Dengue Outbreak and

Response in Cavite
Province
NELSON C. SORIANO, MD, PHSAE

PROVINCIAL HEALTH OFFICE

OCTOBER 6, 2015

DENGUE OUTBREAK
On September 18, 2015, the Provincial Governor declared an Outbreak
of Dengue in Cavite.
PHO technical working group conducted emergency meeting for the
outbreak response, distributed invitation to concerned agencies for
consultative meeting (ILHZ).
On September 21, 2015, the PHO-Technical Division conducted a
meeting with DILG, PG-NRO, Municipal/City Health Officers, Dengue
Coordinators and Sanitary Inspectors to develop an action plan to fight
dengue in their municipalities and cities (11/23).
On September 23, 2015, Dengue roll-out campaign to Bgy. Lapidario
spearheaded by Gov. Remulla for every family members to be involve in
destroying the mosquito habitat and breeding sites in their house.
On September 24, 2015, meeting with DOH for the outbreak response.
On September 25, 2015, media conference conducted by PHO

DENGUE OUTBREAK
ILHZ participants in the dengue summit (11/23)
48%
GenTaMar- Gen. Trias, Tanza, Trece Martires (all
present)
AMIGA -Alfonso, Mendez, Indang, Gen. Aguinaldo,
Amadeo (Indang- no representative)
Tagaytay- (present)
MagNaMarTe- Magallanes, Naic, Maragondon,
Ternate (Ternate- No representative)
RosCaNovKa- Rosario, Cavite City, Noveleta, Kawit
(No participants)
CarSigMa- Carmona, Silang, GMA (No participants)
DaBaMus- Dasmarias, Bacoor, Imus (No
participants)

DENGUE OUTBREAK
Changing Epidemiology:
The epidemiology of dengue is changing with respect to age groups
and population expansion beyond urban areas. Dengue is generally
considered to be a disease of early childhood (affecting individuals 215 years of age), increasing evidence exists that a shift to older age
groups as well as infants as young as 1-2 months is occurring in
Cavite.
Dengue has primarily been thought of as an urban public health
problem because the disease-causing mosquito vector is so well
adapted to human habitation. However, in recent years, dengue has
spread into rural areas where, in the past, reporting of the disease
was uncommon. This spread is occurring as rural living conditions
become more similar to what is seen in urban areas; changes include
different water storage and solid waste disposal practices, along with
better connection between areas due to more modern transportation.

DENGUE OUTBREAK
Surveillance:
Updating of report (as to the number of cases, epidemic curves and
clustering of dengue cases needed by the Provincial government for
priority fogging/misting and media community
Records review, media communication

Community Mobilization:
September 25, 2015- Training of Lecturers for the dengue outbreak
response team
September 26, 2015- Emergency community assembly at Bgy. Inocencio
September 28, 2015
Emergency meeting for Dengue Outbreak response coordinators
Press conference

DENGUE OUTBREAK
Community Mobilization:
September 28, 2015
Orientation of Fumigators, Cities/Municipalities, PGNRO and
PGCOPS
Press conference
Meeting with PGNRO regarding the high risk areas and other areas
requesting assistance
Allocation and distribution of treated bed nets and insecticides

Declaration of state of calamity (10 mun/cities)

Clean-up drive operations
Community assemblies
Advocacy letter crafted by president of Cavite mayors league.

DENGUE OUTBREAK
Vector control:
September 28, 2015
Orientation of Fumigators, Cities/Municipalities, PGNRO and
PGCOPS
Meeting with PGNRO regarding the high risk areas and other areas
requesting assistance
Allocation and distribution of treated bed nets and insecticides
Putting up of treated screens at GEAMH

DENGUE OUTBREAK
Trend:
There were 5,466 dengue cases reported from January
01, 2015 to September 26, 2015 compared to 1,269 last
year. This year's number of cases is 331% higher
compared to the same period last year.
Geographic Distribution:
Top 5 mun/cities with the highest number of cases were
Dasmarias, Trece Martires, Gen. Trias, Imus and
Bacoor.

Ang dengue ay nakakamatay!

DENGUE OUTBREAK

DENGUE OUTBREAK

DENGUE OUTBREAK
Profile of Cases:
Ages ranged from 1 month old to 83 years old (median=
13) and 2,121 (40%) belong to <1-10 age group. 2,926
(54%) were males.

There were 26 deaths (CFR=0.48%)

compared to 6, the same period last
year

Ang dengue ay nakakamatay!

MUN/CITY WITH DENGUE OUTBREAK IN

CAVITE, SEPTEMBER 26, 2015
Mun/City

No. of
Cases

Mun/City

No. of
Cases

1. Alfonso

99

11. Mendez

83

2. Amadeo

101

12. Naic

193

3. Dasmarias

1047

13. Noveleta

50

4. Gen. Aguinaldo

56

14. Silang

412

5. GMA

198

15. Tanza

276

6. Gen. Trias

627

16. Ternate

29

7. Indang

128

17. Trece Martires

639

8. Kawit

88

18. Rosario

111

9. Magallanes

25

19. Tagaytay

174

10. Maragondon

69

20. Carmona

60

MUN/CITY THAT EXCEEDED ALERT THRESHOLD

IN CAVITE, SEPTEMBER 26, 2015

Imus- 471 cases

Bacoor- 446
Cavite City- 84

We must secure their action plan and we

have to disseminate the information to
these areas for them to prevent an
outbreaks.

ANG DENGUE AY NAKAKAMATAY

Dengue Deaths by Municipality/City, Cavite Province
January 1 September 26, 2015 (n=26)

Municipality/City

No. of Dengue Cases

No. of Deaths

1,081

13

GMA

203

Gen. Trias

652

Indang

133

Naic

197

Rosario

112

Silang

422

Tanza

286

Trece Martires

676

Dasmarias

Total

26

ANG DENGUE AY
NAKAKAMATAY

Ano ang Dengue?

Ang Dengue ay isang sakit na ikinakalat ng isang uri ng

lamok, Aedes aegypti.
Ang Aedes aegypti ay kadalasang nangangagat sa umaga;
nangingitlog sa malinaw na tubig tulad ng makikita sa flower
vases at naiipong tubig sa gulong at matatagpuan sa
bubong ng bahay.
Namumugad din sila sa latang may tubig, dahon ng
halaman at butas ng kahoy kung saan may tubig na pwede
nilang pangitlugan. Ang mga lamok na ito ay kadalasang
naglalagi sa madidilim na lugar ng bahay.

Mga Karagdagang Impormasyon tungkol sa

Lamok na Aedes Aegypti
Pagkatapos ng bawat blood meal, sila ay nangingitlog.
Mainit na balat ang mas gusto nilang kagatin.
Mas tawag pansin din sa kanila kung gumagalaw ang
biktima. Kaya ingat ang malilikot na bata.
Karaniwan silang umaatake o kumakagat mula sa gilid o
likod ng tao.
Sila ay nakalilipad sa layon 50-300 metro mula sa
pinangitlugan o breeding area.
Mas dumarami ang lamok na ito tuwing tag-ulan.
Tumatagal ang kanilang buhay mula 20-30 araw.

Mga Karagdagang Impormasyon

tungkol sa Lamok na Aedes
Aegypti
Mula unang kagat ng lamok na ito sa taong
may dalang virus, buong buhay na siyang
Dengue virus-carrier at muling
mangangagat at mangingitlog tuwing ikatlong
araw.

Sintomas ng Dengue
Biglaang pagkakaroon ng mataas na lagnat
Masakit na kalamnan, kasukasuan at likod ng
talukap ng mata.
Panghihina
Namumulang patse sa balat.
Pagdurugo ng ilong.
Pagsakit ng tiyan.
Sukang kulay kape.
Maitim na dumi.

Ensure proper, concerted regular, year-round clean-up

drive and proper waste collection/ disposal to eradicate
the breeding sites dengue-carrying mosquito.

4s in Dengue Prevention and Control

1.Search and destroy.
2.Self-protection measures.
3.Seek early consultation.
4.Say yes to fogging when there is an impending
outbreak or hotspot.

Pag-iwas sa Pagkalat ng Dengue

SEARCH and DESTROY

1. Takpan ang drum o baldeng pinagiipunan ng tubig
upang hindi pangitlugan ng lamok.
2. Palitan ang tubig sa flower vases linggo-linggo.
3. Linisin lahat ng lalagyan at ipunan ng tubig minsan sa
isang linggo. Kuskusing mabuti ang mga gilid nito
upang maalis ang mga nakadikit na itlog ng lamok.
4. Butasin ang mga gulong na ginagamit bilang suporta
ng bubong upang maiwasang pamungaran ng lamok.
5. Ipunin at ibenta ang lahat ng hindi ginagamit na basyo
ng lata, bote, garapon, at iba pang bagay na maaaring
tigilan ng tubig at pangitlugan ng lamok.

Pag-iwas sa Pagkalat ng Dengue

SEARCH and DESTROY

Large discarded containers (tires, toilet bowls with water and paint cans

Trash cans, pail or buckets painting trays, toys

Pag-iwas sa Pagkalat ng Dengue

SEARCH and DESTROY

Water storage containers (drums, tanks, cisterns barrels, jars, buckets

Ornamental or recreational containers (plant pots and dishes, plastic pools, rooting plants in water/aquatic plants

Pag-iwas sa Pagkalat ng Dengue

SELF PROTECTION MEASURES

Magsuot ng pantalon at damit na may mahabang manggas.
Maglagay din ng insect repellent.

SEEK EARLY CONSULTATION

Kung may lagnat, magsadya at komunsulta sa
pinakamalapit ng health center o ospital
SAY YES TO FOGGING WHEN THERE IS AN IMPENDING
OUTBREAK OR A HOTSPOT
Mag fogging kung dumarami ang kaso sa isang lugar o may
outbreak, makipagbigay alam sa inyong Municipal Health Officer,
Epidemiology and Surveillance Unit at Dengue Coordinator

ANG DENGUE AY
NAKAKAMATAY

ANG DENGUE AY
Sama-sama PoNAKAKAMATAY
tayong puksain ang mga pinamumugaran ng lamok

mula sa loob ng bahay (madidilim na lugar) sa harap at likod ng bahay

(lumang gulong, lata, bote, halamang tinitigilan ng tubig, sa bubong ng
bahay (lumang gulong at mga pabigat sa bubong na tinitigilan ng tubig,
alulod o gutter).
Hindi po ito kakayanin ng inyong Barangay officials at mga taong
Munisipyo lamang, kaya marapat na makilahok ang mga:
Magulang at miembro ng pamilya
Mga guro at mag-aaral
Market tenants at mga vendors
Vulcanizing shops, flower shops owners
NGOs, religious leaders, home-owners association
At lahat pong may kakayahang maglinis ng kanilang nasasakupan

BAHAY KO RESPONSIBILIDAD KO

RECOMMENDATIONS:
Municipal/City Mayors:
1. Declare state of calamity to mobilize funds and resources for
immediate vector control.
2.Assign operational manager (ENRO staff) to monitor proper
fogging/misting procedures.
3.Procure insecticides for fogging/misting that is recommended and
approved by World Health Organization and Department of Health.
4. Provide daily garbage collectors for proper collection and
disposal of waste.
5. Create an ordinance for the weekly, regular clean-up drive
activities of every family members.

RECOMMENDATIONS:
Municipal/City Health Office:
1.Educate the public to carry out mosquito source reduction in
their homes. Public education and public involvement is
crucial to the sustainability of vector control program.
2.To submit dengue cases on a daily basis and analyze
dengue cases using PIDSR system.
3.Include mosquito source reduction program to Barangay
Health Workers and Community Health Team activities.
4. Collect and submit blood samples for laboratory
confirmation to PESU.

RECOMMENDATIONS:
Barangay Captain/Officials:
1. Create an ordinance to ensure that year-round (once a week)
clean-up drives are conducted by the family members in their
homes.
2. Educate the public to carry out mosquito source reduction in their
homes.
3. Assist in the proper collection and disposal of solid waste.
4. Assist the M/CHO in reporting of dengue cases in the community.
5. Use/procure insecticides for fogging and misting approved by
WHO/DOH.

RECOMMENDATIONS:
Department of Education:
1. Reactivate Little Dengue Brigade Program. They will be in
charge in monitoring possible mosquito breeding sites such as
containers with water inside their classrooms as well as school
surroundings.
2. Educate the pupil/student the proper search and destroy of
mosquito habitat and for them to teach each family member to
carry out mosquito source eradication in their homes.
Collection and disposal of all unusable tin cans, jars, bottles and other items that can
collect and hold water.
Cleaning of all water containers, pail, dish drainer/water dispenser tray, refrigerators
defrost condensing tray, once a week to remove eggs of mosquitoes sticking to the
sides. (DOH4A Larval Survey conducted on Sept. 29-Oct.1, 2015- Key containers Drum)

Fight Dengue in Schools and Residential Areas

RECOMMENDATIONS:
Family Members:
1.To seriously undertake and intensify the government antidengue campaign. If the households did not believe that
mosquitoes were in their homes, and if no effort to prevent
mosquito from breeding in their habitations, cases of dengue
in your areas will not STOP.
2. Follow 4S, ABKD and 40 clock habit on a weekly year
round basis.

GEAMH, PEDIATRICS SECTION:

DENGUE WARD, SEPT 25, 2015

TRECE MARTIRES MEDICAL

PAVILLON, SEPT. 22, 2015
8 out of the 9 rooms in the 2nd floor
were filled with dengue cases.
There were 3 beds occupied by
patients with dengue on the hall
way.

GEAMH, HALLWAY WITH DENGUE

PATIENTS, SEPT. 25, 2015

GEAMH, HALLWAY WITH DENGUE

PATIENTS, SEPT. 25, 2015

TMP 2nd floor, 3 DENGUE PATIENTS (HALLWAY),

SEPT. 25, 2015

GEAMH ER SECTION 3 IN 1 BED

SEPT. 25, 2015

RUBHALL TO BE UTILIZE AS A ROOM FOR

UPSURGE OF DENGUE CASES IN GEAMH C/O
PHIL. RED CROSS

CONSTRUCTION OF EMERGENCY FIELD

HOSPITAL PHILIPPINE RED CROSS

CONSTRUCTION OF EMERGENCY FIELD

HOSPITAL PHILIPPINE RED CROSS

GEAMH, PEDIATRIC WARD EXTENSION

ROOM (HALLWAY), SEPT. 25, 2015

GEAMH/KPFP/TMP DENGUE
ADMISSIONS, OCTOBER 3-4, 2015
Date

No. of
Admissions

Total No. of
Admitted
Cases

Remarks
No death
reported

October 3
GEAMH

24

108

KPFP

10

TMP

16

0
No death
reported

October 4
GEAMH

12

102 (71/31)

KPFP

14 (7/7)

TMP

18

LIST OF INSECTICIDES APPROVED

BY WHO/DOH
1. Pyrethroids- Permethrin
Resigen
2. Deltamithrin
K-othrine
Pesguard FG 161
3. Organophosphates
Temephos (Abate)

LIST OF INSECTICIDES APPROVED

BY WHO
1.
2.
3.
4.

Organochlorine
Organophosphate
Carbamate
Pyrethroid

Maraming Salamat
po sa Inyong
Pakikipagtulungan!