Republic of the Philippines City Government of Muntinlupa CITY OF MUNTINLUPA Office of the City Mayor EXECUTIVE ORDER No. 51 Series of 2020 PROPOSAL FOR THE CREATION OF THE MUNTINLUPA CITY EPIDEMIOLOGY AND SURVEILLANCE UNIT, PROVIDING FOR ITS COMPOSITION AND FUNCTIONS SEES E ESERIES EES EERE ERE EERE EERE EERE EEE EAEE WHEREAS, the City of Muntinlupa City adheres to the national mission of providing quality, equitable and accessible health services for all as a fundamental human right of every person; WHEREAS, Resolution 48.13 (1995) of the World Health Assembly (WHA) urges Member States to strengthen active surveillance, improve infectious disease diagnostic capacity, enhance communications, encourage antimicrobial sensitivity testing, foster rational antimicrobial practices, increase skilled staff in epidemiology efforts, promote applied research and accurate and timely reporting; WHEREAS, Article 5-1 (Surveillance) of International Health Regulations (IHR) of 2005 urges Member States to develop, strengthen and maintain as soon as possible, but not later than five years, from the entry into forces of these Regulations, the capacity to detect, assess notify and report events in accordance with these Regulations; WHEREAS, under Administrative Order No. 2005-0023 (Implementing Guidelines for Formula One for Health as Framework for Health Reforms) states that “(D)isease Surveillance shall be intensified to ensure that the targets for disease elimination, prevention and control are attained”; WHEREAS, Republic Act No. 11332, entitled “An Act Providing Policies and Prescribing Procedures on Surveillance and Response to Notifiable Diseases, Epidemics, and Health Events of Public Health Concern,” otherwise known as The Law on Reporting Communicable Diseases, empowers the Department of Health and its Local Counterpart to implement the mandatory reporting of notifiable diseases and health events of public health concern; WHEREAS, Republic Act No. 3573, which is the Law on Reporting of Communicable Disease entitled "An Act Providing for the Prevention and Suppression of Dangerous Communicable Diseases,” enacted on November 26, 1929, requires all individual and health facilities to report notifiable diseases to local and national health authorities; WHEREAS, the City Health Office (CHO) has different tasks on Surveillance in Post Extreme Emergencies and Disaster (SPEED) Manual and Hazard Prevention and Vulnerability Reduction Plan in Health and Health Hazards of Health Emergency and Management System (HEMS);REPUBLIKA NG PILIPINAS PAMAHALAANG LUNGSOD NG MUNTINLUPA KALAKHANG MAYNILA ‘Tanggapan ng Punonglungsod WHEREAS, disease surveillance is a critical component of public health systems, providing essential information for optimal healthcare delivery and cost-effective disease control and prevention strategies; WHEREAS, timely reporting of vital health information will help the policy makers to formulate strategies for appropriate interventions or actions to address health problems; WHEREAS, functional health or disease surveillance unit is useful for priority setting, planning resource mobilization and allocation, prediction and early detection of epidemics and monitoring and evaluation of health programs; me WHEREAS, on 16 November 2020, on its 71% Regular Session, the 9% Sangguniang Panglungsod of Muntinlupa passed City Ordinance No. 2020-173, entitled “An Ordinance Mandating all hospitals, healthcare facilities, and similar establishments providing laboratory and diagnostic services located and/or operating in Muntinlupa City, to submit a daily COVID-19 related data and all diseases with outbreak potential to the City Epidemiology Surveillance Unit (CESU) of the City Health Office (CHO) and local publichealth authority;” WHEREAS, the said ordinance stated the mandatory reporting of COVID-19 related data and all diseases with outbreak potential, and, as such, all hospitals, healthcare facilities, and similar establishments providing laboratory and diagnostic services are required to submit to the CESU of the CHO and/or to other local public health authority, as may be determined by the DOH; Section 1. Definition of Terms. ‘The following terms shall be defined and mean as such: a Epidemiology. This refers to the study of distribution and determinants of health-related states or events in specified populations, and the application of this study to the control of the health problems; b. Surveillance. This refers to a type of observational study that involves continuous monitoring of disease occurrence within the population; © City Epidemiology and Surveillance Unit. This refers to the City Epidemiology Surveillance Unit (CESU) which serves as the central point for data banking of health service delivery and disease surveillance system;REPUBLIKANG PILIPINAS PAMAHALAANG LUNGSOD NG MUNTINLUPA KALAKHANG MAYNILA “Tanggapan ng Punonglungsod d. Notifiable Disease. This refers to any disease that, by virtue of Administrative Order No. 2008-0009, must be reported to the public health authority in the pertinent jurisdiction where the diagnosis is made. Such is categorized into two according to urgency of reporting to which: di, Immediately Notifiable. 1. Acute Flaccid Paralysis (AFP); 2, Adverse Event Following Immunization (AEFI); 3. Anthrax; _ 4, Ebola Virus Disease; 5. Hand, Foot and Mouth Disease (HFMD); 6. Malaria; 7. Measles-Rubella; 8 Meningococcal Disease; 9, Human Avian Influenza; 10. Neonatal Tetanus; 11. Paralytic Shelifish Poisoning; 12. Rabies; 13, Severe Acute Respiratory Infection (SARI); 14. Outbreaks (Clusters of diseases and unusual diseases or threats); d2. Weekly Notifiable. 1. Acute Bloody Diarrhea; 2, Acute Encephalitis Syndrome; 3, Acute Hemorrhagic Fever Syndrome; 4, Acute Viral Hepatitis; 5. Bacterial Meningitis; 6. Chikungunya; 7. Cholera; 8, Dengue; 9, Diphtheria; 10. — Influenza-like Illness; 11. Leptospirosis; 12. Non-Neonatal Tetanus; 13, Pertussis; 14. Rotavirus; 15. Typhoid and Paratyphoid Fever;REPUBLIKA NG PILIPINAS PAMAHALAANG LUNGSOD NG MUNTINLUPA KALAKHANG MAYNILA ‘Tanggapan ng Punonglungsod e Disaster. This refers to a serious disruption of functioning of society causing widespread human, material and environmental losses, which exceed the ability of the affected society to cope using only its own resources; £ Emergency. This refers to any occurrence which requires immediate response; & Hazard. This refers to any phenomenon which has the potential to cause disruption or damage to human and environment; h, Stakeholders. This refers to health facilities such as hospitals, lying-in clinics, infirmaries, medical/surgical clinics, health centers, laboratories and all medical and nonmedical entities such as medical professionals and barangay health workers. Section 2. Scope and Coverage. All health facilities, such as private and government hospitals, Barangay Health Centers, Health Station, City Health Office and its satellite centers, lying-in clinics, infirmaries, emergency clinics, medical and surgical clinics, specialty clinics, laboratories, and all medical and non-medical entities such as doctors, nurses, midwives, allied medical professionals, scientists and researchers, and barangay health workers are hereby mandated to report all attended cases as stated in Republic Act No. 3573 and Republic Act No. 11332, directly to the CESU through its reporting system or through their respective hospital, city or barangay disease surveillance officer. Section 3. The Disease Surveillance Unit. The Disease Surveillance Unit of the Muntinlupa City shall be called the Muntinlupa City Epidemiology and Surveillance Unit (MCESU, for brevity). Section 4. Composition. MCESU shall be chaired by the City Health Officer, and it shall be composed of the following individuals, namely: a. Remegio A. Javier, R.N., PHSAE City Epidemiologist; b. Karen Christel P. Escueta Surveillance Officer; c. Carmela Joamne B. Vasquez Surveillance Staff Member;REPUBLIKA NG PILIPINAS —~ $ PAMAHALAANG LUNGSOD NG MUNTINLUPA z\ KALAKHANG MAYNILA Tanggepen ng Punonglungsod 4. Charles E. Abello Surveillance Staff Member; e. —_ Jeiochim R. Pareja Hospital Disease Surveillance Coordinator, DOH Augmentation. Section 5, Functions. ‘The MCESU shall perform the following functions, namely: a Epidemiologist. Organize systemic data collection and gather epidemiological data from City Health Centers, Hospitals, Lying-in Clinics and Private Clinics, Healthcare Facilities, And Similar Establishments Providing Laboratory and Diagnostic Services; Interpret and provide analyzed data as feedback to health facilities, be it owned or controlled by the government or private sector and ran by local leaders; Carry out, with the Surveillance Officer as assistant, any outbreak investigation; Implement preliminary control measures immediately, if so equipped; Use epidemiological data to plan and implement non-communicable and communicable disease control activities at the local level; Surveillance Officer. Prepare and periodically update data through graphs, tables and charts to describe time, places and persons for notifiable and reportable, emerging and re-emerging diseases and conditions; Identify and inform concerned personnel and institutions immediately of any unusual trend with regard to disease and attendant conditions; Surveillance Staff Member. Forward epidemiological data to the CHO and other Local Public Health Authority on a regular basis and in accordance with the national surveillance protocol; Encoder. Provide appropriate forms to concerned institutions and personnel manual of operations and modules. Section 6. Reportable Health Data, All diseases with outbreak potential, diseases for elimination, and health events with threat to public health shall be reported to the CHO through the MCESU. Subjects of such report shall include the following, namely:REPUBLIKA NG PILIPINAS PAMAHALAANG LUNGSOD NG MUNTINLUPA KALAKHANG MAYNILA ‘Tanggapan ng Punonglungsod 2 Allnotifiable diseases as listed in Administrative Order No. 2008-0009 - Adopting the 2008 Revised List of Notifiable Diseases, Syndromes, Health Related Events and Conditions; Deaths and Respective Causes of Death; Birth deliveries, done in either community and birthing facilities; Immunizations given at birth; Clustering of Cases and Deaths; Other health data which may be prescribed by the MCESU, Regional Epidemiology and Surveillance Unit (RESU), Department of Health - Epidemiology Bureau (DOH- EB) and other Field/Program Health Services. Pe pos Section 7. Guidelines in Reporting, The time frame for reporting health data to the MCESU shall conform to the following, namely: a. Notifiable disease shall be reported based on the guidelines set by the PIDSR and FHSIS; b. Deaths and causes of death shall be reported by the attending physician, relatives and non-medical personnel not more than forty-eight (48) hours, or within seventy-two (72) hours should it occur on a Friday, or immediately on resumption of office hour following any public holiday. In the event the cause of death, however, is due to a suspected communicable disease or a medico legal case, it shall be reported as soon as possible within twenty-four (24) hours; © Birth attended at birthing facilities shall be reported on monthly basis. Birth attended at home or in community, however, shall be reported by the attendant to the barangay surveillance officer as soon as possible; d. Immunization shall be reported under the guidelines of the Field Health Services Information System (FHSIS); @ Health-related events needing immediate concern and/or clustering of cases or deaths shall be reported immediately or within twenty-four (24) hours. Section 8. Manpower. The City Epidemiologist Surveillance Officer (Nurse III), Surveillance Staff Member and encoder shall be designated by the City Health Officer. They shall be regular personnel of the CHO. The City Government of Muntinlupa (CGM) shall allocate funds to a dedicated Epidemiologist preferably a graduate of Field Epidemiology Training Program (FETP), Surveillance Officer (Nurse IID), preferably with training or certified Frontline FETP, Surveillance Staff Member with training on Basic Epidemiology and encoder for the CESU.REPUBLIKA NG PILIPINAS PAMAHALAANG LUNGSOD NG MUNTINLUPA | KALAKHANG MAYNILA N Tanggapan ng Punonglungsod All Barangay Health Centers shall designate their Barangay Disease Surveillance Officer which shall be part of the MCESU. All other health facilities such as hospitals, infirmaries, birthing facilities and laboratories shall designate their disease surveillance coordinators who shall become a point person for surveillance and shall report to the MCESU. Section 9. Authority for Data Collection and Review of Health Records. The MCESU Epidemiologist, or the Surveillance Officer, or the duly authorized representative, upon written recommendation or order of the City Health Officer, shall be authorized to review the chart or medical and laboratory records of patients be it suspected or confirmed to have communicable disease or cases with potential or having significant impact on the health status of the people of the City of Muntinlupa. Records review, however, shall be compliant to Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012. These records shall be treated with utmost confidentiality, and shall never be used other than for disease epidemiology, surveillance or investigation. Section 10. Logistics. In order to maintain its optimal operability, and for its staff members to perform their respective functions with efficacy, the MCESU shall be provided with the following, namely: a. Aphysical unit with provision for meeting room and a war room; b, Surveillance Officer, staff member and encoder with computer, printer and access to the internet; © Anepidemiologist equipped with: i. Computer laptop and printer with access to the internet; ii, Refrigerator with freezer for storage of specimens; d. Necessary equipment, such as: i. Reproduction equipment, including photocopier, mimeograph; fi, Documentation equipment, including digital camera, tape recorder; fii, _ Presentation equipment, including LCD projector, white Screen; Office supplies and apparatus for data management and back-up; Laboratory supplies; Personal protective equipment or gear; Vehicle with an assigned driver. re me Section 11. Capability Building and Training of MCESU Staff Members,Republic of the Philippines City Government of Muntinlupa CITY OF MUNTINLUPA Office of the City Mayor in order to continuously upgrade and develop their respective capabilities, MCESU staff embers shall be allowed to attend appropriate training courses and participate in the Annual/Zonal Field Epidemiology Training Program Scientific Conference and seminars, Provided that their attendance in such courses shall not disrupt the delivery of vital health services, Section 12. Funding. The City Health Office shall include in its Annual Investment Plan (AIP) the funding required by the MCESU, and this shall be placed under and consequently sourced from the General Fund of the CGM. Section 13. Meeting, ‘The MCESU shall meet every third (3°) Friday of the third (30) week of every quarter of the year. A special meeting, whenever warranted, may be called. Section 14. Repealing Clause. Previous orders inconsistent with any provision found herein shall be deemed repealed, revoked, or amended accordingly. Section 15. Separability Clause. in the event any provision found herein is judicially decided illegal or administratively declared infirm, untouched provisions shall remain in full force and effect. Section 16, Effectivity Clause. This Executive Order shall be effective upon its signing, and it shall remain in full force and effect unless repealed, revoked or amended accordingly. DONE AND EXECUTED on this 17 day of December 2020 in the City of ‘Muntinlupa. JIM ESNEDI ‘ity Mayor Q~ National Road, Puata, “Mantiniups Cy, Phiopines Tel. Nos: 862-0459 Telefax: 862-2525 oc. 217, Trunki: 862-2711 1862-2525 loc. 195/142