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DA-10’s Integrated Lab formulates 70% ethyl alcohol for frontline personnel

March 28, 2020

To mitigate the spread of the highly contagious Corona Virus Disease 2019 (COVID-19), the Department of Agriculture - Regional Field Office 10 through its Integrated Laboratory Division has produced 70 percent ethyl alcohol with moisturizer for its frontline personnel.   Recognizing the limited supply and high cost of disinfectants in light of the COVID-19 crisis in the country, the agency’s chemist prepared the World Health Organization’s (WHO) recommended handrub formulation.   DA-10 OIC-Regional Executive Director Carlene C. Collado said that the alcohol will be used by DA-10 frontline personnel and eventually, will expand its beneficiaries to other frontliners aside from the agency.   According to Johanna C. Pichay, Chemist III, the WHO formulation requires the use of glycerol as humectant.   In which, DA-10 owes to Pilipinas Kao, Inc. through their Vice-President Resident Head for Plant Operation Engr. Alexander Y. Linog for donating glycerol to the agency.   Pichay added that the first batch of formulation she has prepared will be made available after 72 hours .

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CDO approves supplemental Annual Investment Program

March 28, 2020

Cagayan de Oro City legislators headed by Vice Mayor Raineir Joaquin V. Uy during a special session on Wednesday, March 25, approved the Supplemental Annual Investment Program of the city in the total amount of P5.1 billion.        The city has earmarked P550 million for COVID-19 response, which will be used to provide financial assistance to persons and workers displaced by the coronavirus (COVID-19) pandemic, as well as for other equipment or construction projects necessary.        The supplemental budget also includes a P 9.3 million budget for the city’s Community-Based Monitoring System-Accelerated Poverty Profiling and P1.5 million for the purchase of a dropside truck to be used for the city’s cleanliness drive.        Infrastructure projects implemented under the AIP also include the redevelopment of Bolonsiri Park, rehabilitation of Cogon Public Market, rehabilitation of drainage canal, installation of plate drainage and manhole covers and pavement resurfacing at the Carmen Public Market.        The city is also implementing the construction of a transient lodging facility and kiosk at the East-Westbound Terminal and Public Market and terminal perimeter fence, and gate entrance and exist for public utility jeepneys and buses, among others at the East-Westbound Terminal and Public Market.

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Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations

March 28, 2020

Scientific brief 27 March 2020 - According to current evidence, COVID-19 virus is transmitted between people through respiratory droplets and contact routes. Droplet transmission occurs when a person is in in close contact (within 1 m) with someone who has respiratory symptoms (e.g.  coughing or sneezing,) and is therefore at risk of having his/her mucosae (mouth and nose) or conjunctiva (eyes) exposed to potentially infective respiratory droplets (which are generally considered to be > 5-10 μm in diameter). Droplet transmission may also occur through fomites in the immediate environment around the infected person.7 Therefore, transmission of the COVID-19 virus can occur by direct contact with infected people and indirect contact with surfaces in the immediate environment or with objects used on the infected person (e.g. stethoscope or thermometer). Airborne transmission is different from droplet transmission as it refers to the presence of microbes within droplet nuclei, which are generally considered to be particles < 5μm in diameter, and which result from the evaporation of larger droplets or exist within dust particles. They may remain in the air for long periods of time and be transmitted to others over distances greater than 1 m. In the context of COVID-19, airborne transmission may be possible in specific circumstances and settings in which procedures that generate aerosols are performed (i.e. endotracheal intubation, bronchoscopy, open suctioning, administration of nebulized treatment, manual ventilation before intubation, turning the patient to the prone position, disconnecting the patient from the ventilator, non-invasive positive-pressure ventilation, tracheostomy, and cardiopulmonary resuscitation). In analysis of 75,465 COVID-19 cases in China, airborne transmission was not reported. There is some evidence that COVID-19 infection may lead to intestinal infection and be present in faeces. However, to date only one study has cultured the COVID-19 virus from a single stool specimen. There have been no reports of faecal−oral transmission of the COVID-19 virus to date. Implications of recent findings of detection of COVID-19 virus from air sampling To date, some scientific publications provide initial evidence on whether the COVID-19 virus can be detected in the air and thus, potentially involve airborne transmission. These initial findings need to be interpreted carefully. A recent publication in the New England Journal of Medicine has evaluated virus persistence of the COVID-19 virus. In this experimental study, aerosols were generated using a three-jet Collison nebulizer and fed into a Goldberg drum under controlled laboratory conditions. This is a high-powered machine that does not reflect normal human cough conditions. Further, the finding of COVID-19 virus in aerosol particles up to 3 hours does not reflect a clinical setting in which aerosol-generating procedures are performed—that is, this was an experimentally induced aerosol-generating procedure. There are reports from settings where symptomatic COVID-19 patients have been admitted and in which no COVID-19 RNA was detected in air samples. In addition, it is important to note that the detection of RNA in environmental samples based on PCR-based assays is not indicative of viable virus that could be transmissible. Conclusions Based on the available evidence, including the recent publications mentioned above, WHO continues to recommend droplet and contact precautions for those people caring for COVID-19 patients and contact and airborne precautions for circumstances and settings in which aerosol generating procedures are performed. These recommendations are consistent with other national and international guidelines, including those developed by the European Society of Intensive Care Medicine and Society of Critical Care Medicine and those currently used in Australia, Canada, and United Kingdom. At the same time, other countries and organizations, including the US Centers for Diseases Control and Prevention and the European Centre for Disease Prevention and Control, recommend airborne precautions for any situation involving the care of COVID-19 patients, and consider the use of medical masks as an acceptable option in case of shortages of respirators (N95, FFP2 or FFP3). Current WHO recommendations emphasize the importance of rational and appropriate use of all PPE, not only masks, which requires correct and rigorous behavior from health care workers, particularly in doffing procedures and hand hygiene practices. WHO also recommends staff training on these recommendations, as well as the adequate procurement and availability of the necessary PPE and other supplies and facilities. Finally, WHO continues to emphasize the utmost importance of frequent hand hygiene, respiratory etiquette, and environmental cleaning and disinfection, as well as the importance of maintaining physical distances and avoidance of close, unprotected contact with people with fever or respiratory symptoms. References Liu J, Liao X, Qian S et al. Community transmission of severe acute respiratory syndrome coronavirus 2, Shenzhen, China, 2020. Emerg Infect Dis 2020 doi.org/10.3201/eid2606.200239 Chan J, Yuan S, Kok K et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020 doi: 10.1016/S0140-6736(20)30154-9 Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020; doi:10.1056/NEJMoa2001316. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497–506. Burke RM, Midgley CM, Dratch A, Fenstersheib M, Haupt T, Holshue M,et al. Active monitoring of persons exposed to patients with confirmed COVID-19 — United States, January–February 2020. MMWR Morb Mortal Wkly Rep. 2020 doi : 10.15585/mmwr.mm6909e1external icon World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19) 16-24 February 2020 [Internet]. Geneva: World Health Organization; 2020 Available from: https://www.who.int/docs/default- source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf Ong SW, Tan YK, Chia PY, Lee TH, Ng OT, Wong MS, et al. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. JAMA. 2020 Mar 4 [Epub ahead of print]. Zhang Y, Chen C, Zhu S et al. [Isolation of 2019-nCoV from a stool specimen of a laboratory-confirmed case of the coronavirus disease 2019 (COVID-19)]. China CDC Weekly. 2020;2(8):123–4. (In Chinese) van Doremalen N, Morris D, Bushmaker T et al. Aerosol and Surface Stability of SARS-CoV-2 as compared with SARS-CoV-1. New Engl J Med 2020 doi: 10.1056/NEJMc2004973 Cheng V, Wong S-C, Chen J, Yip C, Chuang V, Tsang O, et al. Escalating infection control response to the rapidly evolving epidemiology of the Coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. Infect Control Hosp Epidemiol. 2020 Mar 5 [Epub ahead of print]. Ong SW, Tan YK, Chia PY, Lee TH, Ng OT, Wong MS, et al. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. JAMA. 2020 WHO Infection Prevention and Control Guidance for COVID-19 available at https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Medicine DOI: 10.1007/s00134-020-06022-5 https://www.sccm.org/SurvivingSepsisCampaign/Guidelines/COVID-19 Interim guidelines for the clinical management of COVID-19 in adults Australasian Society for Infectious Diseases Limited (ASID)  https://www.asid.net.au/documents/item/1873 Coronavirus disease (COVID-19): For health professionals. https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/health-professionals.html Guidance on infection prevention and control for COVID-19 https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html Infection prevention and control for COVID-19 in healthcare settings https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-covid-19-healthcare-settings Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19) Course. https://openwho.org/courses/COVID-19-IPC-EN

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Health exec: No Covid-19 positive patients in barangays Nazareth, Patag

March 28, 2020

CAGAYAN de Oro City--A health official has belied reports that there are Covid-19 positive patients from barangays Nazareth and Patag. "Walay taga-Nazareth ug Patag nga nagpositibo sa coronavirus disease 2019 (Covid-19)," said Dr. Rachel Dilla, assistant city health officer, during the special session of the City Council held last Wednesday. Dilla clarified that there is only one Covid-19 positive patient in Cagayan de Oro City. "Kini mao kadtong nabalita nga 71 anyos nga lalaki nga naggikan sa numbered barangays sa syudad ug adunay travel history gikan sa San Juan City, Metro Manila." The health official said the city government of Cagayan de Oro was even grateful to the Covid-19 positive patient for the cooperation and for following the needed protocol to prevent the spread of the dreaded disease. According to the Power, a daily newsletter of the City Council, the Covid-19 positive patient opted to return to the Northern Mindanao Medical Center (NMMC). The patient is now undergoing quarantine, the report said. It said the Covid-19 Response Team has already conducted disinfection at the patient's residence. On one hand, Dilla said that the City Health Office (CHO) and the  Department of Health (DOH) have already conducted the contact tracing. For his part, Councilor Ian Mark Nacaya urged residents not to immediately believe in what they read in the social media, especially if the information did not come from reliable sources. Health exec: No Covid-19 positive patients in barangays Nazareth, Patag CAGAYAN de Oro City--A health official has belied reports that there are Covid-19 positive patients from barangays Nazareth and Patag. "Walay taga-Nazareth ug Patag nga nagpositibo sa coronavirus disease 2019 (Covid-19)," said Dr. Rachel Dilla, assistant city health officer, during the special session of the City Council held last Wednesday. Dilla clarified that there is only one Covid-19 positive patient in Cagayan de Oro City. "Kini mao kadtong nabalita nga 71 anyos nga lalaki nga naggikan sa numbered barangays sa syudad ug adunay travel history gikan sa San Juan City, Metro Manila." The health official said the city government of Cagayan de Oro was even grateful to the Covid-19 positive patient for the cooperation and for following the needed protocol to prevent the spread of the dreaded disease. According to the Power, a daily newsletter of the City Council, the Covid-19 positive patient opted to return to the Northern Mindanao Medical Center (NMMC). The patient is now undergoing quarantine, the report said. It said the Covid-19 Response Team has already conducted disinfection at the patient's residence. On one hand, Dilla said that the City Health Office (CHO) and the  Department of Health (DOH) have already conducted the contact tracing. For his part, Councilor Ian Mark Nacaya urged residents not to immediately believe in what they read in the social media, especially if the information did not come from reliable sources.

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World leaders hold emergency virtual summit thru video call to address covid-19 crisis 

March 27, 2020

VIRTUAL MEETING OF WORLD LEADERS VS CORONAVIRUS DISEASE DUBAI (MDN International News)  — A top-ranking official of the United Nations has challenged leaders of the 20 major industrialized countries of the world Thursday (March 28) that "the world is at war with a virus - and not winning it," even as countries implemented stringent measures to contain the deadly coronavirus disease. (covid-19)    The G20-member nations are made up of 19 countries and the European Union. The 19 countries are Argentina, Australia, Brazil, Canada, China, Germany, France, India, Indonesia, Italy, Japan, Mexico, the Russian Federation, Saudi Arabia, South Africa, South Korea, Turkey, the UK and the US. Government leaders around the world issued quarantine and lockdown measures to seal their borders and prevent the entry of the dreaded virus, but still the efforts proved futile as covid-19 continued to sneaked in unnoticed and only caught leaders by surprise when persons under investigations began to rise in numbers in their respective countries. The unusual video meeting of the members of G20 need to produce positive outputs purposely to flatten the curb of corona's onslaught as the world's economy really dwindled and shutter businesses in the process. US AND CHINA VIDEO CALL. US President Donald Trump is set to do a video call with China's Prime Minister Xi Jen Ping to discuss matters about coronavirus disease. During the online video conference, the world leaders have identified that the deadly coronavirus has successfully disturbed the world's business and economy which now starting to create massive poverty among nations, closed government and private buildings, crippled government and private operations and shockingly resulted to the deaths of over 20,000 patients from around the world. Now the G20 has vowed to help one another in response to criticism they were failures in containing the deadly spread of the virus, jointly injecting over $4.8 trillion into the global economy, as a way to counteract the financial and social impacts of the pandemic. As G20's final virtual summit's statement, G20 has committed to make the World Health Organization's (WHOs) mandate even more stronger and strengthened.  U.N. Secretary-General Antonio Guterres urged G20 leaders to adopt a war-time plan to tackle the pandemic.  “The unprecedented COVID-19 pandemic is a powerful reminder of our interconnectedness and vulnerabilities,” the group said. “The virus respects no borders.” “It took the world three months to reach 100,000 confirmed cases of infection,” he said. “The next 100,000 happened in just 12 days. The third took four days. The fourth, just one and a half.” Guterres said: “This is exponential growth and only the tip of the iceberg,” adding that countries must be able to combine systematic testing, tracing, quarantining and treatment, as well as coordinate an exit strategy to keep it suppressed until a vaccine becomes available. Meanwhile, a total of 250 million pounds ($302 million) will be provided by the United Kingdom (UK) as additional funding to the group developing vaccines to effectively contain the onslaught of coronavirus disease.  

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Hungry and irate Oro residents mob the net to beg Mayor Moreno for the release food packs

March 27, 2020

* Irate residents say "Dili kita mamatay ani sa Covid kundi sa kagutom. Duha ka semana na gud walay kita akong bana."   CAGAYAN DE ORO CITY - Hungry and irate residents of this city mobbed the internet and beg for Mayor Oscar Moreno to start releasing food packs and other food supplies, as they are feeling the ill effects of a "community quarantine." Enday Lantuyan, children of 5 and wife of tricycle driver said since the quarantine implementation last week her husband cannot support the family anymore. "Unsaon paman niya pagsuporta kanamo nga nagpagawas naman ug order si Mayor nga magpuyo nalang sa balay. Ang kita ra sa iyang pagdrive among gisaligan sa matag adlaw." (How could he support us when the mayor ordered everyone to stay at home. His daily income is what we are dependent upon for our daily subsistence," Lantuyan told MDN in an interview. "Dili kita mamatay ani sa Covid kundi sa kagutom. Duha ka semana na gud walay kita akong bana. Sige lang presscon unya mga tawo gipanggutom na kay walay income. Bisag pan wala diha," she lamented. She said almost all the drivers of 'habalhabal' (single motorcycle), 'baobao' (tricab) and motorized tricycles (pedicabs) that were only dependent on their daily income are now sacrificing their families since the quarantine implementation of the mayor. "Ila untang nakita sa wala pay community quarantine kung pila ka libo ka mga draybers and magutman kay gasalig lang sa kita sa matag adlaw aron makapalit ug bugas," she claimed. (They should have seen this problem before the implementation of a "community quarantine." How many thousands of drivers are dependent on their daily income to survive everyday's food consumption)       Menwhile, many also of the city's working population who were forced to stay at home mobbed the internet and echoed their disgust of the mayor's executive order for a community quarantine. These were the sectors which comprised of sales clerks in malls, sales ladies in private businesses, ambulant vendors, beggars in the streets, workers, waiters and waitresses, and all other jobs which supposedly gave them daily income. Over a comment section of the City Mayor's daily press briefing, irate residents took turns on lambasting Mayor Mareno's alleged very slow responses on the need for food of those affected by the coronavirus crisis which also triggered the community quarantine order of the local chief executive. Other residents have also aired their grievances on the comments section of Magnum and Bombo Radyo, saying they needed help and intervention from City and barangay officials. Magnum Radio Station Manager Jun Albino in his morning news program said a crying caller has asked help from their station as the family have no more food supplies. "Naluoy gyud ko sa maong caller ug giadtuan gyod nako sa ilang lugar nga may pagkalayo raba," the radio manager said.  In today's press briefing at the City Hall, Michael Christopher Fabello, local DSWDs incharge of the food repacking and chief of the CDO Covid Preparedness and Response Food cluster, said that repacking are now ongoing at Xavier University Campus by qualified City Hall employees, and thousands of food packs are now ready for distribution. Fabello thanked XU President Yap for his offer to use one area inside the campus to be used in the repacking of food packs.   Fourth Infantry Division chief BGen Franco Nemesio Gacal also added they are now helping and coordinating with the barangays for the listing of those poor barangay residents badly affected by the coronavirus crisis, and whose parents who were forced to stay home to follow orders from the Local Chief Executive. "We are now closely coordinating with the barangays in regards to the preparation of the masterlist," the Fourth Infantry Divsion official said. Gacal feared the hungry feeling and lack of food of these people in the lower and vulnerable sector in society might result to chaos and disorder, if the food distribution will be delayed for more weeks. 

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