Fireworks-Related

Injury (FWRI)
Surveillance

Philippine Field Epidemiology Training Program

 Objectives

• To provide brief background on the

FWRI surveillance

• To orient on the reporting flow and

updated FWRI form

• To present key roles of DSOs and

RESU in FWRI surveillance
Philippine Field Epidemiology Training Program
 Background
1991
• FETP Fellows led to the establishment of FWRI Surveillance

1992
• Ratification of R.A. 7183 (Fireworks Code of the Philippines)

1995 • Oplan: Iwas Paputok was launched

1999 • 50 hospitals joined the campaign

2005 • Fourmula Kontra Paputok

2010 • ONEISS was established

2011 • Aksyon: Paputok Injury Reduction

2017 • Executive Order No. 28 was implemented

FETP-Field Epidemiology Training Program
FWRI-Fireworks-Related Injury
ONEISS-Online National Electronic Injury Surveillance System

Philippine Field Epidemiology Training Program

 Executive Order No. 28
• Regulation and control of
the use of firecrackers
and other pyrotechnic
devices
• Promote community
fireworks displays
• Prohibited firecrackers
and pyrotechnic devices
Executive Order No. 28

Philippine Field Epidemiology Training Program

 Methodology
• On-line daily reporting from 6:00 AM to 5:59
AM of the following day

• Runs from December 21-January 5

• From 61 selected sentinel hospitals nationwide

Philippine Field Epidemiology Training Program

 Case Definitions
Fireworks-related injury case
Any person who sustained injury from fireworks,
stray bullet, and fireworks ingestion

Fireworks injury case

Any person who sustained injury from fireworks in
any form

Fireworks ingestion case

Any person who ingested any fireworks
intentionally or accidentally

Philippine Field Epidemiology Training Program

 Case Definitions

Stray bullet injury case

Any person who sustained injury from gunshot
fired into the air related to the yuletide celebration,
validated/verified with the PNP

Fireworks-related tetanus case

Any person diagnosed with tetanus caused by an
injury due to firework from December 24 to January 21
and was seen at San Lazaro Hospital

PNP – Philippine National Police

Philippine Field Epidemiology Training Program

FWRI Surveillance Process Flow
Patient

Hospital
• KMITS – 1st level validation
Server • Fellows – 2nd level validation
• Fellows has the following functions:
✓ Extract data
Data validation
✓ Validate data
✓ Check data error

Report Report
Data Analysis by Fellows
Generation Dissemination

Philippine Field Epidemiology Training Program

FWRI Surveillance Process Flow
Patient

Hospital
• KMITS – 1st level validation
Server • Fellows – 2nd level validation
• Fellows has the following functions:
✓ Extract data
Data validation
✓ Validate data
✓ Check data error

Report Report
Data Analysis by Fellows
Generation Dissemination

Philippine Field Epidemiology Training Program

 FWRI latest form

Philippine Field Epidemiology Training Program

 Anatomical Locations

Head
Eye
Neck

Chest
Back

Abdomen Forearm/arm
Pelvic
Buttocks
Hand

Thigh
Knee
Leg

Foot

Philippine Field Epidemiology Training Program

 Categories of Prohibited Fireworks*
• Overweight
More than 1/3 teaspoon OR more than 0.2 grams of net
explosive ingredients

• Oversize

• Fuse
Should not burn less than 3 seconds but not more than 6
seconds

• Imported finished product

• Mixture
• Sulfur and/or phosphorous mixed with chlorates
*Source: Philippine National Police

Philippine Field Epidemiology Training Program

Key Roles of DSOs
and RESU

Philippine Field Epidemiology Training Program

Key Roles of Disease Surveillance Officers

• To monitor:
o Census of FWRI
o Patient information sheet is filled-out for every
FWRI
o FWRI cases are encoded in the system timely

• To communicate with the RESU FWRI

Surveillance for updates and validation

Philippine Field Epidemiology Training Program

Key Roles of RESU

• To coordinate with EB, FETP fellows, KMITS, and other agencies

• To orient hospital and other agencies, as needed, on the FWRI
surveillance
• To conduct daily surveillance
• Monitor submission of reports in the ONEISS-FWRI site
• Ensure timely entry of data by reporting health facilities
within area of jurisdiction
• Validate FWRI data of reporting health facilities
• Designate FWRI surveillance coordinator as focal person to
whom the EB and KMITS staff shall coordinate during the entire
surveillance period
Philippine Field Epidemiology Training Program
FWRI Surveillance Process Flow
Patient

Hospital
• KMITS – 1st level validation
Server • Fellows – 2nd level validation
• Fellows has the following functions:
✓ Extract data
Data validation
✓ Validate data
✓ Check data error

Report Report
Data Analysis by Fellows
Generation Dissemination

Philippine Field Epidemiology Training Program

Reminders
• Type in your Viber number to the chat box if
you are not yet a member of the FWRI 2021
Viber group.
• Sign the attendance sheet to receive a copy of
the presentation, CIF, and other pertinent
documents.

Philippine Field Epidemiology Training Program

Reminders
• 3 different forms
• Service Request Form (SRF)
• Used for general requests such as request for account
registration, username/password recovery, updating of
hospital name, etc. (email to fwri.kmits@gmail.com)
• Incident Report Form (IR)
• Used for reporting errors in submitted data for correction
• Case Investigation Form (CIF)
• Used for recording data of each FWRI case and used as
the basis for encoding to ONEISS

Philippine Field Epidemiology Training Program

Reminders for hospitals
• Login, register, and/or recover your password
via oneiss.doh.gov.ph today to verify your
access to the system.
• Encode 3 dummy cases per day (1 each of
FW-related, SBI, and ingestion) until December
8, 2021 to test the functionality of the system.

Philippine Field Epidemiology Training Program

Reminders for RESUs
• RESU viewing account will be sent to FWRI
point persons by email
• Coordinate in advance (set meetings) with
regional PNP counterparts and sentinel
hospitals to review the process flow for
validation of Stray Bullet Injuries (SBI)
• Provide TA to sentinel hospitals, especially
those who failed to attend the orientation
(materials will be sent via email)

Philippine Field Epidemiology Training Program