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ESR Rev5

This document summarizes a verified report of a case of the Omicron Xbb.1.16 variant in Bulacan, Philippines. It describes the 14-year-old patient, their symptoms and testing, and provides details on their 6 close contacts who are being monitored. The health event is considered controlled as investigations and follow ups are ongoing.

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CT Bulakan
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35 views4 pages

ESR Rev5

This document summarizes a verified report of a case of the Omicron Xbb.1.16 variant in Bulacan, Philippines. It describes the 14-year-old patient, their symptoms and testing, and provides details on their 6 close contacts who are being monitored. The health event is considered controlled as investigations and follow ups are ongoing.

Uploaded by

CT Bulakan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Central Luzon Center for Health Development Verification

Regional Epidemiology and Surveillance Unit Report


Event-based Surveillance and Response (ESR)
E-mail: [email protected] May 23,2023

Classified Document:
Code:
This document is distributed only to limited number of DOH and selected NGO staff in order to improve common awareness on reports and rumours of
events which may have national/ international implications. Please send new or additional information on this or other public health events.

Document Status INTERNAL


Type of Internal Document VERIFIED
1 Report date and time: May
23,2023 at 01:00 P.M.
2 Verification date and time: May
23,2023 at )1:00 P.M.
3 Type of Health Event Check what is applicable:

Suspect Clustering Outbreak N/A

If an outbreak, who validated? EB-DOH DOH-RESU LGU

✘ Others, specify: Variant of concern

Was a report made? No

✘ Yes

4 Health event: Omicron Case. Xbb.


1.16.
5 Location: # 230 Brgy. Perez,
Bulakan, Bulacan
6 Start date: 04/20/2023
7 Number of cases: One (1)
8 Description of cases: Patient's
Name is Alexi Rocsan Molina
Villanueva, 14 years old, Female,
Single, a Grade 8 student at ICSL,
City of Malolos, Bulacan. Born on
January 30,2009 and is currently
residing at # 230 Perez Bulakan,
Bulacan.

Informant's Statement on History


of Present Illness:
On April 20,2023, patient started to
manifest symptoms like Fever,
Cough, Colds, and Sorethroat,
Patient underwent RT-PCR Swab
on the same date, April
20,2023@ 02:05 P. M. and the
result was released in April
21,2023 at 06:00 A. M. And it
was tested POSITIVE. She
underwent Home quarantine
and she has 38 General
Contacts and 6 close contacts
namely:

1. Villanueva, Santos Manuel,


Age:42 y/o, Male, Date of
Birth: 9/13/1980, Relationship

DOH-EB-AEHMD-QMOP-03-Form2 Rev.5
to index: Daughter, Contact #
0927-700-6700,Civil Status:
Married, Occupation: Brgy.
Chairman, Present
Address:#230 Perez, Bulakan,
Bulacan.Home address same as
present, Date of exposure to
index:4/20/2023,
Asymptomatic, Date of First
Swab:4/20/2023,DRU: RHU
Bulakan, RT-PCR Result:
4/21/2023 Negative,
Vaccinated with Astrazeneca
1st Dose:3/29/2021
2nd Dose:06/09/2021
!st Booster Dose:12/14/2021
Pfizer.

2. Enriquez, Ma.Elsa, Age 56


y/o, Date of Birth: 2/20/1967,
Female,Relationship to index:
Kasambahay, Contact #
09655230241,Married ,Occupa
tion:Kasambahay, Present
Address: Perez
Bulakan,Bulacan, Vaccinated
with Sinovac, Date of First
Dose:8/25/2021, Date of
Second Dose: 09/02/2021,
DRU: RHU Bulakan.

3.Anacta, Euriel Venice Parbo,


Age:13 y/o, Date of Birth:
09/03/2009,
Female,Relationship to index:
Friends,Contact # 0919-474
8541, Single, Student at ICSL-
City of Malolos Bulacan,
Present address: #2568 Purok
2, Bambang Bulakan, Bulacan.
Asymptomatic,Date of
exposure to index:
04/18/2023, Vaccinated with
Pfizer 1st Dose: 11/22/21
2nd Dose: 12/15/2021
DRU: RHU Bulakan with 1st
Booster Dose of Pfizer given
last 8/8.2022 at RHU Bulakan

4. Arguson,Maja Isabel
Meneses,14 y/o, Date of Birth:
03/29/2009, Female,
Relationship to index: Friends,
Contact # 0917-804
3584,Single, Student at ICSL-
Malolos, Present address: #
3406 Purok 3, Bambang
Bulakan, Bulacan, date of
exposure to index:
04/18/2023, Asymptomatic,
Vaccinated with Pfizer, 1st
Dose: 11/12/2021; 2nd Dose:

DOH-EB-AEHMD-QMOP-03-Form2 Rev.5
12/03/2021, DRU; RHU
Bulakan. Vaccinated with 1st
Booster Dose:11/04/2022.

5.Sta. Ines, Charisse, De Jesus,


14 y/o,Date of
Birth:04/15/2009, Female,
Relatioship to Index: Friends,
Contact # 0923-8053324,
Single, Student at ICSL-
Malolos, Present Address: #
368 Panique St., San Jose,
Bulakan,Bulacan, Date of
exposure to index:
04/18/2023, Asymptomatic,
vaccinated with Pfizer, 1st
Dose: 11/23/2021, 2nd Dose:
12/14/2021, DRU: RHU
Bulakan.

6.Mariano, Ma. Juliana Laila,


Cheng, 14 y/o, date of birth:
09/08/2008, Female,
Relatioship to index: Friends,
Contact # 0922-886 0995,
Single, Student at ICSL-
Malolos, Present Address: #
142 Bagumbayan,
Bulakan,Bulacan. Date of
Exposure to Index 04/19/2023,
Asymptomatic. Vaccinated
with Pfizer, 1st Dose:
11/17/2021, 2nd Dose:
12/08/2021, Vaccination
Facility: SM Sangandaan. With
1st Booster Dose last
08/18/2022.

Patient has no comorbidity,


Vaccinated with Moderna, 1st
Dose: 10/26/2021 and 2nd
Dose : 11/23/2021 location:
Paranaque City, Booster Dose:
Moderna given last
05/07/2022 at Solaire
Paranaque City.

Patient’s Contact #:
0945-889-5387

9 Number of deaths N/A


10 Description of deaths
11 Laboratory Examination Is there a procedure done?
✘ Yes None
Specimen collected: Blood/serum Stool/Rectal Swab CSF
Others:
Type of Examination done: RT-PCR Swab Test done in April 20,2023

DOH-EB-AEHMD-QMOP-03-Form2 Rev.5
Result: POSITIVE, Date:
12 IHR Notification decision questions Is the public health impact serious? ✘ No
Yes
Is the event unusual or unexpected?
Yes ✘ No
Is there a significant risk of international spread?
Is there a significant risk of international travel or Yes ✘ No
trade restriction? Yes ✘ No

Assessment done by:


13 Assessment
14 Status of health event: Controlled
15 Actions taken:
1. Case informed to MHO.
2. Case Investigation Done
3. Contact Tracing started to do.
4. RT-PCR Swab Test done for
patient in RHU-Bulakan
5. RT-PCR Swab Test done also
for one of the close contacts in
RHU_Bulakan.
6. Antibiotics and Vitamins were
prescribed and provided for the
Covid 19- Positive patient by RHU
7. Follow-up done for the patient.
8. Quarantine Clearance was
provided to Covid-19 Positive
patient after her quarantine period.
16 Assistance needed RT-PCR Swab Test, Medications like antibiotics and vitamins were provided by RHU
for the Covid 19 patient positive.
17 ESRU Action Health Event monitored, Facilitated Case Investigation and Follow-ups done.
18 Remarks: All Close Contacts are
Asymptomatic.
19 Who has been informed?
Municipal Health Officer, Rural
Health Unit Physician, Contact
Tracer
20 Source(s) of information: Patient
itself and his father.
21 Prepared by: Chona L. Pantanilla,
R.N.
22 Reviewed by: Erikel Katrina D.
Roldan, RMT, MD- Rural Health
Physician- Bulakan
23 Noted by: Maria Elisa V.
Villanueva, MD- Municipal Health
Officer- Bulakan
24 Approved by:
*Public Health Event of Local (L), Regional (R), National (N) Concern
** Public Health Emergency of International Concern (PHEIC); according to WHO-International Health Regulation Definition
***Captured by National ESR Staff
^Entries should be signed prior to release of verification form

DISCLAIMER: Every effort has been made to provide accurate, up-to-date information. However, the knowledge base is dynamic and errors can occur. By using the information
contained in this list, the reader assumes all risks in connection with such use. The EB shall not be held responsible for errors, omissions nor liable for any special,
consequential or exemplary damages resulting, in whole or in part, from any reader's use or reliance upon this material.

DOH-EB-AEHMD-QMOP-03-Form2 Rev.5

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