Republic of the Philippines

City of San Jose del Monte

Province of Bulacan

CITY HEALTH CENTER IX

POLICY ON EPIDEMIOLOGIC SURVEILLANCE

General Functions
● Develop and evaluate surveillance systems and other health information systems
● Collect, analyze and disseminate reliable and timely information on the health status
● Investigate disease outbreaks and other threats to public health
● Network public health laboratories in support of epidemiological and surveillance activities

Divisions
1. Applied Epidemiology Health Management Division

Specific Functions
● Investigate and respond to epidemics and other urgent public health threats as the need arises
● Develop and maintain field epidemiology training programs for public health workers
● Develop, capture, filter, verify, assess, respond, disseminate and evaluate event-based
surveillance systems
● Collect and maintain resource materials on epidemiology, surveillance, management and
monitoring and evaluation in public health.

2. Public Health Surveillance Division

Specific Function
● Undertake notifiable disease surveillance through Philippine Integrated Disease Surveillance
and Response.

3. Survey, Monitoring & Evaluation Division

Specific Functions
● Provide statistical services to priority health programs of the DOH
● Monitoring non-behavioral risk factors priority non-communicable diseases through globally
standardized survey
● Monitor HIV and AIDS Registry and Integrated HIV Behavioral and Serologic Surveillance, size
estimates and Most At-Risk Population
● Provide program health indicators information

4. Process of surveillance
▪ We get news, rumors, about an unusual event that concerns health from different sources:
● Social Media: Facebook, News, Television, Newspapers
● Barangay folks
● Barangay Health workers

Epidemiological Surveillance
1.  Set up and maintain a functional municipal disease surveillance system equipped with the
necessary resources and adequate local financial support. Financial support may come from the
disaster, calamity or other appropriate funding sources as determined by the municipal
government officials.
2. Collect, organize, analyze and interpret surveillance data in their respective areas.
3. Report all available essential information such as clinical description, laboratory results, numbers
of human cases and deaths, sources and type of risk immediately to the Provincial Health Office
of Bulacan.
4. Implement appropriate epidemic control measures immediately.
5. Establish, operate and maintain a municipal epidemic preparedness and response plan, including
the creation of multidisciplinary/multisectoral teams to respond to events that may constitute a
public health emergency.
 6. Facilitate submission of weekly notifiable disease surveillance reports from public and private
hospitals.

Reference: DOH Clinical Practice Guidelines

PLAN PER THEMATIC AREA (Prevention and Mitigation, Preparedness, Response, and
Recovery and Rehabilitation)
A. Prevention and Mitigation Plan

Disaster Prevention and Mitigation provides key actions and activities around identifying and
analyzing hazards, risk analyses, mainstreaming CDRRMO into development plans, and minimizing the
impact of disasters in terms of casualties and damages that are health-related. It underscores the need
for sound scientific information and analysis of risks and hazards.

Prevention and Mitigation Plan

Hazard Strategies and Time Resource Agency/ Indicator
Activities frame Required Source Office/
Person in
charge
Flooding a. Advocacy & ● Funding for CDRRMO PCF CITY CDRRMO
Training the training Fund, HEALTH team equipped
⮚ Water & ● Trained staff LGU CENTER with
Sanitation on WASH IX knowledge and
⮚ Mental Health ● Trained staff standard on
& on MHPSS disaster
Psychosocial
Support
(MHPSS)
⮚ Surveillance
system during
disaster
b. Networking & ● Personnel LGU PCF CITY CDRRMO unit
Collaboration ● Logistics HEALTH able to respond
⮚ Regular (monitoring CENTER and report
monitoring tool, service IX health
and vehicle)
assessment of
local
CDRRMO
functionality
c. Pre- ● Pre-identified CSWD PCF CITY Anticipated
identification evacuation HEALTH needs provided
and master centers CENTER and monitored
listing of IX
evacuation
center
d. Logistics and ● Stock of LGU, PCF CITY Disease
Supplies medicines GSO HEALTH outbreak
⮚ Availability of CENTER prevented
stock IX
medicine
⮚ Pre-
positioning of
medicines
from CITY
HEALTH
OFFICE
e. Resource ● Early CDRRMO PCF CITY Natural
mobilization warning , LGU HEALTH disasters and
⮚ Early warning systems CENTER calamities
 system IX anticipated
Epidemic a. Regular ● Personne LGU, PCF CITY Proper disease
updates on l CDRRMO HEALTH identification
guidelines and ● Funds CENTER and
protocols on ● Logistics IX management
disease rendered
prevention
and control
b. Networking ● Personnel LGU PCF CITY Disease
and ● Logistics HEALTH surveillance
collaboration (monitoring CENTER system in place
⮚ Continuous tool, service IX
monitoring vehicle)
and active
surveillance
c. Logistics and ● PPEs LGU, PCF CITY Case
supplies ● Stock CDRRMO HEALTH identification
⮚ Availability of medicines CENTER and initial
PPEs to IX management
respond to provided
disease
occurrence
⮚ Availability of
stock
medicines
d. Identification ● Personnel CDRRMO PCF CITY Case
of referral ● Fund , LGU HEALTH confirmation
facilities in ● Logistics CENTER conducted and
cases of need (service IX transmission
for vehicle, halted
consultation reporting
and admission forms)
Earthquake a. Capability ● Funds LGU, PCF CITY Equipped and
building ● Facilities and CDRRMO HEALTH prepared health
⮚ Trainings and equipment CENTER personnel and
drills IX, community
CDRRMO
b. Advocacy ● Personnel LGU, PCF CITY Increased
⮚ Public safety ● Funds CDRRMO HEALTH community
● IEC materials CENTER awareness
● Service IX,
vehicle CDRRMO
c. Resource ● Stock of GSO, GSO, PCF Diseases
mobilization medicines CDRRMO CITY managed and
⮚ Allocation of , LGU HEALTH outbreak
logistics CENTER prevented
⮚ Pre- IX
positioning of
medicines
d. Monitoring ● Pre-identified CDRRMO PCF CITY Structural
and evaluation vulnerable , LGU , HEALTH enhancement
⮚ Identify areas CITY CENTER funded and
vulnerable ENGEINE IX conducted
areas ERING
⮚ Inspection and OFFICE
assessment of
structural
capacity of
buildings
(hospitals,
offices,
churches, etc)
e. Adherence to ● Funds CHO, PCF CITY Safe hospital
safe hospital ● Safe hospital CDRRMO HEALTH checklist
policies checklist , LGU CENTER satisfied
IX,
CDRRMO
 Landslide a. Capability ● Funds LGU, PCF CITY Equipped and
building ● Facilities and CDRRMO HEALTH prepared health
⮚ Training and equipment CENTER personnel and
drills IX, community
CDRRMO
b. Advocacy on ● Personnel CDRRMO PCF CITY Increased
public safety ● Funds , LGU HEALTH community
● IEC materials CENTER awareness
● Service IX,
vehicle CDRRMO
c. Monitoring ● Pre-identified CDRRMO PCF CITY Identified of
and evaluation vulnerable HEALTH vulnerable
⮚ Identify areas CENTER areas
vulnerable IX,
areas CDRRMO
Fire a. Early ● Functioning LGU, PCF CITY Personnel and
warning, alert fire alarm CDRRMO HEALTH the community
and reporting systems CENTER forewarned
system placed in IX,
(EWARS) offices, CDRRMO
building and
establishment
s
b. Capability ● Funds LGU, PCF CITY Equipped and
building ● Facilities and CDRRMO HEALTH prepared health
⮚ Training and equipment CENTER personnel
drills IX,
CDRRMO
c. Regular ● Monitoring LGU, PCF CITY Safety practices
inspection of checklist CDRRMO HEALTH emphasize and
areas ● Firefighting CENTER practiced
especially equipment IX,
those with ● Service CDRRMO
copious vehicle
manufacturing
of
pyrotechnics

B. Preparedness Plan
Disaster preparedness provides for key strategic actions that give priority to community
awareness and understanding, contingency planning, capacity building and skills development, conduct
of local drills, and development of a local disaster plans and protocols. In preparing communities and
governments for possible disasters, it is vital to understand needs based on hazard and risk analysis in
order for preparedness activities to be appropriate, realistic and effective.
Preparedness activities are not linear, but are instead cyclical and ongoing with improvements over
time. Behavioral change created by the preparedness aspect is eventually measured by how well people
respond to and recover from disasters.
PREPARED PLAN: RISK REDUCTION
Risk Strategy and Time Resource Agency/ Indicator
activity frame Required Source Office/
Person in
charge
Death/ Establishment ● Designated LGU PCF CITY Well-
Injuries/ CDRRMO Open room/space HEALTH coordinated
Disability through Facility ● personnel CENTER IX communicatio
enhancement ● Telephone n and response
covering the 3S ● Fax machine
⮚ Space ● Computer unit
⮚ Staff with internet
⮚ Stuff connection
● Office supplies
 ● Uniform for
staff (vest)
Policy ● Draft policy LGU PCF CITY Signed policy/
Development HEALTH ordinance
CENTER IX
(institutionalizati
on of DRRM-H
at province
level)
Capability ● Funds LGU, PCF CITY Trained and
building ● Resource person, CDRR HEALTH capable
⮚ Training of facilitator MO CENTER IX, personnel
healthcare DOH RO
workers on
BLS, EMT,
Triage, MCI
and etc.
Health ● Personnel LGU, PCF CITY Increased
information and ● IEC materials CDRR HEALTH awareness of
advocacy ● Service vehicle MO CENTER XI community on
⮚ Tri-media disaster
approach preparedness
⮚ Info drive in
schools on
disaster
preparedness
⮚ IEC
materials
Displaceme Provision of life- ● Fund LGU, PCF CITY Improved
nt of the saving ● Personnel CDRR HEALTH service
populace equipment for ● Life-saving MO CENTER IX delivery
the responders equipment
Resource ● Fund LGU, PCF CITY Improved
mobilization ● Rescue teams CDRR HEALTH service
● Ambulance MO CENTER IX delivery
(provision of ● Life-saving
ambulance with equipment
life-saving
equipment)
Physical ● Fund LGU PCF CITY Improved
infrastructure HEALTH service
development CENTER IX capability and
delivery
(upgrading of
health facilities)
Resource ● Personnel LGU, PCF CITY Improved
mobilization ● Adequate CSWD HEALTH service
rooms/ space CENTER IX delivery
(evacuate in the for evacuees
designated EC) ● Adequate
sanitary toilet
facility
Augmentation of ● Personnel LGU PCF CITY Improved
personnel to ● Service HEALTH service
assist LGUs vehicle CENTER IX delivery
● fund
Service Delivery ● Personnel LGU PCF CITY Improved
● Adequate HEALTH service
(putting up of space CENTER IX delivery
temporary health ● Medicines and
clinic) medical
supplies
● equipment
Procurement and ● fund LGU, PCF CITY Disease
distribution of CDRR HEALTH outbreak
water containers MO CENTER prevented
and water IX ,
 disinfectant CDRRMO
Breakdown Deployment of ● Fund LGU, PCF CITY Health
of health personnel to ● personnel CDRR HEALTH services
services assist affected MO CENTER rendered
LGU IX ,CDRRM
O
Procurement and ● funds LGU, PCF CITY Improved
pre-positioning ● personnel CDRR HEALTH service
of emergency ● service vehicle MO CENTER IX delivery
medicines and CDRRMO
medical supplies
Activation of ● trained LGU PCF CITY Disease
disease personnel DOH- HEALTH outbreaks
surveillance in ● mobile phone RO III CENTER IX detected
the evacuation ● reporting CDRRMO
area forms
Monitoring and ● personnel LGU, PCF CITY Improved
evaluation ● monitoring CDRR HEALTH collaboration
tool MO CENTER IX and
(documentation ● communicatio CDRRMO networking
of all reports on n device
disaster)

DRRM-H Institutionalization Priorities

DRRM-H Strategy and Time Resource Agency/ Indicator
Institutionalization activity frame Required Source Office/
Priorities Person in
charge
CDRRMO Designation ● capable LGU PCF Equipped
and personnel CITY and
CDRRMO HEALTH functional
CENTER CDRRMO
IX Manager
CDRRMO
CDRRMO Improvement ● computer unit LGU PCF Operational
CDRRMO with internet CITY CDRRMO
connection HEALTH
● communication CENTER
devices IX
● TV set and CDRRMO
radio
Barangay Health Designation ● Capable LGU LGU Equipped
Emergency and personnel and
Response Teams orientation of functional
identified BHERT
BHERT
Emergency Procurement ● Medicines LGU, PCF Available
commodities of ● Medical CDRRMO CITY commodities
(medicines and emergency supplies HEALTH
medical supplies) commodities CENTER
IX
CDRRMO

C. Response Plan

Disaster Response is the provision of emergency services and public assistance during or
immediately after a disaster in order to save lives, reduce negative health impacts, ensure public safety
and meet the basic subsistence needs of the people affected. It is predominantly focused on immediate
and short-term needs and is sometimes called “disaster relief”.
 STANDARD OPERATING PROCEDURE FOR RESPONSE
Activity Steps to be undertaken Responsible
Pre-impact Impact Post-impact Person/
(0 day) (0-48 hours) (>48 hours) Institution/
Agency
Management of Event/Incident
Activate Open on / / / LCE, CDRRMO,
a 24/7 basis and CHO
ICS
Raise appropriate Issue memo adapt assess CDRRMO, CHO
code alert DRRM-H
Manager
Inform higher Identify means of Deployment of Continue LGU, CDRRMO
level of OpCen communication, RHA teams monitoring
through fastest appropriate form of
means of reporting mechanism Process reports
communication
Alert team to do RHA
Coordinate with Conduct and/or Continue Continue LGU,
respective DRRM collaboration meeting attendance to attendance to CDRMMO
office, with meeting and meeting and
partner agencies Feedback on provide feedback provide feedback
agreements of meeting and act upon and act upon
and act upon agreements agreements
Management of Information System
Gather Coordinate with health do do CDRRMO
information representatives and get Manager
regarding the initial report
event.
Deploy RHA teams
when no
communication/report
from the health rep in 6
hours’ post-impact.

Submit initial
assessment report using
official RHA form
Continuous do do do CDRRMO
monitoring and
dissemination of
info updates
Submission of Submission of FLASH Submission of Submission of CDRRMO
daily situation report HEARS report HEARS report
report or HEARS
report to up line
SPEED activation Alert trained personnel Issue advisory on Continue SPEED CDRRMO
the activation of
SPEED Process reports

Process reports
Management of Service Providers
Check status of do do do
health personnel
in affected areas
Mobilize health Mapping/review of HP Deployment of facilitate Post
emergency directory teams incident
response teams report/evaluation
(HERT) (Inventory of available
and deployable Process reports
● Public resources)
Health
and Conduct pre-
Medical deployment
● WASH orientation/briefing
● MHPSS
 ● Nutrition
● RHA
teams
Management of Non-human Resources
Update/check do do do
status/inventory
of logistics
Augment logistics do do do
as per the result of
inventory
Mobilize own do do do
non-human
resources or
request for
assistance
(commodities,
equipment, fund,
lifelines)
Management of the Victims
Provide pre-health Alert teams and do Practice 3T Monitor and
services assessment (triage, treat, facilitate post-
transfer) incident
evaluation

Process reports
Provide quad Conduct coordination Establish Monitor and
cluster health meeting medical/public facilitate post-
services health post incident
Participate in PDRA evaluation
Ensure
Updating of inventory functionality of Process reports
of logistics WASH services
through
Monitor and ensure monitoring
availability of WASH
services and structure in
EC

D. Recovery and Rehabilitation Plan

The Disaster Rehabilitation and Recovery aspect covers concerns related to employment and
livelihoods, infrastructure and lifeline facilities, and housing & resettlement. The principle of “building
back better” requires improvement and increased disaster resilience during restoration and rehabilitation
after disasters.
Risk/ Damages/ Activity Resources Agency/ Office/ Indicators
Status Person in Charge
Health Facility Repair of damages Funding CDRRMO, PCF Damages
infrastructure CITY HEALTH repaired
damages CENTER IX
Logistics Replenishment of CDRRMO Fund LGU, CDRRMO Buffer stock
submerged, looted, logistics maintained
and/or consumed

Health personnel Conduct of MHPSS Funding, resource CDRRMO MHPSS session

overworked with session for health persons, facilitators conducted
burnout feelings staff
Event closed Conduct of post- Funding, facilitators CDRRMO PIE conducted
incident evaluation
(PIE)