LESSONS TO LEARN FROM
A NATIONAL HEALTH
EMERGENCY
MANILYN JAMORA M.D.
DISCLOSURE
I am not affiliated with any government
offices and private companies.
DISCLAIMER
This lecture is for educational purposes only.
The lecturer’s opinion does not necessarily represent
the point of view of all Filipinos and doctors.
What is currently known might still change.
OUTLINE
COVID 19
01 The basics
PUBLIC HEALTH EMERGENCY
02 STRATEGIES
.
PHILIPPINE SITUATION
03 Sto. Nino as reference for small crowded community
NEW NORMAL?
04
COVID 19
The BASICS
COVID 19
COVID 19
CORONAVIRUSES
SARS CoV 2
> Corona Virus
-same family of virus
causing common colds
> Related to SARS CoV
(China 2003) and MERS
1 2
CoV (Saudi Arabia 2012)
COVID 19
Signs and Symptoms
Cough Fever (82%) Shortness Of Muscle
(98%) Breath (30%) ache (40%)
PANDEMIC (COVID-19)
Less common presentation Diarrhea
Aguesia/ loss of taste
Anosmia/ loss of smell
Chest pain Disclaimer What is currently known might still change
colds
However recent study also show aerosol transmission and
transmission through fecal contamination
Primary mode of
transmission is
via respiratory
droplets
(direct inhalation and incidental
contact to materials contaminated
with the virus)
Diagnosis
rRT-PCR assay
-requires your nasopharyngeal swab
-recommended after 5 days of exposure or at the
onset of symptoms
-requires time
-gold standard for diagnosis
Rapid Diagnostic Test Kit
-looks like your typical PT kit, requires blood drop
-ideal time for testing is 5 days after onset of
symptoms
-high false negative rate
Treatment
Supportive
Remdesivir
Chloroquine
Lopinavir/Ritonavir
Tocilizumab
Vaccine?
None as of the moment.
However, lots of companies all over the
world are trying to create one and some
have already reached phase 3 of clinical
trials
PA N D E M I C
COVID-19
Prevention
Correct and frequent
Stay at home
handwashing
Disinfection of frequently
Social distancing
touched material/area
2m
Seek early consultation if you experience any
symptoms
Public health emergency strategies
General Strategies
Please Use Hand Sanitizer
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Flatten the curve
Please Use Hand Sanitizer
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How to flatten the curve
PANDEMIC COVID-19
VARRY AMONG
COUNTRIES
Impose community lockdown
How To Prevent An Outbreak
Require social distancing
Require wearing masks
Mass Testing
Case finding, isolation and
contact tracing
Raising the line
Please Use Hand Sanitizer
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How to raise the line
PHILIPPPINE SITUATION
21,294,845
Global tally of Covid 19 confirmed cases as of Aug 16, 2020
Comparison
Korea Philipines China Vietnam
> Individual isolation > Community lockdown > Community lockdown >Community lockdown
> Mass testing > (-) > (-) >intensified contact
tracing and targeted
mass testing
> Robust healthcare > Inadequate healthcare, > Strengthen their >
system facilities and man power healthcare system by
building more covid 19
facilities and recruiting
doctors from other part of
china to the hotspot
provice
16,058 187,249 total number of 84,888 993
Active: 1,742 confirmed cases Active: 569 Active: 435
Active cases: 69,362
?
PHILIPPINE ACTION
Progress steps
2020.01.30 2020.02 2020.03 2020.06 2019.08
First confirmed COVID19 Number of positive cases Number of cases rapidly Social restrictions were Currently over 5,000 new RT
case was announced by started rising increasing. gradually lifted due to dying PCR confirmed cases are
DOH- 2 chinese nationals economy. reported every day
No general measures taken Lockdown on NCR and other
Action: public was informed by the national government cities with cases of covid19 Despite cases are still going
not to panic but to be careful. was implemented up
Informative materials were Local transmission are
distributed on how to prevent reported across the country Bayanihan act to heal as one
virus transmission. drafted
Still no lockdown, no ban on
No lockdown, the healthcare international flights Required wearing of face
system was not tapped on masks, ban all unnecessary
what to do and to prepare, travel, restriction on flights
very scarce test kit. Less than and public transportation
100 tests per day were suspended.
Pubic response: still to panic, PPEs and test kits
started hoarding masks, procurement was intensified
alcohol some for personal
use and some for sellng
THE EFFECT
01 02 03 04
DEBTS EMPLOYMENT EDUCATION HEALTHCARE
SYSTEM
The government, in The business Shifting from
order to enforce the industry is on its traditional learning
Due to the current
lockdown borrowed lowest due to the modalities to online
situation a lot of flaws
money from multiple pandemic. Many schooling and
in the health care
lenders, bonds and small and medium blended learning
system was
grants amounting to business enterprises modalities is difficult
emphasized. It
roughly 400 billion have already piled for especially for a
includes the budget
pesos bankruptcy leading to country where not
for health, law and
more people loosing everyone has access
even corruption in
their job to computer and
the system
internet
AWESOME
SLIDE
The only way
to end this
pandemic is
if we think
“we” not “I”
THANK YOU
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