> 2022-0 Republic of the Phili ippines Municipality of Balayan Province of Batangas OFFICE OF THE SAN iGGUNIANG BAYAN ae } 2022 AT 8:51 IN THE MORNING Hon. Vice Mayor Francisco S. Ramos Hon. Councilor, Raymund Nonn: Hon. Councior John Albert Mapaiad © “2 Y°32 Hon. Councilor Elmer V. Del Carmen Hon. Councilor Bernardo C. Pantoja Hon: ABC President Julan 8 Be Eoxas Hon. PKSK President Christian R. Lopez Presiding Officer Member Member Member Member Ex-Officio Member Ex-Officio Member ABSENT: Hon. Councilor Vitaliano B, Santos, Jr Hon. Councilor Carlos Eduard Monee 10 E. Alvar Hon. Councilor Marion P. Martinez a nee Hon. Councilor Benjamin D area Ascue x Member THE MUNICIPAL EP) AN_ORDINANCE CREATIN NOLOGY AND SURVEILLAN JUNICIPAL_HEALTH FFICE AND INDATING ALL. OSE REFORTING UNITS AND ENTITIES TO REPO) NOTIFIABLE Dis| EALTH RT ALL NOTIFIABLE EVENTS oF PUBL ic HEALTH GONGERN AND-HEALTH DATA NEGESSERY in THe ist INT! ‘SPONSE AND PRIORITIZATION AND IMPLEME TATION OF HEALTH PROGRAMS IN THE MUNICIPALITY OF BALAYAN, BATANGS aeAD Confidentiality, and procedures and provision to ensure safely of personnel Conducting disease Surveillance and response activities WHEREAS, Republic Act 11223 (Universal Health Care Act) requires province-wide and city-wide health system to have an accurate, sensitive and timely epidemialogic survellianes systems, which refer to the continuous systematic collection, analysis, interpretation, and timely dissemination of health data for planning, implementation, and evaluation of public health Programs, WHEREAS, Department of Health Administrative Order No. 2020-0047 (Rules and Regulations Governing the Licensure of Primary Care Facilities in the Philippines) includes Epidemiologic Surveillance as part of the patient care standards for licensing of any Primary Care Facilities under the Local Goverment Units in the Philippines as part of its population-based services; WHEREAS, Department of Health Department Order No. 2020-0439 (Omnibus Interim Guidelines on Prevention, Detection, Isolation, Treatment, and Reintegration Strategies for COVID-19) advocates all Local Government Units to have at least one (1) surveillance personnel per 100,000 population; WHEREAS, according to Climate Disaster Risk Assessment survey 2019, there are 92,149 total population in the Municipality of Balayan, Batangas: WHEREAS, Department of Health Administrative Order No, 2007-0036 (Guidelines on the Philippine Integrated Disease Surveillance and Response (PIDSR) Framework) provides 5 framework for PIDSR to guide its implementation at all levels of the health care delivery system ‘as well as both the public and private sectors; om Laarnie} WHEREAS, Disease Surveillance is a critical component of health system providing essential information for the optimal health care delivery system and cost-effective disease control and prevention strategies; met ae satedWHEREAS, timely reporting of vital health information will help the Local Chief Executives (LCEs) and the Sangguniang Bayan Members to formulate strategies on appropriate interventions or actions to address a health problem; WHEREAS, functional disease surveliance system is useful for priority setting, Planning, resource mobilization and allocation, prediction and early dotection of epidemics, and monitoring and evaluation of health programs; WHEREAS, the Municipal Health Office thru Administrative Order 2007-0036 deems it Necessary to have a comprehensive and quality reporting system of vital health information such 8 but not limited to communicable and non-communicable diseases, death and other health data deemed necessary in the formulation of strategies and prioritization of health programs; NOW, THEREFORE, premises considered, The Sangguniang Bayan of Balayan, Batangas, in a session duly assembled, on joint motion of Hon. Councilor Raymund Nonnatus |. De La Vega and Hon. Councilor Bernardo C. Pantoja, unanimously passed and adopted the following: SOLUTION NO. 2022-56 RESOLVED, as it is hereby resolved, to APPROVE the following: ORDINANCE No. 788 (2022-04) ORt CREATING THE MUNICIPAL EPIDEMIOLOGY AND SI IL ICE UNIT (ME: INDI THE \CIPAL_ HEALTH ICE 1D TING ALL DI iE REPORTING UNITS AND ENTITIES TO. REPORT ALL NOTIFIABLE DISEASES, HEALTH EVENTS OF PUBLIC _HEALTH CONCERN AND HEALTH DATA NECESSARY IN THE IN’ 1D ONS! ID PI ITIZATIC ND If EN’ 1ON. HEALTH PROGRAMS IN THE MUNICIPALITY OF BALAVAN, BATANGAS, Be it ordained by the Sangguniang Bayan of Balayan, Batangas, in session duly assembled, that ‘SECTION 4. TITLE — An Ordinance Creating the Municipal Epidemiology and Surveillance Unit {MESU) under the Municipal Health Office and Mandating all Disease Reporting Unit and Entities {o Report all Notifiable Diseases, Health Events of Public Health Concer and Health Data in the Prioritization and Implementation of Health Programs in the Municipaity of Balayan, Batangas. ‘SECTION 2. OBJECTIVES. The objectives of the Ordinance are the following: 1. To institutionalize Epidemiology and Surveillance Unit in the Municipality of Balayan, Batangas; 2. To be able to collect and analyze notifiable diseases and health event of public health ‘concern to ald in the early detection of epidemics; 3. To be able to collect and analyze health data and Information for planning and implementation of health programs, 4. To be able to establish a network of surveillance officers as frontiers in epidemic prevention. ‘SECTION 3. DEFINITION OF TERMS ~ As used in this Ordinance, the following shall mean: 1. EPIDEMIOLOGY ~ refers to the study of the distribution and determinants of health- related states or events in specified populations and the application of this study to the prevention and control of health problems; 2. DISEASE SURVEILLANCE - refers to the ongoing systematic collection, analysis, interpretation, and dissemination of outcome-specific data for use in the planning, implementation,and evaluation of public health practice in terms of epidemics, ‘emergencies, and disasters, A disease surveillance system includes the functional capacity for data analysis as well as the timely dissemination of these data to persons who can undertake effective prevention and control activities; 3. DISEASE REPORTING UNITS (DRUs) AND ENTITIES — refers to any government and private facilities and entities where cases of notifiable diseases, health event ofPublic health concer and health data are collected/detected and reported. This Includes but not limited to the following. 1. Licensed public and private medical and allied health professionals; 2. Health facilities and offices as defined as an institution that has health care as its core service, function or business. Health care pertains to the maintenance or improvement of the health of individuals or populations through the prevention, diagnosis, treatment, rehabilitation and chronic management of disease, illness, injury and other physical and mental ailments or impairments of human beings. The said entities are the following: Public and Private educational institutions; Prisons, jail and detention centers; Major transportation passenger terminals; Dining, hotel and other accommodation establishments; Communities including BHERTS, homeowners’ associations, Cooperatives and Civil Society Organizations; Other government agencies proviging health and emergency frontline services, border control and other entical services; and 7. Professional society and other NGOs and NGAS; oe eens 2 4. HEALTH OFFICE ~ a barangay, municipal, city, province, regional government and brivate offices that do not provide direct health services or with health services not defined as their core service, function or business. These include administrative and management offices of municipal, city, provincial and regional health units. Ex. Municipal Health Office, City Health Office, Provincial Health Office, Regional Health Office, research offices, etc. Workplaces including those in special economic and/or free port zones; Public and private educational institutions providing basic education, higher education, or technical-vocational education and/or training; Prisons, jails, or detention centers; Major transportation passenger tetminals, and seaports and airports; Dining and hotel and other accommodation establishments, including other establishments as may be required by public health authorities; Communities, including household members, the Punong Barangay, Barangay Health Emergency Response Teams, homeowners’ associations, cooperatives, and community-based organizations; 7. Other government agencies providing health ‘and emergency frontine services, border control, and other critical services; 8, Professional societies, civic organizations, and other NGOs; 9. Notifiable Diseases ~ refers to diseases that by legal requirements must be feported to the public health or other authority in the pertinent jurisdiction ‘when the diagnosis is made; and 10, Health event of public health concern ~ refers to either 2 public health ‘emergency or a public health threat due to biological, chemical, radio-nuciear, ‘and environmental agents, o 2he Ve 5, HEALTH DATA — epidemiology information related to health conditions, reproductive outcomes, causes of death, and quality of life for an individual of Population. Typically includes a record of services received, conditions of those Services, and clinical outcomes or information coneeming those services: 6 DISEASE CONTROL - refers to the reduction of disease incidence, prevalence, morbidity, or mortality to a locally acceptable level as a result of deliberate efforts and continued intervention measures to maintain the reduction: 7. DISEASE RESPONSE ~ refers to the implementation of specific activities to control further spread of infection, outbreaks or epidemics and to prevent reoccurrence. It includes verification, contact tracing, rapld tisk assessment, case measures, treatment of patients, risk communication, conduct of prevention activities, and rehabilitation ‘and reintegration. Disease response activities shall include the imposition of minimum public health standards including, but not limited to, movement restrictions, partial or complete closure of schools and businesses, imposition of quarantine in specific geographic areas and international or domestic travel restrictions, construction of facilties for the quarantine of health and ‘emergency front ners, and the prepositioning and. ‘equipment for health workers; Mbt We Tapearrr7H CF8 10. 1 2 18. 14, 15, PUBLIC HEALTH SURVEILLANCE - the ongoing, systematic collection, analysis, interpretation and timely dissemination of health data for the ‘planning, Implementation and evaluation of public health data program. The use of information based from these data to disease prevention and health promotion Program completes the surveillance cycle in public health; PHILIPPINE INTEGRATED DISEASE SURVEILLANCE AND RESPONSE (PIDSR) ~ is a strategy of coordinating and integrating surveillance activities by focusing on the surveillance, laboratory and response functions of the national surveillance system, EVENT-BASED SURVEILLANCE AND RESPONSE (ESR) ~ the organized and rapid capture of information about events that are a potential risk to public health including events related to the occurrence of a disease in humans and events related to potential risk-exposures in humans. This information can be rumors or other ad-hoc reports transmitted through formal channels (e.g. established routine reporting systems) or informal channels (e.g. media, health workers and non. governmental organizations reports), REGIONAL EPIDEMIOLOGY AND SURVEILLANCE UNIT (RESU) ~ refers to the unit established in the Department of Health Regional Offices that provides services on public health surveillance and epidemiology; PROVINCIAL EPIDEMIOLOGY AND SURVEILLANCE UNIT (PESU) ~ refers to the unit established in the Provincial Health Office (PHO) that provides services on public health surveillance and epidemiology, MUNICIPAL EPIDEMIOLOGY AND SURVEILLANCE UNIT (MESU) - refers to the Unit established in the Municipal Health Office that provides services on public health surveillance and epidemiology: HOSPITAL EPIDEMIOLOGY AND SURVEILLANCE UNIT (HESU) - refers to the Unit established in the government or public health facilities (any levels) that Provides services on public health surveillance and epidemiology; PERSONAL INFORMATION ~ refers to any information whether recorded in a material form or not, from which the identity of an individual is apparent or can be ‘teasonably and directly ascertained by the entity holding the information, or when. put together with other information would directly and certainly identify an individual (Data Privacy Act of 2012). For the purpose of this Ordinance, it will also include information about the individual's (living or dead) health status (laboratory results, diagnosis, prognosis, outcome, etc) SECTION 4. THE ORGANIZATION OF MUNICIPAL EPIDEMIOLOGY AND SURVEILLANCE UNIT 44, The Municipal Epidemiology and Surveillance Unit will be under the Municipal Health Office. 42. The Municipal Epidemiology and Surveillance Unit of Balayan, Batangas shall consist of the following standard requirements: 4.2.4. Staffing shall be identified by the Municipal Health Unit, 42.2. Physical Faclities — office or separate room solely for the Municipal Epidemiology and Surveillance Unit, computer work station, internet connection, facsimile, communication services, and a copier; 4.2.3, Transportation — a vehicle for outbreak investigation, validation of reported events, transport of specimen to National Referral Laboratories for confirmation, monitoring of surveilance provision of technical assistance to Disease Reporting Units and stakeholders; 42.4. Logistics, Office supplies and Personal Protective Equipment; 42.5. Service Level Agreement with different Disease Reporting Units and entities indicating the following but not limited to Data Sharing Agreements as stipulated by the Data Privacy Act of 2012, patient referral, transportation, Inter-agency response, reporting agreements and specimen transport;426. A coordinated network of Disease Surveillance Coordinators from Disease Reporting Units and Disease Reporting Advocates from the ‘communities. 4.3. One MESU within Municipality will be established as stipulated in Section 4.2. 4.3.1. Health information (Disease Surveillance, health event of public health concern and health data) collected by MESU will be sent to the Office of the Mayor, next level Surveillance Unit and DOH. ‘SECTION 5. POWERS AND FUNCTIONS 5.1 The Municipal Epidemiology and Surveillance Unit shell have the statutory and egulatory authority to enforce the following, subject to DOH guidelines: . Establishment of public health information systems and disease surveillance and response systems in private and public health facilities deemed necessary to protect the health of the population; b. Mandatory reporting of notifiable diseases and health events of public health concern; © Conduct of epidemic/outoreak and epidemiologic investigations: case investigations, patient interviews; review of medical records: contact tracing: collection, storage, transport and testing of samples and specimen, risk assessments; laboratory investigation; population surveys; and environmental investigation; d. Rapid containment, quarantine and isolation, disease prevention and control measures, and product recall; and ©, Response activities for events of public health concern, 5.2. The Municipal Epidemiology and Surveilance Unit shall have the following functions: a. Conducts Public Health Surveillance within its jurisdiction; b. Organize data collection and gather epidemiological data trom their health facilities (Municipal Health Office, Health Centers, Barangay Health Stations, etc): ©. Prepare and periodically update graphs, tables and charts to describe time, place and person for Notiflable/Reportable diseases and conditions; d. Analyze data and provide feedback to health facilities and local leaders; €. Identify and inform concerned personnel (Municipal Health Officer, Nurse: Rural Midwives, Barangay Health Workers and Barangay Health Emergency Response Team) immediately of any disease or condition in their expected areas that exceeds an epidemic threshold, occurs in ‘ocations where it was previously absent, occurs more often in a population group than previously, and presents unusual trends or patterns; 4. Carry out outbreak investigations; 9. Coordinate with appropriate laboratory for collection and transport of specimens; hh. Liaise with other agencies such as the Department of Agriculture or the Municipal Environment and Natural Resources Office o other concerned department whose assistance is needed to complete outbreak investigation; |. Provide on-site technical assistance to Disease Reporting Units and Entities within its jurisdiction to supplement overall disease surveillance and response. Technical assistance includes but not limited to: \. disease surveiiance, i, outbreak investigations; ii epidemic preparedness and response; 'v. program and project planning and management, ¥. collection, storage and transport of laboratory specimens; and Vi. taining of personnel j. Establish a coordinated network with Disease Reporting Units and entiies to strengthen communication, surveillance and response; k. Coordinate with the Regional/Provincial Epidemiology and Surveillance Units to assess, validate and confirm reported health events within its Jurisdiction; |. Prepares and submit reports of notifiable diseases and summary of conducted case investigation to the next higher Epidemiology and Surveillance Unit and the Provincial DOH Office (PDOHO) using the prescribed forms (Case Investigation Form, Case Report Forms andlor Event based Surveliance and Response forms), mde = yeem.Ensures reported data and information is secure in accordance with the Data Privacy Act of 2012; 1. Monitor reporting and submission of noiifiable diseases, health event of Public health concem and health data from Disease Reporting Unit and entities based on Section 6 of this Ordinance; ©. Conducts special surveiliance activities that will affect public health. These activities are the following but not limited to: i, Mass Gathering Surveillance (Sports Events, Concerts, Festivals, Jamborees); ji. Post disaster surveiliance (evacuation centers, etc.); and ii, Fite cracker injury surveillance P. Coordinate with other agencies to establish, operate and maintain municipal epidemic preparedness and response plan, including the creation of ‘muttisciplinary/mulisector teams at the municipal level to respond to events that may constitute 2 public health emergency of local, regional, ‘ational andlor international concem; 4, Conducts risk assessment to ascertain public health events and threats that may occur, + Implement preliminary control measures immediately, if required. 5.3. Disease Reporting Units and Entities shall perform the following functions: 5.3.1. For Licensed public and private medical and allied health professionals shall: 4. For those employed in health facilties, notify the respective reporting or surveillance unit of their facilties of notifiable disease or health event of public health concem: and ». For private practitioners, report the same directly to the local health office, 5.32. For health facies and offices as defined by this Ordinance shall a. Establish ESU or DRU and designate Disease Surveillance Coordinator, '. Comply with the appropriate surveillance system (verification, validation, quality check of CIFICRF, encoding, and reporting toa higher level of ESU); ©. Report cases of notifiable diseases or health events of public health concem to the appropriate public health authonties Using the CIF or CRF, as the case may be; 4. Allocate hospital beds in such number or percentage as may be deemed necessary by the DOH, or corresponding to the Peak day critical care capacity based on updated projections from a DOH-recognized epidemiological projection mode! for a particular epidemic, to accommodate and service patients affected by the notifiable disease or health event of public health concern. Provided, that compliance with this rule shall Not constitute a violation of relevant warranty made before the Philippine Health Insurance Corporation (PhilHealth) or the Health Facilities and Services Regulatory Bureau of the DOH; «8. Coordinate the transfer of patients who are classified as mild cases to a different facility, in instances where there is a need to priontize severe and critical cases and/or once the surge capacity has been reached; Report health system data as required by the DOH, such as but not limited fo, the number of hospital beds available; 9. Participate in unified hospital command systems as may be organized by the DOH, its local counterparts, or other public health authorities; and h Adhere to the Philippine Epidemic Preparedness and Response Pian issued by the DOH. 5.3.3. For Private companies and institutions; workplaces including those in special economic and/or freeport zones; public and private educational institutions providing basic education, higher education, technical Vocational education and/or training; major transportation’ passenger terminals, seaports and aitports; dining, hotel and other accommodation establishments, including other establishments as may be required by the DOH; other government agencies providing health and emergency frontline services, border control, and other critical services; and prisons, jalis, or detention centers shall mM Bt yera. Establish or designate a unit that will perform the functions of an ESU within their respective premises, Participate in disease response activities by reporting health ‘events within twenty-four (24) hours from identification; ©. AS appropriate, provide adequate support for their workforce in terms of transportation, lodging, food allowance, and other appropriate assistance; and 4d. Perform such other functions to respond to the notifiable disease or health event of public health concern such as contact tracing, quarantine and isolation 5.3.4. Communities, including household members, the Punong Barangay Barangay Health Emergency Response’ Teams, homeowners’ associations, cooperatives, and community-based organizations shall a. Report any health event of public health concer within twenty-four (24) hours from occurrence thereof, b. Maintain a network of Disease Reporting Advocates and Contact Tracers to strengthen community surveillance; and ©. Perform such other functions to respond to the notifiable disease or health event of public health concern such as contact tracing, quarantine and isolation. 5.3.6. Professional societies, civic and faith-based organizations, civil society organizations, and other non-government organizations shal: 2. Designate a unit or person/s that shall perform the event- based surveillance of any notifiable disease or health event of pubic health concen in any activity that may be organized by them; and b. Report any health event of public health concern that takes place to the Epidemiology and Surveillance Unit where such activity ie held within twenty-four (24) hours from occurrence thereot. 5.3.6. Private companies in the transportation sector (aviation, maritime, road, rail) shall comply with the duty to transport samples. specimens, or hot boxes following the guidelines of the Intemational Air Transport Association ((ATA) on transporting infectious and hazardous materials, or such other similar guidelines, including mission-critical personal Protective equipment, medicines, medical equipment, and other commodities. SECTION 6. REPORTABLE NOTIFIABLE DISEASES, HEALTH EVENTS OF PUBLIC HEALTH CONCERN AND HEALTH DATA The following notifiable diseases, health events of public health concern and health informationidata shall_be reported by the Disease Reporting Units and Entities to. the Province/City Health Office through the Municipal Epidemiology and Surveillance Unit 6.1. Priority for surveillance lisUcategories as per Republic Act 11332 or Revised Implementing Rules and Regulations of the Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concem Act of 2020: 1, Diseases spread by droplet: 4. Bacterial meningitis; Haemophilus influenzae type b (Hib), Streptococcus pneumoniae; b. Coronavirus disease 2019 (COVID-19); Severe acute fespiratory syndrome (SARS)-associated coronavirus 2 (SARS-CoV 2); Diphtheria; Corynebacterium diphtheria; Hand Foot and Mouth Disease; Human Avian Influenza; Influenza-lke liness (ILI) Severe acute respiratory syndrome (SARS); SARS- ‘associated coronavirus, . Measles; Measles morbilivirus; Meningococcal Disease; Neisseria meningitides; Middle East Respiratory Syndrome (MERS): Middle East respiratory syndrome, coronavirus (MERS-CoV); and . Pertussis (Whooping cough): Bordetella pertussis 2. Airborne Diseases: a. Anthrax; Bacillus anthra MXt yraerran/. Human Avian Influenza; 6. Infiuenza-ike liness (ILI); and d. Measies; Measles morbillivirus 3. Diseases spread by direct contact a. Acute Viral Hepatitis; Hepatitis A virus (HBV), Hepatitis D virus (HDV); b. Anthrax; Bacillus anthracis; ©. Bacterial meningitis; Group B Streptococcus, Escherichia coli, Neisseria meningitidis; 4. Diphtheria; Corynebacterium diphtheria; e. Hand-Foot-and-Mouth Disease; 1. Leptospirosis; Leptospira; 9. Meningococcal Disease; Neisseria meningitidis; and h. Rabies; Rabies virus (RV) 4, Vehicle-borne diseases: Acute Bloody Diarrhea; Campylobacter bacteria, Salmonella bacteria, Shigella species (bavilary dysentery), Entamoeba histolytica (amoebic dysentery), Enterchaemorthagic; E, coli (EHEC), b. Acute Viral Hepatitis; Hepatitis A virus (HAV), Hepattis B virus (HBV), Hepatitis C virus (HCV). Hepatitis D virus (HOV), Hepatitis € virus (HEV); ©. Anthrax; Bacillus anthracis; 0. Bacterial meningitis; E.coli, Listeria monocytogenes; ®. Cholera; Vibrio cholera; £. Neonatal tetanus; Clostridium tetani; @. Paralytic Shellfish Poisoning; h. Typhoid and Paratyphoid Fever; Salmonella enterica serotype Typhi, Salmonella enterica serotypes Paratyphi A. B (tartrate negative), and C (S.Paratyphi); and i. Poliomyelitis (Acute Flaceld Paralysis); Poliovirus 5. Vector-bone diseases: 2. Dengue; Dengue viruses (DENV-1, -2, -3, and 4); b. Acute Encephalitis SyndromelJapanese Encephaitis, Japanese Encephalitis virus and; ©. Malaria; Plasmodium parasites (P. falciparum, P. malariae, P. ovale and P. vivax) 5:1. Health Events of Public Health Concern but not limited to: 1. Foodidrink poisoning; 2. Clustering of notifiable cases; 3, Chemical poisoning; and 4. Environmental contamination that may impact health 5.2. Health service detivery data but not limited to: 1. Maternal and Child Care services (e.g. immunization, antenatal care, deliveries, etc); 2, Deaths and cause of deaths; 3. Field Health Services Information System (FHSIS) data, and 4. Health care associated infections 5.3. List of diseases/syndromesiconditions in the Manual of Procedures of Philippine Integrated Disease Surveillance and Response (PIDSR) or its revision thereof, Acute Flaccid Paralysis; Adverse Event Following Immunization; Anthrax Covib-19, Hand-Foot-and-Mouth Disease; Human Avian Influenza Measies, Meningococcal Disease; Middle East Respiratory Syndrome (MERS): 10, Neonatal Tetanus; 11, Paraiytic Shettis s (HAV), Hepatitis B ©eNonrene12. Rabies; 13. Severe Acute Respiratory Syndrome (SARS); 14. Acute Bloody Diarrhea; 18. Acute Encephalitis Syndrome; 18. Acute Hemorrhagic Fever Syndrome; 17. Acute Viral Hepatitis; 18. Bacterial Meningitis; 19. Cholera, 20. Dengue; 21. Diphtheria; 22. Influenza-ike tines; 23. Leptospirosis; 24. Malaria; 25. Non-neonatal Tetanus; 28, Pertussis; and 27. Typhoid and Paratyphoid Fever. 5.4, Additional " diseases/syndromesiconditions as Prescribed by the Regional Epidemiology ‘Surveillance Unit, Epidemiology Bureau (EB) ‘and Center for Health Development. ‘SECTION 7. SUBMISSION OF REPORT TO THE PROVINCIALICITY EPIDEMIOLOGY AND ‘SURVEILLANCE UNITS Mandatory reporting of notifiable diseases or health events of public health concern shall be done by submitting data thru the following means: 4. Case Investigation Form (CIF) or the Case Report Form (CRF); 2. Event Based Surveillance and Response (ESR) Form; 3. DOH Authorized Data Encoding and reporting software like PIDSR: and 4. Other means of reporting 2s prescrited by the Provincial/Gity/Municipal Epidemiology and Surveillance Unit provided that data privacy is ensured. ‘SECTION 8, MINIMUM DATA NEEDED FOR MANDATORY REPORTING The following are necessary data to be collected as prescribed by the DOH: 1." Name of disease reporting unit, ‘Name of interviewer at first point of contact: Name of the person subject ofthe interview, Age; Sex, Civil status; Date of birth Occupation; Permanent residential address (from the smallest identifiable geographical unit such as street, purok or barangay); 10. Current residential address (rom the smallest identifiable geographical unit Such as street, purok or barangay); 11. Date of onset of illness or symptoms; 12. Signs and symptoms; 13. Contact details such as mobile or landline phone number, or email address: 14. History of travel (places/countries visited, date of travel to places/countries visited, date of arrival to residence/the Philippines, as well as places Tocently visited in the Philippines) in the last thy (30) days; and 18. Other health conditions such as comorbidities, medical history, last menstrual period if applicable, among others. ‘SECTION 9. DEADLINES OF REPORTING ©ONPESON All immediately notifiable diseases as prescribed by the DOH should be reported within 24 hours. Weekly reports will be submitted every Wednesday. SECTION 10. DISEASE CONTROL AND RESPONSE ZThe Local Government Unit of Balayan, Batangas in coordination with the Municipal Epidemiology and Surveillance Unit shail respond in the form of activities aimed to control the further spread of infection, outbreaks or epidemics and prevent reoccurrence. It includes but not limited to, verification, contact tracing, rapid risk assessment, case measures,-quara; ind, moat : yn)'solation, treatment of patients, risk communication, conduct of prevention activities, and rehabilitation; Communities and the general public shall comply with minimum public health standards and/or non-pharmaceutical interventions as may be enforced by the DOH to prevent and control the epidemics, ‘SECTION 11. QUARANTINE AND ISOLATION Im the performance of surveillance and response activities, authorized personnel of the Municipal Epidemiology and Surveillance Unit are empowered to determine if a person exhibits ‘symptoms of infection, or is a close contact of a person found to have been infected with a notifiable disease or a health event of public health concem, and accordingly issue a Quarantine/isolation order or directive to compulsory confine the person inside a facility or in histher home residence for an indicated period. AA person subject to such order or directive is bound to stay therein until the prescribed Period. Failure to comply with the quarantine/isolation order, as well as violation of the term or ‘conditions of the quarantine or isolation, shall constitute non-cooperation, ‘SECTION 12. AUTHORITY TO REVIEW AND OBTAIN HEALTH RECORDS ‘The Municipal Disease Surveillance Officer or his/her authorized representative, in aid of epidemiological (epidemics, outbreaks) case investigation, shall be authorized to review the chart, medical and laboratory records and other pertinent documents and obtain a copy thereof, of patients suspected to have communicable disease or cases with potentials or significant impact on the health status of the community or public health. Reviewed records, however. shall be treated with utmost confidentiality as per guidelines of the Data Privacy Act of 2012 and the existing Data Sharing Agreement, and shall be used for disease or epidemic investigation and response purposes only. SECTION 43, CONFIDENTIALITY All data and information gathered during surveillance activities must be treated with Confidentiality in accordance with the Data Privacy Act and other existing laws. The following should be observed at all times: @. Data Sharing Agreements should be signed in between the Municipality of Balayan, Batangas and the Disease Reporting Units and Entities in thir Jurisdiction, bn pursuant of is statutory and regulatory functions, the DOH and its local ‘counterparts designated in the Municipal Epidemiology and Surveillance Units ‘can collect and process data and information regarding notifiable diseases and health event of public health concern; © Consent from the data subject shall be required prior to the processing of health information in all Disease Reporting Units. Consents must be explained Clearly to the data subject and all of his/ner questions will be answered, In the case of notifiable diseases and health event of public health concern, consent will not be needed provided that the information will be released to DOH and its local counterparts in the Province Epidemiology and Surveillance Units only; 4. For notifiable diseases and health events of public health concer, data subjects are obliged io provide complete and accurate data required in Section 8 of this Ordinance to the interviewer at point of first contact prior to availing of health care services. In emergency cases, the next of kin shall provide the ‘necessary data while the patient is being treated; €. Personal sensitive information and any other information that can identify the ase or his/her family or relatives must only be known and/or reported to the following i. Personnel directly taking care the patienticase; Disease Surveillance Coordinator of the health facility and his/her representative ii Designated Management Officer of the Health Facility (Medical Director, Chief Nurse and any other as per policy of the institution); iv. Disease Surveillance Officer of the MESU and his/her representative: and \. In the event that information was made known to other parties other than the above, a Non-Disclosure Agreement will be signed, stipulating that in the event of information leakage, the hospital of MESU can file charges against the individual/parties afte Mx Teyeeereaan/f. Personal sensitive information cannot be transmitted or posted in any form of social media, SECTION 14. FUNDING For the initial implementation of this Ordinance, the initial funding amounting to ‘Php500,000 shall be allocated. This fund shall be used exclusively for the MESU. For this purpose, the MESU fund shall be included in the annual budget of Municipality of Balayan, Batangas. ‘SECTION 18. PROHIBITED ACTS The following acts constitute an offense punishable under this Ordinance: 2. Unauthorized disclosure of private and confidential information pertaining to a patient's medical condition or to any advice or treatment given to a patient considered privileged communication in accordance with existing laws, rules and regulations; b. Tampering of records relating to notifiable diseases or health events of public health concern, which includes identification documents or passes and other similar documents for the movement of cargoes and passage of persons, official medical test results or medical certificates, or such other documents and records issued by public health authorities in connection therewith; . Intentionally providing misinformation by: \. Deliberately providing false or misleading information/details in the Tequired official forms such as but not limited to the CIF, CRF, or Events-Based Surveillance Form: or li, Creating, perpetrating, or spreading false information about the Notifiable disease or health event of public health concern in any form of media, such as information having no valid or beneficial effect on the population, and are clearly geared to promote chaos, panic, anarchy, fear, or confusion: 4 Non-speration of the disease surveillance and response systems by responsible persons or entities mentioned under this Ordinance shall be ‘considered a violation of this provision; ©. Non-cooperation of persons and entities that should report notifiable diseases ‘or health events of public concern, which can be any of the following acts: i. Failure of persons and’ entities mentioned in Section 2 of this Ordinance to comply with mandatory reporting of notifiable diseases. health events of public concem; or fi, Failure of persons and entities mentioned in Section 2 of this Ordinance to grant public health authorities’ timely access to information of persons infected with or suspected of having notifiable disease or health events of public health concen {. Non-cooperation of persons and entities that should respond to notifiable diseases or health events of pubic concem., which can be any ofthe following acts: i. Failure on the part of entities required to establish ESUs under this ‘Ordinance to comply with the duty to establish the same; ii. Failure on the part of entities identified under this ‘Ordinance to perform specific disease response activities listed therein; li, Failure to abide by minimum public health standards andlor non- Pharmaceutical interventions as enforced by public health authorities, or Wv. Failure to abide by other disease response activities as enforced by Public health authorities 9. Non-cooperation of the person or entities identified as having the notifiable disease, which can be any ofthe following acts: |. Refusal ofthe person identified by a public health authority as suspect or probable case to submit for physical examination and/or provision Of clinical samples as required for the investigation; ii. Failure or refusal of the person or entity identified by a public health authonty identified as suspect, probable or confirmed case to provide the required information necessary for disease suneillance or response, including for contact tracing activities; ii Failure to comply with a quarantine’ isotation order or directive duly issued by a public health authority: |v. Violation of any terms or conditions of the quarantine or isolation order or directive issued by a public health authority; or Mbt - . eev. Knowingly or wilfully infecting another with a contagious or Communicable disease classified as notifiable or a health event of Public health concern, or aids in tne spreading of the same. 1. Non-cooperation of the person or entities affected by a notifiable disease or a health event of public health concem, which can be any of the following acts: i. Failure by close contacts to cooperate/submit to public health authorities doing contact tracing activities upon being nolified of thelr status as such; i, Violation of community quarantine or stay-at-home order or directive issued by public heaith authonttes; or Commission of the acts of discrimination against an individual on account of having @ notifiable disease whether probable, suspect, or confirmed, whether undergoing treatment or recovered; on account of being a health worker (e.g. doctors, nurses, and other allied health workers) or being personnel providing health and emergency frontline service ‘SECTION 16. FINES AND PENALTIES The following penalties shall be imposed upon individuals, subject to pertinent Civil Service Rules and Regulations, found to have violated the provisionis of this Ordinance: First Offense: Reprimand; Second Offense: Suspension for one (1) to thirty (30) days; and Third Offense: Dismissal from Office SECTION 17. ADMINISTRATIVE SANCTIONS, ‘The following administrative sanctions shall be imposed upon individuals or institutions or facilities found to have violated the provisions of this Ordinance: First Offense: Reprimands ‘Second Offense: Fine of Two Thousand Pesos (PhP2,000); and Thitd Offense: Fine of Two Thousand Five Hundred Pesos (PhP2,500) and recommendation to the Department of Health, Local Government Units or other government agencies for the suspension of Business Permit and/or License to Operate ‘SECTION 18. SEPARABILITY CLAUSE In the event that any section, paragraph, sentence, clause or word of this Ordinance Is ‘declared invalid for any reason, other provisions thereof should not be aftected thereby SECTION 19. REPEALING CLAUSE All laws, as well as pertinent rules and regulations thereof which are inconsistent with the provisions of this Ordinance are hereby repealed or amended accordingly. SECTION 20. EFFECTIVITY This Ordinance shail take effect fiteen (18) days after its publication in a newspaper of ‘general circulation in the Province of Batangas. Resolved further, that copies of this Resolution/Ordinance be furnished the Office of the Municipal Mayor, the Municipal Health Office, the 48 Barangays & the Barangay Health Emergency Response Teams, all concerned offices, agencies & organizations and. the ‘Sangguniang Panialawigan in Batangas City.” I hereby certify to the correctness of the foregoing Resolution/Ordinance. MRenra) MA. CRINEZA B. Acting Secretary ATTESTED: NCISCO S, RAMOS ate HF SENG