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FIrst of all, BIG THANK YOU to everyone who have been working so hard to help keep our kababayans safe and healthy.
The purpose of this group is to rapidly coordinate the response to COVID-19. It is directly connected to the DOH Emerge
if true or false).

Discussion is allowed but will be moderated. Please ensure your Viber profile reflects your name and affiliation. To do th
Any and all discussion, including that of patients’ cases shall be in the interest of responding to COVID-19 as a public hea
we all are in person during said conferences.

Kindly message any of the admins/moderators with your full name, hospital or clinic location, MD/RN and PRC license n

Our two volunteer-moderators are: Dr Albert Domingo (Consultant, WHO) and Dr Paolo Medina (UP Department of Fam

From Dr Salvana:
Unsolicited advice to hospitals especially in those areas with COVID19 cases:
1. Stop all elective admissions and non-urgent clinics.
2. Discharge all stable patients that aren't pneumonias or acute respiratory illnesses.
3.
4. Treat all pneumonias
Conserve as possible
PPE by limiting numberCOVID19
of people- who
initiate
havedroplet isolation
to physically + n95
see mask until
a COVID19 ruled
patient. If out.
one doctor has already s
at the same time as much as possible.
5. Send home mild cases of respiratory illness unless with comorbids or elderly (>60) for home-quarantine for 14 days o
and ease of access to the hospital. Recommend doing a chest xray prior to sending home.
6. Don't forget to feed your people. Arrange food deliveries or inhouse catering so people dont have to order or bring the
Think of practical solutions to your flow and avoid crowding in the ER and triage tents. Each hospital is unique. DOH and
The above is just added info based on my own analysis of the situation. Am posting this because I can't answer every sin

Hi Admin,

I can help moderating today by screening those not following instructions to reflect their Complete Name, and affiliation

Maybe we can include also putting RN/MD sa names para mas clear sa chat? (Shiela Villa RN)
qwe
File Name
Conference on Retroviruses and Opportunistic
Infections 2020 - special COVID19 coverage
UP-PGH algorithm on COVID19
Algorithm for patient triage (DOH Mar 10 2020)
Clinical Management of NCOV (WHO Jan 28 2020)
Coronavirus 2020: The Essential Guide
Coronavirus Disease 2019 (UpToDate)
WHO, getting
Patients your workplace
with Suspected ready for COVID19
and Confirmed 2019 Novel
Coronavirus Acute Respiratory Disease (Phil. Society
COVID 19 Hospital
for Microbiology Preparedness
and Assessment
Infectious Diseases Tool
and Pediatric
(CDC)
DOH Guidelines for Management of COVID-19 Patients
(March 11, 2020)
DOH List of Countries with High Risk of Importation
DOH Directive to All Hospitals on Reporting COVID-19

PH COVID-19 INFORMATION REPOSITORY: https://tinyurl.com/PH-COVI


(PPE, etc) Reducing HCW Risks of Contracting COVID-19
01 EUROPEAN CDC- COVID-19-infection-prevention-and-
control-healthcare-settings-march-2020.pdf
02 WHO Rational Use PPE for COVID-19 Feb 27
2020.pdf
WHO COVID-19 PPE of HCW According to Area of
03
Work.jpg
04 WHO Rights and Roles of HW covid-19.pdf
05 WHO Interim HCW_risk_assessment March 04
2020.pdf
UP-PGH HCW Risk Contact with COVID19
06
Algorithm.jpg

Clinical Management Files (including Algorithms)


WHO Infection prevention and control during health…rus
01 (nCoV) infection is suspected. Jan 25 2020.pdf
WHO COVID19 Risk Communication Package for Healthcare
02 Facilities. Mar 10 2020.pdf
DOH Algorithms for Triage of Suspected COVID-19 Patients
01 DOH Patient Triage Algorithm. Mar 16 2020.jpg
Philippine Society for Microbiology & Infectious Diseases
01 PSMID PIDSP Interim Guideline Clinical Management …
irmed and Suspected NCOV2019 SARS. Feb 12 2020.pdf
Specific Philippine Hospital/ Institution Algorithms
01 PGH COVID19 Algorithm. March 12 2020.pdf
Translated COVID-19 Algorithms
01 Bikolano-Sorsogon - High Res V2.tif
02 Cebuano version - High Res V2.tif
03 Ilokano - High Res V2.tif
04 Ilonggo - High Res.tif
05 Kapampangan - High Res V2.tif
06 Maranao - High Res.tif
07 Tagalog - High Res.tif
08 Waray - CALBAYOG SAMAR - High Res V2.tif
09 Waray - EASTERN SAMAR - High Res V2.tif
10 Ybanag - High Res V2.tif
UpToDate COVID-19 Files/ References
01 UPtoDate COVID-19 Files/References
WHO Clinical Management Guidelines
01 WHO Clinical Management of Severe Acute Resp
Infection from nCOV2019. Jan 2020.pdf

Community-level INNOVATIONS and PRACTICES


PPE Innovations
01 Possible Face Mask Alternative for Surgical Masks
ONLY Link
Possible Vetted
Face Mask and Seems Reasonable
Alternative for Surgical-Masks
2.jpg
02
ONLY Link Vetted
WHO Advice on theand
UseSeems Reasonable
of Masks - 1.jpg
in Community,
03
Home, and Healthcare. Jan 29 2020.pdf
WATER, SANITATION AND HYGIENE
01 WHO Water, Sanitation, Hygiene, and Waste
Management for COVID19 Virus. Mar 3 2020.pdf
SANITATION TEST DESIGN Innovations
01 SANITATION TENT DESIGN.jpg
TRIAGE AREA SAFETY Innovations
01 OPD Triage in Cebu CTTO for your consideration.jpg
02 TRIAGE Area World City Hospital Aurora Blvd.jpg

COVID-19 Recommendations for LGUs and Stakeholders


PSPHP COVID-19 LGU Response Recommendations. 13
01 March 2020.pptx
02 PSPHP
COVID-19 ARESCOM Response
Recommendations. 15 March 2020.pptx
03 PSPHP COVID-19 Home and Office Recommendations.
13 March 2020.pptx

DOH COVID Case Bulletins


01 DOH Case Bulletin. March 15 2020.jpg
02 DOH Case Bulletin. March 16 2020 7pm.jpeg
03 DOH Case Bulletin. March 17 2020.png

DOH Circular. Amendment on the GuidanceDOH Department Circulars


on the
01 Man…cted and Confirmed COVID-19 Cases. Mar 16
02 DOH Circular. Creation of the Coronavirus Disease 2019
2020.pdf
COVID-19 EOC.Directive
DOH Circular. Feb 12 2020.pdf
to All Hospitals on the
03
Reporting COVID-19. Mar
DOH Circular. Guidelines for13 Management
2020.pdf of COVID-19
04
Patients. Mar 11 2020.pdf
DOH Circular. Harmonized Code Alert Systems for
05
COVID-19. MarInterim
DOH Circular. 6 2020.pdf
Guidelines on the Activation…ies
06
for the 2019-nCoV ARD Response.
DOH Circular. Lifting of Travel Feb 7 2020.pdf
Restriction to Taiwan.
07
Feb 17 2020.pdf
DOH Circular. List of Countries with High Risk of
08
Importation
DOH Circular.ofPrioritization
COVID-19. Marof 13 2020.pdf
Contact Tracing for
09
Confirmed COVID-19 Cases. Mar 11 2020.pdf
DOH Circular. Public Advisory No. 10 - Non-Refusal…ic
10
and Private Hospitals COVID-19. Feb 11 2020.pdf
DOH Circular. Public Advisory No. 11 - Reminders for
11 Sending Specimens
12 DOH Circular. PublictoAdvisory
RITM. FebNo.11
152020.pdf
- Guidance on…r
the
DOHPublic andPublic
Circular. Event Advisory
Organizers.No.Mar
16 -11 2020.pdffo…s
Guidance
13
with
DOH Detected COVID-19
Circular. Public Patients.
Advisory No. Mar
7 on11 2020.pdf
Concerts an…
14
Other Public Events and Gatherings. Feb 7 2020.pdf
15 DOH Circular. Public Advisory No. 8 on the Use of Masks
16 DOH Circular. Public Advisory No. 8 on the Use of
Masks. Feb 7 2020.pdf
DOH Circular. Public Advisory Nos. 1-6 on 2019-nCoV
17
ARD. Feb 7 2020.pdf
DOH Circular. Reiteration of DM2020-0055 Interim G…
18
ls
DOH& Higher Education
Circular. Institutions.
Reiteration Feb 5 2020.pdf
of DM2020-056 Interim Gu…
19
nCoV
DOH Circular. Reiteration of DM2020-00575Interim
ARD Response in the Workplace. Feb 2020.pdf
G…
20
els & Other Similar Establishments. Feb 5 2020.pdf
DOH Circular. Reiteration of DM2020-0058 Price Fre…
21
ines
DOHdue to 2019-nCoV
Circular. ReiterationHealth Event. Feb 5 2020.pdf
of DM2020-0059 Interim G…
22
esponse in Residential Communities. Feb 5 2020.pdf
DOH Circular. Reiteration of DM2020-0063 Interim G…
23
eas
DOHFilipinos
Circular.due to 2019-nCoV
Reiteration ARD. Feb 5 2020.pdf
of DM2020-0067 Guideline…f
24
Confirmed Cases of 2019-nCoV ARD. Feb 5 2020.pdf
DOH Circular. Reiteration of DM2020-0068 Interim G…
25
for
DOH Confirmed 2019-nCoV of
Circular. Reiteration ARD Cases. Feb 5 Interim
DM2020-0072 2020.pdfG…
26 itals and Other Health Facilities. Feb 10 2020.pdf

DOH IECs and Social Media Cards (SMCs)


01 For Embassy Employees.jpg
02 For Health Workers.jpg
03 Mgt and referral of cases.jpg
04 Outgoing travelers.jpg
05 Stay at Home SMC.jpg

FOR PHARMACISTS
PPhA Community Pharmacy Guide - COVID-19
01
Preparedness.pdf

HOME CARE AND ISSUES for COVID-19 Patients


01 WHO COVID HomeCare Feb 04 2020.pdf

HOME CARE AND ISSUES for COVID-19 Patients


Philippine Academy of Family Physicians (PAFP)
01 PAFP Circular 1 March 11 2020.jpg
Philippine Medical Association (PMA)
01 PMA Solidarity Call page 1.jpg
02 PMA Solidarity Call page 2.jpg

PH Govt COVID-19 Related EOs, Memos, etc. (DILG, DBM, DSWD, etc)
01 ExecSec MEMO Enhanced Community Quarantine
Luzon March 16 2020.pdf
DILG
PROCUREMENT AUGMENTATION
AUGMENTATION PROCUREMENT Med Supplies DILG
01 Memo March 16 2020.jpg
02 SAMPLE LIST Test Kits for CAPABLE SPECIALIZED
FACILITIES ONLY (PCR Tech).jpg

TERMINOLOHIYA Kaugnay ng Sakit na COVID-19


01 FINAL-Terminolohiya-kaugnay-ng-Sakít-na-COVID.pdf

WORKPLACE, CHURCH, ETC. in this time of COVID-19


01 WHO Getting workplace ready for Covid-19. Feb
2020.pdf
WHO Home care for patients with suspected. Feb 4
02
2020.pdf
Archbishop MLA Pabillo Pastoral Letter COVID March
03
13 2020.png

UNCLASSIFIED AS OF THIS MOMENT


Conference on Retroviruses and Opportunistic
Infections 2020 - special COVID19 coverage
UP-PGH algorithm on COVID19
Algorithm for patient triage (DOH Mar 10 2020)
Clinical Management of NCOV (WHO Jan 28 2020)
Coronavirus 2020: The Essential Guide
Coronavirus Disease 2019 (UpToDate)
WHO, getting
Patients your workplace
with Suspected ready for COVID19
and Confirmed 2019 Novel
Coronavirus Acute Respiratory Disease (Phil. Society
COVID 19 Hospital
for Microbiology Preparedness
and Assessment
Infectious Diseases Tool
and Pediatric
(CDC)
DOH Guidelines for Management of COVID-19 Patients
(March 11, 2020)
DOH List of Countries with High Risk of Importation
DOH Directive to All Hospitals on Reporting COVID-19
Description Target Audience Date
Health workers and
symptoms, how to advise patients to self quarantine, and March 12, 2020
hospital staff and
contact numbers of adult IDS, pedia IDS, ER officer, Pay
security personnel

ORMATION REPOSITORY: https://tinyurl.com/PH-COVID19-HCWInfoDrive


(PPE, etc) Reducing HCW Risks of Contracting COVID-19
patient management, environmental cleaning and waste Healthcare Providers March 2020
healthcare
management, and laboratory
communitytesting,
settings, as well as during
management of thethe
handling of cargo; in this context, PPE includes gloves, Healthcare Providers 27 February 2020
Infographic on PPE
medical masks, for HCW
goggles according
or a face shield,to healthcare
and gowns, as well
Rights,roles and responsibilities of health workers,
activities Healthcare Workers
including key considerations
COVID infection risk assessmentfor occupational saftey and
tool and recommended Healthcare Workers
health according to WHO that have either cared 4 March 2020
management
Infographic onfor HCW infection
COVID who haveriskbeen exposed toand
assessment a COVID-
for
thatorhave
admitted
either cared
19 patient
recommended management for HCW who have been for or admitted
exposed to a COVID-19 patient according to CDC
agement Files
This(including Algorithms)
is the first edition of guidance on infection prevention and managers and IPC teams
control (IPC) strategies for use when infection with a novel at the facility level, also 25 January 2020
coronavirus
provides (2019-nCoV)
healthcare facilityismanagement
suspected. and healthcare relevant
HCWs forhealthcare
and the national
workers with an overview of the key actions required to keep facility management 10 March 2020
or Triage ofInfographic
SuspectedonCOVID-19
AlgorithmPatients
for Triage of Patients with
Possible COVID-19 Infection in healthcare facilities Healthcare Providers 16 March 2020
(includes&identfication
y for Microbiology Infectious of PUM, PUI)
Diseases
Interm guideline on clinical managemen of patients with Healthcare Providers 12 February 2020
suspected and confirmed COVID-19 infection
ppine Hospital/ Institution Algorithms Health workers and
symptoms, how to advise patients to self quarantine, and
hospital staff and March 12, 2020
contact numbers of adult IDS, pedia IDS, ER officer, Pay
slated COVID-19 Algorithms security personnel

Infographic on the most recent (March 16) DOH


algorithm on COVID-10, translated in different
languages
Infographic on the most recent (March 16) DOH
algorithm on COVID-10, translated in different
languages

ate COVID-19 Files/


Article References
discussing the epidemiology, transmission, clinical
features, evaluation and diagnosis, management, and Healthcare workers March 5, 2020
prevention
linical Management of COVID-19
Guidelines
acute respiratory infection for novel coronavirus, an
adaption of WHO Clinical management of severe acute Healthcare providers
respiratory infection when MERS-CoV infection is
evel INNOVATIONS and PRACTICES
PPE Innovations

R, SANITATION AND HYGIENE

TION TEST DESIGN Innovations

GE AREA SAFETY Innovations

mmendations for LGUs and Stakeholders

OH COVID Case Bulletins

OH Department Circulars
s and Social Media Cards (SMCs)

FOR PHARMACISTS

E AND ISSUES for COVID-19 Patients

E AND ISSUES for COVID-19 Patients


cademy of Family Physicians (PAFP)

ine Medical Association (PMA)

ated EOs, Memos, etc. (DILG, DBM, DSWD, etc)

DILG
CUREMENT AUGMENTATION
HIYA Kaugnay ng Sakit na COVID-19

CHURCH, ETC. in this time of COVID-19

UNCLASSIFIED AS OF THIS MOMENT


Health workers and
symptoms, how to advise patients to self quarantine, and March 12, 2020
hospital staff and
contact numbers of adult IDS, pedia IDS, ER officer, Pay security personnel
Question
Can COVID be transmitted through money?
Where can COVID testing kits be availed?
What to do if you begin to develop symptoms?
Can surgical masks or N95 masks be re-used?
What is the turn-around time for COVID-19 testing?
Is there a vaccine yet? When will there be a vaccine?
What if I have no alcohol? What to use?
What if I have only mild symptoms? Can I stay at home?
Is the virus airborne?
Can you get reinfected with the virus? Will you develop immunity?
Does the virus exist in fomites? Does it stay on surfaces for long?
When do I go to the hospital for testing?
Is
Canit possible
COVID-19 to have aysmptomatic
be spread through atransmission
swimming pool, of the
ie ifvirus?
I were to go
swimming?
Are cloth/mesh masks effective?
How long will COVID last in the Philippines
How
How do canyou
we know if it'sour
disinfect just the flu especially
clothes, or if it's COVID?
if we are dealing with
suspected cases?
Also when taking vital signs with the pulse ox and the BP cuff, are
they being properly sanitized between patients?
Is there prophylaxis for the disease?
What to do if a patient dies of COVID?
Is fever always the first symptom of COVID?
What does COVID look like on an Xray?
Does heat from
Will primary andthe sun kill the
secondary virus?
private hospitals be allowed to refuse to
see or admit PUMs/PUIs?
How can I get tested?
Can private physicians clear PUIs or PUMs?
Is there medicine for COVID?
As a HCW, if I get exposed to PUI, do I do self-quarantine?
Answer
Yes. Wash
Hospital; or the
and sanitize hands
Southern before and
Philippines after handling
Medical money.
Center (SPMC,
Davao)
If symptoms are mild, stay at home and monitor. If severe,
coordinate
not touch the with the nearest
colored areas hospital
becausebefore
that isgoing
wheretodroplets
their ER.
are
filtered
24-48 hours. Due to significant load and backlog of tests, this
may
processcomeof with delays WHO will update once one is
development.
approved
Soap and water.
disinfection, OrDistancing
Social disinfectant of 1:100
etc). Rest, bleach formulation for
fluids, paracetamol
fever
The
Earlyvirus is transmitted
evidence via droplet
shows patients whoinfection
recovered later on tested
positive for the virus. Still very early
Yes, it can stay on surfaces. DISINFECT to confirm reinfection.
regularly with bleach
solution,
the soap facebook:
ER (*from and water,COVID9
or proven commercial
hotline disinfectants
given: (02) 86517800
local 1149 or 1150)
DISTANCING and HOME QUARANTINE even without
symptoms
recommendation is to STAY AT HOME and avoid unnecessary
social gatherings/exposure
For health workers
cooperation and thosetohandling
and compliance sickmeasures
the health patients, being
no.
implemented
your symptoms are mild, STAY AT HOME and prevent the
spread
take precautions (ie take a bath) before interacting with loved
ones
equipment. Yes. An area for those with symptoms should be
separated from the ER to protect other sick people there.
No medical
Protocol prophylaxisTouching
is cremation. proven yet the corpse and its fluids can
still infect
70-80% of patients have fever. Some don't. So it's not the only
symptom to watch out for.
No, not reliably. Still best to disinfect with soap and water or
bleach solution

You will have to be evaluated first based on guidelines.


BHERTS willInvestigational
19 patients. be the one toexploration
clear for PUMs (after
are still monitoring)
being explored for
antiviral treatment for COVID-19
Resource
link to proper handwashing and hand hygiene
link to list of COVID-19 testing centers
link to DOH IEC on what to do for PUMs/PUIs
link to DOH IEC on masks
link to DOH IEC on COVID testing
link to article on vaccine development
https://www.facebook.com/OfficialDOHgov/photos/a.157979910879936/3137058856305345/?type=3&theater
link to DOH IEC on what to do for home quarantine/home isolation
link to WHO IEC vid on transmission
link to studies --> search
link to IEC on disinfectant
link to DOH algorithm
https://www.nejm.org/doi/full/10.1056/NEJMc2001468?fbclid=IwAR3K8tTx2gsdk6F4QTAdoim1qSPsxDkugHRNHGs
https://wwwnc.cdc.gov/eid/article/26/6/20-0412_artic
link to DOH Algorithm

link to DOH IEC on what to do to prevent spread of COVID


link to DOH IEC on what to do to prevent spread of COVID
link to DOH guidelines for managing COVID

link to infographic

link to DOH guidelines for managing COVID

https://drive.google.com/open?id=1FW0bLLIjijYscQNgHNr_Zb5E9I7vcqcq
8856305345/?type=3&theater

o DOH Algorithm
Question Category Questions/Concerns/ Challenges
Service Delivery How
the DOH can ilatest
get tested?
algorithm says that all PUIs with
Human Resource mild symptoms
spaces like small are for home quarantine.
households, evacuation
Health Information centers, prisons, etc.
Access to Medicines and This is what DOH has circulated before, does
Tecnology this indicate preference for isopropyl?
Service Delivery Iprofessionals/workers?
mean the virus might spread via bills/money
How about, say, ?
Access to Medicines and advocates?
severe cases? administrators?
Can, for example, vents be
Tecnology
Leadership and loaned
Any similar initiatives forperipheral
from unaffected us, given hospitals?
that we face
Governance more resource constraints?
4. Is there a manpower rotation system
Human Resource especially
dedicated area for frontline workers?
for triaging, like clinics for
Service Delivery example?
Continued social interaction thru other
Service Delivery
Leadership and modes/medium should
drivers/operators to stillbe encouraged
earn despite decreased
Governance
Access patronage. preparations (aside from dilute
to Medicines and home/herbal
Tecnology bleach)?
(ala post-disaster) for affected individuals and
Service Delivery
Leadership and families?
and scarce resources were optimized. it worked!
Governance bakit
maging po vehicle
kaya hindiyung same modelpag
machines gawin now? ng
di nalinis
Health Information
Leadership and maayos.
ensure basic economic activity (& prevents
Governance
Leadership and worse
checkpointshealthwill
conditions).
help ensure the same for overall
Governance quarantine efforts.
as the lockdown caused a lot of people from the
Service Delivery provinces
day quarantine to return home. with respiratory
to patients
Service Delivery symptoms
verified by Dr. hereRolly
in NCR?
Cruz, chief of QC
Service Delivery epidemiology
or quarantine na langand
diseas angsurveillance.
vague if puwede at
Service Delivery clinic level.
Service Delivery What is threshold
May Republic act pofor ba
testing
for curfew incase of
Health Information
Access to Medicines and public health emergency?
Tecnology May alternative
adversely affected meds po coming
in the ba for covid?
months, can
health financing PHIC premiums
relaxing be put on
the sacrosanct hold?
PHIC reserves can
health financing perhaps
ng virus, be angattended
city healthto soon.
din ba ang mag
human Resource clearance?
Pano po pag admitted na? Private MD na? Or
Service Delivery still needspara
covid-19 assessment
hindi maidenyfrom the
yung DOH personnel?
travel history?
Service Delivery
Leadership and (For international travel history)
Does the CESU/RESU have contact with BQ or
Governance DOH
for usdata on travel this
to streamline history?
through electronic
Service Delivery records/app?
should it be lahat ng involve sa station? Since
Service Delivery nakakasalamuha
right now, not all people din ungare RN.. thanks
honest withpo..
their
Service Delivery histories po
Ano po ba suot nila na PPE when monitoring
Service Delivery PUM?
in policies in management of PUIs and PUMs in
the private sector. An issue was brought up in
one of the physician call center GCs last night. A
fellow physician (with comorbids) was on duty
and encountered a PUM and PUI. Following
DOH protocol, he proceeded to call RESU but
was advised by the company nurse to call
another physician (presumably a higher up
doctor in the health care provider system? Idk) to
confirm if the pt should be referred to RESU. A
clinic
Good policy
day! I'm was sent w/the
a Nurse fromffthe rules:
DOH 1. HRH
Pts w/fever
and exposure are sent home,
Program. I have a concern about the safety our 2. Pts w/ILI
WITHOUT
health teamfever in the are to be
field given athe
regarding FM,situation
meds and
the trainer/supervisor has the
that they are deployed in certain checkpoints final say if the ptand
is
allowed to go home, depending
also closely monitoring the PUM's because some on the magnitude
of
of calls.
them are Thisillwas very concerning
equipped when theyfor areus since
Access to Medicines and not all pts with
monitoring. COVID
Is there 19 present
anything we can withdofever
about
Tecnology initially. Considering call centers are packed and
Access to Medicines and our PPE? Thank you!
close contact cannot be avoided, missing a
Tecnology
Access How
to Medicines and mask
PUI/PUM do
is we
soaked
may treat itPUI/ PUM
on water
magnify without
with
the number N95?
chlorine
of infected
Tecnology overnight?
Access to Medicines and cases in the workplace. When this issue was
Tecnology brought
Is
OB,there
ortho,aupwaywithtoadmin,
ophtha, disinfect
derma, their response
n95s?
gen surgeoniscan thatbe
we
Human should just follow company policy even if the
Access Resource
to Medicines and accepted
collected
DOH algorithm
to the
at treatprovincial
covid patients?
says otherwise. level that has to
Is there be
a way
Tecnology shipped to RITM?
that we can enforce the standardization of
management of pts with ILI in the workplace? We
believe that public health is more important than
Service Delivery company
we will admit politics and bureaucracy
the patient or transfer him to a level
Service Delivery 2 hospital
travel (ex. truck bus drivers, "bumbays" collecting
Health
Access to Medicines and dues
Information doingin inthe
Southarea?)Korea. Will these help prevent the
Tecnology spread?
infection? Most of the patient with COVID died
health information with pneumonia.
asymptomatic, and Is iteven
bacterial
if theyorarestillPUIs
viral?
Service Delivery awaiting
they will be results?
elevated to PUI or confirmed cases
Health information since MHO
send these patients na po ang nagmomonitor
home until they are sa non
kanila.
Health information infectious.
trying to pool Saminfunds kasi
for di nila pinapauwi.
donation to buy PPE and
health financing help out our fellow healthcare
far asymptomatic. Do they need to report to localworker
Service Delivery authorities?
-With the cityThank heathyou! office of their locality? Manila
Service Delivery and Paranaque sila
contact sa patients. This goes to say with the
Service to
Access Delivery other
Medicines and ba specialties
natin gamitin ang and reusable
subspecialties.
masks? 3ply cloth
Tecnology
Access masks?
to Medicines and local and available materials that is both cost
Tecnology efficient
should they andbe effective?
under quarantine regardless that
Service Delivery country is not
dialysis unit patient...on list ofonaffected
how to one.go about our
Service Delivery clients
standard questionnaire that we allfrom
on dialysis... any updates can DOH?
use to
Service Delivery minimize contact while being
operations, and other recommendations? Thank thorough
health information you.
Especially in places without confirmed covid
Service Delivery cases
Pero duringyet? usal operations (OPD, bemonc)
Service Delivery other
COVID-19 than the usual (masks),
Assessment forms you that don't?
the healthcare
health information workers can use?
Good day, Ano po yong tamang formulation ng
health information
leadership and tubig
Dumagueteat chlorine/due to zonrox
COVID19? pang disinfect?
So far, some has
Governance no records of PUMs
weeks. Will there be advise on thisunder their municipalities?
in the light of
Service Delivery COVID and push for social distancing measures.
Access to Medicines and hydroxychloroquine for treatment? Will we be
Tecnology adopting
don't wantany of thisour
to flood locally? Thank
ERs with youlike this
cases
health
Accessinformation
to Medicines and especially at this time.
is the responsible agency to update and store all
Tecnology the data?
Access to Medicines and darating na patients sa ospital. Baka pwede na
Tecnology mauso angtoonline
will report triaging. It will be better if
their barangay?
health information may mabigay
plan na po ba kamifor the naswab
hotline sa kanila.
testing from provinces
Service Delivery following the lockdown in manila?
as they contact us in case of ssx and they are
Service Delivery counselled
the Brgy health accordingly?
workers can help with the daily
Service Delivery monitoring.
de konsensya podami
Ang parin
nila un, sopo to kasing
speak in pasaway
the
Service Delivery essence of voluntary quarantine?
convince telecoms and media to text
Access to Medicines and blast/broadcast
health information home monitoring? as Yung
part ofmaytheirsymptoms
CSR program?and
Tecnology temp. Qc health has that.
Access to Medicines and Tutal mostly online naman na mga Tao. Para
Tecnology maidirect
What is theagad
proper sa proper
waste center
management at home
health information withwait
we PUIs for(mild)
a patientand to PUMs?
develop severe disease
Service Delivery before a swab is done?
(which are only 20% of the total number of
health information cases).
best for him to go straight to Singapore from UAE
health information or
goodcome homeask
evening firstko
and then
lang poto SG?may algorithm
kung
Service Delivery po kau for
related HCWhe
activity, exposed to COVID-19?
or she required thanks.
for mandatory
Service Delivery 14 dayschances
naging quarantine? ba saThank you.ng releasing of
duration
Service Delivery result?
Gastroenterology tehy think that the virus is also
health information shed
also toviatreat
feces?
patients with mild respiratory
service Delivery symptoms
COVID-19, can as PUMs? Thank you
be considered as PUI/PUM.
service Delivery Tama po ba?
quarantine for 14 days kahit na mild symptoms
Service Delivery pa lng meron
hospitals. - Drsila?
Edmund Kierulf, City Health
Service Delivery
leadership and Doctor,
airforce for help but d dw sila pwede if wala g
Governance order.
Thankyou.
Service Delivery -mj tan, mdprivate
secondary dpps (pedia hospitalsat panabo city) to refuse
be allowed
Service to
Access Delivery to seeMay
Medicines and yun? or admit PUMs/PUIs?
PPE allocation ba or pure covid test
Tecnology kits lang? contact with people inside the
continuous
Service Delivery operating
Are all cases room of confirmed positive for covid
health information being admitted?
tested? There seems Thanktoyou po
be inconsistencies in
health information following the algorithm in different places.
Do you have a list of referral centers for possible
Service Delivery PUIS?
RESUSorofall secondary
BGC are still and
usingtertiary
older are okay?
algorithm..
Human Resource do they have
residence in atheir wonwith
country networking?
local transmission"
health information does it mean whole pH?
Access to Medicines and pharmacies and groceries to buy for senior
Tecnology citizens. Is the PRC ID enough?
Tags Viber Chat response
1149/1150 for guidance on how to be tested if
Testing needed. (Dr. Domingo)
can initiate a Google Document where inputs
PPE, Clinical Management, Quarantine will be made. I'll set something up this
Guidelines morning (Dr. Domingo)
making these points for your information (Dr.
Disinfectant Cecilia Lazarte)
avoid touching face, mouth, nose, etc. (Dr.
Transmission Lopao)
DOH/WHO, and to obtain (clinical) feedback.
(Dr. Domingo)
ICU Equipment
Guidelines
Human Resources
Triage, PPE, Guidelines
Mental Health, Guidelines
Guidelines
PPE, Disinfectant US CDCalinea
Dr jun Recommendation: bleach,
is the president 70%
of the alcohol
philippine
Mental Health psychiatric association.
being infected (Trina deorlastaff
by other patients Llana)
(Dr.
Designated hospitals, ICU Equipment, PPE Camposano)
1% bleach; if surfaces or bedsheets 0.1%
Disinfectant, PPE, ICU Equipment bleach (Dr. Bev Ho)

Quarantine, Checkpoints quarantine, quarantine is for asymptomatics


Quarantine, Testing (Dr. Camposano)
MD shud not be giving clearance. (Dr.
Quarantine Camposano)
Kung PUM po, ang BHERTS po magclear.
Clearance, Quarantine (Dr. Camposano)
municipality's COVID-19 hotline. (Dr. Dena
Clearance, Quarantine Desabille)
Testing

Medication
PhilHealth (https://www.philhealth.gov.ph/circulars/2020/
PhilHealth circ2020-0004.pdf)
As long as the case(Ms.
doesManzano,
not merit RN)
admission,
Clearance yes (Dr. Bev)
Protocol, Clinical Management doffing of PPE, apply 5 moments of hand
Travel history hygiene at all times. (Weng Capistrano)
Travel history Yes they are in contact po (Dr. Bev)
Travel history; Electronic records
Quarantine
Quarantine surgical mask po or cotton mask. (Joice
PPE Salvan, RN)
If you mean by full PPE (medical goggles,
n95, impermeable isolation gown, clean
gloves), these are to be worn if you are going
to do aerosol-procedure activities to your
patient i.e. nebulization, intubation, etc as per
WHO and CDC protocol. Otherwise the
objective of using PPE where it is needed will
be undermined by unnecessary usage. Also,
usig full PPE in the field is quite challenging,
it's hot, uncomfortable, and gives you the
false sense of security that it can still serve its
purpose when in reality it's not because it's all
wet with your perspiration and external
materials that could breach your IPC. If you
are monitoring PUMs, best is to maintain at
least 3 meters, wash hands, or do alcohol-
based handrub frequently or follow them up
Checkpoints, PPE by SMS.Others
masks. (Weng Capistrano)
use ung cloth na masks just to
PPE have a protect po.
macompromise pa (Cj
angRamirez)
mask pag nilabhan
PPE (Alexis Bruce)
N95 should be disposed after use, ideally. (Dr.
PPE Hi Dr Balsicas.
Eleanor Go) Please advise the company
Human Resource HR formally (in writing, signed, scanned and
emailed) thatIt is medically and legally
Testing necessary for all practitioners to follow the
DOH algorithm especially with RA 11332 and
Presidential Proc. No. 922 declaring COVID-
Private sector, Quarantine, Protocol 19 as a Public Health Emergency.
Clinical management, Protocol
Travel history, Quarantine, Protocol
Disinfectant, Triage
Clinical management
Quarantine, Protocol
Private sector, Quarantine, Protocol inform RESU, we monitor via distant comm.
Private sector, Quarantine, Protocol (Dr JM Deblois)
establish what PPEs to procure and float to
PPE other
They shouldgroups
viber for enlisting
have the their hospitals
BOQ declaration card.
Quarantine, Protocol (Katherine Reyes)
Quarantine, Protocol the patient while scanning? (Dr. Alvin
PPE Marcelo)
*Cloth masks are not recommended under any
PPE circumstance (from WHO)
PPE kasi sa eroplano sari sari kung saan galing
Travel history, Quarantine kasama better talaga 14 days quarantine.
Protocol
Triage
Quarantine, Isolation, Protocol hours away from the municipality. ((Dr Dena
PPE Desabille)
solution. We also have a triage area po where
PPE patients areCOVID
of possible classified accordingly.
paitents) of PIDSR
Protocol uploaded
Disinfectant (Paolo Sia, RN)
Travel history, Protocol, Quarantine
Quarantine
Still for discussion in advisory group mtg. (Dr.
Medication, Clinical management Anna Ong-Lim)
Disinfectant, Poisoning
Electronic, Testing
Electronic, Triage
Hotline
Testing body malaise and reporting to the healthcare
Quarantine, Protocol worker
PNP in who is monitoring
imposing them.
home quarantine. (Dr. Drew
Quarantine, Protocol Camposano)
helping solve the COVID problem by sticking
Quarantine with self quarantine. (Perles)
Electronic, IEC
Home monitoring advisable ang online triaging. (smiley) (Dr.
Triage, Electronic Lopao)
Protocol, Quarantine latest algorithm, unfortunately ( Dr. Drew
Clinical management, Testing, Protocol Camposano)
Yes, that's right po. But we need to act as
CFR stewards of our
as "high risk limited resources.
of imporation" relative(Perlas)
to areas
Travel history, Quarantine outside of it. (from the mods)
Protocol
Protocol, Quarantine Yes po ( Dr. Drew Camposano)
Testing precautions for orofecal transmission. (Dr.
Clinical management Lopao)
evaluation, they will give you the next steps to
Testing, Clinical management, Protocol take. (Antonio
imposition Abad)
today HAVE to do home quarantine
Travel history, Quarantine, Protocol in their provinces. (Dr Lopao)
Quarantine, Protocol Yes
Protocol
Testing
Quarantine, Protocol and in-patient departments. They should also
Protocol be able to handle infectious cases.
PPE *No -from various RN and MDs
Quarantine, Protocol symptoms that were placed on HOME
Protocol QUARANTINE.
I think they were(eyemmeye)
tested before the new
Protocol, Testing guideline was released.
algorithm para less patient (Mylene
innextEscritor)
level of care
Referral (Dr. Lopao)
ang gustong iwasan ng chat group na ito. (Dr.
Networking, RESU Lopao)
na enhanced quarantine lang ay Luzon, then
Protocol you would
vehicle not bean
to reach faulted for that
exempted (Dr. that
place, Lopao)
is
Quarantine allowed. (Dr. Lopao)
Possible room
consolidate forontesting
data action centers, pathways, Reference
contacts, etc.
Standard Home Quarantine advisory https://drive.google.com/open?
Infographic on types of alcohol, disinfectant and id=1_mMCU7wpIK8QJZiQidnz-haD6rjdubEd
data showing evidenceetc. https://drive.google.com/file/d/1WAn_YUuw_dcyNEpABnTW
formal statement on transmission from surfaces
Coordination of equipments- pool from bigger
hospitals? https://drive.google.com/open?
Critical care guidelines id=13punGT5jU2g_WhprtzPCPg5tRAzgkkLo
Guidelines for triage for smaller hospitals and
clinics

US CDC Recommendation:
https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-d
mobilize counselling units

Algorithm dissemination, clarify points


Clearer guidelines on PUM handling of private https://drive.google.com/open?
sectors
Clearer guidelines on PUM handling of private id=1_mMCU7wpIK8QJZiQidnz-haD6rjdubEd
https://drive.google.com/open?
sectors id=1_mMCU7wpIK8QJZiQidnz-haD6rjdubEd
Disseminate algorithm or simplified flowchart
20/02feb/20200308-PROC-922-RRD-1.pdf is the
last proclamation for public health emergency
alternative meds

Checking for travel history

Better way for contact tracing, PUM tracing


Guidelines for health workers exposed to PUIs
Better way for contact tracing, PUM tracing European CDC:
https://drive.google.com/open?id=19zbD0InJr4eJXP2tcJ9aZZJ6hHw
https://www.who.int/publications-detail/advice-on-the-use-of-ma

European CDC:
Alternative PPEs https://drive.google.com/open?id=19zbD0InJr4eJXP2tcJ9aZZJ6hHw
European CDC:
Alternative PPEs https://drive.google.com/open?id=19zbD0InJr4eJXP2tcJ9aZZJ6hHw

https://www.who.int/publications-detail/advice-on-the-use-of-ma
HCW volunteerism
Guidelines for level 1 or 2 hospitals?

Advice on company physicians on handling


pui/pum
Guidelines for level 1 or 2 hospitals? Where to
admit PUIs

practical isolation tents/room


Guideline for healthcare workers who handle
PUIs
Follow up of cases referred to MHO

Alternative PPEs and what PPEs needed


Quarantine protocol

Alternative PPEs and what PPEs needed


Alternative PPEs and what PPEs needed https://www.who.int/publications-detail/advice-on-the-use-of-ma
Alternative PPEs and what PPEs needed

questionnaire/guidelien
Guidelines for level 1 or for distant monitoring
2 hospitals/
municipalities
PPE protocol- further dissemination of guidelines https://www.who.int/publications-detail/advice-on-the-use-of-ma
PPE protocol- further dissemination of guidelines https://www.who.int/publications-detail/advice-on-the-use-of-ma

Guidelines on related health concerns


Guidelines on recommendations for supportive
management/ treatment
Guidelines on related health concerns
Better way for contact tracing, PUM tracing
Online triaging- COVID9
*from facebook: chatbot hotline given: (02)
86517800
Guidelineslocal 11491or
for level or1150
2 hospitals/
municipalities
Standard Home Quarantine protocol
Standard Home Quarantine protocol
Standard Home Quarantine protocol
Standard Home Quarantine protocol
*file sent in the group
Online triaging- chatbot sanitation-hygiene-and-waste-management-for-
Standard Home Quarantine protocol covid-19

Guidelines for HCW


Guidelines for HCW
Follow-up of results
Clarification of information seen online
Guidelines for level 1/2 hospitals or municipalities

Guidelines for private sectors Algorithm of management


Guidelines for level 1/2 hospitals or municipalities
Guidelines for level 1/2 hospitals or municipalities
Guidelines for HCW
Guidelines for level 1/2 hospitals or municipalities https://drive.google.com/open?id=18pYHVAneXyRAxi3nZ0qLiX2d
Alternative PPEs and what PPEs needed
Guidelines for HCW
Official response/Action Point

n_YUuw_dcyNEpABnTWbEajSX4ESE1n/view?usp=sharing

9-ncov/prepare/cleaning-disinfection.html

bD0InJr4eJXP2tcJ9aZZJ6hHwB5e-C
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona

bD0InJr4eJXP2tcJ9aZZJ6hHwB5e-C
bD0InJr4eJXP2tcJ9aZZJ6hHwB5e-C

ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona

ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona

ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
-context-of-the-novel-coronavirus-(2019-ncov)-outbreak

-context-of-the-novel-coronavirus-(2019-ncov)-outbreak

-context-of-the-novel-coronavirus-(2019-ncov)-outbreak

-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
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Topics
consolidate data on testing centers, pathways, contacts, etc. and how to disseminate
Standard Home Quarantine advisory for both patients and healthcare personnel with guide on distant monitoring
Advisory on different types of alcohol, disinfectants and data showing evidence etc.
Official statement on transmission of covid from surfaces (bills, hand rails etc.)
Mobilize counselling units for those having problem coping with COVID
Guideline on PPEs, prescribed and alternative, for low resource centers/area
Advisory for Company physicians on how to handling PUIs/PUM
Technical and practical guide on making quarantine/isolation sites/rooms
Guidelines for those working in clinics, smaller hospitals, municipalities re: providing clearance, testing, monitoring
Guidelines and availability of equipments used on PUI/PUMs esp ICU, dialysis
Guidelines on other health concerns- polio vaccination, bleach ingestion
Guidelines for HCWs exposed to PUIs
(With current lockdown) Protocol for the tests coming from areas outside metro manila
specific questions
- Who monitors the PUMs for clinics, where do they send the patients
- Does the clinic who classified as PUM get back info if patient eventually tests positive?
-waste management,
-alternative PPE use, home care
disinfectants
-hospital disinfection
-mental health
-visitation guide for admitted patients
-alternative PPEs
-PUMs for quarantine
-do we quarantine everyone who interacted with PUMs too
-where to send specimens for provinces
-can
-can level 1/2 hospitals
we borrow defer
equipment ofadmission of PUIifto
other hospitals wea have
largera hospital
critical covid patients
-dialysis machine use of PUI
-continuation
-leaves of vaccine
and how long schedules
-do you consider all HCWs in the room
-where to send the tests
possible reference guideline
sts positive?
-WHO and EU CDC with guidelines
-US CDC with guidelines
Provinces and Cities Under Quarantine
Ilocos Norte
Davao City
Batangas

Travel Restrictions
Aurora
Zamboanga city
Cebu
Aklan
Davao City

Guidelines for Quarantine to be Implemented by LGUs


Barangay-wide If two cases are positive within the same barangay
City/municipalityAt least two cases are positive and belongs to different barangays wi
Province-wide If at least two cases are positive and belongs to different cities/munic
me barangay
longs to different barangays within the same city or municipality
belongs to different cities/municipalities within the same province

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