oy Republika ng Pilipinas PAMAHALAANG LUNGSOD NG MUNTINLUPA " TANGGAPAN NG PANGKALUSUGAN oe ape” Febr 10, 2023 pews ebruary 10, CITY GOVERNMENT OF MUNTINLUPA MAYOR'S OFFICE Meanie RECEIVED DateTime: Hon. ROZZANO RUFINO B. BIAZON Name Mayor City of Muntinlupa ‘Thru: Atty. GENES! M. SANTIAGO City Legal/Attorney’s Office 3" Floor Annex Bldg., Brgy. Putatan, Muntinlupa City Hall Dear Mayor Biazon, Greetings! This is to provide you a copy of the Executive Order No. 51 Series of 2020 in support for the creation of City Ordinance of the City Epidemiology and Surveillance Unit (CESU) of Muntinlupa City clarifying the mandate, functions manpower and logistic requirements of such unit. This will also be used as a basis for the Seal of Good Local Governance (SGLG) audit and likewise to address the Department of Health (DOH) Mandate. Hoping for your favorable response. Respectfully, JUANCHO H. oa, Mp, MPH Officer-In-Charge poles TSO 9001 2008 CERTIFIED. TERT, CODE? GNSOTOBOATSOGKAOO! \inaowam YAN ANG MUNTINLUPA!EXECUTIVE ORDER No. 51 Series of 2020 PROVIDING FOR THE CREATION OF THE CITY EPIDEMIOLOGY AND SURVEILLANCE UNIT (CESU) OF MUNTINLUPA CITY CLARIFYING THE MANDATE, FUNCTIONS, MANPOWER AND LOGISTIC REQUIREMENTS OF SUCH UNIT. WHEREAS, it is the commitment of Muntinlupa City to adhere to the national mission of providing quality, equitable and accessible health services for all as a fundamental human right of every person; WHEREAS, Resolution 48.13 (1995) of World Health Assembly (WHA) urges Member States to strengthen active surveillance, improve infectious disease diagnostic capacity, enhance communications, encourage antimicrobial sensitivity testing, foster rational antimicrobial practices, increase skilled staff in epidemiology efforts, promote applied research 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 “Disease Surveillance shall be intensified to ensure that the targets for disease elimination, prevention and control are attained”; WHEREAS, Republic Act 11332 or an Act Providing Policies and Prescribing Procedures on Surveillance and Response to Notifiable Diseases, Epidemics, and Health Events of Public Health Concern, otherwise known as the "Law on Reporting Communicable Diseases" empowers the Department of Health and its Local Counterpart lo implement the mandatory reporting of notifiable diseases and health events of public health concern; WHEREAS, Republic Act 3573 (Law on Reporting of Communicable Disease ~ an Act Providing for the Prevention and Suppression of Dangerous Communicable Disease, November 26, 1929) requires all individual and health facilities to report notifiable diseases to local and national health authorities; WHEREAS, the City Health Office had 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); WHEREAS, disease surveillance is a critical component of public health systems, providing essential information for the optimal healthcare delivery and cost-effective disease control and prevention strategies; 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 setting, planning resource mobilization and allocation, prediction and early detection of epidemics and monitoring and evaluation of health programs; WHEREAS, On November 16, 2020 on its 71* Regular Session, the 9" Sangguniang Panglungsod ng Muntinlupa passed the Ordinance No. 2020-173 “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 Unit (CESU) of the City Health Office (CHO) and local public health authority”; WHEREAS, the said ordinance stated the mandatory reporting of COVID-19 related data and all diseases with outbreak potential. All hospitals, healthcare facilities, and similar establishments providing, laboratory and diagnostic services are required to submit to the CESU of the CHO and/or other local public health authority, as may be determined by the DOH; SECTION 1. THE DEFINITION OF TERMS. The following terms shall be defined and mean a. Epidemiology ~ refers to the study of distribution and determinants of health-related states or events in specified populations, and the application of this study to the control of the health problems; b. Surveillance ~ refers to a type of observational study that involves continuous monitoring of disease occurrence within the population; c. City Epidemiology and Surveillance Unit (CESU) ~ refers to the City Epidemiology Surveillance Unit which serves as the central point for data banking of health service delivery and disease surveillance system; d. Notifiable Disease ~ refers to the disease that by virtue of Administrative Order No. 2008- 0009, must be reported to the public health authority in the pertinent jurisdiction where the diagnosis is made. Such is categorized into two according to urgency of reporting to which: d.1, Immediately Notifiable 1. Acute Flaccid Paralysis (AFP) 2. Adverse Event Following Immunization (AEF!) 3. Anthrax. 4, Ebola Virus Disease 5. Hand, Foot and Mouth Disease (HFMD) 6. Malaria 7. Measles-Rubella 8. Meningococcal Disease 9, Human Avian Influenza 10. Neonatal Tetanus 11. Paralytic Shellfish Poisoninge. 12. Rabies 13, Severe Acute Respiratory Infection (SARI) 15, Outbreaks (Clusters of diseases and unusual diseases or threats) d.2. Weekly Notifiable 1. Acute Bloody Diarrhea 2. Acute Encephalitis Syndrome 3. Acute Hemorrhagic Fever Syndrome 4, Acute Viral Hepatitis 5. Bacterial Meningitis 6. Chikungunya 7. Cholera 8. Dengue 9. Diphtheria 10. Influenza-tke illness 11. Leptospirosis, 12. Non-Neonatal Tetanus 13. Pertussis 14. Rotavirus 15. Typhoid and Paratyphoid Fever Disaster —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 only its own resources; Emergency — any occurrence which requires immediate response; Hazards — any phenomenon which has the potential to cause disruption or damage to human and environment; Stakeholders ~ refer to health facilities such as hospitals, lying-in clinics, infirmaries, medical/surgical clinics, health centers, laboratories and all medical and nonmedical entities such as medical professionals and barangay health workers. SECTION 2. SCOPE AND COVERAGE. All health facilities, both private and government hospitals, Barangay Health Centers / Health Station / City Health Offices, lying-in clinics, infirmaries, emergency clinics, medical/surgical clinics, specialty clinics, laboratories and all medical and non-medical entities such as doctors, nurses, midwives, allied medical professional, scientist and researchers and barangay health workers are hereby mandated to report all attended cases as stated in RA 3573 and RA 11332 either directly to the CESU through its reporting system or through their respective hospital, city or barangay disease surveillance officer. SECTION 3. THE DISEASE SURVEILLANCE UNIT. The Disease Surveillance Unit of the Muntinlupa City shall be called Muntinlupa City Epidemiology and Surveillance Unit (MCESU). SECTION 4. COMPOSITION. The Muntinlupa City Epidemiology and Surveillance Unit shall be composed of the following:City Epidemiologist | Surveillance Officer Surveillance Staff Hospital Disease Surveillance Coordinator JEIOACHIMR. PAREJA (DOH augmentation) SECTION 5. DUTIES AND RESPONSIBILITIES. The City Epidemiology Surveillance Unit (CESU) shall perform the following functions: a. Organize systemic data collection and gather epidemiological data from City Health Centers, Hospitals, Lying-in Clinics and Private Clinics, Healthcare Facilities, And Similar Establishments Providing Laboratory and Diagnostic Services (Epidemiologist) b. Prepare and periodically update data thru graphs, tables and charts to describe time, places and persons for notifiable/reportable, emerging and re-emerging diseases and conditions (Surveillance Officer); c. Interpret and provide analyzed data as feedback to health facilities (government, private and local leaders) [Epidemiologist]; d. Identify and inform concerned personnel and institutions immediately of any unusual trends of disease or condition (Surveillance Staff); e. Carry out outbreak investigation (Epidemiologist with Surveillance Officer as assist); £. Implement preliminary contro! measures immediately if equipped (Epidemiologist); 8. Forward epidemiological data to the CHO and other Local Public Health Authority on a regular basis and in accordance with the national surveillance protocol (Surveillance Staff); h. Use epidemiological data to plan and implement non-communicable and communicable disease control activities at the local level (Epidemiologist); i. Provide appropriate forms to concerned institutions and personnel manual of operations and modules (Encoder). SECTION 6. REPORTABLE HEALTH DATA. All disease with outbreak potential, diseases for elimination and health events with threat to public health shall be reported to the to the CHO through the CESU. 1, All notifiable diseases as listed in the Administrative Order No. 2008-0009 — Adopting the 2008 Revised List of Notifiable Diseases, Syndromes, Health Related Events and Conditions; Deaths and cause of death; Birth deliveries ~ community and birthing facilities Immunizations given at birth Clustering of cases and/or deaths Other health data which may be prescribed by the MCESU, Regional Epidemiology and Surveillance Unit (RESU), Department of Health - Epidemiology Bureau (DOH-£8) and other Field/Program Health Services.City Epidemiologist | Surveillance Officer Surveillance Staff Hospital Disease Surveillance Coordinator JEIOACHIM R. PAREJA (DOH augmentation) SECTION 5. DUTIES AND RESPONSIBILITIES. The City Epidemiology Surveillance Unit (CESU) shall perform the following functions: 2, Organize systemic data collection and gather epidemiological data from City Health Centers, Hospitals, Lying-in Clinics and Private Clinics, Healthcare Facilities, And Similar Establishments Providing Laboratory and Diagnostic Services (Epidemiologist) b. Prepare and periodically update data thru graphs, tables and charts to describe time, places and persons for notifiable/reportable, emerging and re-emerging diseases and conditions (Surveillance Officer; Interpret and provide analyzed data as feedback to health facilities (government, private and local leaders) [Epidemiologist]; d. Identify and inform concerned personnel and institutions immediately of any unusual trends of disease or condition (Surveillance Staff}; e. Carry out outbreak investigation (Epidemiologist with Surveillance Officer as assist); £. Implement preliminary control measures immediately if equipped (Epidemiologist); &, Forward epidemiological data to the CHO and other Local Public Health Authority on a regular basis and in accordance with the national surveillance protocol (Surveillance Staff}; h, Use epidemiological data to plan and implement non-communicable and communicable disease control activities at the local level (Epidemiologist); |. Provide appropriate forms to concerned institutions and personnel manual of operations and modules (Encoder). SECTION 6. REPORTABLE HEALTH DATA. All disease with outbreak potential, diseases for elimination and health events with threat to public health shall be reported to the to the CHO through the CESU. 1. All notifiable diseases as listed in the Administrative Order No. 2008-0009 ~ Adopting the 2008 Revised List of Notifiable Diseases, Syndromes, Health Related Events and Conditions; Deaths and cause of death; Birth deliveries ~ community and birthing facilities Immunizations given at birth Clustering of cases and/or deaths Other health data which may be prescribed by the MCESU, Regional Epidemiology and Surveillance Unit (RESU), Department of Health - Epidemiology Bureau (DOH-E8) and other Field/Program Health Services. oyaenSECTION 7. GUIDELINES IN REPORTING. The time frame for reporting health data to the CESU shall be the following 1. Notifiable disease shall be reported based on the guidelines set by the PIDSR and FHSIS; Deaths and cause of deaths must be reported by attending physician, relatives and or non- ‘medical personnel not more than 48 hours of within 72 hours should it occur on Friday or immediate office hour following holidays. If the cause of death however is due to a suspected communicable disease or a medico legal case, it should be reported as soon as Possible within 24 hours; 3. Birth attended at birthing facilities shall be reported on monthly basis. Birth attended at home or in community however, shall be reported by the attendant to the barangay surveillance officer as soon as possible; 4, Immunization shall be reported under the guidelines of Field Health Services Information System (FHSIS); 5. Health related events needing immediate concern and/or clustering of cases or deaths shall be reported immediately or within 24 hours. SECTION 8. MANPOWER. The City Epidemiotogist, Surveillance Officer (Nurse Il), Surveillance Staff and encoder shall be shall be designated by the City Health Officer or the head and will be coming from the regular personnel of the health office. The City Government of Muntinlupa must allocate funds to a dedicated Epidemiologist preferably a graduate of Field Epidemiology Training Program (FETP), Surveillance Officer (Nurse Il) preferably with training or certified Frontline FETP, Surveillance Staff with ‘raining on Basic Epidemiology and encoder for the CESU. All Barangay Health Centers shall designate their Barangay Disease Surveillance Officer which shall be part of the MCESU. All other health facilities such as hospitals, infirmaries, birthing facilities and laboratories shall designate their disease surveillance coordinators who shall become a point person for surveillance and shall report, to the MCESU. SECTION 9. AUTHORITY FOR DATA COLLECTION AND REVIEW OF HEALTH RECORDS. The MCESU Epidemiologist and/or Surveillance Officer or his/her authorized representative, upon written recommendation or order of the City Health Officer shall be authorized to review the chart or medical and laboratory records of patients be it suspected or confirmed to have communicable disease or cases with potential or having significant impact on the health status of the people of Muntinlupa City. Records review however, shall be compliant to data privacy act and shall be treated with utmost confidentiality and shall never be used other than disease epidemiology, surveillance or investigation. SECTION 10. LOGISTICS. in order to maintain the functionality of the CESU and for the staff to function efficiently and effectively the unit should be provided with the following: 1. Aunit with its own room, meeting room and/or war room. 2. Surveillance Officer, staff and encoder with computer, printer and access to internet. 3. An epidemiologist equipped with: a. Lap top and printer with access to internet, b. Refrigerator with freezer for storage of specimen4, With regular access to the following: ‘a. Reproduction equipment (photocopier, mimeograph) b. Documentation equipment (digital camera, tape recorder) ¢. Presentation equipment (LCD projector) 5. Office supplies and equipment for data management and back-up. Laboratory supplies and materials to include personal protective equipment. 7. Vehicle with assigned driver. SECTION 11. CAPABILITY BUILDING AND TRAINING OF CESU STAFF. In order to upgrade and develop their capabilities, CESU staff should be allowed to attend appropriate training courses and participate in the Annual/Zonal Field Epidemiology Training Program Scientific Conference and seminars, provided that their attendance in such courses does not disrupt the delivery of vital health services,