Republic ofthe Philippines City Government of Muntinlupa CITY OF MUNTINLUPA Office of the City Mayor EXECUTIVE ORDER No, 51 Series of 2020 PROVIDING FOR THE CREATION OF THE MUNTINLUPA CITY EPIDEMIOLOGY PROVIDING FOR ITS COMPOSITION AND FUNCTIONS WHEREAS, the City of Muntinlupa City adheres tothe national mission of providing quality, scwtable and accessible heath services forall a a fundamental human right of every person; WHEREAS, Resolution 48.13 (1995) ofthe World Health Assembly (WHA) urges Member States to strengthen active surveillance, improve infectious disease dlagnostc capacity, enhance communications, encourage antimicrobial sensitivity testing, foster rational antimicrobial practices, increase skilled staff in epidemiology efforts, promote applied esearch and accurate and timely reporting: WHEREAS, Article 5-1 (Surveillance) of International Health Regulations (IHR) of 2005 "urges Member States to develop strengthen and maintain as soon as possible, but not later: than five years, from the entry into forces of these Regulations, the capacity to detect assess notify and report events in accordance with these Regulations, WHEREAS, under Administrative Order No. 2005-0023 (Implementing Guidelines for Formula One for Health as Framework for Health Reforms) states that “(D)isease Surveillance shallbe intensified to ensure thatthe targets fr disease elimination, prevention and controlar attained”; WHEREAS, Republic Act No, 11332, eniled “An Act Providing Policies and Preseribing Procedures on Surveillance and Response to Notifiable Diseases, Epidemics, and Heath Events of Public Health Concern,” otherwise known as The Law on Reporting Communicable Diseases, empowers the Department of Health and its Local Counterpart to implement the ‘mandatory reporting of notifiable diseases and health events of public health concern; WHEREAS, Republic Act No. 3573, which s the Law on Reporting of Communicable Disease ‘entitled “An Act Providing for the Prevention and Suppression of Dangerous Communicable Diseases,” enacted on November 26, 1928, requires all individual and health facilities to "report notifiable diseases to local and national health authorities; WHEREAS, the City Health Office (CHO) has different tasks on Surveillance in Post Extreme Emergencies and Disaster (SPEED) Manual and Hazard Prevention and Vulnerability Reduction Plan in Health and Health Hazards of Health Emergency and Management System (HEMS);Republic f the Pitippnes City Government of Muntintupa CITY OF MUNTINLUPA Office of the City Mayor wii ERE ds survellans is rial component of ub eh sytem, roving tial information fr optimal healthcare delivery and cost-effective disease control and Prevention strategies; ie coors se WHEREAS, timely reporting of vital health information will help the policy makers to formulate strategies for appropriate interventions or actions to address health problems; WHEREAS, functional health or disease surveillance unit is useful for priority seting, Planning resource mobilization and allocation, prediction and early detection of epidemics and monitoring and evaluation of health programs; WHEREAS, on 16 November 2020, on its 71% Regular Session, the 9! Sangguniang Panglungsod of Muntinlupa passed City Ordinance No. 2020-173, entitled “An Ordinance Mandating all hospitals, healthcare facilities, and similar establishments providing laboratory and diagnostic services located and/or operating in Muntinlupa City, to submit a daily COVID-19 related data and all diseases with outbreak potential to the City Epidemiology Surveillance Unt (CESU) ofthe City Health Office (CHO) and local publichealth authoritys” WHEREAS, the said ordinance stated the mandatory reporting of COVID-19 related data and all diseases with outbreak potential and, as such, all hospitals, healthcare facilites, and ‘similar establishments providing laboratory and diagnostic services are required to submit to the CESU ofthe CHO and/or o other local public health authority, as may be determined by the DOH, Section 1. Definition of Terms. The following terms shall be defined and mean as such: a Epidemiology. ‘This refers tothe study of distribution and determinants of health-related states or events in specified populations, and the application ofthis study to the control ofthe health problems; b.Survellance. ‘This refers to a type of observational study that involves continuous monitoring of disease occurrence within the population; City Epidemiology and Surveillance Unit. ‘Ths refers to the City Epidemiology Surveillance Unit (CESU) which serves as the central point for data banking of health service delivery and disease surveillance system; (Neen Cs Pret mia 9m2 20814042 ‘ote baseRepublic of the Phiipines City Government of Muntintupa CITY OF MUNTINLUPA Office of the City Mayor Notifiable Disease, {his referstoany disease that by vite of Administrative Order No 2008-0009, must be reported to the public heath authority in the pertinent jurisdiction where the Alagmosisis made, Such i categorized into two accord fi le Such is categorized into two according to urgency of reporting to whieh Immediately Notifiable, ‘Acute Flaccd Paralysis (AFP); ‘Adverse Event Following Immunization (AEFI; Anthrax, Ebola Virus Disease; and, Foot and Mouth Disease (HEMD); Malaria; Measles-Rubela; Meningococcal Disease; Human Avian Infiuenza; Neonatal Tetanus; Paralytic Shellfish Poisoning; Rabies; Severe Acute Respiratory Infection (SAR; (Outbreaks (Clusters of diseases and unusual diseases or threats); Weekly Notifiable. ‘Acute Bloody Diarrhea; Acute Encephalitis Syndrome; ‘Acute Hemorrhagic Fever Syndrome; ‘Acute Viral Hepatitis; ‘Bacterial Meningitis; CChikungunya: CCholer Dengue; Diphtheria; Influenza lines; Leptospirosis; Non-Neonatal Tetanus: Pertussis; Rotavirus; Typhoid and Paratyphold Fever, ‘ees Cy PinesRepublic ofthe Philippines City Government of Muntinlupa CITY OF MUNTINLUPA Office of the City Mayor © Disaster. This refers to a serious disruption of functioning of society causing widespread ‘human, material and environmental losses, which exceed the ability of the affected society to cope using ony its own resources; Emergency. This refers to any occurrence which requires immediate response; & Hazard, ‘Thisrefersto any phenomenon which ha the potential to cause disruption or damage to human and environment 1h Stakeholders. ‘This refers to health facilities such as hospitals, lying-in clinics, infirmaries, ‘medical/surgcal clinics, health centers, laboratories and all medical and nonmedical entities such as medical professionals and barangay health workers. Section2, Seope and Coverage. ‘Al health facilites, such as private and government hospitals, Barangay Health Centers, Health Station, City Health Office and its satellite centers, lyng-in clinics, infirmaries, emergency clinics, medical and surgical clinics, specialty clinics, laboratories, and all medical and non-medical entities such as doctors, nurses, midwives, allied medical professionals, sclontists and researchers, and barangay health workers are hereby mandated to report all attended cases as stated in Republic Act No. 3573 and Republic Act No. 11332, directly tothe CCESU through its reporting system or through their respective hospital, city or barangay disease surveillance office. Section 3 The Disease Surveillance Unit. ‘The Disease Surveillance Unit of the Muntinlupa City shall be called the Muntinlupa City Epidemiology and Surveillance Unit (MCESU, or brevity). Section 4 Composition. LMCESU shall be chaired by the City Health Officer, andi shall be composed ofthe following individuals, namely a Remegio A. Javier, RN, PHSAE Cty Epidemiologist; Karen Christel P. Escueta Surveillance Officer; © Carmela anne B. Vasquez Surveillance Staff Member; Mra Pcs Tetras 796522505 6442Republic othe Phitippines City Government of Muntinlupa CITY OF MUNTINLUPA Office of the City Mayor Charles F. Abello Surveillance Staff Member; Ieiochim R. Pareja See Hospital Disease Surveillance Coordinator, DOH Augmentation. Section Functions. ‘The MCESU shall perform the following functions, namely: Epidemiologist Organize systemic data collection and gather epidemiological data from City Health Centers, Hospitals, Lying-in Clinics and Private Clinies, Healthcare Facilities, And ‘Similar Establishments Providing Laboratory and Diagnostic Services: Interpret and provide analyzed data as feedback to health facilities, be it owned or controlled by the government or private sector and ran by local leaders; Carry out, withthe Surveillance Oficer as assistant, any outbreak investigation; Implement preliminary control measures immediately, ifs0 equipped: Use epidemiological data to plan and implement non-communicable and ‘communicable disease control activities atthe local level; b. Surveillance Officer. Prepare and periodically update data through graphs, ables and charts to deseribe time, places and persons for notifiable and reportable, emerging and re-emerging eases and conditions; entity and inform concerned personnelandinsttutions immediately of any unusual trend with regard to disease and attendant conditions; © Survellance Staff Member. Forward epidemiological data to the CHO and other Local Public Health Authority on 4a regular basis and in accordance with the national surveillance protocol; Encoder. Provide appropriate forms to concerned institutions and personnel manual of ‘operations and modules. Section 6. Reportable Health Data, {ll diseases with outbreak potential, diseases for elimination, and health events with threat to public health shall be reported to the CHO through the MCESU. Subjects of such report shall include the following, namely: trig Gy Paco aRepublic ofthe Phitippines City Government of Muntinlupa CITY OF MUNTINLUPA Office of the City Mayor All notifiable disease 2008 Revised List Conditions; Dents and Respective Causes of Death; rth deliveries, done neither community and birthing facies {Immunizations given at birth; Clustering of Cases and Deaths; Other health data which may be prescribed by the MCESU, Relonal Epidemiology and Surveillance Unit (RESU), Department of Health - Epidemiology Bureau (DOH. £B) and other Field/Program Health Services aslisted in Administra tv Order Na 208-008 Adpgthe Of Notifiable Diseases, ee ‘Syndromes, Health Related Events and Section 7. Guidelines n Reporting, ‘The time frame for reporting health data to the MCESU shall conform to the following namely Notifiable disease shall be reported based on the guidelines set by the PIDSR and Fuss; 'b. Deaths and causes of death shall be reported by the attending physician, relatives and ‘non-medical personnel not more than forty-eight (48) hours, or within seventy-two (72) hours should it occur on a Friday, or immediately on resumption of office hour following any public holiday. In the event the cause of death, however, is due to a suspected communicable disease ora medicolegal cas, it shall be reported as soon as possible within twenty-four (28) hours; © Birthattended atbirthing facilities shall be reported on monthly basis. Birth attended athome orin community, however, shall be reported by the attendantto the barangay surveillance officer as soon as possible; 4. Immunization shall be reported under the guidelines of the Field Health Services Information System (FHSIS); © Health-related events needing immediate concern and/or clustering of cases or «deaths shall be reported immediately or within twenty-four (24) hours. Section 8, Manpower. The City Epidemiologist Surveillance Officer (Nurse Il), Surveillance Staff Member and encoder shall be designated by the City Health Officer. They shal be regular personnel ofthe CHO. The City Government of Muntinlupa (CGM) shall allocate funds to a dedicated Epidemiologist preferably a graduate of Field Epidemiology Training Program (FETP), Surveillance Officer (Nurse II), preferably with training or certified Frontline FETP, ‘Surveillance Staff Member with training on Basic Epidemiology and encoder forthe CESU. weeRepublic of the Phiti City Government of hte es tinh CITY oF MUNTINLUPA of the City Mayor All Barangay Heal th Centers shal Which shall be pr a ‘designate their Bara wtofthemcesy, sat tir Barangay Disease Surveitanc ofncer A ether ba facies such ashe shall designate their di aes irmaries, birthing facilites and laboratories surveillance and shal portale coordinators who shall become spoittpern nr Teport tothe MCEsU, ‘Authority for Data Collection and Review of Heath Records ‘The MCESU_Epidemioto ist or the Surveillance Officer, or the duly authorized Fepresentative, [pon written recommendation or order of the City Health Officer, shall be view the chart or medical and laboratory records of patients be it suspected 9 have communicable disease or cases with potential or having significant health status ofthe people of the City of Muntinlupa, Records review, however, shall be compliant to Republic Act No. 10173, otherwise known a the Data Privacy Ac of 2012, These records shall be treated with utmost confidentiality, and shall ever Be used ‘other than for disease epidemiology, surveillance or investigation, Iimpacton the Section 10, Logistics, {1 order to maintain its optimal operability, and for its staff members to perform their ‘espectve functions with efficacy, the MCESU shall be provided with the following, namely. @ physical uni with provision for meeting room and a war room; b, Surveillance Officer, staff member and encoder with computer, printer and access to the internet; | © Anepidemiologist equipped with: 4, Computer laptop and printer with access tothe internet, Refrigerator with freezer fr storage of specimens; Necessary equipment, such as: {Reproduction equipment, including photocopier, mimeograph; 4 Documentation equipment, including digital camera, tape recorder; Presentation equipment, including LCD projector, white screen; © Office supplies and apparatus for data management and back-up; £ Laboratory supplies; & Personal protective equipment or gear; ‘Vehicle with an assigned driver. Section 11 Capability Building and Training of MCESU Staff Members. = Ses Be eeRepublic o the Phin ’ iii City Government of Muntinlupa city a MUNTINLUPA, 2 Fund of the cM Section 13 Meeting. ‘The MCESU shall meet every third (3) Friday ofthe third (3) week of every quarter ofthe Year. A special meeting, whenever warranted, may be called. Section 14 Repealing Clause, Previous orders inconsistent with any provision found herein shall be deemed repealed, revoked, or amended accordingly. Section 15, Separability Clause. Inthe event any provision found herein is judicially decided illegal or administratively declared infirm, untouched provisions shall remain in full force and effect. Section 16, Effectvity Clause ‘This Executive Order shall be effective upon is signing and it shall remain in ful force and effect unless repealed, revoked or amended accordingly. DONE AND EXECUTED on ths 17® day of December 2020 in the City of Muntinlupa. wunsfl hesweos ry Mayor = ET eame me