Beat COVID-19 Today a COVID-19 Philippine Situationer

Beat COVID-19 Today A COVID-19 Philippine Situationer

Issue 18 | May 15, 2020

Highlights and Recent Case Summary As of May 14, 2020 Updates on COVID-19 11,876 11,618 258 ● DOH recorded 8,749 active cases as of May 14, Total Cases Previous day Additional Cases with the majority of the patients exhibiting mild symptoms (7705, 88.1%). 86 18 ● DOH certified Divine Word Hospital and 2,337 added 790 added Zamboanga City Medical Center - DA Satellite Recoveries Deaths Lab as Stage 5 laboratories that can perform the RT-PCR test for COVID-19. There is now a total of Active Cases 30 licensed RT-PCR laboratories across the (net of recoveries and deaths) country while four and 26 are on Stage 4 and 8,749 Stage 3 certification, respectively. Active Cases Breakdown ● As of May 14, there are four (4) MEGA Local Isolation and General Treatment Areas (LIGTAS) COVID facilities in NCR (PICC, World Trade Center, Rizal Memorial Coliseum, Ninoy Aquino Stadium) and one (1) in Central Luzon (Philippine Arena) managed by the local government. Meanwhile there are a total of 2,297 temporary treatment and monitoring facilities LIGTAS COVID centers all 8,749 over the country which are managed by local Active Cases government units.

● As of May 14, a total of 362 repatriate vessels have been processed and 88 are being processed. Of these, 52 vessels have arrived with a total of 13,466 sea-based repatriates under quarantine directly supervised by BOQ for monitoring and 962 727 122 113 PNP for security; while 310 vessels with a total of Pending Admitted Home Isolation Asymptomatic Admission Status 18,798 repatriates are also under quarantine directly supervised by OWWA for monitoring and PCG for security. 7,705 6,373 1,193 139 Pending Admitted Home Isolation ● For land-based repatriates, a total of 8,130 Mild Admission Status repatriates arrived. 7,446 are currently in quarantine facilities directly supervised by OWWA for monitoring and PCG for security. A total of 684 57 25 completed the quarantine period. Severe Critical

● DOH emphasizes to the public the importance of Probable Cases Suspect Cases embracing the New Normal setting in their As of May 14, 2020 everyday lives. In this renewed awareness, the public needs to keep in mind that their actions and behaviors should lead to improved health. 1,612 19,976 Concerning this, minimum health standards in Total Cases Total Cases places of worship are essential to keep everyone SUSPECT CASES: healthy and safe. Conducting religious services SEVERE: Pneumonia, PROBABLE: Previously Difficulty of Breathing termed as PUIs (mild or Previously termed as PUIs online is encouraged. critical) with inconclusive (mild or critical) with no test CRITICAL: Intubated or unofficial test results. done or awaiting test results. COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

Goal: Shortening Duration of Infectiousness

Case Summary of Overseas Filipinos (OFs) TOP COUNTRIES WITH COVID-19 As of May 14, 2020 WHO data as of May 14, 2020

2,322 638 Top 3 countries with the highest cases Confirmed OFs Confirmed OFs DOH Count DFA Count USA 1,322,054 DOH Counts validated through the International Health Regulation (IHR), 24 cases for validation of disposition SPAIN 228,030 REGIONAL DISTRIBUTION ITALY 221,216

Americas Europe Middle East Asia and the And Africa Pacific Asian country with the highest cases

534 687 680 421 DFA count DFA count DFA count DFA count IRAN 110,767 Southeast Asian country with the highest cases 31 52 21 432 DOH count DOH count DOH count DOH count SINGAPORE 24,671

Healthcare Workers aﬀected by COVID-19 Active Cases Breakdown As of May 14, 2020 1 Top Profession/Job Description of Confirmed COVID-19 HCW 398 0.07% Critical Confirmed 2,245 1,431 779 35 Asymptomatic Profession Cases Deaths CFR % healthcare workers Active Recoveries Deaths Or 1/5 are HCWs (19%) Medical 27.81% Nurse 812 4 Top 5 Medical Profession/Cadre 0.49% Total Number With COVID-19 cases Physician 660 29 4.39% Nurse 812 Nursing Assistant 137 0 0.00% Physician 660 0.35% Medical Technologist 81 0 0.00% Nursing Assistant 137 5 Severe Radiologic Technologist 42 0 0.00% Medical Technologist 81 1,431 Radiologic Technologist 42 71.77% Non-medical Staﬀ 260 1,027 Mild Healthcare Workers with confirmed COVID-19 by Date of Onset of Illness (N= 2,245) Philippines, as of May 14, 2020

Note: Case counts reported do NOT represent the final number and are subject to change after inclusion of incoming reports and review of cases.

Midwife 32 0 0.00% Respiratory Therapist 28 0 0.00% Pharmacist 15 0 0.00% Non-medical 2 Admin Staff 114 2 1.75% Utility 57 0 0.00% Driver 23 0 0.00% Dietary Staff 22 0 0.00% Barangay Health Worker 20 0 0.00% Philhealth Staff 12 0 0.00% Security Guard 12 0 0.00% COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

Goal: Shortening Duration of Infectiousness AGE AND SEX DISTRIBUTION Age and Sex Distribution of confirmed cases Age Female Male As of May 14, 2020 0-19 324 385

Most of the conﬁrmed cases are Male 20-39 2217 2323 (6407 or 54%). Most cases are within 40-59 1655 2184 the 20-39 age group. Twenty cases with 0-19 324 385 unspeciﬁed age are included in the total. >60 1265 1503 TOTAL 5469 6407

20-39 2217 2323 Average hospital length of stay for unspecified 8 12

Date of Onset of Illness 15 recovered patients is at 15 days.

1655 2184 40-59 A total of 424 (54%) deaths had known CALOOCAN comorbidities: top 2 comorbidities are hypertension (265 or 64%) and diabetes VALENZUELA (200 or 48%). ⩾60 1265 1503 MALABON QUEZON CITY MARIKINA NAVOTAS

SAN JUAN NO. OF CONFIRMED CASES MANILA MANDALUYONG Confirmed COVID-19 Cases by Date of Onset of Illness (N = 11,876) PASIG MAKATI Philippines, as of May 14, 2020 PATEROS Note: Case counts reported do NOT represent the final number and are subject to change after inclusion of incoming reports and review of cases. PASAY TAGUIG PARAÑAQUE

LAS PIÑAS MUNTINLUPA

A total of 7646 (64%) are conﬁrmed cases from NCR. The proportion of cases in NCR decreased from 72% since January (start of case detection) to April 19, 2020 to 57% for the period of April 20 to May 14, 2020.

Meanwhile, cases in Region 7 increased in proportion from 2% to 27% for the similar period. On May 4, 2020, 123 (57%) out of the 217 conﬁrmed cases nationwide (by date of onset), were reported from various barangay in Cebu City. Region 7 recorded a total of 1,755 (15%) conﬁrmed cases, the second highest reported in the country.

Region 4-A has the third highest cases with a total of 1,348 (11%) conﬁrmed cases of yesterday. Since start of case detection, the proportion of cases in Region 4A decreased from 15% to 6% for the period of April 20 to May 14.

3 COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

FACILITY NAME REGION STAGE FACILITY NAME (RT-PCR using Gene Xpert) REGION STAGE Research Institute for Tropical Medicine Zamboanga City Medical Center IX San Lazaro Hospital Cagayan Valley CHD TB Reference Laboratory II v UP National Institutes of Health Lung Center of the Philippines NCR Lung Center of the Philippines Northern Mindanao Medical Center X St. Luke's Medical Center- QC Ospital ng Palawan IVB IV The Medical City - Ortigas Cotabato Regional Medical Center XII Victoriano Luna - AFRIMS Regional 1 Medical Center Mariano Marcos Memorial Hospital I Detoxicare Molecular Diagnostics Laboratory Ilocos Training Regional Medical Center St. Luke's Medical Center - BGC NCR Cagayan Valley Medical Center II Makati Medical Center Central Luzon Doctor's Hospital III Philippine Red Cross Philippine Tuberculosis Society, Inc.- Quezon Institute Chinese Gen. Hospital San Lazaro Hospital PRC-PLMC Tondo Medical Center NCR III Philippine Genome Center UP-Diliman Dr. Jose B. Rodriguez Memorial Hospital and Sanitarium (TALA) Marikina Molecular Diagnostic Laboratory Tropical Disease Foundation UP-PGH Molecular Laboratory V Butuan Medical Center CARAGA Singapore Diagnostic, Inc. Davao Doctor’s Hospital XI Asian Hospital & Medical Center Davao Regional Medical Center Baguio General Hospital and Medical Center CAR Dr. Arturo Pingoy Medical Center XII J B. Lingad Memorial Hospital III De La Salle University - Cavite IV-A STATUS OF LABORATORY LICENSING Bicol Regional Diagnostic and Reference Laboratory V As of May 14, 2020 Western Visayas Medical Center VI Allegiant Regional Care Hospital LICENSING OF LABORATORIES STATUS Vicente Sotto Memorial Medical Center VII *Facilities with GeneXpert machines included. Cebu TB Reference Laboratory 30 105 79 75% Eastern Visayas Regional Medical Center VIII NO. OF LICENSED TOTAL NO. OF TOTAL NO. OF % LABS ON STAGE 3 Divine Word Hospital RT-PCR LABORATORY LABORATORIES AND ABOVE* Zamboanga City Medical Center - DA Satellite Lab IX LABORATORIES APPLICATIONS* STAGE 3 AND ABOVE* *Facilities with GeneXpert machines included. Southern Philippines Medical Center XI PRC-Port NCR 1 National Kidney and Transplant Institute NUMBER OF STAGE 3 Ilocos Training Regional Medical Center I IV 4 to 5 LABORATORIES Lucena United Doctors Hospital IVA 3 IN THE COUNTRY ABC Clinical Laboratory 1 Hi-Precision (QC) 1 PNP Crime Laboratory LEGEND NCR Safeguard DNA Diagnostics NO. OF LABS ON 1 3 STAGE 5 Tropical Disease Foundation NO. OF LABS ON Fe del Mundo Medical Center STAGE 4 Ilocos Training Regional Medical Center NO. OF LABS ON I 19 Mariano Marcos Memorial Hospital 11 2 1 STAGE 3

Cagayan Valley Medical Center 3 1 Southern Isabela Medical Center II 1 Number inside the Cagayan Valley CHD TB Reference Laboratory circle corresponds to number of The Medical City - Clark III laboratories in the Bataan General Hospital 2 region Batangas Medical Center III San Pablo College Medical Center IVA 4 1 Calamba Medical Center 3 Bacolod Queen of Mercy Hospital Teresita Jalandoni Provincial Hospital VI 3 Western Visayas State University Medical Center 1 Governor Celestino Gallares Memorial Medical Center VII (Bohol) 1 2 Northern Mindanao TB Regional Center TB Reference Center- CHD Region X X 3 2 1 Polymedic Medical Plaza 3 Cotabato Regional Medical Center XII Adela Serra TY Memorial Medical Center 1 XIII 1 CARAGA Regional Hospital 1 4 Additional laboratory for May 14

4 COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

Goal: Increase Resilience, Stop Transmission, Reduce Contact

BEHAVIORAL MESSAGES OF THE DAY As of May 14, 2020

● Repatriates should be treated with respect and dignity. We should minimize any discomfort or distress associated with quarantine measures. Treat all repatriates with courtesy, taking into consideration gender, sociocultural, ethnic, or religious concerns.

● Expanded testing is being done, but results are not immediately released. During this turnaround time, patients are isolated in isolation or quarantine facilities until confirmed positive or negative with COVID-19. People are reminded to immediately go to the nearest health facility and be checked and tested if they are showing signs and symptoms of COVID-19.

● As the country ushers in the New Normal era, minimum health standards in places of worship are essential to keep everyone healthy and safe. To minimize the risk of exposure to COVID-19, religious gatherings are discouraged. People are advised to watch masses or church services online or in television.

● Even during the transition to the New Normal era, relevant health concerns should also be prioritized. In light of the Safe Motherhood Week 2020, mothers should take care of themselves after delivery to rebuild strength. They need plenty of rest and good nutrition as well. The postpartum period begins after the delivery of the baby and ends when the body has nearly returned to its pre-pregnant state. This period lasts for 42 days.

HOW DO YOU MAKE 0.05% DISINFECTANT SOLUTION FOR CLEANING HOUSEHOLD ITEMS?

1. Gather all materials 3. When preparing the solution, pour the needed: disinfectant amount of water required into a plastic container, container then add the bleach (and not the bleach/chlorine, water, other way around): personal protective equipment 4. If you are using household bleach (5% active chlorine), mix: a) 1 ml bleach + 9 ml water, or 2. Wear appropriate b) 100 ml bleach + 900 ml water personal protective c) For chlorine equipment (gloves, powder/granules/tablet (60-70%) googles, apron and active chlorine, dissolve: 1 tbsp of boots) when handling chlorine + 20L of water and preparing bleach 5. Do not forget to label your disinfectant solutions. containers and specify chlorine

concentration. 5 COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

Goal: Enhance quality, consistency, and aﬀordability of care provision

HOSPITAL BEDS AND MECHANICAL VENTILATORS DEDICATED TO COVID-19 CASES Data taken from the DOH DataCollect App. Specific for COVID-19 cases. As of May 14, 2020 950 Ward beds 1,752 occupied available

Ward beds for confirmed COVID-19 cases 3,723 Isolation beds 5,810 available 13,534 occupied TOTAL BED CAPACITY 506 793 ICU beds available occupied

363 Mech vents 1,574 Data as of 11:43 PM, May 14, 2020. The most recent submission available of the facility was included in the analysis. Overall submission in use rate is 98.2% for hospitals and 99.0% for infirmaries.

DEDICATED BEDS FOR COVID-19 CASES IN TTMFs MEGA LIGTAS AND LIGTAS COVID-19 FACILITIES As of May 14, 2020 As of May 14, 2020

Local Isolation and General Treatment Areas for COVID-19 cases Mega LIGTAS COVID-19 Facilities are facilities dedicated for (LIGTAS COVID centers) are community-managed facilities quarantine and isolation which are managed by the National dedicated for quarantine or isolation of suspected COVID-19 Government cases. 40,327 BEDS IN LIGTAS COVID FACILITIES

NCR 2898 REG VII 4374 MEGA LIGTAS COVID 5 FACILITIES CAR 521 REG VIII 1059 REGION TTMF Beds REG I 5994 REG IX 1102 NCR PICC 294 REG II 2145 REG X 1733 REG III 1327 NCR World Trade Center 502 REG XI 1313 REG IV-A 3366 NCR Rizal Memorial Coliseum 132 REG XII 1345 REG IV-B 840 NCR Ninoy Aquino Stadium 120 REG V 6567 REG XIII 557 REG III Philippine Arena 300 REG VI 5018 BARMM 168

TOTAL 40,327 TOTAL 1,348 6 COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

PERSONAL PROTECTIVE EQUIPMENT AND OTHER HEALTH EQUIPMENT DISTRIBUTED May 14, 2020

714,795 169,476 802,985 Coveralls Face Shields Head caps

3,892,950 1,364,570 2,712 Face Masks Gloves Thermal Scanners

681,514 592,908 122,000 Gowns Goggles Aprons

486,380 30 Kn95 10 Non-invasive 471,460 Sanitation Tents N95 Ventilators

FOREIGN AND LOCAL DONATIONS PROCESSED May 14, 2020 International Atomic Energy Agency 1,000 surgical 50 boxes of Macau Chinese Cultural masks herbal tea Development Association (MCCDRA) AztraZeneca Pharmaceuticals

Summary of donated PPEs: DONOR RT-PCR BRAND QUANTITY 500k gloves,105 20k face Ministry of Health Brunei | BGI (China) 101,000 shields, 30k shoe covers, Mammoth Foundation 2,585,200 6k hand sanitizers Face Masks Shanghai Nanjiang Co., Beijing Applied Technologies 483,840 Ltd. (China) People’s Republic of 271,160 China | Mr. Carlos Sansure (China) 285,408 Gonzalez | San Miguel N95 Masks Corporation Republic of Singapore | A*Star Fortitude (Singapore) 640,000 Temasek Foundation 51 Ventilators Udenna Foundation | Q SenS (South Korea) 85,000 Republic of Korea Global Fund - Philippine Business for Gene Xpert Cepheid (USA) 15,000 201,819 Social Progress Coveralls TOTAL 1,610,248

7 COVID-19 PHILIPPINE SITUATIONER #018 (MAY 15, 2020)

TREATMENT For case management of COVID-19 patients, healthcare providers are advised to adhere to the existing PSMID Guidelines. Contact Details

FDA REMINDS THE RISK OF QT PROLONGATION For further information, you may reach us through the The Food and Drug Administration (FDA) reminds all hospitals and healthcare providers following platforms: to take extreme caution with the use of chloroquine or hydroxychloroquine due to the

1 risk of QT prolongation . SOCIAL MEDIA ACCOUNTS Facebook: The magnitude of QT prolongation may increase with increased concentration of the drug. Therefore, monitoring of adverse drug reactions (ADRs) should be strictly fb.com/OfficialDOHgov Twitter: implemented. All are enjoined to report ADRs to FDA and fill out the required fields. @DOHgovph Viber: DOH PH COVID-19 PHILHEALTH FOR ALL TikTok: The Philippine Health Insurance Corporation PhilHealth has released 13 Billion to 542 @dohgovph hospitals nationwide as of May 11, 2020 through the Interim Reimbursement Mechanism (IRM). WEBSITES DOH: The IRM is PhilHealth's financial aid to its partner health institutions affected by www.doh.gov.ph natural and manmade calamities that have devastating effects on their ability to Healthy Pilipinas: continuously provide health care to the people. healthypilipinas.ph CONTACT NUMBERS POLICY IN-FOCUS (02) 894 - COVID (26843) or In the absence of a specific treatment or a vaccine, non-pharmaceutical interventions 1555 (for all subscribers) form the backbone of the response to the COVID-19 outbreak. Telemedicine hotlines (NCR): (02) 8424 1724 To provide guidance, the Inter Agency Task Force on Emerging Infectious Diseases KonsultaMD Resolution No. 28 mandates that minimum public health standards must be specified (02) 7798 8000 by the Department of Health and adhered to by all sectors. This includes standards for religious services. Resources 1. FDA Advisory 2020-810 - Check the FAQs on the guidelines on the risk-based public health standards for Reminder on the risk of QT COVID-19 mitigation 2 in places for worship. prolongation on the use of Chloroquine or Hydroxychloroquine https://www.fda.gov.ph/wp-conten t/uploads/2020/05/FDA-Advisory-N o.2020-810.pdf 2. DOH AO No. 2020 - 0015 - Guidelines on the risk-based public health standards for COVID-19 Mitigation https://drive.google.com/file/d/1q1 Disclaimer: COcB_6yaf7SyPbgiK_LVPEB3DCoA DOH is currently improving its data gathering and reporting mechanisms. 6g/view While the Department streamlines its processes, the section on testing capacity will be unavailable in the meantime. DOH remains committed to its promise of THANK YOU for checking out transparency and accuracy, and the aforementioned section shall be brought the eighteenth issue of Beat back as soon as possible. COVID-19 Today! We’d like to know what you think. Send us your feedback at [email protected].