 So, good morning, good afternoon, good evening everyone. Welcome po sa ating 86 episode of the Stop COVID Deaths webinar series brought to you by the University of the Philippines. Today po is our very first episode for the Buwan ng Pag-Ibi, Gam Buwan ng Pabriero po, Buwan ng Pagmamahal. At maraming-maraming salamat po sa lahat po naging part po ng ating credible online community and to all those who have just discovered us for the very first time. Welcome po at saan na po masayahan po kayo at maraming po kayo matutunan sa ating webinar series. Sa umpisa po ng Omicron Surge ng mga bandapong mga December, tumama po sa ating ang strongest typhoon of 2021, it costs displacement of a little over 9 million people raising concerns about increased exposure to SARS-CoV-2 or the COVID-19 virus in evacuation centers po. Typhoon Odette, as it is more popularly known, hit the Philippines with winds at 160 miles per hour, affecting 11 of the 17 regions and also affecting 514 municipalities where 36 million homes were damaged. By the middle of January, estimated po na mahigit 150,000 po sa ating mga kababayan ang naninirahan sa evacuation centers, maraming pa rin po sa ating mga komunidad, lalapos sa Visize and Mindanao, wala pa rin pong tubig o koreyente na stable and 220 health facilities po ang nasira dahil po kay typhoon Odette, including po 33 major hospitals. Vaccination programs po, also had to be rescheduled in terms of the rollout, may mga natigal din po. So para po sa ating topic for today's webinar, we will be asking the question, COVID-19 na? May bagyo pa? So paano na? If you are looking for the latest science-based and evidence-based information from the most distinguished experts, keep it right here. I'm Dr. Raymond Francis-Sarmiento, director of the National Telehealth Center, National Institutes of Health, University of the Philippines, Manila. Always a pleasure to be with all of you during our regular Friday lunch date and also I get to share hosting duties with our adjunct research faculty from the National Telehealth Center, also the Special Envoy of the President for Global Health Initiatives, Dr. Susie Pineda Mercado. Dr. Susie. Hi, Raymond. Good afternoon. Magandang hapon po sa inyong lahat saan man kay na Ron binabaki namin kayo. We've got really very good guests today. May nantongan ni Raymond na paraming mga lugar pa rin sa Pilipinas na hindi pa nagbabalik sa normal. Syempre medyo kinakaban tayo dahil mayroon pa rin COVID-19, pero mukang marami sa inyong nakangiti na ng konte, mukang gumaganda na ang situation, but of course we always have to be vigilant and we have to keep up our guard kung tayong magpapabaya kasi na nyan parin. So samahan nyo kami. Pugusapan po natin ay itong mga natamaan ng odet at saka ano pang gagawin natin dito pag kaming mga evacuations at meron paring interview. So stay with us. We've got some really good speakers for you, some of your favorites. So Raymond, over to you. Thank you, Dr. Susie. For those who are joining us for the very first time, we usually put our discussion into context. By presenting po ang ginagawa po week in and week out ng ating TV UP team. It's what we call the person on the street interview videos. Ang katanungan po that we post to the common person on the street would be kung may surge at may kasabay na sako na, ano ang dapat ng mga unang pag-ahanda ng pamilya? Please watch this. First of all, dapat po yanda natin yung mga basic dates natin, like yung food, yung medigat yung mga related sa medicines, then yung alimba akong may surge sa cases ng COVID-19 pandemic, tapos nasabay pa yung mga natural disasters. So nagpre-prepared din kami ng mga face shields, face masks, tapos yung mga alcohol. Meron po, ang una po talaga namin iniimbak ay yung mga gamut po. Ano ba po para set pa mo siyung mga first aid na gamut, alam ba mo makarong nalagdat o ubuat si Pony? When it comes to family, I really think na important yung everyone na trained tayo for emergency situations. Sinaseparit na po namin yung mga important yung documento po, makalagay sa isa ng envelope na nakasili. We should practice na lang din yung ating safety measures, safety protocols na nang hasap, laging magsot pa rin ang face masks, magdabi ng alcohol, may role. At panatilihin na na malayo pa rin sa mga sa ibang tao lalo na kung hindi nyo naman silang kausapin. Siguro let's make use of the technologies that we have to minimize po yung contact natin with other people if we can nang naman. May area of hope po kong nakikita, for example, if we elect the serving leaders na makakakoron ang systemic scientific and comprehensive solutions to cope up with this pandemic. Pag-aganda na ihanda yung pamilya, yung pag-iisip nila, yung kanilang emotions dapat ihanda para kung sakaling kailangan manila lumikas, mayuasan yung panik. Dapat handa rin yung mga elders ng pamilya. To reach out dun sa mga baranggay, dapat alam nila yung program na pwede makatulong sa kanila bago at pagkatapos sumalang pa ng isang metro. Thank you very much. Always nice to see the view of ordinary people. I think meron tayong mga gobag lage pang medisaster. Diba ngayon medyo iban ang gobag natin dahil may COVID pero pag-uusapan natin yan. Sige Raymond, announce mo na natin yung Mentimeter. Yes, thank you. Dr. Suzy and thank you po sa ating TV UP for that wonderful taking of the pulse patrol or person on the street video. For our Mentimeter code for today, lalo na po sa sumusubay-bay po at juma-join po sa ating webinar through YouTube and Facebook, ang ating Menti code for today is 42059716. That's 42059716. We ask all of you to open your browsers and go to www.menti.com and enter the code when prompted so you'd be able to participate in our online quiz. Those in Zoom meron po tayong Zoom fun quiz which we will be tackling the questions po later on after our opening remarks speaker. Dr. Suzy. Okay, we will go right away to our opening remarks speaker kasi excited tayong marinig yung mga mong sasalita ngayon, especially our opening remarks speaker. So it's my honor and pleasure to introduce somebody I've known for the longest time. Original team po ito ni Jami Flavieri who was the Undersecretary for Hospitals and introduced hospitals as centers of wellness back in the day, tagal-tagal na and he was former Undersecretary, he was also PGH director and I would consider a very good colleague and friend who's always around to help and napakalalim ng mga inii-sip nyan minsan. Dr. Johnny Nanyagas. One Nanyagas, yes. Johnny, go ahead. Yes, thank you Suzy for that introduction begin with back to the past inviting me to give the opening remarks in this session of stop COVID deaths on COVID-19 and disaster preparedness. Hello to all participants and especially members of our panel today, participants from here in abroad, members of our panel from the DOH, UNICEF, Manila, UP Manila College of Public Health. They will be properly introduced later. I feel that as opening speaker, I may have set the tone of the session with a little bit of history. Disaster preparedness is not a new topic and has always been in the minds of public health practitioners since the Philippines has been one of the countries that experienced many disasters throughout the year. In the mid 90s, I think that was our time Suzy, the DOH launched a program called stop death. It's a long acronym for strategic and tactical options to prevent disasters, epidemics, accidents and trauma for health. Sounds like stop COVID deaths. It envisioned a system which would prepare the country from the barangay level upwards for disasters and was a forerunner of the DOH Bureau of Emergency Management. This program was so well received by WHO that they invited four Filipinos to attend their first international course in disaster management in Switzerland and become pioneers in disaster management not only here in the country but even in other countries. Again, about 20 years ago, the National Defense College of the Philippines gave me three choices for my thesis in the master's course in national security administration. I chose the topic on bioterrorism and broadened it to the topic of tasks and roles of the health sector in biological events. I found at that time a lack of real preparedness in the health sector, not just the government part for what we termed biological events and COVID is a biological event such as bioterrorism, biological accidents and as I said, COVID was a pandemic. At that time there was interest in the topic since the CIA accused Saddam of stockpiling biological weapons. We saw that at that time there was no definite organization, laboratory facilities and protocols for the health sector. Many other thesis followed on related topics such as biosecurity and the formation of armed forces of the Philippines units dedicated to dealing with biological events. Presently, we are hopefully seeing the end game of a contest between COVID and the rest of the world. We experienced dealing with COVID in the disaster situation of Odette, which should teach us valuable lessons in how to address not just COVID, but future pandemics in preparing for disasters. The volcanic eruption of Tonga also gave us lessons in preparing for disasters. Relief efforts there were constrained by the fact that at that time Tonga had only one case of COVID. So what will happen if you let positive relief viewers enter the country? They did not want COVID introduced into the country to further complicate the disaster that they experienced. In Odette, the danger of rapid spread in evacuation sites could have been a possibility. The lack of communications, logistics, power and basic needs presented a problem for COVID response. What do you do when hospitals, other health facilities and even evacuation centers themselves are devastated when your personnel themselves are the victims? In Odette, we saw various agencies of the government, the private sector, NGOs and foreign governments help the people of the ravaged areas, but who orchestrates this? Odette provides us with real life experience for us to evaluate how communication, logistics, finance, international aid, command and control and we can make future plans grounded on our experience. But I feel we should have a more farsighted view of the future or else the lessons will be lost to us. More than 100 years before Taipun, Yolanda or Haya, a similar devastation had already occurred in Tacloban as recorded by the then Jesuit weather experts of the time. But we stayed in the same locale. Perhaps what we should do is to look for new locations for communities that are exposed to disasters, to safer areas. We should draft and implement new designs for hospitals and other health facilities and come up with new administrative paradigms dealing with funds and personal transfers from in future disasters. Lastly, a definitive major role should be assigned to the armed forces of the Philippines as many other countries have done for their armed forces. Hopefully in discussions such as this session, we will be able to come up with play bills to address COVID or any other pandemic in any disaster in the future. With that, let me end and listen to our panelists. Okay, thank you very much. That's Johnny Nanyagas, former undersecretary, former PGH director and we'll be sharing a lot more of his insight later at our open panel. Open forum. So I think Raymond, we're going to do the Mentimeter quickly. Thank you Dr. Susie. For those who are in Zoom and in Facebook, we have the Mentimeter. Can we have that on the screen? Thank you so much. We again have two questions here. The first question reads, which of the following needs to be improved or need to be reviewed and updated for disaster response and rebuilding when there is a COVID surge and a disaster such as flood, earthquake at the same time. So ano po ha, there will be more than one answer. The options are as follows, physical space, option two, ventilation, option three, infrastructure resilience, option four, water sanitation and hygiene facilities, option five, energy supply such as electricity fuel, option six, mental health, psychosocial support, option seven, caring for the carers, option eight, food security o umulit pa lang food security and then option nine, coordination. For our second question po, thank you. What are the different lines of coordination in disaster response? So the options are as follows, the local government unit or LGU, armed forces, option three, private sector, option four, international organizations and option five, nonprofit. We will not be closing our fund poll as we move on to our very first speaker who will set the tone for our discussion. Okay, thank you very much Raymond. Of course, I can't avoid liking those cute answers on the mentor. Pero tulit-tulit pa rin natin sa gutin nyan ano kasi we do these fun quizzes para meron tayong take away message. Okay, my honor, my pleasure to introduce a very, very important person for those who are to know him particularly in the Visayas and Mindanao. So really a on-the-ground undersecretary for field implementation coordination of the Department of Health. Ito po eh, hindi na na natigli sa OPC na, laging nandun po sa community. At alam po niya ko anong nangyari. We're very happy na palmakat niya tayo na very busy but he has come to share what's happening and his insights on disasters and this pandemic surge. So it's my pleasure to introduce and welcome Dr. Abdullah Dumama o si Okang Dumama. Welcome, kapatid. Kamusta ka na dyan? Marabing salamat po. Sige go ahead. Okay, I'll jubile minasay Tonya Rajim Bismillahirrahmanirrahim. A disaster is a disaster is a disaster. No matter what kind of hazard it is or it may be, whether natural, human induced, technological or biologically nature, it is what it is. One thing is definite though. It creates and leaves behind damages and losses and those are the risks. Ladies and gentlemen, I'd like to extend my courtesy to all our guests and followers. My specialty to my idol Dr. Susie Mercado and Dr. Kamisita Patilia, former Undersecretary Nanyagas and all the people behind the TBUP for without whom this may not have been made possible. It is an honor to be invited in this event. Next slide please. So two years ago, all of mankind were devastated by a pandemic in COVID-19. What started as a pandemic, I mean as an epidemic in a remote province somewhere in Asia, spread like wildfire across the globe, crippling the regular activities of our daily living. Too late in pointing fingers on who to blame. We all have our hands on it. Our country has been in a battle to mitigate and ultimately stop the virus under the framework of PDITR which is prevent, detect, isolate, treat and reintegrate. Next slide please. But we are coping with the seemingly unsurmountable demands of the disease. Even with our limited resources, we managed to keep afloat and survive through the whole of nation, whole of government and the whole of society approach. This is where the vida solution and the rest bakuna come in. B. Bawalang walang mask ay isanites ang kamay, di dumistansen ng isang metro sa katabeh. A. Alamin ang tunay naman informasyon at magpabakuna laban sa COVID-19. The minimum public health standards coupled with the vaccination campaign remains to be our primary arm in fighting the virus. Next slide please. Ang patuloy pa nating pa pagsulod sa mongkahi ng mga experts na mga dalubhasa sa larangan ng epidemiology at surveillance. At ang ating mga pinuno ang tungkol sa MPHS at bakuna, kasama na po yan ang IITF at NITF ay siya naging gabay natin upang tayo ay makabalik sa ating mga muhay. So sa kabuwar po, meron ang umigit kumulang 127 million doses ng bakuna laban sa COVID ang may bigay sa ating sabong bansa. Ito po ay base sa datos ng January 31, 2022 at hindi pa rin natin ay bigay lahat sa mga dapat na mabakunahan. As of today, fully vaccinated po natin is about 59 million or 66% of the target. 80% na po tayo ngayon or 89 million Filipinos should be given this bakuna. So we respect their decision so yung mga hindi pa ho but you don't stop in encouraging those who are still hesitant to get their jobs immediately. So next slide please. Now going back to my statement, a disaster is a disaster is a disaster. Responding to a disaster in a pre-COVID times is already difficult. Imagine being deployed to an area where all basic needs are damaged. Lifelines namely water, electricity, communications, roads and bridges and infrastructures are compromised or totally non-functional, not to mention sources of physiologic and security needs like food and shelter are lost. It is a nightmare. Now given our geographical location and sociability to natural hazards like typhoon, earthquakes and volcanic eruptions, we must prepare in order to prevent these catastrophic situations and worse a condition having a disaster within the disaster. And this is what happened last year with the type of no-dead. Please remember we are in a pandemic. And again we were warned it's coming long before its arrival and should have prepared because this activity is very crucial. On December 16, 2021, Typhoon No-dead made a landfall across various islands in the country including region Skarga, Northern Mindanao, Eastern Central and Western Visayas, and Mi Maropa. The devastation is shocking as reports came in days later. Reality is lifelines are either slightly functional or totally non-functional at all, hence the delays. Although the typhoon was catastrophic, it left a relatively low number of deaths and injuries compared with other typhoons in the past. In fact, to cite some figures, only about 14 deaths reported a day after the onslaught that was mainly caused by landslide and drowning. So until January 20, we had 53 deaths recorded from various causes. Most commonly acute gastroenteritis with the severe dehydration and some other causes. Let's slide please. Three things were essential to be established immediately in order to manage and mitigate the event. One, command. Second, communication. And third, is control. Not necessarily in order. The DOH is quick to, next slide please. The DOH is quick to respond by one, pre-activating the DOH Central Office Health Emergency Management Operations Center and the counterpart Regional HEMS Operations Centers even prior to the crisis. Number two, pre-positioning strategically supplies, drugs and medicines to the nearby areas where the typhoon will hit for easier dispatch. Number three, is sending in rapid health assessment teams and some essential supplies and resources to, of course, to hardly hit areas. So in close coordination with other government agencies, we managed to move resources using available government assets and secure the availability of which to the affected areas. Now, next slide please. Post assessment and analysis revealed that we need to deploy. So the quad cluster teams, water, sanitation and hygiene or the wash, mental health and social services or MHPSS, nutrition and emergencies or NIE and the medical team with their supplies were sent in batches. Normally we would have dispatch all available resources immediately so we can bounce back sooner. That's normally in normal situation. However, because of the present condition, the DOH is responding more calculatedly under the premise of preventing the spread of COVID-19 infection. However, we responded in a timely manner to the best of our ability to immediate needs of the affected community such as deployment of personnel to augment the workforce because the health workers were also affected. Next slide please. Another infection control measures were made over the already imposing demands of health emergency response to ensure the safety among responders and the community as well. Number one, every member of the responding team must secure a negative COVID test result before dispatch. Number two, all members of the operations are closely monitored on a regular basis for any signs of influenza-like illnesses or the so-called ILI and immediately secured following the existing guidelines and protocols of the IATF and of course the local government units. Number three, we set up triads areas prior to consultations. Number four, there's a need to provide dedicated isolation areas for cases and completing quarantine period as prescribed after showing positive results using the rapid antigen test kits. Number five, active golf track contact tracing of people exposed to a COVID-19 case. Number six, but last but not the least, deteriorating patients with COVID cases are immediately transferred to higher facilities for appropriate management. Bunting on the success of the preventive measures implemented before the typhoon where the Vida Solution and which are the Vida Solution and ResBakuna initiatives, the department continued with mass advocacy on binding with the MPHS and continued with the COVID-19 vaccination campaign. Next slide, please. Now, for the purpose of this presentation and discussion, I would like to take Karaga Region as a case study because it is the hardest hit by the typhoon. Next slide, please. Karaga Region has a 2020 projected population of 2.753 million, 2.753,109, and as of February 1, 2022, it has a total of 59,396 confirmed COVID cases, 53,499 to be exact, of whom have recovered, 1,469 deaths secondary to COVID, which while about 4,428 cases are still active now. In comparison to the regional vaccination coverage on the screen, there are about 1,359,000 first doses of about 67.73%. 1,277,000 were fully vaccinated, about 57.66%. Only 83,000 as of the moment, 741 booster doses were given of about 3.69%. Now comparatively, Karaga has accomplished a significant number of first doses for its eligible population. However, we still need to cover the remaining eligible population to complete their primary doses while encouraging those who have already completed their primary doses to have their booster doses. This will eventually bring us closer to what we wish to achieve for the region. Under this vaccine coverage condition, the department is in full support to minimize interruption in the campaign and ramp up the activity simultaneously with the health emergency responses. And bringing in the vaccines stood as a great challenge because of the unstable to no power source in the field. The cold chain management will be deeply compromised thereby compromising the vaccine's integrity as well. Contingency plans are made and immediately implemented to address this concern. Generator sets were dispatched as temporary solution while awaiting for the full repair of the more stable and sustainable power generated by the electric power plants. Next slide please. Now, looking at all the other areas of concern like the evacuation centers, health facility status, waste management, mental health and nutrition and emergencies, the department is working in close coordination with the LGUs and all other partners and stakeholders through the local operation centers in the field. In this case, the Karaga Safety or Center for Health Development Operations Center. This is where all directions emanate with regards to health emergency responses within the region. A counterpart operating unit could also be found in other government agencies following the incident command system or the ICS. The ICS allows for interoperability of languages and applications across and between operation centers as it is anchored with the same operating system. This makes it relatively easier to identify responsible persons and their functions in the organization. Likewise, this eliminates duplication and uncertainties, unnecessary losses because of command, communication and control over the crisis. This harmonizes responses and coordinates activities for faster and more efficient delivery of necessary supplies and services. Technically, the operating procedure and activities rendered are present and based on available resources from the national to the local government as well as also from the partners and stakeholders. With the pouring of support and assistance from all concerned individuals and groups, it is imperative to have a system which directs all traffic and avoid confusion in an orderly stressful and chaos-filled environment. Next slide, please. However, all these activities do not necessarily equate to results dissimilar with theoretical explanation. The barometer will still be the actual condition of the end users or the recipients of the services. In this case, international standards on setting up evacuation centers provides all basic needs for displaced individuals and families including but not limited to harmful spacing, privacy, safety and security. And in times of COVID-19, the provisions are even higher. There are more things to consider like intensified infection control measures, strict enforcement of physical distancing, prompt identification and isolation of suspected cases, dedicated quarantine areas for recovery, et cetera, et cetera. And we want to prevent an outbreak within an outbreak. I mean, within a disaster such as water and vector-borne diseases, vaccine-preventable diseases or else, it would be a double-warmie for all of us. The current condition of displaced families and evacuation centers are far from the international standards. But we are surviving. It is our aspiration to provide the best assistance we could extend but we are tied up financially. You know that, no? Topong napakahirap yung napakalaking hamon para sa lahat ang pagkamet ng mga international standards. Now, working and living conditions under these challenging working and living conditions are additional burden. Not only for the responders and leaders, but more so for the victims. Nevertheless, the responders are doing best effort to deliver needed services for them. Ang karanasan na ito ay nagbigay ng pagkakataon para sa ating lahat upang mamulat at matuto. Kabilang sa aking napagtantu at naging inspiration kung bakit ang mga susunod na aking mababangit ay ganito. Kapag COVID, kapag ang COVID at sakunay ng tangpo kailangan natin bumuoh ng isang matatag na public health response. Ayaw ay kumikilos ngayon base sa health response plans bago pa man nagkaroon ng pandemia sa makatuhin. Kina kailangan, mayiangat ang planong ito upang maging atmak sa mga pangailangan ng pagkakataon. Sa tulong po ng IETF at NTF Resolutions na gingmas may fit at mayingat ang ating responde upang mapangalagaan ang kaligdasan ura ng ating respondents ikalawa ng mga victima ng sakunaan. Next slide please. Sabit na po. It's still may be a separate interim guideline at the moment but we are pushing for its actual incorporation of these precautionary measures to the revised health response plan. I hope for the creation of operational guidelines on dispanding to disasters in times of COVID-19. And this should include but not limited to one quad-cluster approach plus COVID framework yung PD-ITR plus vaccination. And then the National Patient Navigation and Reparal System there was a approved Exicom Resolution that asking for the issuance of the executive order dong isang ng Wednesday lang po ito para may palabas yung National Patient Navigation and Reparal System. Pangatlo, dedicated COVID-19 resources availability of PPEs, testing kits, complementary human resources for health, transplant vehicles and ambulances, quarantine areas, area for zoning, and things like that. At the same time, approval of the National EO of the National Patient Navigation and Reparal System na approved yung giving the authority to the regional directors and the chief of hospitals, medical center chief to procure or purchase transport vehicles and ambulances do. So magiging sana ho mga mga topa dito para maging magaroon po tatay nang dedicated vehicles for that. Number four, it was under my order, the FICT Wispin Order that says minimum number of days of health emergency response deployment for at least ten days because there were some responders before and during the audit na karoon po ng problema dahil tatlo apat na araw lang po na malagay ang atin ang responders and I was a little confused because para hindi ko po makita ang dahilan o kung ano ang kanila magagawa sa tatlo at apat na araw. So dapat mo magtatagal tayo sa isang lugar nakatutan doon dahil pinagaralan po yung mga replacement kung saan sila di deploy. And then, yung deployment of cadres are based on local needs. Pagtanongho tayo, bago tayo magpadala, magtatanong tayo anong kailangan nila mga cadres at yung hoang atinipunin at yung atinipabadala. More importantly, this compendium of policies and guidelines, protocols and procedures should be well appropriated. Er na huwata ito, usana magkaropa, well disseminated and well implemented with corresponding penalties for non-compliance. So next slide please. Hindi po had lang ang pandemia upang tugunan ang hinayig na tulong na mga baktima sa sakuna. Kailangan merong kamalayan sa nakambang panganip dulot-dulot nito upang maiwasan po natin ang pagkalat ng infection sa pamamagitan ng maagap at ang pagahanda. Pero po, gusto ko pangsanggutin yung tanong natin na may COVID na may bagyo pa paano na yung akimpo ang spasari lang sagot wag natin gawing dahilan ang COVID-19 ang maantala ang pagtuwan sa ekecto ng bagyo al kuwag rin po gawing dahilan ang bagyo wag natin gawing dahilan ang bagyo para lubala ang COVID-19. With that having said, I wish to thank you for your undivided attention and listening. It's always a humbling experience to be of service to you. Bapuhay po tayong lahat. Okay, thank you very much. That's undersecretary Okang dumama na ko napakawusay ng presentation niya at atinitig ng kulang yung mga larawan ng mga lugar na sa lanta talagang kahit na anong pagahanda ang gagawin pag ganong kalakasang bagyo talagang mahirap and I think you said dumama also showed us na ang daming kailangan isipin ang daming kailangan gawin sabay-sabay So kaw kang thank you so much for joining us. I know you have to go pero napaposalamat lang kami na napaunlakan mo kami maraming salamat mahamipo kami nakitang ang gulo na napakahirap din talagang response ng ang pamahala ang pag ganyan kalakas ang bagyo at ganyan katindi ang COVID. So thank you so much and more power to you kapatid. See you soon. Okay, we're going to our next speaker is an expert and well known in the international circles we're very proud of her when we think about UNICEF and Filipina making a mark in UNICEF isa lang yung may isip na may nanoy itong doctorang to na actually she was working in the WHO office for a while but she's been working in UNICEF and has been working on the area of child protection and we are very very happy to have with us someone who's very active in the response for not just COVID-19 but for Odette dahil marami pang bata ang natamaan ang sakin na sila po na sa mga evacuation center kamusta na po sila yung po ginagawa ng UNICEF na tumutulong po sa ating pamahalaan I'd like to welcome Dr. Mariela Castillo Yala, welcome to the webinar and please go ahead. Thank you, Susie. How's my audio? Okay naman. Very good. Yes, it's good. Thank you and and salamat yung introduction na hiyanaman ako. Magandang hapon po sa inyong lahat. I am sharing my screen. I hope you can see this. Slide show na ba? Yeah, it's good. You're good to go. You're good to go. Yala. I'm Dr. Yala Castillo. I am very pleased to share with you some stories from the field from the UNICEF lens. As you know, UNICEF started out as a humanitarian organization after World War II and actually 75th year na po ng UNICEF in the Philippines and as mentioned by Yusef Domama tuloy-tuloy talaga ang disasters and now we have disasters within disasters. So I'll share with you some stories from my colleagues who were out in the field in Karaga and Region 8, Southern Leyte. How is it to respond to an emergency in the midst of the COVID-19 pandemic? Ang nakikita nyo po ay isang scene from the port in Southern Leyte on the right hand side nakikita nyo yung Limasawa Island and the calm of the sea does not give you a hint of the destruction that Typhoon Odette with the international name Super Typhoon Rai wrought on Limasawa Island. So these stories are taken are shared by my colleagues from the different sections of UNICEF. Dahil Health is one of the major areas affected but nonetheless there are also other children's rights that are deprived of them especially in humanitarian situations and emergencies and I'd like to give credit to my colleague Dr. Mark Kiazon who is also a fellow UP Adumnus who helped me develop this presentation. So in the area that was hit by Typhoon Rai the UN OTSHA or the UN Office for the Coordination of Humanitarian Affairs was develop this humanitarian needs and priorities document. So in that area that Usik the Mama mentioned from region from region 13 Karaga up to region 4B or Mimaropa there were 16 million people in those affected areas and the projected number of people who are in need is around 2.4 million with the request of the Philippine Government through the NDRRMC for international assistance we have crafted this humanitarian needs and priorities that is supposed to target 840,000 people for assistance because these are those in the worst affected areas with a number of 70 mostly local based organizations because it's important to also enable and empower local based organizations for both response and recovery SO stands for strategic objectives so the assistance has three strategic objectives the very first is to save lives by providing immediate integrated humanitarian assistance after the immediate face comes the rebuilding so the second strategic objective is to restore livelihoods and access to critical services to promote the rapid recovery of the most affected communities and the last strategic objective is meant to address and advocate the specific needs of the most vulnerable subgroups these are the people based on gender age disability displacement and other vulnerability criteria so that they're protected against violence and have equal access to humanitarian aid without discrimination so the photos are the scenes taken from Limasawa Island in Southern Leyte I hope and for me this brings back memories of Typhoon Haiyan or Yolanda yung itong sa Southern Leyte Southern Leyte was actually spared by Typhoon Yolanda but the scenes are very similar yung mga coconut trees na talagang nakutol para nalang pensil at sya kaya yung mga all the houses completely destroyed and so the blue ones you see one of the immediate needs are really the need for tarpolines to serve as the temporary roof covering because as you know around the time of December 16-17 we also had some La Niña rains as well as the ongoing COVID-19 pandemic the path of depth crossed around 11 of the 17 regions just wanted to go over some numbers with you and if you see to the right of the number may rong arrow yung green arrow and that shows the trend because the extent of the damage when Yusek the mama alluded to this the extent of the damage was not evident at the beginning of the assessments and actually some of them are still ongoing not just the immediate effect of depth but the ongoing effects because the damage has been so extensive it affected access it affected roads and utilities so that there's secondary damage from the typhoon so there are 9.2 million people affected I'll just get my pointer and it's increasing to date there are 406 deaths 169,000 people are displaced from their homes but they are slowly returning to their homes there as of februar end of january there are only now 110,000 people inside evacuation centers and one observation of the team is that the evacuation centers actually just serve as tulugan because during the day occupancy of the evacuation centers is very low because the families go to their houses so that they can do some repairs or they go around to earn some money or get some food for the family there were 1.1 million damaged houses 420,000 destroyed houses and agricultural damage is estimated at 312,000,000 u.s. dollars while infrastructure damage is around $336,000,000 and rising just wanted to show here the path of typhoon o death on December 16,17 and also some scenes of the total destruction these are scenes from the Nagat Island we wanted to show this slide that compares typhoon Haiyan or Yolanda with super typhoon rye or o death definitely there were more people affected in typhoon Haiyan and in terms of displaced people there were more people displaced in typhoon Haiyan but the most interesting statistic for me on this table is the number of deaths and injuries we have learned our lesson from typhoon Haiyan in 2013 and the preemptive evacuation really worked there were 6,300 deaths in typhoon Haiyan with 1,000 missing and 28,000 injured but in super typhoon o death there were only 406 deaths still one death too many but definitely much much fewer compared to typhoon Haiyan 65 people missing and 1,300 injured I mentioned that the extent of the destruction is still is only becoming clear as more roads are cleared and access to the innermost parts of the affected areas are possible so in fact typhoon o death there are more houses damage compared to typhoon Haiyan and in terms of the number of municipalities affected hindi nagkakalayo yung dami mga bayan na naapektuhan ng typhoon Haiyan at ng typhoon o death you know that typhoon o death is the 2021's second deadliest disaster pumapangalawa lang ko yung sa Haiti earthquake so as mentioned in situations of extreme disaster the clusters are activated by government and so UNICEF is the co-lead in the nutrition cluster the the wash cluster child protection and the education cluster and these are some of the scenes of destruction that you can see from Dinagat Island so for nutrition this is co-lead by the National Nutrition Council and the target or the foreseen needs for nutrition are 133,800 children at risk of severe acute malnutrition there are identified needs for health for 2.4 million people the health cluster is led by the DOH and co-lead by the World Health Organization with support from UNICEF and the same number of persons identified to be in need of wash or water sanitation and hygiene services close to a million children in need of protection services not only are they displaced or separated from their families but they're also at risk of child abuse especially in areas with prolonged displacement and then education was of course disrupted with about 711,000 children in need of support for educations in emergency so for nutrition some of the immediate response needs are the provision of supply so tindaw namin life-saving nutritional commodities and supplies include ready-to-use therapeutic food and ready-to-use supplemental food there's provision of the age-appropriate and nutrient-rich complementary foods and diets for children 6 to 59 months as well as appropriate energy protein supplementation and the iron folic or multiple micronutrient supplements for pregnant women and breastfeeding mothers there were also actions to promote and support optimal infant and young child feeding practices or IYCF practices in emergencies including the implementation of EO51 or milk code this is the Philippine law that regulates the donation of milk of breast milk substitutes in emergencies because the use of these powdered milk in the context na there is not enough water sanitation and hygiene as well as cooking clean cooking supplies will actually lead to more diarrhea and more deaths among children and just as important is the dissemination of life-saving messages among the parents the caregivers of infant young children and adolescents and because we foresee that there will be more children who will be suffering from severe acute malnutrition there needs to be weekly there needs to be regular assessments or screening and surveillance for children pregnant and breastfeeding women and what you see on the screen is the use of the mid-upper arms your conference tool is a simple measurement that will screen for children at risk of severe at risk for already suffering from malnutrition so what are some of the adjustments that was made in this response because there was also a COVID-19 surge towards January at the end of December around the time that the response was being conducted music the mama earlier mentioned yung mga IATF measures for all the teams that are responding and in terms of the operational response it also means integrating infection prevention and control training or strengthening in all the activities the use of the mid-upper arms your conference measurement is favorable in emergencies to screen for malnutrition because the contact time with where the child is shorter and at the same time you can train families to do the Mewak measurements on their own next will be the response in health and we're showing you some of the temporary clinics that were set up on on Shargao Island specifically in Pilar so tents were provided to serve as access points for essential health services because as you said the mama reported there was complete destruction of the health centers and the barangay health stations on the island so not only that the tents set up to provide community and mobile health service delivery points there's also the need to augment the medicine and medical supplies in the affected communities and here's an important intervention for health assistance which is to support the strengthening of disease surveillance in emergency response there is normally activation of the disease surveillance especially for those that you will see in evacuation centers and among displaced population so ano yung mga sino surveillance surveillance for acute watery diarrhea na nangyari nang there was an outbreak of acute watery diarrhea in Shargao as well as in Surigao but here we now incorporate surveillance for COVID-19 one of the other essential actions is the support immunization there's supplemental and catch up immunization and the provision of appropriate information for culture and gender and age so that there can be improved practices for the prevention of COVID-19 for the prevention of COVID-19 we had to provide PPEs for both the communities and the frontline workers and the modular tents were provided and I'll show this to you in the next slide as well as training on infection prevention and control so aside from the for COVID-19 aside from the provision of PPE the tents also had to comply with both the need for physical distancing so usually there are 72 square meter or 42 square meter tents so actually there's a greater demand for the bigger size tents and also the tent design should also was also upgraded so that that it can withstand 200 kilometer wind speed and the picture below shows the modular tent we now we have the modular tents preposition so that those who are in evacuation centers can use the the modular tents for isolation as well as for privacy for disease surveillance and appropriate management there was a need to augment also the human resources for disease surveillance and especially taking into consideration that the most common cause for consultation are cough and colds after the disaster and in the context of COVID-19 that also needs to be appropriately reported and tested and this was a situation where the testing was limited or compromised in this area so the need to network so that the appropriate management of these patients can be conducted there's augmentation of health human resources we know that the frontline healthcare workers the barangay healthcare workers were themselves affected by the disaster there's a need for mental health and psychosocial support for the healthcare workers and frontliners there's a need to support the cold chain to maintain the integrity of the vaccine so in many of these areas there were also COVID vaccines that were in the area and that needed to be in the proper temperature so some of the support was mentioned earlier the provision of generator sets the fuel for the generator sets and for the future there was also provision of solar powered refrigerators and also the need for risk communication and community engagement because we need the support to communities to practice infection prevention and control wash is an important support in disasters and emergencies because the lack of potable water increases the risk so UNICEF delivered water treatment solutions gerrycans hygiene and dignity kits for families most affected in Denagat Island as well as in Southern Leyte so you can see here the distribution of these supplies this is the one in South Leyte Provincial Health Office in Maasin and this is distribution of the supplies in Shargauport and in the DOH Karaga office I won't go over the list and you can just read it yourself I'm moving on to the next slide which is some of the COVID-19 adjustments or considerations when we responded to the need for wash and that is the inclusion of the COVID-19 disinfection kits among the supplies that are provided to institutions the family hygiene kits that used to contain soul, toothpaste, toothbrush et cetera now contain COVID-19 add-ons and these include masks both for children and adults alcohol, hand rub and materials for surface cleaning and disinfection and in the messaging there's an important we emphasize the importance of hand washing to prevent COVID-19 there were many schools that were completely destroyed or partially destroyed but at the same time the schools were also reduced as evacuation centers so there's approximately 711,000 children in need of education in emergency support so some of the response activities included the provision of temporary learning spaces and that means also the tents we also the store typhoon Odette also destroyed all the school materials and modules so there's also the provision of the school in a box learner kits and other kits for learning there was training conducted for teachers and daycare workers on education in emergency as well as awareness racing activities on education continuity and school reopening and then also mobilizing the community so that they can help strengthen they can help prepare for school reopening so some of the COVID-19 adjustments that were made were the incorporation of the infection prevention and control measures for learning spaces ensuring that there was PPE available there's physical distancing there's good ventilation in the tents and availability of the hand hygiene equipment as well as helping the schools and the district offices for the return to school and the school reopening then lastly there was support for child protection you know this is a very devastating event and there was a lot of stress and fear and anxiety and trauma so some of the support included the implementation of the child friendly spaces and there's a protocol for the child friendly spaces that was developed by the child protection cluster led by DSWD there's provision mental health and psychosocial support to the affected girls boys parents and caregivers orientation on psychological first aid and other MHPSS interventions for both families and community members and activation and implementation of the SOPs for the continuity of child protection services and that means empowering women and child protection units in the area and other child protection service providers to provide these services so just to show you some of the interventions this is not in in typhoon affected areas but just this was in the typhoon Rolly Ulysses area so this is what happens in the child friendly spaces so there's trained community and youth volunteers to conduct MHPSS activities for the children in the child friendly spaces also had to comply with the physical distancing as well as the ventilation requirements to prevent the spread of COVID-19 so our adjustments made include ensuring the incorporation of these ITC measures in the child friendly spaces some of the activities to bring child friendly spaces to the communities had to be done in smaller groups so it had to be done either modular or mobile because there were restrictions to the number of people that could be gathered because of the COVID-19 IATF rules and certainly there's a heightened need for mental health and psychosocial support and protection services due to the prolonged confinement of children during COVID-19 so all in all the response considered adherence to the protocols and guidelines by providing PPE to both beneficiaries and non beneficiaries meaning the responders we had to comply with the current IATF protocols on requirements protocols and requirements on movement there's need to limit face-to-face activities so that we can manage the risk of infection and then we needed to support the application of ITC measures in evacuation centers and in the communities and we saw the need to prepare evacuation centers apart from the schools and TTM TTMFs those are the temporary treatment and monitoring facilities so apologies for going over my time limit that's that's my sharing of stories from the field Maraming salamat po sa inyong pakikining Thank you so much Dr. Ayela for your stories from the field it's something that we don't get to hear much of every day and hopefully that's something that resonates with each of our audience members Dr. Susie Yes, it's good I said I think for both of the presentations we have eye-opener and many adjustments that we need to do because of COVID it's hard to respond to displacement but it's good to see social distancing may physical distancing and all of that but eye-opener thank you very much it was an excellent presentation Thank you Raymond, over to you Thank you Dr. Susie and for our last speaker po he'll be giving a talk His specialty is in emergency medicine also one of the professors at the College of Public Health the Department of Health Policy and Administration please welcome again to the webinar Dr. Carlos Gondran Dr. Charlie Good afternoon everyone Thank you Raymond for that introduction Can I share my screen now? Go ahead sir Good afternoon again everyone Nakita po natin Very colorful yung presentation ng ni Dr. Dumanat ni Dr. Epilio regarding the response during Odette in spite of the COVID pandemic and makikita natin yung hirap makikita natin yung yung uniqueness ng kanilang maginagawa and sinangan natin po kay natin explain so we have to accept the fact that sometimes we can't prevent an incident from occurring that would lead to a disaster hindi hindi natin po hindi nagsabihin sa lindol na waka lindol hindi natin po hindi dahil meron pa kaming COVID ang incident mangyari hindi natin sa pwedeng pagbawalan so despite na meron COVID pandemic hindi ito dahil hindi ito magiging deterence para hindi bumagyo para hindi lindol or hindi man or hindi ito dahilan para hindi mangyari ang ibang hazard incident from taking place isa pang laking fact about this na wipe out yung mga health facilities sa mga dinaman niyang area sa lugar so balikan udit gusto ko kasi emphasize pag alam natin yung problema alam natin ko yung solution so kailangan natin i-define again ang disaster ano nga bang disaster para maayit ng ating dispass again ito ay isang incident na nang interrupt ang activities sa isang community diba like for example may bagyo wala pato ang normal na gawain our activities sa isang community kapos hindi kami tatapus doon para maging disaster ang isang incident dapat hindi natin kaya di ba ito situation when in the COVID mechanism nang sayang mong kaya mo hindi disaster yung emergency situation lang yan di ba incidentin o siya disaster isang incident na hindi mong kaya ngayon pag na-indendiam may pangalawang aspeto hindi mong kaya paano kumakabangon kung hindi mong kaya kailangan mo humihin ang tulog external assistance is required to recover so alam na natin ang disaster isang incidentin ang di natin kaya para tayong makapangon hinangan natin humihin ang tulog so kaya importante in disaster management isang tutuluan tayo ang kumakikita ninyo di ba tumutulong ang UNICEF tumutulong hindi nga kaya nung nasalantang humihin makabangon on their own immediately tapos mayropang dalawang karakteristikang disaster na gusto kung may-intindihan ninyo nalaman natin hindi mong kaya so may mismatch mas malaki ang problema kaya sa kakakasitan kung baga ang kalaban natin sa disaster ay higanti lang ito winawaki what tayo ng higante wala tayong kalaban lahat tayong magandang intention atis sa disaster kaya na kumintan pag nagkakinyakan niya tayong response hindi nagiging effective ang response natin lalulang tayong akadagdag sa aguluhan kung baga limited na ngayon resources natin hindi pa natin na iididistribute ng maayos so yan ang ibig sa basic tayo magandaman na hangarin mo ikusung tubulong gagawin ko ang gusto kung gawin pero in the big picture hindi siya actually maganda nag-aad siya sa chaos which is our characteristic of disaster may smart and chaos and na mention ni Dr. Dumaya kanina na importantin yung kumal co-ordination at saka yung control para masagot ang chaos para makero na order kiba so paano yung pangalawa actually ang tina kaya importante paano natin masasagot yung chaos chaos dapat lagyan mo na order paano ka magyakaroon na order napat mayroong incident command system o tinatawag natin gubyas nang sinusulod na mga patas o patakaran and para ma-address ito ang latest republic app natin is sa 10121 sino ba ang in charge sa pag-response at co-ordinate ng mga response to disaster which is the NDRMC the main co-ordinating agency incident command o siya yung lead agency magkaroon tayo ng order so ang ibig sabi ito chain lead siya yung pinaka in charge pero under NDRMC sino ba ang in charge sa response PSWD sino ang in charge sa prevention and mitigation DOSD sino in charge sa rehabilitation recovery NEDA so nero mga vice chair sa bawat systematic areas na magiging in charge and so titig na natin sino ba yung mga members ng NDRMC ang dito yung DOH member DNR agriculture education lahat actually natin ay lahat tayo importance in the response like for example gang pandemic although ang in charge ang expert dito is secretary of health yung DOH pero kailangan mo lahat lahat ng agencies to health department of transportation yung law and order yung military lahat yung importante agriculture kasi lahat tayo nga kainin diba so kailangan kasi coordinated tayo lahat hindi tayo nga kainin kanya so mga to address ba kayo kailangan natin ang incident o man sa batasong tilikina R.A.121 ang in charge actually during the response sa disaster is NDRMC pero mayro siya mga different systematic areas na nagiging and depending anong classic incident yun yung gagawin parang try team force no like for example yun ang IATF advisory ang ang medical or the DOH so that's it okay surveillance pag geophysical pivo pag hydro vitrological pag asa terrorism ASP epidemic or pandemic DOH civil disturbance CNP pag investigation department of agriculture so in the big picture diba lahat hindi ko contribute meron tayong supposedly structure so that goes with the big picture the national picture ngayon we have in UP UP Resilience Institute meron programs and functions concerning multi hazard multidisciplinary multi-sectoral compressive disaster risk reduction in management so ginawa siya in response to climate change pero late ni kate hindi lang actually hindi lang preparedness sa akadim lately nag-re-respond na rin ang UPRI sa dito sa mga disasters like for example itong udit nag-respond dito ang UPRI hindi lang naiiwan sa akadim ang Resilience Institute ngayon na pibilitan na rin tilang responsible response bakit niya ating problema nating disasters kulang we need all the resources we need so UP Manila branch naman UPRI lahat ng campus makina niya kanyang speciality ang culture lahat yan may DRR now in terms of health na DRR ang in charge yung UP Manila in UP Manila we have researches and stimulation exercise na related to disaster in health in the UP Manila DRN Center see you next Health Emergency Management Bureau eto yung sabi ni ang DOH ang response agency niya in disaster is the HEM HEM Health Emergency Management Bureau acta sa DOH Coordinating Unit and Operation Center for all health emergencies and disasters as well as incidents with the potential for becoming an emergency and coordinating that mobilization and sharing of resources so kung pula ka ng hospital pula ka na supplies pula ka na dosor anong kailangan related ang bagsak natang hospital mo sino ang mag ko coordinate nyan siyempre yung HEM na for DOH so eto yung response agency ng ng DOH so if you want to coordinate remember according to structure para meron tayong order the government DOH babagsap babagsap to DOH yung HEM now gusto ko lang ilagdag din ang mga hospital natin should be last building standing after disaster and makitita natin ito sa safe hospitals ng WHO na inadapti ng Filipinas so anong vision to protect the lives and health of people from emergency and disasters continuing to provide healthcare services in kinds of emergency and disaster so dapat continue to function ang hospitals natin even after every disaster maging maging bagyoyan maging pandemic so dapat maging malakasalindol so dapat ang mga hospitals natin resilient siya na kaya ang impact ang isang disaster dapat makakabangulis at magpapaturi ang kanyang service sa mga mayan natin so yan ang dictum safe hospitals hospital should be the last building standing after a disaster may impact din ang hospital sa saiki na isang community pag alam mong nero pa-hospital di ba may hope may hope yung mga taos no so yan din ang isang din ang isang purpose kaya dapat magpapangulis ang hospital after a disaster and nero tayong guidelines from who and nero di tayong local guidelines natin ang indicator so anong sinasabi sa safe hospital a safe hospital will not be left in disaster will be able to continue to function and provide medical services will be organized to condition at transit phase and help personal to keep the network operation so anong example natin sa Typhoon Odess na wipe out ang ating mga hospitals so dapat siguro gerebuild natin mga hospitals to comply with the safe hospital standards na para hindi na ito mong eri sa susurud na disaster kasi mangyari ulit yung bagi o sa Philippines especially sa Philippines and kung titing na natin may room so mag-download nyo actually online na i-publish na December 2060 pa actually kung gusto nyan i-check in yung hospitals kung it would be able to withstand earthquake at saka yung strong wind nandito yung mga nandito yung indicators if you want to rebuild your hospitals better to be able to comply with the safe hospitals para mag-function ko ayon I would also like to add nyo meron kasing H.A.204 to C.P.H. sa M.H.A. Master's in Hospital Administration meron H.A.204 na ang title is Hospital Planning, Design and Maintenance nyo and the Hospital Planning, Design and Maintenance we talked about everything on how to build a hospital where to build the hospital pa adi yung form nya what is the best way to do it sa ang maganda yung mga donings kasi na sinasabi pero I would like to focus on three that is related to disaster lecture number three which discusses hospital designs for the new normal so it already took into consideration ano ba yung adaptations mo sa new normal which is meron silang five main parts which is number one clean room design nyo you regulate the concentration levels of airborne parts through temperature, pressure and humidity control number two healthy room design design and function to facilitate hygienic practices so yung mga hand-washing patients yung mga alcohol yung mga yung mga sa usawa ng faa na disinfectant ang mga pumasok ng room number three expandability modification of spaces to accommodate patients during surge like for example gagamitin mo yung isang room para maging additional er o yung hallway selectability modification of the use of space like for example yung parking space gagawin mo yung additional COVID word siguro and number five automation automation is ways and means to reduce human interaction like for example telemedicine para wala yung face-to-face interaction yung possible transmission ng virus or yung mga BT monitor or yung mga pagbuhan of temperature automatic na nakabikit na para yung inalapitan ng healthcare providers so these are added design for hospitals to face the normal lecture 11 about heart safety naman and then lecture 12 again yung sinabig ko kanina which is safe hospitals now maganda din yung dinistep niya Dr. Ella Kanina in response ng UNICEF napaka comprehensive napaka disciplinado napakaganda and to titig na natin kung gusto yung gaya yung karilang response actually merong dictation or merong mga guidelines at SIR SIR SIR guidelines humanitarian charter and minimum standards in humanitarian response on how to respond mainly in a disaster so basically kung camp management merong ka mga iba ko is din yu discuss ito ano ba yung tamang water sanitization ano yung important food and non food item paanin vector control paanin vaccination and your medical treatment so if you want to see the principles kung bakit ganoon mag-response ang UNICEF and gusto yung gaya actually dito yung makintiktain basic guidelines yung download nilang SIR guidelines yung latest and for example dito the ideal space requirements per person in a evacuation camp is an area about 3.5 square meters so hindi pwede yung sobrang congested actually mas magandang nga yung pinakitan yung docela kanina na modular na yung mga yung mga sense nero ka ng privacy dati kasi hindi ganoon now you have to you have to consider again the new normal so mas malaki sa ngayon in space water requirements so survival 2.5 to 3 liters per day pag manili ko ka another 2 to 6 liters per day isama mo pa yung pagluluto mo an additional of 3 to 6 liters per day so total basic water consumption per evacue mo is sata 7.5 liters to 15 liters so kung merokang 300 people i-multipline mo lang sa 7.5 to 15 liters e to yung requirements mo for water gusto mo mong portable water lang consumption na sa 2.5 to 3 ang computation mo so makikita may to sa SIR guidelines pwede yung 118 sanitation binibigakan na rin na computation excret na ganoon para ming duming per person per day pinasabi na ito 1 to 2 liters per person per day or 40 to 19 liters per person per year so solid waste generation kung tatapong ka na maru matura sa 0.5 kilograms per day per person so important thing water and sanitation sanitation kasi kung maduming paligit mo di ba nag-invite ka din na sakin yan dinidictate din ilang ba yung dapat number of toilets so one toilet for every 50% pag-communal of course medium and long term dapat one toilet for 20% food and nutrition dinidictate din nidok e la kanina important in nutrition kasi maraming malnourished so peroong peroong definition ng acute malnutrition moderate malnutrition severe malnutrition so depende sa measurement and then meron ka din nutritional guideline for this so pinasabi din ano ba ang dapat na re-received ng isang tao per day in an evacuation ka in terms of energy na sa 2100 calories in terms of protein na sa 53 grams per day and so on and so forth vitamins and minerals and also micronutrients actually kasi magad for vaccinations kailangan may vaccination for that diseases without great potential like and kasama na rin yung ang COVID vitamin A at dpt so important din ang vaccination evacuation area dahil kung di asin na mga tao madali yung hawa ang transmission of communicable disease more so kung COVID medical treatment ilan na dapat community health workers for 1000 people dapat meron kung 1 to 2 birth attended by personnel so every month standards na din for medical treatment na nang maghikitanin sa spear guideline so moving forward we have to incorporate na yung normal in the response in the response in evacuation center so dati nilang sa spear guideline makahirap na yun e dahil kailang mo itaking po consideration yung normal yung dili sa si Dr. Dumana kailin na yung BIDA yung BDIPR tapos iado pangayin yung vaccination against COVID we have to build and rebuild hospitals following the safe hospital guidelines and designs for the new normal hte maghikitan natin at H2O4 so kung nasira ang mga hospitals silangan yung sigurong i-rebuild ito build back better ikanga natin and tingnan yung safe hospitals guide or yung Philippine indicators yung hospitals para mas resilient na ang hospitalin para next time your hospital or your healthcare facility will be the last building standing after disaster and alam natin ang characteristics ang disaster ang mas pinakamabigat na problema is yung chaos so merong value of coordination and in coordination may value ang communication dapat nabutap tayo yung ang gift ni Dr. Ena yung risk communication at si Dr. Dumana and we have to support our transliners and eventually siguro ang best investment natin dito is to educate the community so simulan natin sa bata malaking investment siya, matagal investment siya kasi pagtamatanda mahirap nang baguhin yung behavior nyan pero pag bata kaya mong pangkimood yan katulad na ginagawa nila sa Japan bata pa lang ginigitipit na nila kaya pagdating ng emergency sila kumilot hindi na gagawang kumitila pag pinapakina so I think yun lang po ang reaction for today and these are my references yung hospital emergency or R.A.101 B.P.R.I. safe hospital and yung Philippine indicator and then H.A.204 hospital timing design and maintenance and yung sphere guidance so with this I thank you very much for listening and I return back sa control of the to you thank you very much thank you Dr. Charlie thank you also for introducing our disaster risk reduction and management for health na nicer project po of which you lead thank you so much we will now be asking our all of our speakers po to open up their cameras but before that we have our public service announcement over to you TVUP Mahalagang lakad na ito sigasin ka ba? siyempre Mahal ba si Commander? Mahal na Mahal Pare, Mahal mo ba ako? O naman ano Mahal ba ba ang tropa? O ba Karana, magpapakuna na tayo dahil mahal ko kayo magpapapakuna ako thank you TVUP the COVID communication public service announcement is one of the many outputs of the UP research and title communicating COVID-19 in post quarantine Philippines it's headed by UP vice president for public affairs Dr. Lena Perna and funded by the DOSD-PCRCRD and the Department of Health through the AHEAD HSPR project Dr. Suzie thank you very much Raymond thank you very much Charlie I really also enjoyed your presentation maganda yung definition mo ang disaster nakalimutan natin ay ang asya disaster kasi patihing help workers dun sa lugar na yun ay nasisira ang bahay nila nasasalantahas sila no and so sometimes people are quick to judge and say na kasi hindi tama ang paganda na ko pagano naman kalakas ang bagyo panong gagawin natin no so anyway I wanted to start this discussion a little bit by asking Dr. Nanyagas kasi ito si Johnny magusek for hospitals ng director ng PGH at ano ito trained ng armed forces sa disaster response when we look at it I think the difference between what we faced in the 90s and what we're facing now is of course not just COVID but also climate change and so I think my question for the three of you you give really good presentations what is how how do we how do we respond so that we're not overwhelmed kasi it's overwhelming pagtining namin yung sa op yung dami ng kailangan gawin pero ba tayong hindi ma-overwhelm nyan so I think I'll start with Johnny parang in your view and you can see from your many years of work in the health sector what works what doesn't work but now we have what works what doesn't work and more trouble so how do we respond so that we're not overwhelmed kasi we cannot help but feel na ang hilap naman kaya ngayon tayo tele paano na ba tiba what do we do so that we're not overwhelmed siya Johnny ko muna people might find it radical or parang too much but I was looking at our history like yung high and happened before 5,000 people died 100 years ago same spot but then we built in the same spot now so I was thinking that maybe it may be time especially with climate change to start relocating our communities look at Indonesia they're transferring their capital away from Jakarta if you're going to think about the next 2050 100 years from now for the Philippines I think it's time to think of more parang strategic thinking na magbibigay sa ating mga tao na part of the resiliency parang kung sa prevention tayo bakit pupunta sa response if you can prevent sa aking parang ganoon but that takes a lot of thinking and action parang strong leadership I agree with you Johnny sa climate change commission kasi pinag-usapan the actual distance of communities from this coastal areas and 70% of our people live in coastal areas should be about 2 km parang ganoon kalayo dapat yung tinitirahan ng tao kasi ang nangyayari ayun nga chaka yung mga lugar na binabahan sa salanta hindi na dapat pinababalik ng mga tao doan pero ang nangyayari naman yung mga tao kosang bumabalik but then I don't take that as an excuse because I recall pagpumutokang bulkang mayon maraming na mamatay pero na tutunan natin na pwede tayong gumawa ng ng zone na wala talagang titiradon para wala talagang mamatay zero deaths I don't know Charlie what is your thinking on this? Noxusi kasi hindi talaga natin mapipigilan yung mga tao mas kinasabihin natin na bagi na yan binahan na yan ng lahar bumabalik pa rin yung mga tao kasi binyong kabuhaya nila and then begin nga natin sila ng alternate community pag wala naman lifeline wala nang trabaho wala sila kabuhayan wala nang tubit kumaalis din sila doan bumabalik din sila doon sa pinanggalinga nilang delicato dahil natin ay kabuhaya nila mahirap na problem ngayon at saka isa pa ngayon kasi hindi na katulad ng 100 years ago na hindi ganong kaka pa yung population natin pag binagiyo binubuhat yung bahay para ilimgay sa bayanihan para ilimgay sa lugar na hindi dinabagiyo pero hindi mo na pweting doi nyo paginoha mo yung yung water kailang mas agar na din po kasi madaming tao sa mundo nagaagawa na tayo sa space ang saan yung space na may kabuhayan tayo saan tayo nagsisiksikan which is kaya nakakaraw na congestion kaya nakakaraw nang pagkanakaraw ng hazard or nakaraw na incident eh maraming na mama tayo so hindi ko rin alam kung pano natin sa solution na nito eh ang laki-laki ng space available sa Pilipinas pero hindi naman natin madistribute ang ang population natin evenly kasi may makupunta sa liblib na lugar makigat na tanong actually and for me Overwhelming ba na overwhelm ka sa tanong Yala what do you think tingnan natin si Yala Overwhelming na but let me just on more practical aspect so number one when I was preparing for this lecture meron naman talaga ng regulation Philippine policy on the no-build zones and as Charlie said it will take political will especially that the response will be will be very localized so it's LGU level political will and for national government and also organizations that support LGUs to enable the LGUs to implement these policies pero on a more practical note from the health side pano tayong di ma-overwhelm yung parating natin sinasabi pa from typhoon Yolanda yung build back better ang concrete example kod kasi dyan yung maintaining the cold chain yung mga refrigerators na bakuna para hindi mapanis kapag nawalan ng kuriante so there are many things you can do you can get solar powered refrigerators you can get solar as a source of power yun ay talagang ma-harvest natin sa philippine but please require investment and also part of the long-term planning will be the networking we've seen this in this response and even in typhoon Yolanda yung mag-mobilize sila mag-transfer sila ng mga bakuna to an area that has electricity or to a facility that has a generator so if that is something planned beforehand then it's something that can add to the resiliency of the health system we also mentioned parang partner or twinning of areas and use it the mama alluded to this yung kapag nakulangan ng healthcare workers lahat sila apictado in one region then there's an identified region that can back up usually region five ang pinakahanda dahil na sanay na sanay sila sa hasang hasa sila dahil sa pagsabog ng gulkanda pa at sabagyo so they're the ones that are really mobilized to be on the ground within 24 hours to support another hospital well so yon preparedness is really one way to do it over thank you Yella I'm gonna go back to Dr. Nanyag there's no Johnny yung twinning ng bang hospital ay nung 1990s kinagawa na natin yon di ba there was the government hospitals known and even the some private hospitals agreed on even the sharing of equipment and personnel during disasters because when they have facilities overwhelmed even each equipment is overwhelmed but I don't know this is now formalized as in everybody knows where to go and what equipment can be loaned or lent I remember we were loaning a lot of for example oxygen regulators kasi na ubusan yung ipa so yung mga ganun madali but I also mentioned before yung administrative changes kasi for example there was a time we were going to be called because of an eruption by Mayod hindi pa na kami makalis kasi wala sa aming merong capacity to handle money so we had to get someone from finance kasi may mga bandyan who had to be banded to be able to handle the finances of that group so those are small things that I think can be low hanging fruits that can be handled by local government and the national national agencies that help them yung design of hospitals and eventually Charlie I think there's an architectural group that's volunteering to help in designing hospitals but even the choice of where the hospitals should be should be carefully studied because sometimes our hospitals are located in a site that must be donated by someone so wala silang choice so maybe it's about time that we study what would be the best local for a hospital so that even with a typhoon with a disaster with an earthquake they will not be devastated Thanks a lot I mean parang this webinar really opened opened our eyes to so many facets maraming ang guloin pati yung cold jain parang pag naisip mo wala ng kuryente wala ng kuryente ay paano yung natang bakuna ng COVID-19 nandon kaya sinasabi na sige solar panel natin yan parang I think there's like low hanging low lying fruit the things we can do immediately but I do agree with you Doctor Nanyagas na because we are so disaster prone and because the sea level rise in the Philippines is four times that of the world hindi na po yung patumpik tumpik lang tayo eh we really need to the losses for Odette was in billions I think I don't know what was I reading 300 billion pa or something like that parang ano nangay parang rumuluhod na tayo dahil sa COVID-19 binabagyo pa tayo na so I think even through this little webinar we start talking about it but I think some drastic drastic measures are needed and then of course for our frontliners we're all watching ano rin eh parang at the level ng pamilya nyo dapat meron din kayong mga plano parang ano yung meron tayong mga earthquake drill eh siguro kailangan meron tayong drill ng bagyo with COVID yung parang ganoan complicated na yung yung drill natin anyway Raymond over to you Thank you doctor Susie we have one question actually I just saw in the Q&A that we have Roy Bisco from Business Mirror but we're still waiting for his question to come in we have a question coming in po from BGH the question is since we are regularly in the path of typhoons what measures are in place to prevent infection outbreak in evacuation centers are the three C's that help hasten transmission of infection are being addressed such as crowding, close contact settings and confined and enclosed spaces with poor ventilation okay who wants to take that up maybe let's ask doctor Riela oh Riela yata yan ay thank you sir um there's a similar question pa doon sa Q&A kasi yung tanong how do we insure and then yung isa naman is will we continue COVID vaccination um actually yung sagot will be the same the observation of the minimum public health standards yung own distancing wearing of mask and then there are maneuvers like yung fixing the scheduling so that the vaccination centers will not be will be able to manage the food traffic and all that so um we also regularly participate in the national vaccination operation center meetings or the end book and we know that um that the resumption of the COVID vaccination in the or death affected areas is really a priority kasi nga inuunahan natin na na dumami pa sa Omicron and um for the um the question related to evacuation centers I hope I mentioned it already that there are already um existing guidelines and I think um music the mama also mentioned this in his slides yung um guidelines for the prevention of COVID aligned with the PDITR strategy for evacuation centers over okay thank you very much Shiela ay nako Raymond wala na tayong oras I think we'll have to we will have to start wrapping up but I'd like to thank all of our speakers we're going to give you a couple of minutes to um think through a parting message for audience many of war frontiners but before that Raymond let's answer a fun quiz tignan nating kontama ang sabot ng mga online community and we have that on the screen okay can we also have the mentee on the screen okay thank you so we have two questions po just like our previous webinars first question here it reads which of the following need to be reviewed and updated for disaster response and rebuilding when there is a COVID surge and a disaster such as flood, earthquake at the same time we have nine options there are nine options so alin po dito ang mga tamang kasagutan let's ask Dr. Charlie for this question thank you Raymond which of the following need to be reviewed and updated actually I think all of them okay thank you thank you Dr. Charlie for the benefit of those who are outside of zoom like facebook and youtube ang top answer po at least for the zoom one 76% chose water sanitation and hygiene facilities that's followed by parayopo ito mental health and psychosocial support and ventilation ah sorry may physical space pala just above that very very slightly dito po sa mentee ang pinaka ganon din po ang most chosen po na answer po water sanitation and hygiene facilities there are three na 11% which is ventilation mental health and psychosocial support and communication lines po for our second question our second question reads what are the different lines of coordination in disaster response ganon din po Dr. Charlie okay lines of coordination nakita naman natin na ang RA-1-1-2 ang di ba ang chain of command mayroong line of command and din siya praying communication na rin mayroong timeline sa communication and all of this actually part of that chain of command that incident command okay thank you so much Dr. Gundran over to you Dr. Susie okay thank you so much so we are now going to ask our panelists are we going to evaluate mo na Raymond parang nalito nang po evaluate okay we'll open the evaluation before so okay so we would like to ask you to evaluate Raymond go ahead this is yours the the five questions po for this webinar on COVID-19 na may bagyo pa pano na or as follows and we're using a four point likeered skill po number one the palace demonstrate the thorough knowledge of the topic number two the palace were well prepared and organized number three the panelists spoke clearly and audibly number four the palace use appropriate language technical medical jargon adequately explained and number five the palace contributed new perspectives and knowledge on managing various key COVID-19 health issues Dr. Susie mukang okay naman ngayon na na na mamatay-matay ulit na we'll just keep it on we'll keep it on okay so let's go to our panelists and ask them for their parting words for us we're going to start of course with Charlie Dr. Charlie Bundran Charlie Bundran again I emphasize ang disaster isang incident na hindi natin kaya na importanit po na tayo ay sa tukulungan importanting ma-recognize natin na kailangan natin hindi ng tulog and kailangan natin main tindihan na dapat tayo lahat natin tukulungan hindi nagpapagalingan or nag-away-away so yung posiguro yung pinaka-message in disaster cooperation collaboration and communication thank you very much that's Dr. Charlie Bundran or do you think other to public health yalla go ahead thank you first is that from my from our learnings and our experience we really have all the needed most of the needed policies in place we really need to do a better job of one disseminating down to the barangay local government levels these policies that exist and these are the guidelines that are also life-saving and then the second that it's the disaster and the response does not occur in isolation and so the importance of the multi-sectoral response but from the UNICEF side I also have a special message a shout out that schools should be the last to close and the first to reopen COVID or disaster they really mean a lot for children both for safety and for development thank you thank you very much that's Dr. Yala Castillo of UNICEF okay our final message is from Yusek and former PGH director Johnny Nanyagas Johnny go ahead yes I've learned a lot from the discussions here but the last statement by our speakers I think bring home the point that everyone should work together it's a coordination even in just the government agencies that respond to disasters overwhelming and damage so it has been mentioned that command control communication I think is very important and should be continued even when there is no disaster to ensure that it works during disasters okay thank you very much that's Dr. Johnny Nanyagas and I think now we're going to I'd like to thank everyone first of all and we're going to have a brief summary by the Chancellor of UT Manila Dr. Manchit Padelya Manchit Magandang hapon po sa inyong lahat former DUH Undersecretary and former PGH director Johnny Nanyagas opened today's webinar and Dr. Johnny said that disaster preparedness is not a new topic since the Philippines is a victim of disasters for decades and way back in the 90s he recalls that a DUH program called stop death addressing disasters in the country was already put in place and as a matter of fact this led to the development of the Bureau of Emergency Medicine rather Bureau of Emergency Management Dr. Johnny in his master's studies realized in his species that indeed there was the urgent need to review the task and roles of health of the health sector both government and the private sector and indeed there was a glaring lack of understanding of dealing with bioturbism and other disasters and there was a lack of facilities to support disasters in general so with Typhoon Odette he said we should learn to deal with disasters better because we are dealing with a disaster in the midst of the COVID-19 and this is an excellent opportunity to review communication logistics command and control and indeed we also realize with Typhoon Odette that the evacuation centers are likewise victims Dr. Johnny ended by saying that we need a more farsighted view of the future to plan better referring to better designs of disaster prone areas and a more definitive responsibility for the armed forces of the Philippines our first speaker is Yusef Oka Domama who said that we survived Odette because with the whole of nation whole of government and whole of society approach in the midst of the Typhoon Disaster Yusef Domama reminded us the importance of public health standards together with vaccination as primary measures since COVID-19 is still in the midst so he said remember the slogans be the solution and rest bakuna Yusef Domama said the government is doing its best to attain international benchmarks or standards on the successful response but it has been very challenging so alami to quote Yusef Domama on his comments on the impact of Odette he said mamulat at batuto kapag ang COVID at sakuna at sakuna ay nagtapo dapat mas patatag ang public health response dapat iangat ang pag-respond para nakakama ang response Yusef Domama is hoping that soon the operational guidelines response during COVID-19 will be signed and approved and the summary slide of this talk actually gives the highlights the first is the quad-cluster approach plus COVID framework plus vaccination number two is the national patient navigation system number three is the dedicated 19 COVID-19 resources and that means availability of PPS testing kits complimentary human resources for health transport this vehicles and ambulances and the isolation and quarantine areas as well as the area zoning number four is the minimum number of days of the health response emergency response deployment for at least five for at least 10 days and the last is a deployment of the cadres based on local needs so at the end you've got the national response the regional response the provisional provisional provisional response but we have to listen to the ground and that will be the local one so Yusef Domama ended by saying wag gawing dahilan ang COVID-19 sa pag-responde sa pag-yo at wag gawing dahilan ng pag-yo sa pag-calat ang COVID-19 our next speaker is Dr. Yala Castillo who shared stories on how to respond to a disaster in the midst of a COVID-19 pandemic and a colorful storage center on the following strategic objectives of Yusef the first is save lives by providing immediate integrated humanitarian assistance and protection to those in the most urgent need the second is to restore livelihoods and access to official services to promote the rapid recovery so in other words help does not end with the immediate response you've got to look beyond and look at the livelihood because they have to go back and continue living and the third one is to address and advocate the specific needs of groups of people based on gender age, disability, displacement or vulnerability criteria now the only thing I'll mention will be the responses that she mentioned on top of the usual disaster response because she said that the Yusef had to had to come up in COVID-19 and just allow me just to mention some of them and you have to go back and watch the replay the first is the integration of infection prevention and control in the training activities and highlighting the children is the use of the mid-upper-arp circumference measurements in screening for malnutrition because this is actually a quicker way and will entail minimal contact with the children the fourth is the disease surveillance among evacuation centers to include watery diarrhea on top of COVID-19 and what was interesting were the tents the tents had to comply with distancing the tents were upgraded to withstand the 240 wind speed and one thing that I the two things that she mentioned that I think we always forget is the cold chain the cold chain for the vaccines not only for COVID-19 but the regular vaccines of the children because we we do have to provide the generators and she did mention the use of solar powered generators as we talk about immediate response of course we have to talk about the need for mental and psychosocial support and the need for the distribution of clean water and maybe the last one that I'll mention is that in addition to the usual kids that they're giving now their kids contain actually COVID-19 materials that they need the mask and the alcohol that I needed I'd like to make a special mention to the attention to the children because maybe that's the highlight of UNICEF giving a focus on children because recovery will take time and we need to ensure that children receive their immunizations on schedule we have to make sure that we provide the child-friendly spaces that comply with the ventilation requirements and distancing and as she said the school may should be the first to reopen because life is to go on for the children so one last point I do want to mention about psychosocial support is that the psychosocial support is not limited to the adults it actually involves the whole community and that means the families the community the children and those responding to the disasters so she did give a summary of the things that she mentioned and I'd like you to go back to the replay because it would be best to look at our colorful pictures as she talks about the summary of her recommendations Allow me now to give the summary for Dr. Gundran who started by saying that we have to accept the fact that sometimes we cannot prevent an incident from occurring that would lead to a disaster he defined disaster as an incident sufficient to interrupt activities of community a situation where in the coping mechanisms of the affected community is not enough thus needing external assistance to recover we do have RA10121 which designates the National Disaster Risk Reduction and Management Council and I think it's important for us to understand the different roles of the different agencies but this does not stop us from the private sector or the academy to actually participate so long as we are aligned with the the plans of the council he mentioned of two two units in UP being part of UP we have the UP Resilience Institute it is an institute that covers all the units of UP and we do have the in UP Manila the Disaster Risk Reduction and Management Council which addresses the health concerns for the whole community of UP at the discussion of the safe hospital is very important and I think since all of us here belong to a hospital or at least one hospital he said it he was very clear in saying that we need to make sure that our hospitals are safe and it has to be what is a safe hospital it is the last building standing after a disaster it will not collapse killing patients and the staff it will be able to continue and function to function and provide critical services in emergencies to be organized with contingency place and health personnel training to keep the network operational and moving forward I think this message is very important to remember moving forward we have to incorporate the new normal in the response and in the equation centers we have to build and rebuild hospitals following the safe hospital guidelines we have to value coordination to avoid chaos we have to value communication for good coordination we have to support the frontliners and you know he said at the end the best investment is to educate the children for change in behavior I urge you to watch the replay there are just too many lessons to learn from each of our speakers and there are personal lessons and also lessons for our hospitals Allow me to edit messages first from the person from the street to give very clear messages to they said this is from the people who were asked out in the street they said hihanda natin na ating pamilya basic needs essential medicine ngayong COVID pati face mas at alcohol yung ating mga importanting documento those are things that we even to help professions must remember because we do have families and then from all of our speakers as we import from all of them we are also for the families for them to be able to proceed with caring for their families we in administration whether we are part of a health facility or academe we have the responsibility to plan better we must collaborate and communicate better so our plans will work better for everybody magandang happen po sa inyong lahat and back to you Susie and Raymond Thank you very much Manchit always pleasure to have you to summarize a very long meeting but I think we all learned a lot and for you to give us the take away messages and we encourage you all to continue to watch the replay thank you so much okay next week nakuha very good we're going to have a very very well known infectious disease specialist we're going to have Dr. Edsil Salvanya who's going to talk about updates on medications for COVID-19 pag-usapan yung mall nupiravir yung pax lovid atyaka yung tosili sumang and whatever other medications that are so please invite your friends we've never had Edsil on stop COVID deaths because he's always so busy but we are finally going to have him on the webinar so please don't miss it and so that's Friday next week over to you Reymond now a lot of announcements thank you thank you Chancellor for summing that up magnificently Dr. Suzy thank you so much also we first will have our heroes memorial announcement so that's something that we have done in the past our call for photos this is a way for us for to remember and honor our Filipino medical frontliners nasalman po kayo sa parte ng mundo maraming salamat po lalala po yung mga nagsakampos sa COVID-19 if you could share your photos that would be form part of our memorial we will deeply appreciate it next we have nabang po our announcement with regards to our certificate so only nakita ko po sa ating chat may mga nakatalong po may naka talon ng webinar 76 webinar 82 but at least for our previous 84 webinars kasi itina taos pa rin po yung webinar 85 only those who have completed or have attended at least 50% of the webinar duration will be able to receive copies of their electronic certificates po and then finally next po we have our SCD shorts our SCD shorts are just our short snippets or clips from our webinars so kung meron po kayo especially if you're on the go maybe you're commuting maybe nagpapaantok po kayo et cetera that's something that you could consume in a very very short time for you to be able to just refresh your mind on that particular topic we also will not be here if not for the very hardworking team behind the stop COVID webinar series without each and every one of you we won't be able to churn out quality content that form part of what is essential po and kung bakit po mga balik-balik ang mga miembro ng ating credible online community for those who will want to essentially watch all of these in the playback lahat po ito ay naka-archived sa ating YouTube channel ng TVUP if you go to www.youtube.com forward slash TVUPPH you'll be able to find all webinars 1 to 85 and then right after this one webinar 86 will be part of that list po so that's it that concludes our webinar for this week sada po marami po kayo na tutunan marami din po tayong mga kababayan na nasalanta at still trying to regain a sense of their lives po before typhoon or death hit and that's something that we hope we could be able to extend our help if we could as much as possible and something that we could really look forward in terms of being able to be prepared for our next bagyo o kung ano mampong sa ko na so magkita kita po tayo ulip next week very exciting topic Friday from 12 noon to 2 pm it's a day together we will stop covid deaths so keep safe, keep healthy and see you online with you until the coast is clear the other spain before my fears the other lives before my tears but right behind the mask I look into myself and ask do I have strength to carry on oh god how long must this go on and need you here to keep me strong I'm here to hold the line I'll keep my hands until my hands it's named to realize it's fine just hold on to the word this time we'll come to pass because this salvation makes a last you'll carry you to see the break of death the other spain before my fears the other lives before my tears but right behind the mask I look into myself and ask do I have strength to carry on oh god how long must this go on and need you here to keep me strong I'm here to hold the line I'll keep my hands until my hands I hold my fears the other lives before my tears but right behind the mask I look into myself and ask do I have strength to carry on oh god how long must this go on and need you here to keep me strong I'm here to hold the line I'll keep my hands until my hands it's named to realize