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                <text>Iloilo News Archive</text>
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                <text>News, old and new, about Iloilo Province</text>
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            <text>DENGUE SURVEILLANCE: Iloilo escalates outbreak containment measures&#13;
By Ime Sornito -Saturday, August 17, 2024&#13;
Residents of Lambunao, Iloilo joined the cleanup drive against dengue initiated by the town’s Sangguniang Kabataan Federation on Thursday, August 15. SK FEDERATION OF LAMBUNAO PHOTOS&#13;
Residents of Lambunao, Iloilo joined the cleanup drive against dengue initiated by the town’s Sangguniang Kabataan Federation on Thursday, August 15. SK FEDERATION OF LAMBUNAO PHOTOS&#13;
&#13;
ILOILO – In response to the sharp increase in dengue cases here, Gov. Arthur Defensor Jr. ordered the escalation of measures to manage the outbreak. He stressed the importance of surveillance.&#13;
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Dengue surveillance shall be strengthened to immediately detect and respond to clusters or any unusual increase in cases,” said Defensor.&#13;
In Executive Order No. 174, the governor stated that all cases that will fit any of the dengue standard case definitions should be reported through each municipality’s Epidemic Prone Disease Surveillance System – Information System.&#13;
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What are these standard case definitions?&#13;
&#13;
* suspected case – a previously well person with acute febrile illness of two to seven days duration plus two of the following: headache, body malaise, myalgia, arthralgia, retro-orbital pain, anorexia, nausea, vomiting, diarrhea, flushed skin, rash and herman sign.&#13;
&#13;
* probable case – a suspect case plus any of the following: leucopenia as per a complete blood count or dengue NS1, antigen test or dengue IgM antibody test.&#13;
&#13;
* confirmed case – positive result from any of the following: viral culture isolations or polymerase chain reaction.&#13;
Data from the Iloilo Provincial Health Office indicates a surge in dengue cases, with a total of 4,595 reported as of August 10, 2024, including 10 fatalities. This represents a 320 percent increase compared to the same period last year, which recorded 1,095 cases and one death.&#13;
&#13;
The rise in cases prompted the Provincial Disaster Risk Reduction and Management Council (PDRRMC) to recommend declaring the province under a state of calamity. This recommendation was made during a special meeting held at the Casa Real de Iloilo last Thursday.&#13;
&#13;
In his executive order, Defensor clarified that City/Municipal Health Officers have the mandate to declare an outbreak. But they must take into consideration the necessary data before declaring an outbreak, to wit:&#13;
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* case trends of the disease in the LGU over the last five years, including hospitalization, severity, and mortality trends. The years where there were identified dengue epidemic/s should not be included in computing the thresholds&#13;
* results of epidemiological (descriptive or analytic), environmental, and laboratory investigation of cases&#13;
* capacity of the health system to provide health care or public health interventions in response to the disease.&#13;
&#13;
For his part, Cornelio Salinas, chief of the Provincial Disaster Risk Reduction and Management Office, said the province met the criteria set by the National Disaster Risk Reduction and Management Council (NDRRMC) for such a declaration.&#13;
&#13;
The criteria include an extremely high incidence of a disease and the impact of the disease on multiple municipalities or cities.&#13;
&#13;
Currently, three municipalities — Passi City, Miag-ao, and Tigbauan — have declared their areas under a state of calamity, while Badiangan has officially declared a dengue outbreak.&#13;
&#13;
Defensor also stressed the importance of screening and diagnosis. He said local government units (LGUs) shall encourage early treatment-seeking behavior using the “seek early consultation” strategy for early clinical case detection, diagnosis and management.&#13;
&#13;
All suspected dengue cases shall be test with dengue NS1 Rapid Diagnostic Test, or dengue NS1 Ag+ IgC and IgM RDT.&#13;
&#13;
If the laboratory result shows positive from dengue, the patient must be classified according to the severity as stated in the Department of Health’s (DOH) Administrative Order 2012-006 or Revised Dengue Clinical Case Management.&#13;
There are three classifications of dengue severity:&#13;
&#13;
* dengue without warning signs – a previously well person with acute febrile illness of two to seven days duration plus two of the following: headache, body malaise, myalgia, arthalgia, retro-orbital, and pain.&#13;
&#13;
* dengue with warning signs – a previously well person with acute febrile illness of two to seven days duration plus two of the following: abdominal pain or tenderness, persistent vomiting, clinical signs and accumulation, liver enlargement, and mucodal bleeding.&#13;
&#13;
* severe dengue – a previously well person with acute febrile illness of two to seven days duration plus two of the following: severe plasma and leakage leading to shock, severe bleeding, kidneys or renal failure.&#13;
&#13;
Defensor ordered the establishment of dengue fast lanes to facilitate faster access of dengue patients to consultations.&#13;
&#13;
What else does Executive Order No. 174 mandate?&#13;
&#13;
* LGUs shall implement legislation on the enhanced 4S strategy, re-activation of Local Dengue Task Force and Aksyon Barangay Kontra Dengue, and collaboration with various stakeholders for dengue response.&#13;
&#13;
* LGUs shall mobilize households and communities for search-and-destroy mosquito breeding sites activities.&#13;
&#13;
* Communities and schools shall search for all water-holding containers and other breeding sites of mosquitoes to be destroyed every 4 p.m. at least once a week (in consideration of the life cycle of mosquitoes); this shall be called the “4 o’clock habit”.&#13;
&#13;
* Insecticide-treated nets shall be installed in schools, rural health units, dengue wards and other health facilities.&#13;
&#13;
* In areas with clustering of dengue cases, schools shall temporarily suspend the wearing of prescribed school uniform and encourage learners to wear light-colored long sleeves and trousers to minimize their risk of mosquito bites.&#13;
&#13;
* LGUs shall conduct dengue vector surveillance activities, including identifying major breeding sites and destroying them, monitoring high-risk areas based on vector population using aedes vector surveillance, and monitoring fluctuations in the vector population.&#13;
&#13;
* LGUs shall conduct larviciding and space spraying in barangays declared as hotspots, having a clustering of cases, or when there is an outbreak or an impending outbreak.&#13;
&#13;
* City and Municipal Health Offices (C/MHOs) shall work closely with their Local Disaster Risk Reduction and Management Offices (LDRRMOs) to coordinate dengue response and ensure effective access to disaster funds.&#13;
&#13;
* City and municipalities shall allocate an annual budget for the dengue prevention and control program and shall conduct Indoor Residual Spraying (IRS) two to three times per year in areas identified through vector surveillance as having a presence of dengue-carrying mosquitoes./PN&#13;
&#13;
&#13;
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            <text>Sornito, I. (2024, August 17). Dengue surveillance: Iloilo escalates outbreak containment measures. Panay News, 1-2.</text>
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              <text>ILOILO – In response to the sharp increase in dengue cases here, Gov. Arthur Defensor Jr. ordered the escalation of measures to manage the outbreak. He stressed the importance of surveillance.&#13;
&#13;
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              <text>&lt;a href="https://www.panaynews.net/dengue-surveillance-iloilo-escalates-outbreak-containment-measures/" target="_blank" rel="noreferrer noopener"&gt;Panay News&lt;/a&gt;</text>
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