment includes chemotherapy, other drug therapy, and radiation. In form of pellets made from organic compounds derived from plants. When the serious cases, bone marrow and blood stem cell transplant is needed. (See pellets are incorporated to the system, these become ovicidal and larvicidal. “Tahan-Tahanan” on page 36.) The suffix “cidal” connotes death. Once the egg touches the solution, it will die. If the egg hatches, the larvae will die and will not become pupa, the pupa will c) X-ray Machines. Human beings are exposed to natural radiation on a not become adult and no adult to lay eggs. (See “Trapping Dengue” on page daily basis. The radiation comes from space (cosmic rays) as well as natural 18.) radioactive materials found in the soil, water and air. People can also be - o O o - Single and Looking In a Relationship Separated/Divorced In an Open Relationship What Your Scores Mean 10 You don’t need this magazine. Give it to someone and read something else! 7 - 9 Aha, you’re getting new information. After reading this magazine, pass it to a friend so that our readership may increase too. 4 - 6 Keep this magazine as a reference. You might need to browse and read it again. LOSER: VIRGIN: In a Rocky Relationship 1 - 3 You have to be more concerned about health. Start now by reading this magazine from cover to cover. Don’t miss the inside pages, okay? Cannot Find a Relationship No Relationship Since Birth 0 What have you been doing lately? How about getting some English Reading and Comprehension classes? 48 HEALTHbeat I March - April 2011 March - April 2011 I HEALTHbeat 49 SAbeat TRABAHO lang... Call Center Agent Hindi Ka Papasok?!?
NOON: Ang hindi magmahal sa INA: Anak, ‘di ka ba papasok sariling wika ay mas sa school ngayon? mabaho pa sa malansang CHIT: Ayoko pong pumasok. isda. INA: Bigyan mo ako nga NGAYON: Ang hindi nagmahal sa ako ng mabigat na sariling wika ay sa call dahilan kung bakit ayaw center kumikita. mong pumasok sa school? Cashier CHIT: Dahil galit sa akin ang mga teachers ko! Sa isang grocery, nilapitan ng lalaki ang isang Job Interview INA: Pero kailangan mo pa ring babaeng nakatayo sa gilid... pumasok, anak.. MAU: Miss, dito ba babayaran ang mga BOSS: Why should we hire you? CHIT: Sige ‘Nay, bigyan mo ako ng pinamili ko? TONY: Mas mabuti po ang bagong mabigat na dahilan kung bakit DIANE: Hindi noh. Anong akala mo sa tulad ko dahil wala pang sungay. kailangan kong pumasok? ‘kin, cashier? BOSS: English please. INA: Dahil 52 years old ka na at ikaw MAU: Ganun ba? Mukha ka kasing TONY: Well, you see, uh, I’m brand new, ang kanilang School Principal!!! bayaran. so I’m not yet horny! Manager Saleslady Job Applicant GERRY: Boss pwede ba ako nalang ang JENNY: Miss, may tinda ba kayong BOSS: Ikaw ba yung applicant? pamalit ‘dun sa puwesto ng sanitary napkin dito?” CHE: Opo, Sir. Manager nating kamamatay SALESLADY: Meron po. BOSS: Eh, bakit ganyan ang suot mo? lang? JENNY: Nasaan? Bakit ka naka 2-piece bikini? Ano BOSS: Ok lang sa akin na ikaw ang SALESLADY: Sa MENS department po. ba ang inaapplyan mo? pumalit sa kanya, kung CHE: Summer Job po. papayag ang punerarya. Taxi Driver Attorney Judge Nagmamadaling sumakay ng taxi ang isang seksing babaeng nakahubad... ATORNI: Ano? Idedemanda mo ng sexual Sa isang courtroom... CHICHI: Bakit ka nakatitig sa katawan ko, harassment ang boss mo dahil JUDGE: Estafa na naman? Ikaw na ngayon ka lang ba nakakita ng sinabihan ka na mabango ang naman? Sampung taon ka nang nakahubad? buhok mo! Anong masama ‘dun? humaharap dito sa korte ko, ah. DRIVER: Hindi, Miss! Iniisip ko lang kung JOY: Atorni, unano ang boss ko... ROBERT: Your honor, hindi ko po kasalanan saan nakatago ang pamasahe mo. UNANO!!! kung hindi po kayo ma-promote!
(-: Jokes and photo from the Internet :-)
50 HEALTHbeat I March - April 2011