Central Luzon Center for Health Development Verification

Regional Epidemiology and Surveillance Unit Report

Event-based Surveillance and Response (ESR)
E-mail: esr.resu3@gmail.com OCTOBER 28, 2023

Classified Document:
Code: PAMP23-DIARRHEA-0001
This document is distributed only to limited number of DOH and selected NGO staff in order to improve common awareness on reports and rumours of
events which may have national/ international implications. Please send new or additional information on this or other public health events.

Document Status INTERNAL

Type of Internal Document VERIFIED
1 Report date and time 11/03/2023
2 Verification date and time 10/26/2023 0800H
3 Type of Health Event Check what is applicable:

Suspect ✘ Clustering Outbreak N/A

If an outbreak, who validated? EB-DOH DOH-RESU LGU

Others, specify:

Was a report made? ✘ Yes No

4 Health event CLUSTERING OF DIARRHEA CASES IN BARANGAY NABUCLOD

5 Location NABUCLOD FLORIDABLANCA PAMPANGA
6 Start date 10/25/2023
7 Number of cases 130
8 Description of cases ON OCTOBER 24, 2023 HIGH MUMBER OF CASES OF DIARRHEA AND VOMITING
WERE REPORTED BY THE SCHOOL HEAD OF NABUCLOD ELEMENTARY
SCHOOL TO OUR RHU STAFF THRU CHAT, HENCE ALARMED AND DID A CASE
INVESTIGATION ON OCTOBER 25, 2023, HIGH NUMBERS OF INDIVIDUALS FROM
SITIO CENTRO AND LABUAN WERE IDENTIFIED, THERE WERE 7 DEATHS ALSO
REPORTED. IT STARTED SINCE SEPTEMBER BUT IT BECAME RUMOANT ON
THE 4TH WEEK OF OCTOBER, MOST CASES WERE ADMITTED IN ROMANA
PANGAN DISTRICT HOSPITAL AND SOME WERE TREATED AT HOME. STOOL
SPECIMEN WERE COLLECTED TO ACTIVE CASES ALSO AND WERE SENT TO
ROMANA PANGAN DISTRICT HOSPITAL. MOST OF THE STOOL EXAM RESULTS
HAVE BACTERIA IN THEIR FECES.

OCTOBER 26, 2023 WATER SAMPLING DONE ON 4 IDENTIFIED SOURCES OF

WATER, 1 WATER REFILLING STATION, 2 SPRING WATER-TALAGA, 1 DEEP
WELL NEAR THE MOSQUE.

AS OF NOVEMBER 3- ADMITTED CASES WERE 130 ALREADY WITH 7 DEATHS,

1 DEATH OF 11 ONTH OLD IS STILL SUSPECTED CASE.

MALE CASES-56
FEMALE CASES-74

MOST OF THE AGES AFFECTED WERE 20 TO 59 YEARS OLD, SOME ISOLATED

CASES FROM 0-11 MONTHS AND 60 YEARS AND ABOVE.

9 Number of deaths 7
10 Description of deaths
11 Laboratory Examination Is there a procedure done?
✘ Yes None
Specimen collected: Blood/serum ✘ Stool/Rectal Swab CSF
Others:
Type of Examination done: WATER SAMPLING
Result: E.COLI

DOH-EB-AEHMD-QMOP-03-Form2 Rev.5
12 IHR Notification decision questions Is the public health impact serious? No
✘ Yes
Is the event unusual or unexpected?
Is there a significant risk of international spread? ✘ Yes No
Is there a significant risk of international travel or Yes ✘ No
trade restriction? Yes ✘ No

Assessment done by:

13 Assessment MALE CASES-56
FEMALE CASES-74

MOST OF THE AGES AFFECTED WERE 20 TO 59 YEARS OLD, SOME ISOLATED

CASES FROM 0-11 MONTHS AND 60 YEARS AND ABOVE.

MOST OF THE CASES WERE FROM CENTRO AND LABUAN

14 Status of health event ONGOING
15 Actions taken CASE INVESTIGATION

WATER SAMPLING, STOOL EXAMINATION

RESU COORDINATION, MEETING WITH THE MAYOR ALL THE STAKEHOLDERS,

VITAMIN A SUPPLEMENTATION

AZITHROMYCIN PROPHYLAXIS FOR THE CLOSE CONTACTS OF DEATH CASES.

PURITABS C/O BHW’S AFTER PROPER INSTRUCTION

HEATH EDUCATION AND PROMOTION IN SCHOOL AND COMMUNITY

COORDINATION WITH WATER DISTRICT FOR WATER SUPPLY

FOOD PACKS AND DRINKING WATER GIVING

MEDICAL MISSION

CLOSING OF SPRING WATER SOURCES

DISTRIBUTION OF JERRY CANS

16 Assistance needed WATER SUPPLY, NUTRITION
17 ESRU Action
18 Remarks
19 Who has been informed? PHN, RHP, MHO, MAYOR AND SAGGUNIANG BAYAN MEMBERS, DMO,DOH,
PHO,
20 Source(s) of information SHERYL REYES, PhD ( SCHOOL HEAD), MARITES SERRANO( BHW), ROMANA
PANGAN DISTRICT HOSPITAL
21 Prepared by GLAIZA LASCANO RN (NDP)
22 Reviewed by: ETHEL S. BULANDAY RN (PHN)
23 Noted by: MARY ELLEN LOVE A CHAVEZ RND, MD (RHP)
24 Approved by: FELIPEJAIME H. CUYUGAN JR MD,MPH (MHO)
*Public Health Event of Local (L), Regional (R), National (N) Concern
** Public Health Emergency of International Concern (PHEIC); according to WHO-International Health Regulation Definition
***Captured by National ESR Staff
^Entries should be signed prior to release of verification form

DISCLAIMER: Every effort has been made to provide accurate, up-to-date information. However, the knowledge base is dynamic and errors can occur. By using the information
contained in this list, the reader assumes all risks in connection with such use. The EB shall not be held responsible for errors, omissions nor liable for any special,
consequential or exemplary damages resulting, in whole or in part, from any reader's use or reliance upon this material.

DOH-EB-AEHMD-QMOP-03-Form2 Rev.5