Professional Documents
Culture Documents
Health Beat
Health Beat
10 8
10
What's Happening to Pinoy Teenagers
Deliver Our Children from Food Marketing
14 Helmet Use Saves Lives
15 Pushing Standards for Auto LPG
17 The Ruthless Act of Road Rage
21 Health Concerns of Gay Men and MSM
24 Sperm Health
14 25
29
Isometric Exercise
Hear the Signs
21 36
33 Helping the Blind to Regain Eyesight
35 Practice to be Happy
36 Rehabilitation of Ostomates – Let's Be Heard!
38 Doctors to the Barrios - Joy in Service
41 10 Trending Health News in 2012
jokes
n'yo
stress RELIEF 13
beatBOX 16
KALAbeat 28
laughter HEALS 32
SAbeat 50
41
XX
HEALTHbeat
DEPARTMENT OF HEALTH - National Center for Health Promotion
2F Bldg. 18, San Lazaro Compound, Sta. Cruz, Manila 1003, Philippines
Tel. No. (63-2) 743-8438 Email: healthbeat@ymail.com
Rated Very Good
He may not be very 950 companies in the National
visible in media like what his Capital Region, Cavite-Laguna-
predecessors did. Many of his Batangas, Metro Cebu, Metro
opinions and the decisions Davao, Cagayan de Oro-Iligan,
may turn out to be unpopular. Metro Angeles and Metro Iloilo.
But the one thing that is clear The preliminary report is based
and consistent with the Health on interviews of executives
Secretary is his vision to realize of 826 companies (281 large,
Kalusugan Pangkalahatan or 545 small/medium) from the
universal health care, the Aquino period of July 16 to September
administration’s health agenda 14, 2012. The said survey was
to ensure that all Filipinos, supported by the Australian
beginning with the poor, are able Agency for International
to use quality health services Development (AusAID) through
at affordable cost, by being The Asia Foundation, and
Based on the ratings of sincerity in fighting corruption, the DOH has improved
enrolled in the National Health from "good" to "very good" and leads the agencies under the executive done in partnership with the
Insurance Program; cared for in branch of government, followed closely with almost the same standing as Makati Business Club’s Integrity
modern health care facilities; and the Department of Trade and Industry. These two agencies trailed behind the Initiative program and the
prevented from falling ill by using Office of the President with a remarkable jump from "bad" to "excellent." This National Competitive Council.
public health services to improve is according to the 2012 Social Weather Station (SWS) Survey of Enterprises on The DOH is one of the
Corruption.
health outcomes and attain first national government
the country's health-related Millennium the Second Integrity Summit on September agencies to be in the “Proficient” stage of
Development Goals (MDG). 18 showed significant progress made by the Performance Governance System (PGS).
And two years at the helm of the the DOH in fighting corruption. From a net The PGS, under the Policy Improvement
health sector, the Department of Health is sincerity rating of “Good” + 37 in 2009, Process is a commitment of the Philippine
starting to reap what he has sowed. Health the DOH improved to “Very Good” + 60 in Government to the Millennium Challenge
Secretary Enrique T. Ona has put the DOH 2012. The SWS terminology for net ratings Corporation (MCC) for fighting corruption
on the right track in the so-called straight includes: Excellent +70 and up, Very Good and improving the performance of key
path of governance. The accolades and +50 to +69, Good +30 to +49, Moderate government offices.
good ratings this year speak loudly of Ona's +10 to +29, Neutral-9 to +9, Poor -29 to Earlier, on July 17, 2012, the
leadership in the DOH. -10, Bad -49 to -30, and Very Bad -69 to -50. DOH officially set the record as the first
Net sincerity rating is computed by getting government agency to have a department-
Survey Says the percent sincere minus the percent wide ISO ISO 9001:2008 certified for
insincere. implementing quality management system.
The preliminary report of the 2012 The 2012 SWS Survey of The DOH – with its 17 bureaus, centers and
Social Weather Station (SWS) Survey of Enterprises is the tenth in a series since services inside the Central Office compound
Enterprises on Corruption presented during 2000, the last survey being in 2009, covering and the two pilot Centers for Health
Health Secretary Enrique T. Ona (sixth from left) receives the ISO 9001:2008 Certificate of Registration in behalf of the 17 bureaus, centers and services of
the Department of Health Central Office as well as the Centers for Health Development in Metro Manila and CaLaBaRZon. Renato V. Navarette, managing
director of the Certification International Philippines, Inc. and Magdalena Mendoza, senior vice president of the Development Academy of the Philippines
(fifth and fourth from left, respectively) officiate the awarding. Also in photo are DOH Executive Committee members and regional directors of Metro Manila
and CaLaBaRZon. (Photo by Paking Repelente)
What's happening to
PINOY TEENAGERS
Results of the 2011 Philippines Global School-based student Health Survey (GSHS)
The Global School- As of December 2011, dietary behaviours; hygiene; were selected with probability
based student Health Survey a total of 73 countries, including mental health; physical activity; proportional to enrollment size.
(GSHS) was developed by the the Philippines, have completed protective factors; tobacco use; At the second stage, classes
World Health Organization a GSHS and more than 420,000 and violence and unintentional were randomly selected and
(WHO) in collaboration with students have participated in injury. all students in selected classes
United Nations' UNICEF, the survey. A two-stage cluster were eligible to participate. The
UNESCO, and UNAIDS; and with The 2011 Philippines sample design was used to school response rate was 97%,
technical assistance from the GSHS involved first to fourth produce data representative the student response rate was
US Centers for Disease Control year high school students and of all students in the country. 84%, and the overall response
and Prevention (CDC). GSHS is a measured their alcohol use; At the first stage, schools rate was 82%. A total of 5290
school-based survey conducted students participated in the
primarily among students aged Philippines GSHS. Students
13 - 15 years. self-reported their responses to
The purpose of the each question on a computer
GSHS is to provide data on scannable answer sheet. For
health behaviors and protective comparison purposes, only
factors among students students aged 13-15 years are
to help countries develop included in the analyses for the
priorities, establish programs, fact sheet (see table next page).
and advocate for resources The numbers inside the
for school health and youth parenthesis are statistically
health programs and policies; termed as "confidence interval,"
allow international agencies, or the results are 95% sure that
countries, and others to make the true value lies within that
comparisons across countries range.
regarding the prevalence of For additional infor-
health behaviors and protective mation, please contact thru
factors; and establish trends email Dr. Agnes Benegas-
in the prevalence of health Segarra of the Department of
behaviors and protective factors Health-National Epidemiology
by country for use in evaluation Center at <agnesbenegas@
of school health and youth gmail.com>.
health promotion. Art by Antonio Totto, Jr. -oOo-
'Naykupo!
EMY:
Nakakita ako ng
stick ng sigarilyo
sa bag ng dalagita ko.
Iniisip ko tuloy kung
naging smoker na siya.
IETH:
Ako nga nakakita ng
stick ng marijuana
sa bag ng dalagita ko.
Iniisip ko rin tuloy kung
naging drug addict na siya.
JOYCE:
Ako naman nakakita
ng condom
sa bag ng dalagita ko.
Inaykupo! Naging lalaki
na kaya siya?!?
How are we tempted? What is the harm? cconsumption trends show a shift towards
unhealthy pattern over the past few decades.
An advertisement is defined as Food marketing and advertising Food marketing is considered to be a major
signs with product information and or has been linked with childhood food- contributor to this situation.
the company logo and related images. related behavior, such as food preference,
Outdoor advertising is considered to be purchasing influence and spending power. What makes children consume more
essentially any form of advertisement that No wonder then that children are often unhealthy (energy-dense but nutrient-
a person encounters outside of the home, targeted and their continuous exposure to deficient) food?
and includes a wide variety of displays food advertisements are facilitated because
which may include poster, billboards, bus of children’s ability to influence their parents’ Studies have shown that
stop signs, banners, tarpaulins, painted spending (pester power) and their potential outdoor advertising has the ability to
buildings, store appliances (refrigerators, as a market for these companies in the years geographically target potential consumers,
freezers) with brand logo and even trash to come. and have an immediate impact on product
bins. In the Philippines, neighborhood In the Philippines, child food awareness. Furthermore, it was noted
convenience (sari-sari) store signages are FOOD ADVERTISEMENTS
often sponsored by a company and would within 500-meter radius of 30 schools in the study
often have the company logo written beside
FOOD TYPE OBSERVATIONS
the store’s name. In some cases the logo or
n %
the advertised product may occupy an even
Soft drinks 4,643 46.7
bigger space than the store name itself. Energy Drink 763 7.7
Advertisements are practically Alcoholic Beverage 708 7.1
everywhere – schools, offices, churches and Ice Cream 640 6.4
even in the neighborhoods, trying to get the Fruit Drink 596 6.0
attention of the public even just for a split Fast food 451 4.5
Pizza 304 3.1
second. They exist and seem to be harmless. Processed meat products 218 2.2
Well at least that is what most people Restaurant 216 2.2 Unhealthy food items were the type of food most
think. But are these, oh so ubiquitous and Sweetened tea 206 2.1 advertised near schools in all five areas covered
omnipresent, advertisements as harmless as All others 1,191 12.0 in the study. These are food items that are high in
they appear to be? TOTAL 9,936 100.0 fat, salt and calorie content.
-----
*Based on the study entitled "Outdoor food advertisements around schools in Metro Manila and Rizal," supported by the Department of Health, World Health
Organization and University of Sydney.
CONSUMER
protection
Laba Langaw Lambingan
JENNY: Mare, samahan mo ko sa DIOSDADO: Miss, nung una akong kumain AILEEN: Mabuti pa ang saging may puso!
grocery, bibilhan kita ng Pride. dito, may langaw sa lugaw ko! Pero ikaw, WALA!
AURING: Hindi naman ako maglalaba! Ngayon naman, may lamok! BOY: Aba’y kung ganyanan din lang,
JENNY: 'Papakain ko sa 'yo Pride mo! Ano ba yan? eh... Mabuti pa ang sisig may
WAITRESS: Ay naku sorry po, Sir. utak! Ikaw, WALA!
Bula Naubusan po kasi kami ng
langaw eh! Palengke
PROMODIZER: Misis, kapag pinaghalo ang
Surf at Tide, bubula kaya? Fishball FRED: Hahaha. 'Pre, nautusan ka ba ng
MAIBELLE: Aba syempre! asawa mong mamalengke?
PROMODIZER: Mali! BECCA: Kahit nagtitinda lang ako ng JOEREM: Hoy, hindi ako nautusan noh.
MAIBELLE: Bakit naman?!? fishball dito sa eskwelahan n'yo, Nagkusa ako.
PROMODIZER: Dahil wala pang tubig! may mga anak ako na nasa
Ateneo, La Salle at UST. Kambingan
Kape STUDENT: Wow, anong pong kurso ang
kinukuha nila? IAN: 'Pre, alam mo bang kapag nag-
PAKING: Miss, magkano kape ninyo? BECCA: Wala! Nagtitinda rin sila ng sex ang kambing at ang aso, for
WAITRESS: P50. fishball doon. sure, ang anak nila ay pusa?!?
PAKING: Eh, magkano ang refill? EDWARD: Owww. At paano ka nakasiguro?
WAITRESS: Libre po. Pizza IAN: Kasi ang kambing, "Mee, Mee" at
PAKING: Paki-bigyan mo nga ako ng ang aso naman ay "Aww Aww".
refill. WAITER: Heto na po ang order ninyong Pag pinagsama mo ang dalawa,
pizza. Ilang slice po ba ang "Meeaww, Meeaww." O, di ba
Panis gagawin natin, 6 o 8? pusa 'yun!
DONATO: 6 nalang at baka hindi ko
Sa isang Appliance Center... maubos ang 8. Beer
SALESLADY: Ma'am free taste...
CHIT: Anong food ito? WiFi ALLAN: Beer is better than Milk.
SALESLADY: 'Yan po ay menudo. MARWIN: Bakit?
CHIT: Pwe! Ba’t lasang panis?” MAYA: Meron po ba kayong WiFi ALLAN: Kasi ang beer, nililibre ng
SALESLADY: 'Yan po ang mangyayari sa dito sa fastfood chain n'yo? barkada. Ang milk hindi.
pagkain ninyo kapag hindi CREW: Huh? Naku, sorry Ma'am, MARWIN: Sigurado ka?
kayo bumili ng tinda naming wala po eh. Apple Fie lang ALLAN: Bakit may nagsabi na ba sa 'yo
refrigerator! ang meron kami. nang, "Tara na 'tol, dede tayo"?!?
AUTO LPG
The improper conversion of
vehicles to Auto-Liquefied Petroleum Gas
(ALPG) may cause health hazards to those
exposed, revealed Director Eduardo C.
Janairo of the Department of Health's Center
for Health Development-National Capital
Region (CHD-NCR). This claim was based on
the study entitled "Rapid Assessment for
Monitoring Exposure Risks in Conventional
and Alternative Fuel Use Among the Public
Transport Sector" by the DOH in coordination
with the UP-National Poison Management
and Control Center (UP-NPMCC).
This study was made to ascertain
the validity of reports coming from the
private sector as well as the rising number
of health complaints of taxi drivers whose
vehicles were LPG-converted.
Majority of taxis plying Metro Manila run on auto LPG. (Photo by Neil Bryan S. Hipolito)
Janairo explained, “We would
like to set policy directions on the ALPG and 13 conventional male drivers typically found in petroleum product, such
implementation of standards and guidelines who were randomly selected from the as gasoline and diesel fuel.
in auto LPG-driven vehicles and determine list of users of auto LPG-driven vehicles The findings also discovered that
the potential exposure and health effects and users of conventional vehicles (diesel the amount of hydrogen sulfide (H2S) was
among population groups exposed to these and gasoline). Ages of the drivers ranged 68 times higher and carbon monoxide (CO)
vehicles as compared to population groups between 18-45 years old, with 2 years of levels were eight (8) times greater for auto-
exposed to conventional-driven ones." experience driving only one type of vehicle/ LPG retrofitted vehicles than those measured
According to the study, among working in the station, and are non-smokers. in conventional vehicles.
the effects of being exposed to auto-LPG There were a total of 53 taxi units included In the United States Centers for
include headaches, back pain/nape pain, in the study, 28 ALPG units and 25 gasoline/ Disease Control, the prescribed Occupational
chest pain, cough, dizziness, dry throat, diesel taxis. These units were checked and Safety and Health Administration (OSHA)
fatigue and muscle weakness, nausea and tested for butane, carbon monoxide (CO), standard and permissible exposure limit
difficulty in breathing. These effects are due hydrogen sulphide (H2S) for ALPG and (PEL) for LPG is 1000 parts of LPG per million
to the decreased delivery of oxygen to the total BTEX/HC content, CO, H2S and O2 level parts of air (ppm) averaged over an eight-
body’s vital organs. Overexposure may cause for gasoline/diesel taxis. BTEX is the term hour work shift. This can be expressed as
unconsciousness and even death. used for benzene, toluene, ethylbenzene, 1800 milligram of LPG per cubic meter of air
The study was composed of 26 and xylene-volatile aromatic compounds (mg/m3).
Patungong Langit
May isang bagong saltang pari sa isang baryo...
PARI: Totoy, alam mo ba ang daan patungong simbahan?
TOTOY: Diretsuhin n'yo lang po ang daan na 'yan.
PARI: Salamat. Pwede bang pakisabi mo na rin sa mga taga baryo ninyo na pumunta
ngayon sa simbahan para maturuan ko sila ng daan patungong langit.
TOTOY: Weeh... Hindi n'yo nga po alam ang daan papuntang simbahan, sa langit pa kaya?!?
HEALTH CONCERNS OF
Gay Men and MSM by
ANTHONY R. RODA, MaHeSoS
HEALTHbeat Staff
Let’s face it, the stigma and the among MSM in the Philippines is HIV/AIDS. Dr. Robert Baytan, an openly gay
discrimination attached to being gay or While in most parts of the globe, HIV/AIDS HIV/AIDS prevention advocate, said that two
having a gay relationship are still strong cases are said to be decreasing, the Philippines decades to less than a decade ago, he would
even if Philippine society is said to be or is remains one of seven countries in the world proudly tell his audiences in seminars,
seemingly tolerant on gay and bisexual with a steady increase in cases. This year, the communities and classrooms that MSM or
men and other men who have sex with men number of cases recorded by Philippine HIV/ male-to-male transmission comprised, at
(MSM). All men have certain health risks, AIDS Registry of the Department of Health – most, 20% of HIV infections in the country.
but MSM have specific physical and mental National Epidemiology Center since 1984 has He said that the recent surge in MSM
health concerns because of their sexual surpassed the 10,000 mark. As of September transmission is curious and is worth looking
orientation and practices as well as their 2012, a total of 10,830 cases have been into, HARD.
ability to seek and receive quality health diagnosed, but of course, this total is just Baytan practices Medicine in
services. the tip of the iceberg because not everyone Marilao, Bulacan. He is a founding individual
has been tested. Sexual contact still showed member of Task Force Pride, Philippines, a
HIV/AIDS and Sexually as the leading mode of transmission, but health columnist of the now-defunct gay
Transmitted Infections unlike in the past, men having sex with men magazine "L," and is a member of the Board
has now become the predominant type of of Trustees of Action for Health Initiatives.
Topping the list of health issues transmission in recent years. Aside from HIV/AIDS, other
Domestic Violence
Sperm Health
on an ideal – yet often unattainable – body
image. Gay men might also be more likely to
view their bodies as sexual objects, which
can lead to dissatisfaction and poor body
image. Whaaaat, even sperm the rate of miscarriage is high.
If you are struggling with body should be healthy? Oh yes! Include physical activity or exercise
image concerns or an eating disorder, get Healthy sperm is not always a in your daily routine to have stronger hormone
help. Talk to your doctor or a mental health given. signals and healthier sperm production. On the
provider about treatment options. The state of your sperm’s other hand, stress can decrease sexual function
health depends on various factors, and interfere with the hormones needed to
Routine Health Care including: QUANTITY - if in a single ejaculation produce sperm. So, it is also important to
you produce more than 15 million sperm per manage stress.
Do not let the fear of homophobia millilitre; QUALITY - if you have more sperm Stay cool. Increased scrotal
with normal shape and structure, meaning temperature can hamper sperm production.
or the stigma associated with homosexuality
they have oval heads and long tails which To protect your fertility, don't wear tight
prevent you from seeking routine health underwear or athletic shorts. If you bike or
work together to propel them forward; and
care. Instead, take charge of your health. MOVEMENT (or motility) – if more that 40 remain seated for long periods of time, take
Look for a doctor who puts you at ease. percent of your sperm are moving, wriggling frequent breaks. Don't place a laptop computer
Identify yourself as gay or bisexual, and ask and swimming through a woman’s cervix, directly on your lap. Avoid hot tubs, saunas and
about routine screenings recommended uterus and fallopian tubes to reach and steamy baths.
for men in your age group – such as blood penetrate an egg. Aside from these lifestyle factors,
pressure and cholesterol measurements and The lifestyle you choose affect watch out for toxins also. Exposure to
screenings for prostate, testicular and colon sperm health and consequently your fertility. pesticides, lead and other toxins can affect
cancer. If you are not in a long-term or a If you are still young, meaning those who sperm quantity and quality. If you must work
mutually monogamous relationship, then are in the reproductive age group, you can with toxins, do so safely. For example, wear
take simple steps to increase your chances of protective clothing and equipment, and avoid
you should schedule regular screenings for
producing health sperm. How? Practice safe skin contact with chemicals. And, be cautious
STIs. Share any other health concerns you with medications. Calcium channel blockers,
sex to avoid sexually transmitted infections
might have with your doctor as well. Early such as chlamydia and gonorrhea – the tricyclic antidepressants, anti-androgens and
diagnosis and treatment help promote long- leading cause of infertility for both men and various other medications can contribute to
term health. women. Stay in a mutually monogamous fertility issues. Anabolic steroids can have
Baytan lamented that routine relationship with a partner who is not infected the same effect. Chemotherapy drugs and
health care is a must but is easier said or use a condom each time you have sex. radiation treatment for cancer can cause
than done, especially in the country where Eat healthy diet and maintain a permanent infertility. If you're considering
majority of the people are poor. He said, healthy weight. Choose plenty of fruits and medications, ask your doctor about the impact
"Who can blame them? Why spend for lab vegetables which are rich in antioxidants that on your fertility.
tests if one will go hungry and suffer from will help improve sperm health. On the other Finally, there is aging and you
hand, some research suggests that being cannot do anything about it. Women are not
hyperacidity?"
obese and overweight negatively affects the only ones who have biological clocks. Sperm
However, he was quick to add, movement and the number of healthy sperm
sperm quality, reducing both sperm count and
there are public clinics and hospitals movement. might decline after age 50, affecting a man's
where medical services are free or are not Don't smoke, don’t use illegal fertility. Some research suggests that women
very expensive. The one thing that must drugs and don’t drink alcohol or keep alcohol who become pregnant by older men have a
change, though, is the behavior of Filipinos consumption within recommended limits. slightly higher risk of miscarriage. A father's
– whether straight, lesbian, gay, bisexual, Tobacco, drugs and excessive use of alcohol increasing age has also been associated with a
transgender – that prefer to postpone a damage the sperm making it incapable of higher risk of both autism and schizophrenia in
clinic visit until it is too late. fertilizing the woman’s egg cell, and if it does, children.
ISOMETRIC EXERCISE
as part of your daily routine
Stop lighting up a cigarette, improve digestion and lower cholesterol strongly advised against trying isometric
munching unhealthy food or remaining levels. Moreover, it is prescribed as part exercises without getting clearance from a
chained to your desk when stressed out from of injury rehabilitation programs and in physician. As a general precaution, do not
a demanding job. Take a break, get up and physiotherapy. hesitate to stop at any point during the
do some relaxing isometric exercises. Almost anyone can do isometric exercise if dizziness, nausea, shortness of
Isometric exercise is a form of exercises. However, it must also be recognized breath or chest pains manifest.
physical activity that is needed by your that for some people, especially those with And a final word of advice,
body without going to a strictly formal, high blood pressure or heart ailments, isometric exercise to be truly beneficial
aggressive, uninterrupted workout program. isometric exercise can cause potentially must be taken only as a part of a whole
Introducing even smalll amounts of exercise dangerous outcomes because the workouts range of physical activity you must do daily.
or physical activity in your daily life will pumps up the blood pressure and metabolic The Philippine Physical Activity Guidelines
improve your health and help you lose rates. Thus, people with such conditions are generally prescribes 30 minutes to one hour of
weight. physical activity and exercise per day
Isometric exercise is an which can be done in accumulated 10
anerobic exercise (does not need minute bouts throughout the day or
increased oxygen production) in one continuous session. For older
because it is done only for a population, 60 years old and above, at
few seconds that involves static least 30 minutes of light to moderate
contraction of muscles. This means physical activity, accumulated or in
that in this exercise, the muscle one session, is needed for most days
length remains the same even if it of the week, if not daily. Of course,
has been tensed by pressing against too, whatever benefits you get from
a static object such as a wall or an of physical activity and exercise are
opposing pair of muscles. Isometric nullified if you continue to smoke,
comes from the Greek "iso-" or equal eat unwisely, drink alcohol much and
and "metron" or measure which deprive yourself of sleep.
describe maintaining the same In the manual for the "Galaw
measure, dimension or length. Galaw Araw Araw - The Pinoy Exercise
The intensity of the Video" produced by the Department
isometric exercise can be adjusted of Health - National Center for Health
at will. It is found to be effective Promotion, Philippine Coalition for
in building muscle strength and the Prevention and Control of Non-
burning excess fat. It slows muscle Communicable Diseases and the
erosion and enhances the tone and University of the Philippines - College
shape of muscles. It also help to of Human Kinetics, the 10 isometric
improve bone density. Long sessions exercises in the next pages are
of isometric exercise are found to recommended.
Lean against the wall until thighs are parallel to the ground, hold
for up to 30 seconds. For advanced: lift toes. Raise heel and tiptoe to maximum, hold for 30 seconds.
Push head sideways, push head against hand, hold for 30 seconds. Press hands against each other full force, hold for 30 seconds.
Bring fists together, one on top of the other, push upward and
Hold hands together across chest, pull and hold for 30 seconds. downward against each other, hold for 30 seconds.
Hold edge of chair and lower buttocks to the floor, hold for 30 Bring towel to back, one hand pulls upward and the other
seconds. downwards, hold for 30 seconds.
KALAbeat
Cyber Temptations
Jesus and Satan competed on the computer. They started typing. They
did reports, e-mails, attachments and downloads. But before the time
was up, the power went off.
Satan cursed. Jesus sighed.
When electricity came back, Satan lost everything he had done but
Jesus started printing all His files.
Satan shouted "YOU CHEATED!" Jesus just smiled.
Jesus did what Satan didn't know. HE SAVES .
The Hearing Impaired and The Deaf communicating using a manual language or
sign language.
Everyone falls somewhere
between the two extremes of hearing ability Sign Language
from perfect hearing on the one end to total
inability to perceive any sound at the other. Sign language is used all over
Some are hearing impaired while others the world by the hearing-impaired to
are Deaf, with deaf in this case always communicate with each other and
written with a capital “D.” with those that hear. It is more than
A hearing impaired person just moving the fingers or hands; it
may have physical hearing that ranges is a viable, visible language in which
from mild loss to profoundly deafened. gestures and facial expressions play a very
They can interact socially with speech and important role.
with hearing, often with the aid of a hearing Sign language is a combination
instrument. For those who are profoundly of finger spelling, lip formations, and signs
deafened, they may have adequate hearing which are all heavily reliant on gestures
earlier in life, but lost hearing ability as a and facial expressions to effectively, convey
result of genetics, injury or disease. Because Deaf people have limited intelligence and meaning. Signs use visual imagery to convey
of this, they may have developed spoken cannot be taught. Research shows they ideas instead of single words. Signs are more
language skills but have a problem of have the same range of intelligence and reliant on gestures and facial expressions
communication. capabilities as the hearing population. With than finger spelling. Sign language has
On the other hand, the Deaf may intensive training by skilled professionals, crossed barriers because of its beautiful
have been either born without hearing most Deaf can be taught to speak. The expressive characteristics. The facial
or lost it very early in life, before spoken voices are often strange and pronunciation expressions and gestures that accompany
language was well developed. They may use may be imperfect, but with desire to sign language have opened the way for
hearing instruments or not, but when used communicate, most hearing people can visual articulation in art, drama, therapy,
they are primarily for awareness of sound for become accustomed to Deaf speech. and many other non-traditional settings.
safety reasons and to assist them to a limited It has been said that communi- It has become a language for both the
extent when they need to interact with a cation is the very basis of our existence. hearing-impaired and the hearing.
hearing person. Without communication we cannot interact Each country has its own sign
Please do not refer to the hearing with our peers, we cannot learn language language. Sign languages have similarities
impaired and the Deaf as “deaf and dumb” and at a very basic level we cannot even in terms of hand shapes, positioning, hand
or “deaf-mute.” These outdated terms foster think. For most hearing impaired and location, movement, facial expression, and
the belief that the hearing impaired and the Deaf, they are most comfortable palm orientation, but they differ in terms of
National Capital Region (DOH CHD-NCR), as Regional Director Eduardo C. Janairo started Medical Center in Dagupan City.
of April 2012. Of the total 1,112 registered a program to educate and equip health Janairo explained language
PWDs, 476 were hearing impaired, 167 were workers in Metro Manila on sign language barriers can affect patient-provider
orthodontic disabled, and 167 were visual to allow them to communicate effectively to communication negatively and that service
impaired. patients who have these disabilities. provision may result in insufficient care that
The DOH estimated about 90 Effective communication ensures can lead to misdiagnosis, incorrect treatment
percent with hearing disabilities in the impartial access to care and fosters healthy and failure to follow treatment instructions.
country are born to parents who are deaf. exchange of discussion between medical “For patients to receive the proper
Consequently, these children grow without staff and the patient. It is important treatment care, a health worker must
learning any language – whether spoken or that health facilities have sign language communicate effectively. The inability to
sign/signals. In 2004, there were 8.4 million interpreters to have communications access do so may result in unnecessary tests and
PWD in the country while those with hearing for the Deaf and those with difficulty in inadequate treatment management. If there
and speech disabilities totaled 87,809. hearing. The presence of interpreters create are language interpreters present in every
The World Health Organization better health outcomes such as accurate health facility, a hospital staff can determine
estimated that in 2000, 250 million diagnosis, treatment and adherence to a the most appropriate course of action that
persons worldwide suffered from hearing treatment plan because all of these require will result in better patient care,” he said. “If
disabilities – about 4.2 percent of the effective two-way communication. every health worker understands the sign
world’s population. Two-thirds of the cases It was during Janairo’s assignment language, they can effectively communicate
were from developing countries. Of the total, as director of CHD-Ilocos Region that he saw with a patient who is also using the same. As
222 million were adults while the rest were the need for health workers to be skilled a result, errors and inaccuracies in the filing
under 15 years old. in the sign language, especially those in of information of patient and other pertinent
Because of the growing number the hospitals. The project was initially records can be avoided. Messages coming
of PWD in the country, especially those with introduced in Ilocos Training And Regional from both parties can be easily understood,”
speech and hearing impairment, DOH-NCR Medical Center in La Union and the Regional he concluded.
Class Dismissed
Problem Solving Nangangamote FilAm
TITSER: Who can solve this problem TITSER: Ano ang kamote? Vegetable CHICCO: May bago daw tayong kaklase.
that I wrote in the blackboard: or fruit?!? JACKY: Eh, ano naman?
3 x 5 - 4 x 9 / 10 x 6 = __? KRISTAL: Fruit, Ma'am. CHICCO: Fil-Am daw eh...
CLASS: (Walang imik lahat.) TITSER: Bakit mo nasabing fruit? JACKY: Maniwala ka naman dun...
TITSER : Joel, go to the blackboard and KRISTAL: Kasi po kapag kumain ka ng CHICCO: Totoo, Fil-Am... Finalaki sa Am!
solve the problem! kamote, mauutot ka at ang
JOEL: (Tumayo, pumunta sa harapan, tunog nito ay FRUITTTTTT... Boba
kinuha ang eraser at binura
lahat...) 'Yan Ma’am , your Kinds of Verb TITSER: Sino ang pinaka-boba na
problem is solved! babae sa buong sanlibutan?!?
CLASS: (Nagpalakpakan.) TITSER: There are three kinds of verb. (Tumayo at sumagot agad ang
What are they, Tony?!? baklang estudyante...)
Wannabe A Billionare TONY: No, Ma'am! There are FOUR!! EDWIN: Si Eba, Ma'am! Nakita na
TITSER: Oh really? What are they? nga niyang nakahubo si
TITSER: Imagine you're a billionaire. TONY: Linking Verb, Helping Verb, Adan, 'yung apol pa
Then, write an essay. Action verb, and ANGRY VERB! ang isinubo!!!
IVAN: (Hindi nagsusulat.)
TITSER: Ivan, why are you not writing? Tulog Bobo
IVAN: Ma'am, hinihintay ko po ang
secretary ko! TITSER: Bakit ka natutlog sa gitna AJIE: 'Tol, may
TITSER: Ambisyoso. ng klase ko? nakalimutan ako.
DENPOT: Napakalambing po kasi boses BORGY: Ano 'yun?
Yamashita Treasure ninyo, Ma'am. Ito po ang AJIE: Bobo ka ba?!?
dahilan kung bakit nakatulog Nakalimutan
TITSER: Class, alam ba ninyo kung saan ako. ko nga eh!
nakatago ang Yamashita TITSER: Bakit yung iba hindi nakakatulog?
Treasure ? DENPOT: Kasi po hindi sila nakikinig sa
CLASS: (Walang imik lahat.) inyo eh.
TITSER: Ikaw Elenita, alam mo ba?
ELENITA: Ayan na! Basta may nawawala Tunay na Pinoy
ako agad pinagbibintangan!
TITSER: Paano ninyo ilalarawan ang isang
Pakpak? Tunay na Pinoy?!?
PAULO: Ma'am, ang Tunay na Pinoy,
LIEZEL: Ma'am bakit ang elepante kapag may nakitang gulo
walang pakpak? o rambulan, hindi "Pulis" ang
TITSER: Eh kung magkapakpak kaya unang sinisigaw o tinatawagan
'yan at dinapuan ka?!? kundi, "Mga kapitbahay!"
Practice to be Happy
Happiness does not come from discover the purpose of your life, you are
being born rich, beautiful or popular. living a life of mediocrity. Build your career
Happiness is the sum of your life choices, or start a business around your passion. Do
thoughts and actions. Get started and what you love, you will never work a day
practice to be happy. in your life. Ask yourself these questions:
Invest in relationships. What excites and energizes me? What
Studies suggest that relationships provide are my proudest achievements? How do I
the strongest meaning to your life. Friends want others to remember me?
and family help you celebrate life's Cultivate optimism. Develop the Live in the moment. Don't
successes and support you in difficult habit of seeing the positive side of things. If postpone joy waiting for a day when
times. Although it's easy to take friends you are not an optimistic person by nature, your life is less busy or less stressful. That
and family for granted, these relationships it may take time for you to change your day may never come. Instead, look for
need nurturing. pessimistic thinking. Start by recognizing opportunities to savor the small pleasures
Express Gratitude. Build up negative thoughts as you have them. Then of everyday life. Focus on the positives in
your emotional account with kind words take a step back and ask yourself these key the present moment, instead of dwelling
and actions. Be careful and gracious questions: Is the situation really as bad on the past or worrying about the future.
with critique. Let people know that you as I think? Is there another way to look at
---
appreciate what they do for you or even the situation? What can I learn from this Article based on "How to be happy: Tips for
just that you're glad they are part of your experience that I can use in the future? cultivating contentment" posted in the Mayo
life. Find your purpose. Until you Clinic website. Photo floats in the Internet.
Rehabilitation of Ostomates
Let's Be Heard! by
RONALD S. LORA
National Federation of Ostomates of the Philippines, Inc.
(Email Address: colostomyfriends@gmail.com)
Joy in Service by
ELIZABETH G. MASCAREÑAS
HEALTHbeat Staff
Revisiting the DTTB Program due to exigency of service. However, other basic health services; improved health
doctorless municipalities were identified, as seeking behavior by the community;
In 1992, when the country’s the movement of the much needed medical improved RHU systems e.g. referral, disease
population was estimated at 64.4 million, professionals was becoming more evident. surveillance, emergency response, among
there were 271 municipalities that were Thus, the scope of coverage was expanded others; active local health boards; and local
identified as doctorless for 10 years or to the depressed municipalities where poor, health executives have more consultative
more. The inadequate distribution of health marginalized and vulnerable populations and participatory approach to planning and
resources contributed to high morbidity are most prominent, disaster prone areas, decision making on health issues.
and mortality rates not only in the said hard-to-reach municipalities especially
municipalities but also in the whole country those that are geographically isolated and 19 Years of DTTB Program
as well. disadvantaged, conflict areas, economically
For this reason, the Department underdeveloped municipalities giving Now on its 19th year, 29 batches
of Health created the Doctors to the Barrios priority to fifth and sixth income class of DTTB have been deployed with 553
(DTTB) Program in 1993. The program municipalities, and the 609 poorest physicians serving 390 municipalities since
is lodged under the DOH Health Human municipalities identified by the National the start of the program. Currently, the DTTB
Resource Development Bureau and its Anti-Poverty Commission based on poverty Program is host to 110 municipalities in 16
main objective is to deploy competent and incidence. regions, and this is composed of 43 scholars
dedicated doctors to doctorless, hard to Other considerations include: under the Pinoy MD Medical Scholarship
reach, and economically underdeveloped doctor to population ratio using the World Program, 61 scholars of the First Gentleman
municipalities. The doctors to the barrios will Health Organization trend of 1:20,000; (FG) Foundation, Inc., and six (6) walk-in
render two (2) years of service and they have replacements for current municipal applicants. Four (4) of the 110 doctors have
an option to continue if they opt to. health officers who are on study leave; been absorbed by the LGUs.
The DOH Centers for Health and municipalities with health programs/ To fully maximize the potential of
Development (CHDs) are responsible for the projects whether locally or foreign funded the DTTB as health leaders and managers
implementation of the DTTB program in their and requiring a doctor as program/project of local health systems, the DOH partnered
respective areas with the coordination and manager. The benefits from having a doctor with the Development Academy of the
participation of the local government units will result to quality health care even to Philippines (DAP) for a graduate degree
(LGUs). The doctors assume the position as the remotest of the municipalities in the programs tailored fit for them. The Master
local health leader, rural health physician Philippines. in Public Management Major in Health
and municipal health officer. The direct benefits of having Systems and Development equips the doctor
Through the years, the DTTB doctors in the community are seen in in health governance, health financing,
Program has served all 271 municipalities, improved and more efficient rural health service delivery, health policy, standards and
many of which were served more than once unit (RHU); access to adequate and effective regulations, human resources for health, and
TRENDING
HEALTH NEWS
IN 2012
HEALTHbeat brings you the Top 10 trending health news that stirred the Department of Health as gleaned
not only from the traditional media (print, broadcast and film) but also from the new media (Internet and
including the social networking sites), with some opinions from the editorial staff. Let's do the countdown...
nine tracks of firecracker sounds produced one was due to stray bullet. And for the number of injuries has hit a plateau. Could
by the rock band, 6 Cycle Mind and packaged whole surveillance period from December it be that whether the campaign strategy
like a big triangle firecracker. 21, 2011 to January 5, 2012 in 50 sentinel becomes negative or positive, there would
After all that was said and done, sites, the DOH registered a total of 1,021 not be a big change in statistics? Let's all
the year's revelry turned out to be the injuries – only one case less from the total wait and see, same time this year and next
deadliest with a total of 4 deaths recorded. injuries in the previous year. Analyzing the year.
Three deaths were due to blast injuries while surveillance reports in the last five years, the -oOo-
Mosquito Bites 5
In June, during the observance January 1 to August 18 and 14.14 percent clinical signs with, but is not as deadly as,
of ASEAN Dengue Day (June 15) in San higher compared to the same period last dengue. There is no cure for this viral disease.
Fernando Pampanga, the Department of year at 70,745 cases. Deaths from dengue Treatment is focused on relieving the
Health and the Philippine Information also increased from 424 last year to 496 this symptoms. Moreover, chikungunya merits
Agency launched the dengue "text blast." year. Majority of the cases continued to be in the same urgency from doctors and patients.
Under the system, the PIA conducts a mobile the National Capital Region (NCR), Central Health Assistant Secretary Enrique
phone ‘text blast’ about dengue prevention Luzon and CaLaBaRZon. Tayag said that chikungunya is not new in
in an affected area while the health teams Despite these news, dengue did the Philippines as cases have been reported
conducted investigation. In July, the not end up as the top health news, and in fact in the previous years. He said that in 1990s,
encouraging result of the rigorous testing became just one of three mosquito-borne the country already had cases and last year,
of anti-dengue mosquito traps landed in diseases in the news this year. Hogging the there were more than 1,000 cases reported.
the State of the Nation Address of President news limelight with dengue is the disease This year, the first to report
Benigno S. Aquino III in Congress. In the called "chikungunya" – a mosquito-borne chikungunya was Cagayan de Oro. Tayag
middle of August, dengue cases breached disease that affects mainly adults which said in news reports it is possible that
the 80,000 mark, that is 80,745 cases from causes fever, severe joint pain and shares Chikungunya-causing Aedes aegypti
Surge of Leptospirosis 3
Leptospirosis cases and deaths (Habagat) rains. The DOH conducted a quick members. A case rate of P 11,000 shall be
rose early this year as an aftermath of flood count for admissions of Leptospirosis in 20 paid for moderate leptospirosis, while severe
brought by typhoon Sendong in Region 10 Metro Manila hospitals already noted 783 leptospirosis shall be reimbursed fee for
on December 17, 2011. In the first week of cases and 34 deaths. Half were recorded service.
January 2012, the Department of Health in San Lazaro Hospital. By August 18, the A controversial news on
Center for Health Development (CHD) in number of leptospirosis cases in the country leptospirosis was announced by President
Northern Mindanao reported a total of 599 reached 2,471, with 129 deaths. This is 62.35 Benigno S. Aquino III during one of his relief
suspected cases and 16 deaths in Cagayan percent higher compared to the 1,522 cases operation visits on August 8. He said an
de Oro and Iligan, giving a case fatality rate recorded during the same period last year. unidentified pharmaceutical company that
of 4.2 percent. Health Secretary Enrique T. Ona allegedly raised the price of its leptospirosis
In August, another surge in announced that persons in areas affected medicine, doxycycline, by up to 750 percent.
leptospirosis cases occured due to the by the Habagat rains and diagnosed amid the heavy flooding in many parts of
massive flooding in many areas of Luzon, with leptospirosis shall be automatically Luzon. The company was allegedly selling
including Metro Manila, resulting from the covered by the Philippine Health Insurance its leptospirosis medication between P50-75
heavy and continuous southwest monsoon Corporation (PhilHealth), including non- from its previous price of P10.
(-: Health News beyond November 15, 2012 is not included in this countdown :-)
Oh, Babe
LOVE STORY Ang Daya Parlor
Tinawagan sa celphone ang girlfriend... BONG: Iiwan na kita may iba na akong Lumabas ng beauty parlor ang mag-asawa...
DENNIS: Babe, saan ka? mahal... ROSE: How do I look? Maganda na ba
CHE: Eto nasa park. Nakaupo, ikaw? CHELY: Ganon? Ang daya naman. ako, sweetheart?
DENNIS: Eto nanonood ng LOVE STORY. Ako nga matagal nang may iba, JOJO: Ah, eh, at least sinubukan mong
CHE: Talaga? Ang sweet naman. Saan iniwan ba kita?!? magpaganda.
ka nanunood?
DENNIS: Sa park. Pinapanood kita habang Pangit Mamahalin
may kayakap kang iba.
AVIC: Bakit ayaw mo sa 'kin? JOEL: 'Pre, pag-uwi sa bahay,
Sawang-Sawa Pangit ba ako? sinumbatan ako ng Misis ko na
NOEL: Shhh... Maganda ka... dalhin ko daw naman siya sa
NEIL: Sawang-sawa na ko sa girlfriend Mula PAA hanggang LEEG. isang mamahaling lugar.
ko sa kakabanggit at kaka- JOB: Saan mo dinala Misis mo, 'Dre?
kumpara sa akin sa dati niyang Hayaan JOEL: Eh di sa gasolinahan. Ang mahal
boyfriend! kaya ng petrolyo ngayon!
MIKE: Wala yan pare. Yung girlfriend Sa mataong concert, dalawang lalaki na
ko nga lagi niyang binabanggit hindi magkakilala ang nahiwalay sa kanilang Sunog
at kinukumpara ako sa susunod girlfriends kaya hinahanap nila ang mga ito...
niyang boyfriend. CHRIS: Ano ba itsura ng GF mo, 'Pre?!? Nagsilang ng maitim na bata ang mestizuhing
JERRY: Mga 5'6" ang height, mestiza, mag-asawa...
Tangay long straight black hair, brown JOSEPH: Bakit maitim ang anak natin?
eyes, pouting red lips, hot at AMELITA: Honey, hot ka... hot ako... kaya
ROMMEL: Bakit ba sobrang lungkot mo? napaka-sexy. Ikaw, 'Pre, ano heto, nasunog ang baby natin!
RON: 'Yung bestfriend ko, tinangay itsura ng GF mo?!?
ang Misis ko. Pangatlong araw CHRIS: Naku, hayaan mo na siya. Ang Dasal
na ngayon na hindi ko sila mabuti pa ay hanapin nalang
mahanap. natin ang girlfriend mo! DITAS: Ang dasal ko sana bigyan pa
ROMMEL: Kawawa ka naman. ako ng konti pang talino para
RON: Oo nga. Miss na miss ko na Susi maunawaan ko ang Mister ko...
ang bestfriend ko. REMY: Ako, bigyan ako ng konti pang
RELLY: Alam mo babe, para kang SUSI. pasensya para matiis ko pa ang
Katulong MARIZ: Bakit naman? pag-uugali ng Mister ko...
RELLY: Kasi binuksan mo ang sarado PRESCY: Ako, konti pang pag-ibig para
TESS: Ginagawa mo lang akong kong puso. mapatawad ko ang Mister ko...
katulong mo! Mabuti pa MARIZ: Sinungaling! Eh sino yung kasama BAMBI: Ako naman, ang lagi kong dasal
maghiwalay na tayo! mong babae noong isang araw, ay bigyan ako ng maraming lakas,
ERNIE: Hindi! Simula sa araw na ito, aber? para tuluyan ko nang mapatay
sisante ka na! RELLY: Siya 'yung DUPLICATE! ang hayop na Mister ko!