Continuation of our conversation with Dr G. Cruz.
Download Episode 49
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Show Notes
(incomplete)
dengue: hemorrhagic fever
media and dengue outbreak
statistics and media responsibility
panic
fumugation and rain
consider the life cycle of vector and epidimiology of DHF
no vaccine
cycle of dengue problem, every four years
dengue is preventable
dengue awareness of Rotary Intl
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How to help victims of dengue
email: normitaf at comcast dot net or contact your local community leaders
10 komento:
Maraming salamat Dr. Cruz.
kabayan,
nabanggit ni doktor every four years ay nauulit ang dengue at mas malubha ang susunor. ngayon pa lamang ay pag hanraan na natin at mangag linisan tayo parate ng ating paligir, hane. huwag na nating intayin na rumami iyang mga lamok na iyan. hindi pati kami mapagtutulog sa bahay. mga napupuyat kami at nag aabang ng lamok. iyon naman palay sa araw na ngangagat iyang lamok na iyan.
tanse
Tanse, totoo yan. Kahit ang malaria sa Indonesia eh sa araw nangangagat at hindi sa gabi. Kaya ibig sabihin lamang eh ang deadly na mga lamok na yan eh yung sumasalakay at the times na hindi naman sila expected na mangagat.... yung unusual na oras na ineexpect sila. I think that alone explains why they're deadly. Now, I always believe that prevention is better than cure kaya ang pinakamagandang solusyon rito na nakikita ko eh to maintain cleanliness in the whole town. Kung walang libag at malinis ang kapaligiran eh walang lamok at wala ring langaw. Sa rami ng beses na umuulan at sa rami ng basura na itinatapon na hanggang ngayon ay hindi masolusyunan, nakita na natin kung ano ang naging epekto nito sa atin. Ang basurahan natin ay lingid sa kaalaman ng nakakarami eh ang lahat ng iyan ay diretso rin sa ating ilog. Tapos mamimiwas silang tilapia na ang kinakain ay galing ruon sa basura sa tanghangin. Now, lahat ng basurang iyan, they just come back during rainy season. Ilagay mo man sa taghangin, pag-ulan ay babalik sa ilog at babara sa drainage at diretso sa kabayanan. Now, kailngan bang hintayin natin na mngyari ito para tayo magising sa katotohanan that there is truth to that saying na "kung anong basurang itinapon mo ay babalik sa yo" During the times na may news na about dengue affecting our town, proper measures should have been conducted right away and this outbreak could have been prevented, but then, napakabagal ng aksyon. Im not saying na walang ginawa, but what im saying eh kung naging mabilis ang pag aksyon ay naiwasan sana ang pagrami ng mga naapektuhan. Sa Teresa ay naririnig pa lamang ang news about dengue affecting Morong eh nauna pa silang nagpausok kaysa sa atin....so how's that? Mabuti na lamang at merong mga kababayan na laging handang tumulong sa mga nangangailangan, but what I'm saying is, before anyone else does, mas dapat na mauna na umaksyon ang pamahalaang lokal natin tungkol rito. Bakit ba bumabaha? Bakit ba kaunting ulan ay magbi build up kaagar ang tubig sa kalsada? What is wrong? Hindi ba ibig sabihin lamang niyan eh masyadong malibag na ang mga drainage at kailngang linisin bago gawin ang paghuhukay at pagpigil sa pagbaha? At bakit nagkakalamok? Hindi ba dahil napakaraming stagnant water na nasa kung saan-saan sa ating bayan? Lets not look only inside each others' backyard para magtanggal ng mga tubig na nasa lata at pinag-iitlugan ng mga lamok. The biggest proof is our ilog. Kitang-kita natin na stagnant ang tubig at hindi lahat ng parte nito ay dumadaloy. Mas marami ang parteng stagnant lamang at lahat ng basura ng ibang may kabahayan sa malapit sa ilog ay ruon rin ang tuloy. Ang ilog natin ang biggest housing project ng mga lamok na yan. Mahirap lamang mag blame at magsisihan pat wala namang mangyayari kaya mas kailangan ay magtulungan na lamang. Kapag nagsisihan tayo ay wala na tayong ipinagkaiba sa naging pasyente ni Doc Ding na matapos mamatayan ng anak ay nagpa interview pat nanisi ng doktor dahil sa sinapit ng anak niya samantalang ang pinakamalaking negligence ay nasa kanilang mga magulang mismo. When doctors are able to save us, we thank and praise them but when they fail to save a life, we condem and put the blame on them. San ba sila lulugar? Before we look at other people's concern on us, lets evaluate first our participation. Have we done enough? I would like to thank my classmates for forwarding this site in my email. I have so much things to say though and I hope next time ako naman ang mainterview nila rito to give some clarifications on some issues if I may. Thanks to Lucilyn and to her family for extending their support. Same with Tita Normita whose generousity has been proven all these years. I am thankful to all of you for showing me the true morongueñan spirit and character I have witnessed since childhood. Thanks to Batang Salog too for making this site. You keep us updated on issues and you help our kababayans in communicating with the rest of our kababayans there. Keep up the good work!
tama ka vikie!
a few years ago, ang Morong ay nabigyan ng award na isa sa pinaka malinis na bayan sa Rizal, even yung ilog ay malinis, wala kang maririnig na dengue, kung meron man ay miniscule.
ngayon ay iba na, marumi, tuloy pa rin ang dumping ng basura sa tag hangin, ito ngayon ang naging resulta..
sabi nga ni Dr Cruz ay ini expect talaga ngayon na severe ang dengue this year, every four years..
mahirap na ngang mag turuan ngayon. kailangan ay sulusyon sa problema.
nuong araw ay kalinisan sa palibot ang itinuturo kahit sa schools riyan sa rizal. nuong araw ay meron tayung tapunan ang bawat bahay ng basura at marunong ang bawat isa kung papaano gumawa ng pataba mula sa kanyang basura.
ano na ba ang nangyari sa atin ngayon.
30 taon na tayung sinasalanta ng babuyan sa teresa. 30 taon na nating hinayaang taian tayo ng mga baboy na binibili naman natin sa palengke. kaya wala ng isda sa ating mga ilog eh.
kaawa na ang laguna de bay.
me balita pa ba?
Anak ni Ito Ynares ang head ng Laguna Lake Development Authority LLDA.
www.llda.gov.ph
Huwebes, Setyembre 14, 2006 9:13:45 AM
12 - DOH notes decline in number of dengue cases in Rizal
Tuesday, September 12 2006
Department of Health (DOH) Secretary Francisco Duque III on Tuesday confirmed a decline in the incidence of dengue in the province in Rizal.
"Cases are now declining especially in Morong. Only four confirmed (dengue patients) are confined at the hospital," he told the Philippines News Agency in a telephone interview.
Over the weekend, the province saw heavy clustering of cases, prompting local health officials to declare an outbreak.
Dozens of residents trooped to the provinces' health clinics and hospitals for suspecting having contracted the disease.
"There is no need to put up a command post in Rizal. But we've established express lanes that would accomodate only dengue patients," Duque said.
According to the DOH, the number of dengue cases in the country from January to August this year is 42 percent lower than the 23,144 cases reported for the same period last year.
A total of 13,468 confirmed cases have been reported this year, with some 167 deaths.
Rizal has the highest number of registered cases, with 726.
Health experts note that dengue is endemic in a tropical country like the Philippines, and the rise in the number of cases is fueled by the continuous rainings in the past weeks.
Duque noted though that clustering of cases continue in Camanava, Tondo and Quezon City in the National Capital Region. But he clarified that the DOH has put this under control, hence there is no need to declare an outbreak.
Duque also assured that there is ample stock of blood to supply the dengue patients should they need transfusion.
Since rainy months are still ahead, Duque stressed the observance of the "search and destroy" campaign which calls on households to get rid of stagnant water in their surroundings, such as in tin cans and unused tires, which are possible breeding grounds of the dengue-transmitting mosquito, the Aedes Aegypti.
Meanwhile, Duque confirmed that meningococcemia caused the death of a four-year-old boy in Tondo, but allayed fears of another disease outbreak because the case is isolated.
"Clinical tests say he died of meningococcemia but diagnosis said it was haemophilous influenza. It's an isolated case," he said. (PNA)
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No more dengue death in Rizal, but campaign vs disease continues
Manila Times
ANTIPOLO CITY – Government hospitals in Rizal have been ordered by the Rizal Provincial Health Office (PHO) to strictly implement all programs aimed at checking dengue even though there was no more reported death caused by the dreaded disease in the past few days.
PHO chief Dr. Iluminado Victoria has also installed "dengue express lanes" in government hospitals capable of handling cases of dengue.
Among the hospitals where the "express lanes" has been set up are the Rizal Provincial Hospital in Morong, Angono General Hospital, Antipolo District Hospital, Jala-Jala Municipal Hospital, Binangonan Municipal Hospital, and Pililia Medical Hospital.
Suspected dengue patients are given priority attention in the hospitals’ express lanes.
Victoria said a person, who has fever, is considered a suspected dengue victim. However, the hospital has to subject the patient to a series of examinations to determine if he or she has symptoms of dengue hemorrhagic fever.
The dengue death toll in the province remains at 41 with only a few patients added to the record of the PHO in the last few days.
Victoria said the PHO is expecting the number of deaths and number of cases to go down sharply due to the intensified implementation of programs to fight the spread of the illness.
Health officials said the basic but most important among the programs is the one that requires cleanliness of surroundings, adding this prevents the dengue-carrying mosquitoes from multiplying.
Another program, dubbed as "Operation Tumba," involves the disposal of containers, old tires, and other household items that contain stagnant water, a favorite breeding ground of mosquito larvae.
Fogging or fumigation is only effective if there is an outbreak in an area, the PHO said.
The PHO attributed the sudden increase in the dengue death toll here to the process of confirmation of cases being used by the city health office. The rise is not necessarily due to the rapid spread of the disease, it said.
"So far, there are only four children, aged 10 and below, who are confined in the hospitals of the province due to dengue," Victoria said.
He partly attributed the success of the dengue drive to the efforts undertaken by Rizal Gov. Casimiro Ynares, mayors, and other officials of the towns as well as the health workers of the provincial government and the Department of Health.
He said the health workers in every town of Rizal launched "Operation Search and Destroy" to attack the breeding places of mosquitoes.
Another drive called "Operation Tumba," Victoria said, involves the disposal of tin cans, used tires, flower bases, rain gutters and receptacles which the dengue-carrying mosquitoes breed.
Victoria said the people should be taught to clean their homes, surroundings, and backyards so mosquitoes would not mutiply.
Typhoon helps wipe out dengue, for now
Philippine Daily Inquirer
09/30/2006
Those dengue-causing mosquitoes became the unexpected but welcome casualties of Typhoon “Milenyo” (international name: Xangsane).
Health Secretary Francisco Duque said yesterday that the normal breeding grounds of mosquitoes, some of which carry the deadly dengue virus, had been disturbed, thanks to the storm.
“I don’t know whether it’s worth the tradeoff, but the strong water current and the powerful winds flushed away the breeding grounds of the dengue mosquitoes albeit, temporarily,’’ Duque told reporters in a joint Cabinet press conference on the government’s assessment of the typhoon’s aftermath.
“I think this is good news,’’ he said, adding: “Serendipity, as they say.’’
Duque later told reporters that because the breeding grounds were disturbed, there could be a respite from these mosquitoes between one and two weeks.
He said that cases of dengue, which had been plaguing Metro Manila recently, was actually going down, especially now that October was here.
Dr. Eric Tayag, chief of the Department of Health’s National Epidemiology Center, said the “gush of wind and water work temporarily [to eliminate] the mosquitoes’ breeding places.”
He likened the situation to a pail of water which started filling up and eventually spilled.
“Even a slight cooling of temperatures could affect the way mosquitoes fly and bite people,” Tayag added.
He, however, warned that two to four weeks after the typhoons, there could be an upsurge in dengue cases, especially “if people do not clean up.”
“Now or this weekend is the time to search and destroy the breeding sites of mosquitoes,” Tayag said in a phone interview.
Otherwise, he said mosquitoes would continue to hatch eggs in “artificial containers” and the cycle of dengue would continue.
Mosquitoes thrive in stagnant water and health authorities have asked the public to dispose of old tires and containers with stagnant water which are the favorite breeding grounds of mosquitoes.
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