 wherever you are, nagsama-sama nalaman po tayo for our 46th installment of the Stop COVID Death webinar series. And we are glad that you continue to join us in this learning journey as we continue our conversation on all things connected to COVID-19. Pag-usapan na po natin at National Vaccination Roadmap at Yung Pong Rollout Plan at sa ngayon po sa araw na ito, pag-usapan naman po natin ang mga pag-ahanda at kung pano naman po ang rollout sa local government level at kung ang mga plano po ay na-implement pa at na-align sa realities on the ground. I'm Dr. Raymond Francis Sarmiento from the National Telehealth Center, National Institutes of Health, University of the Philippines, Manila. Umaraming salamat po sa inyong pagsubay-pay at nagsama-sama po ulit tayo and as always, I'm very pleased to share my hosting duties with my partner in crime and my mentor, our adjunct research faculty at the National Telehealth Center, Dr. Susie Pineda Mercado. Dr. Susie. Hi Raymond and welcome everyone to the webinar. Nakaway have Raymond from all over the country again. So many people who want to know what the local government units are doing ang sinasabi kasi ang tanyu ang mga local government nyo. So itong we're starting this series where we will have some of our chief executives from the local governments speaking to us and today we're going to hear from the mayors of Quezon City and Manila. So welcome everyone and those who are watching on the playback Facebook, YouTube. Welcome, we are looking forward to a very interesting discussion. Raymond, over to you. Thank you, Dr. Susie. So doon po sa ating mga nanonod sa Facebook at mga maari pang nanonod po sa YouTube. Please note that we have a maximum capacity of 3,000 attendees for this Zoom webinar. So kung may mga kaipigan po kayo ang mga kasamahan, na gusto po ang makisale dito po sa Zoom webinar na ito, please let them know that we are accepting everybody until we reach that maximum of 3,000 attendees. So for today, we have an excellent lineup of speakers po no? And really we're very excited that we could move ahead with the discussion. But for those who are joining us for the very first time, ang sequence po ng events is that we will have our main discussions followed by a set of reactions or today we'll have one reactor po. Before we move on into the panel discussion, we also will be tapping maybe a couple or two to three individuals po from the live audience to ask their questions, open their cameras and ask their questions live in the webinar. Maraming salamat din po and I'd like to take this opportunity po, TVUP for the very hard working team behind the stop COVID-19 webinar series. Maraming-maraming salamat po kung wala po kayo, ay lalo na po ang mga tagasubay-bay, wala rin po kami rito. So for those who are watching us in the playback uliting walang po, you may be able to watch this episode, a replay of this episode in the YouTube channel of TVUP's internet television of the University of the Philippines. Dr. Suzie. Thank you very much Raymond. So today we're going to talk about the preparedness of local governments but we're also going to talk about how can we better respond. I think everyone's very concerned na tumatas ang mga numero na nagkaharanang COVID-19. We cannot dance around this problem, it is very real. We know families, households, offices na nagkaharanang infection. And that's our takeoff point for what we want to discuss. Of course, while we're waiting for vaccination, we really have to continue to protect ourselves and stay safe. So before I introduce our speaker, Raymond, did you want to talk about the certificates? Thank you, Dr. Suzie. TVUP may we have our, there we go. So for those who are still wondering baka di pa po sila nakakatanggap ng kung anumampong certificate, we are only issuing certificates to those na nakapag-join po at least 50% of the webinar duration po. At nakakatanggap din po kayo, not just, well, not this certificate but something that's very, very similar to this one as well as a copy of the presentations po of our speaker. So we have already set out all certificates for all 45 webinars to date and if you believe, like I mentioned, if you believe that you should be eligible at least to receive a certificate, please let us know and email us at stopcoviddeaths.up.edu.ph. Dr. Suzie. Yeah, okay. I just want to acknowledge our viewers who are with us or our participants in the webinar. Hindi po sa inyo, wala po kami programa dito at natutuan ang kami na wawang balik kayo kung bien-ness. And we try our best to give you the best speakers, the best information. So lots of people coming from Kesson City, from Manila, Angelas City, UP Diliman, Sambuanga, Lucena City, Bulacan, Paranyakiya, Subit Bay Freeport. Okay, PGH na ko ang dami naka PGH na kikineg. Okay, Rizal Medical Center, Ilo Ilo, Negros Oriental, Takloban. Oh, dami. Okay, Coronadal, South Kotabato. So thank you so much for being with us today. We hope na while we are going to talk about two metropolitan Manila cities today we will also be inviting your mayors in the future. So ano ang maganda, parang matutunan natin kung anong pagahanda at siya maliwanagang tayo kung anong mga proseso. Para pagdating ng kanawana, pwede na magpabakuna, magbisa tayong magpapabakuna. Okay, Riman, we'll go ahead now and introduce our... Not a resource person because he is in fact part of the webinar. So it's very difficult to introduce Executive Vice President of UP and National Advisor or Advisor to the National Task Force on COVID-19. And now in charge, you're also advisory to the vaccination rollout. Okay, Ted Rabosa. Ted, welcome back to your webinar. Thank you Suzy and good afternoon to everyone. Happy to see that the webinar is now tackling the issue of the role of the local government unit being a member of the National Task Force and also the national vaccine cluster. I will see that the role, the leading agencies that will be implementing our COVID-19 vaccination program will be our local chief executives and I would like to welcome Mayor Isco Moreno from Manila where I was born and Mayor Joy Bermonte where I now reside and work for joining us. Of course, Tony Boy Paraon who I've worked with in the past especially with our leadership program, the health leadership program of their foundation which we partnered as a major PPP with a group sector. And of course, Mayor Nakabutahe who we hope will be able to join us despite her busy schedule, be able to join us and give her inputs because she is the lead at the National Vaccine Operations Center. So, I'm sure the issues are not only the vaccines the issue is also the current surge. We've reached our record of 8,773 reported cases last year and this morning many hospital directors were asking me for additional staff so we do hope that's going to be included in the discussion and we do hope everyone will learn everyone will be able to ask questions and thank you for this very important webinar that we're hosting this afternoon. Back to you Susi. Yeah, Ted, before we let you go you said that there's a surge in cases, no? What do you think, what should we be doing? We have all our health workers listening to us from all over the country. What else do we need to do that we are not already doing? Okay, I think the surge is an expected one. The second wave has been an expectation the global pandemics of the past like the influenza pandemic took around two or three years before it recycled and the second wave was deadlier but the third wave became deadlier so it's just history repeating itself. This is how the viruses behave. They will come in, they will be introduced and after the introduction they will mutate and they will cause variants and the people's behavior wane before because it was new it was COVID, everybody was talking about it everybody behaved cautiously then suddenly we now open the economy people start to, so that massive alignment of the two things the people waning their minimum public health standards becoming less careful and then the variants appearing which are more transmissible is like a chemical reaction and we're now in this situation we've created the NCR plus bubble the NCR plus bubble is supposed to contain it's a containment measure we do hope we can protect the rest of the Philippines and the country to all of this but unfortunately my cousin just called me just before I was called to talk I was speaking with my cousin who's in central Luzon in region 3 and their daily cases are also rising so it seems we're in here for a big haul I do hope the cases start to wane in the next few days but otherwise our health system will actually start to have functional problems Okay, so I think it's a passenger seat belt kind of situation we just really need to be careful not go out unnecessarily and hope the things will wane soon and with increasing vaccination it will of course have an impact on transmission so thank you Ted I think I hope you can stay with us for the panel discussion later our local chief executives a few questions from the national task force perspective as well and from the academic perspective as well Yeah, okay, great Thanks a lot Ted Okay, so Raymond I think we have a poll just to try to find out who's with us right now so Raymond go ahead So I will try to have that poll set up TV UP, there we go Okay, so for the poll we are asking all of our attendees just to gauge punasan po kayo nanonoad sa ngayon are you mostly from Metro Manila how many of you are viewing us outside of the Philippines we all know that this webinar has a following outside the Philippines and we hope that you are able to input your answers in your answers in this this is just a very, very fun poll we also like to take this opportunity to greet those who are attending or joining us from Patak City and Ilocos Lidia from the Mariano Marcos Memorial Hospital and Medical Center from the DOH CHD4A in Calabarsón from the Albuquerque Rural Health Unit in Bohol Visayas Sogod District Hospital in Maasin City, Southern Leyte and the Pilar College of Sambuanga City and Sambuanga Peninsula Internationally, we also have those who have signed up all the way from Chonin Hospital Taipei City, Taiwan Rejang Medical Center in Sibu, Malaysia from Mariya Regina Schools Kenmarang, Indonesia HDR Law Group of India from Delhi Oil Fields Supply Center from Dubai in United Arab Emirates Geras International School Doha Qatar Domitio of Health ng Almasaro Hospital Mostap Oman Virginia Beach in the United States State of Virginia Australian National University Turner Australia Onewa Doctors of Portland, New Zealand Oma, Northern Ireland Pago Pago, American Samoa Sa Seald for Denone Italy and our regular from Diagra Falls, Ontario, Canada The next question will be what is your line of work we mostly get more than half of our attendees from the nursing and medical fields it looks like it's pretty much consistent and yung kung others we really need to piece that out for We also have a few more questions here and these will be our the previous questions nampo we hope to be able to get the first question reads how will the local government units procure COVID-19 vaccines is it through a tripartite agreement is it through direct transactions with vaccine manufacturers or do the LGUs have to wait for their allocation as made by the national government Question number four how does one get enlisted in the registry of potential vaccinees so ano po ito ha wala lang kung magsasabi kung hindi naman po ito grade kung baga so please key in your answers so for this enlistment options are each individual will enlist on their own option two LGUs submit the names to the VIMS IR and option three DOH regional offices are supposed to collect all the names for enlistment and the last question short of a tripartite agreement can COVID-19 vaccines be commercially acquired sila po ang bibilay outside of a tripartite agreement pwede po ang bumili ang mga local government units 51% say no say yes and 49% say no so ayon po just continue in key in your answers as we move on into our introduction of our first resource person for today Dr. Suzie Okay, thank you very much Reymond before we do that TVUP has prepared a person on the street set of interview so let's go TVUP So ayon wala akong na didinig na rollout mga karunang vaccination wala pa po nababanggit sa amin yung LGU tungkol po sa preparation nila para po sa COVID-19 vaccine na wala pa ka di any update regarding sa vaccine sa balanggay namin waling po ako magpabakuna ng anti-COVID pero po dito po sa balanggay namin wala pa po ako na didinig na makakaroan ng bakuna anti-COVID po sa amin baranggay wala pa po say parang survey ay wala pa po ginagawa pero sa lokal na pamahala naman di ito sa mga nisiwiyo parang nagkakara naman nagkakandak naman sa survey pero sa balanggay wala pa kagdating po sa vaccine kahit mga pamilya yung mga kabaranggay ay wala po nalaman tungkol po sa vaccine kung kailang po ito isasakit o parang sa tutulang ko dito sa region 4A wala pa ako na didinig kasi ang media nakatutok lahat sa NCR dito po sa balanggay namin wala pang balita tungkol sa pababakuna pero yung mga kamag-anak ko na nakabase sa Quezon City nabangit po nila sa aking na meron na daw mga ganong survey tingin ko nag-ready pa lang silang ngayon kung anong magiging nila kung sasabi natin kung ilang rating na ba ay 50% o bilo po 50% yung aking pang beding sabihin tingin ko lang na mabigyan nang tapat na informasyon na half na ang kababaya na dito sa list ba nyo sa guardians sa vaccine kung meron man silang pinakalak talaga para sa LGU namin sana masimula na nila yung hakbang nila ako angma yung hakbang nila parang masupuyong COVID-19 kasi nakakatakot baka maslalong dumami yung cases dito sa lugar namin malaki niya tolong ang media para sa sa information dissemination kasi misan marami rin mga fake news hindi mo may tindi akong tuto ba yun pero kung yung mga media na may kerebidelidad at integridad pwede silang pangkuran ang tamang information Thank you very much TVUP for that. It's just an idea of what ordinary people are going through Some have information some don't and I think today we will be enlightened a little bit more on what the plans are Our main speaker for today is he's not a medical doctor and I've known him for since we were kids na ako ito na ay ako nang mga kwento nga kwento pamilya pero siya ay kilala natin dahil siya po ay experto po yung sa mga bato Let me introduce Dr. Mahar Lagmay Executive Director of the UP Resilience Institute Mahar Welcome to the webinar pa na wala si Mahar Mahar where are you? Hello Hello Susie Bote ba to hindi mga gulong ng koche vulcalizing Vulcalizing ilan ninyo po si Mahar Lagmay kasi siya po ay pangunayong geologist po sa ating pansa siguro tatanungin nyo bakit natin imi-invitigit ng geologist yung puro bato naman di ba Mahar nung bata hanang ko-collect ng bato umangin ka So we know Mahar because he has been the voice of science when it comes to the natural science so ang putok ng bulikan pang merong earthquake kung meron tayong mga sakuna nan jang si Mahar Lagmay at kinikilala natin na pagmagsarita si Mahar Lagmay tumatahimik tayong lahat kasi ano na tayo effectado ng mga balanlaking mga pangyari na na sa ating sa ating environment na sa ating topar hindi rin ngayon si Mahar ay part phone na tinatawang natin Resilience Resilience Institute and the pandemic is testing us ok sa pandemiya nato ay si nusubukan din tayo kung kaya natin bumalik kaya natin magbabong buhay pag atapos yung pandemi na to at tiniting na nila yung manong nagawad look at the numbers look at the trends and so we thought we would invite Mahar today because he has been doing some of the studies crunching some of the numbers and he's not going to talk about volcanoes and rocks but he will talk about this pandemic as a emergency and disaster that we have to we have to what should I say kailangan mas mabilisan kilos natin eh no so siguro Mahar you can start your presentation and tell us about what you see in terms of the pandemic as an expert in disasters and calamities okay sige thank you very much Susie allow me to share my screen okay please tell me kung nakakapagshera ko if I'm still up here okay kita ba kita na sige so the topic that we discussed was this the use of digital technology against fighting COVID-19 but really I'd like to emphasize that the presentation that I'm making is really the product of the combined efforts of a lot of UP faculty researchers and volunteers at the same time so malaki yung problema natin at kailangan natin magtulung-tulungan dahil yung ating problema ay kailangan mas-solved ng transdisciplinary effort because the problem is a public health issue na nakikita na then from this diagram it really involves the efforts of everybody down to family level so kailangan ng surveillance monitoring analysis outbreak analysis this assessment et cetera including communication so very important po ang communication in fact this webinar wishes to address if we have problems on communication baka makahatid itong webinar na ito ng information so important po na yung science ay nakokommunicate ng mabute at siya kung ano yung mga findings ay nakokommunicate ng mabute para lahat po ng gumagalaw dito sa public health issue na ito ay ay tama ang galaw and I think that one of the common things about all of the people involved in this public health issue is that kailangan na ng information and that information needs to be delivered in timely manner accurate at sya timely understandable and reliable maylong po sa perspective ng disaster mitigation and prevention yung concept na tinatawag namin hazard specific area focus and time bound problema po na ito hazard dito hindi ngalang pagpotok ng vulkan o kaya earthquake hazard dito na dalanong virus na quickly spreads saan ba ito na kis spread so do tayo ngayon dun sa area focus so dapat maalaman natin kung nasaan sila na nandon at nakaka-infect ng mga tao so dapat maalaman natin yan and then time bound dapat again hazard specific area focus and time bound that must be applied in all types of hazards including health hazards so kaya kong kanan dito dahil meron din po kami experience sa UP Resilience Institute experience at NDRMC na palagi po namin ginagamit yan and we realize that it's not just about science it's about communication it must be in early warning system it's not just about kung ano yung nakikita natin kung ano yung nasasabi ng mga agencies or yung mga scientists kung hindi dapat ito ay people centered dapat may public education may planning meron mga authoritative voices meron communication media is very important at saka kailangan din ng appropriate response so siguro yung appropriate response and capacity that needs to be really developed kasi the virus or discovered problem caught us all by surprise so dun po tayo muna dun sa ano ba yung kailangan natin i-communicate para po tayo makapag-communicate ng mabute we need to have a good data set to work on and we know that with the analysis of data sets especially andaming unknown dito sa virus na ito sa SARS-CoV-2 there's a lot that is unknown worldwide maraming caught by surprise that's a problem of anticipation hindi tayo nakapag-anticipate pag hindi ka nakapag-anticipate hindi ka nakapag-plano but what is important to realize is that the data sets when we analyze it can become the basis for policy decisions and the policy decisions greatly affect the turn of events and the numbers so kung titignan natin ito ano ba yung policy decision that should largely be based on analyzed data pero sa natin kukunin yung data and data needs to be delivered fast kailangan time-bound saka dapat accurate reliable and timely so para natin kukunin yung data sets if the problem is nationwide nakakasakit min natin alam ko saan hindi naman pweding irireport natin yan tapos madidiskubing natin ay ito may sakit pala confirmed ito two weeks after by doing a manual process pakamahirapan tayo so here comes yung yung role that very important role of digital technology dapat hindi na tayo yung nag-hard copy kasi paga nag-translate ka from one paper to another tapos nilipat ka na naman doon sa after yung mga SWAP test nililipat pa nila yung mga sa tropen yung mga pangalan hindi niya it increases also the vulnerability ng mga taon na nag-ilipat saka waste of time we need a digital infrastructure the use of digital technologies to be able to fight the problem of COVID-19 hindi pwede na wala tayong digital infrastructure kasi yung mga virus nags-spread transfer from one place to another very, very quickly hindi pwede na ang ating internet if we are to talk about digital technologies to be very slow hindi pwede na ang virus natin ng SARS-CoV-2 yung virus is faster than the internet it's really much faster working faster than our internet and we all know the problems about our internet yung sa huwag nakumag mention mga names but this is something that we should have addressed a long, long time so I think everybody agrees with me na merong problem in terms of digital infrastructure now when we talk about data that needs to be translated and we cannot just rely on ang mga tinatawag nating mga data na current ano ba yung nangyari ilan yung araw kasi concerned yung mga Pilipino ay, andaming ngayon 7,000 something ngayon tatas pa yan magigingan those are current data but we really need to do more with those data sets and be able to forecast NTA scenarios so here we're being shown certain categories now casts forecast scenarios okay, so let's start first with that na merong tayong mga ginagawa actually EBP-10 is the one responsible for creating the UP pandemic response team na there are about probably 200 mathematicians epidemiologists statisticians geographic mappers po ano ano po na magkasama pa communicators mga media people na pinagsama sama to be able to do this and what you can see we have a website it's called nkov.ph to saan nilalabas yung mga some of the output that we create so for example yung epidemic curve makikita natin kung saan that's the website nkov and then you can see the distribution in the map must be visual very important yung mga current data sets for example sa St. Luke's ilan ng ICU beds ilan ng ventilators available et cetera we can also see yung distribution ng mga cases these are the dot maps dot maps na tinatawag distribution ng cases and that can be processed further in terms of hot spots this is not current by the way this was last year hindi pa ganung kaganda yung data sets ng population but we are now collaborating with Facebook to get the data sets and then we generate that to we analyze that to be able to identify the hot spots saan ba yung mga cold spots and hot spots with statistical confidence intervals this one is more current nakikita natin yung dot map again I mentioned about better data sets it's very important that when you analyze the data sets are as accurate as possible and as updated as possible nakikita natin yung mga dot maps na yan am I still here can you still hear me yes ma ok good good so from time to time baka pwede ka yung mong salita and the time still around baka maya salita ko no salita wala na pala offline na pala ako ok so yan yung mga data sets can be converted may mga statistical computations napaka galing ng mga statisticians ng u-system in fact we have a very big pool of statisticians working on hot spot analysis and mappers as well mga geografer they work together para makita yung current na hot spot nasa an ba sila may exact definition of hot spot sa ganitong classic issue but right now in the interest of time itong hot spot na lang sa sabihin ko na doon yung mga concentration the camelito let's just base through that in short the metrics can be used I only showed part of them but these metrics can be used to determine the number of tests needed for example if a city has a time varying reproductive number of 0.7 that is good however the case fatality rate of the city is 6.1 this means that the number of deaths divided by the number of confirmed cases in turn this means that the city is under tested so yun nang magiging basis mo for ramping up the number of tests ilang bang number of tests ganoon din sa vaccination dapat meron din tayo mga scenarios anong magiging projection how many vaccines ang kailangan para magkarun tayo ng herd immunity and all of those are being done in fact may runga kaming instruction from EVP Teder Bosa na ilagay din yung mga metrics tayo ng vaccine ng vaccine sa end of that PH for people to see anong ba yung nangyayare anong ba yung mga efforts na ginagawa ng government including pati yung mga analysis ang number of vaccinations na kailangan to attain that herd immunity so on the other hand if the city also has a low reproductive time varying reproductive number the case fatality rate of the city is low then that means that the city has effective control of the transmission and that needs to be done for all cities and municipalities of the Philippines so in terms of forecasts meron tayo you're very you're quite familiar with this forecasts meron din mga forecasts that means that what we can expect in the next two to four weeks there are mathematical and statistical methods to do this we present them and then meron ito like for example yung probability of outbreak initially in april ganyan ng ichuran mga cities in municipalities we could have taken advantage of the archipelagic nature of the country by I think this one is November yung second middle panel and then january 24, 2021 maybe there could have been some policies kasi kaya din natin yung monitor sino ba yung mga lumalabas doon sa ano ba sino ba yung mga lumalabas sa metromalila sa unpakunta ano ba yung diag ano ba yung posibling dalan nila we can also monitor kung saan yung mga pumapasok sa metromalila so ano kayo kung na monitor mo if we are able to trace identify those people at least pwede natin sila kaagad maisolate so data is very important and they need to be analyzed now projections so kaya din natin magproject ano yung pwede yung mangyari yung yung mga luma and then scenarios as well so depending on what kind of policy interventions we make kaya din po na mga mathematical modellers natin there are such people na matematisyan sila pero ang epidemiology so yung spread ng disease na depending on the actions of the people now ito po this is I think a projection na meron pessimistic meron average meron optimistic na projections na current as of I think this projection was made last if I'm not mistaken end of February other scenarios include if we open schools don't open schools physically et cetera of course yung age groups we can all do that not na sinasabi na 100% accurate pero at least we will have some kind of basis for our decisions to make policy of course yung mga jobs ano ba yung mga jobs yung low risk high risk yung healthcare workers ba are they high risk takalagay po yung at sinisimulating po lahat yung in terms of how we will handle these scenarios so kung nakita natin yung ito pa lang yung posible then we can make decisions at this moment now job risk profiling that is being done also by the team we create other digital technologies this is a group from UPLB in a drama rabahante who is very much in demand for consultation by various groups yung event our calculator kung magpapartika knowing the size knowing the number of people et cetera you can calculate your risk so everything is a risk that you want to take now some recommendations I think this we've been trying to emphasize this since last year I think in several talks including some talks in PGH Congress and Senate that since everybody was everybody was fought by surprise yung ating mga testing facilities were not that good initially but we ramped it up significantly and then in terms of yung mga isolation centers yung mga isolation centers yung mga quarantine facilities nag-rump up din tayo with the contribution of the private sector maganda yung pagkakagawa pero I think where we need to improve is really in the tracing aspect in contact tracing and we've been trying to emphasize this since months several months ago contact tracing ano ba yung digital technologies may mayroon actually in fact it is something that could have been done if we had a good digital infrastructure in place and it's not just supposed to be for one city and one municipality kasi yung virus atyaka yung galaw ng mga tao they don't really recognize the administrative boundaries so it's very important that contact tracing technology or platform be available nationwide by Uniform hindi yung kanya-kanya of course some recommendations these are not all what businesses could be performed at home right now we're doing a project mag-start pa lang although we've done already about two months work with Kesson City it's the end-to-end system from swabbing to vaccination dapat mayroon nyo so dapat fully integrated digital para to avoid ang albawa isa schedule mo yung swabbing ng mga tao na digital na online na when possible yung ating end-to-end system na yan that we're doing with Kesson City Mayor Joy yung po ginagawa na po namin yan and hopefully may integrate na sa system kasi this is the system we believe that is needed on a nationwide scale hindi po kanya-kanya hindi party-party dapat end-to-end system talaga na digital platform except of course ito yung mga physical distancing et cetera these are the things that we should all observe and that was the answer of EVP 10 kanina when asked what we were doing wrong siguro naging naging but we have to really check on that if that statement is true and then the last part is the talk that I gave is just a part I'm not saying that it's the full solution it's the complete solution but it constitutes a big part of the solution because we need data and data is very important for making policy decisions that will determine how it will turn out how it will how the events will unfold ilangan natin digital infrastructure and of course we need that infrastructure yung platform na yun to be readily available kasi ganun po ang science science needs to be replicated if the data is not available for replication then that is not science so importante po na mag-check niya mga ibang scientists to build trust because trust is very important in communication people need to be able to embrace the science and for them to be able to embrace the science there must be good and trust worthy that Iku communicate there must be trust in communication so that's very very important sa science there's trust that is needed sa communication there needs to be trust to be able to do that you have open data after all this is a public issue na public health issue that involves all stakeholders all of us in trying to solve the problem so what is important is that we have that kind of platform to deliver to collect data to be able to analyze the data to communicate those data and it's for everybody not just the policy makers not just the scientists it's for everybody down to family level and for that to work according to the perspective of disaster risk reduction it's very important that we have a whole of society approach and science-based approach and for that to happen for us to be able to communicate and trust each other we need to open up the data sets because that is what science is all about thank you very much thank you very much let's doctor Mahara Lagmay of the UP Resilience Institute at kikita nyo talaga lahap punang talino lahap punang galing ng ating bansa ay kailangan gamitin natin para sa pandemya na hindi tapo namin si doctor Lagmay kasi makikita nyo po dahil dalubhasa po sa malalaking mga sakuna ang problema kasi natin dito sa covid hindi natin nakikita hindi natin makita kung we cannot see it hindi siya bahak but if you imagine it's like the whole country is flooded hindi nyo lang alam kusan malalim yung tubik kusan mababaw yung tubik so ang sinasabi po ni doctor Lagmay sa iba kung sakunagi na gamit po natin ng digital technology napakahalaga po na gamitin natin ngayon and it's not too late to do it I think it's a very important point and our local governments are also using technology and that's my segue to introduce before we call on the mayor of Kesson City TVU Pete please go ahead Mahigpit na sinusunod ang international standard sa pag-imbak ng bakuna sa planta sinanay ang mga empleado natiyaking na kainbakito sa tamang temperatura na 2 to 8 degrees celsius kasi sa planta ang 6,000 paleta o 50 million doses May ultra low freezer din ang planta na kayang mag-imbak ng 6.5 million doses hanggang sa laamig na negative 80 degrees sinisiguro rin ang continuous power supply sa pasilidad Bago ila ba sa planta inilalagay ang mga bakuna sa easy cooler transport box upang mapanatili ang tamang temperatura sa loob ng 96 hours Si deseryohan ito ng maayos may dry eyes at ibinabiahe sa mga sasakiang kontrolado ang temperatura Bago padumating ang bakuna sa vaccination center umuusad na ang proseso ng pagpapalista ng mga pabakunahan ang mga pabakunahan ay dapat nag-registro na sa QCID ang QCID system ay nakakonekta sa application na easyvax na siyang gagamitin sa proseso ng pagpabakuna Step 1 Dadaan ang babakunahan sa screening upang kumpirmahin kumahari siyang bakunahan o hindi kailangang sagutin ang mga katanungang itinakdanang International Center for Disease Control and Prevention Kapag na kumpirmah na makakatanggap ang bapakunahan ng health password na naglalaman ng kanyang informasyon at QR code na magsisilbing digital ID ng paciente Step 2 Mula sa waiting area ang mga pabakunahan ay papapuntahin sa registration area kung saan ipapakita ng paciente ang kanilang QR code at valid ID Step 3 Matapos ang pag-registro ang bapakunahan ay dadelhin sa counseling area kung saan ipapaliwanag ang beneficiyong hatid ng pagpapakuna. Step 4 Sa assessment area naman aalamin ang mga doktor kung karapat dapat magpatuloy ang paciente sa pagpapapakuna o hindi. Step 5 Kapag aprobado ng doktor ang bapakunahan ay ihahatid sa vaccination area kung saan gagawin ang pagpapakuna. Step 6 Matapos ang pagpapakuna pupunta ang paciente sa post-vaccination observation area. Dito o observahan ng paciente mula 30 minuto hanggang isang oras para matiak kung may mararamdaman siyang anumang side effects kung wala maaari na siyang pauiin. Kung sa kaling may side effects siyang maramdaman may nakabang naambulan siya na pwede maghatid sa kanya sa pinakamalapit na hospital. Thank you so much PVUP for that wonderful video. Without further ado let's go straight to the local chief executive of the city of Kesar Kenan city po at the city of stars Honorable Mayor Joy Belmonteng. Mayor Joy Kesarang gala afternoon. Gala afternoon Raymond. afternoon. We can see you po. Okay po. Okay. Pwede na bang magsenglala? O expectation po ma'am if you have a set of slides already. All right. I mayor Joy I mayor this po. Hi, hi Yorme my neighbor and friend. Hi Yorme. Mayor Joy. Hi Mahar also my classmate. So ito na po yung presentation po namin sa Kesarang city following the video that was presented to you. So this is our vaccination program. So we'll try to make this short because I know I was only given 10 minutes. So first slide please. Next slide. So I just want to let you know na ito na po yung situasyon namin sa loomsod kason. A total number of cases of 43,559 active cases namin ay 7,873. This is already 18.1 percent and every day ay tumataas po yan ng mga 800, 900 cases. So medyo nakakabahalan nang ang situation dito po sa aming loomsod. In terms of recovered cases 79.9 percent are recovered or 34,297 and deaths are 2 percent at 889. Next slide po. So ito na po yung COVID vaccine plan po natin. So last year we formed a task force. It's called the Task Force Vax to Normal and it's objective was to ensure the smooth roll out of the vaccine program all the way from acquisition to planning to communications et cetera hanggang sa mga disposed na po yung mga vials at mga bakunahan na po ang aming po 1.6 million citizens in order to achieve herd immunity. Next po. So ito po yung pinaka structure ng aming po Task Force Vax to Normal so there is the supply or cold chain management team and sa baba po ito yung mga departments na involved dito po supply and cold chain management and then we have the data management team and the departments involved in that team and then the communications team and again the departments involved in that team and this all of these departments comprise our Task Force. Next po. So our implementation plan is consisting of three phases the pre-vaccination phase, the vaccination phase and the post-vaccination phase and I will discuss each of these phases very quickly in the following slide. Next po. So with regards to the priority groups and their numbers we were told and again this is part of the national government's instructions to us so obviously we are following to the T everything that the national government has instructed to us local governments now so we have identified our priority groups and we have identified 1,066,000 individuals so 23,000 belonging to the frontline workers and health workers and then 300,000 senior citizens and then 20,000 persons with comorbidities and 20,000 essential workers which now include I think local chief executives I think we've been bumped up in the food chain and then the 703,000 indigent population of our city and then the rest of the population. So next slide. So this is our system as explained earlier in our video we have a Kesson City ID registration app that everyone is encouraged to apply to because this ID is actually going to last 10 years and this is also the mechanism by which we can provide Ayuda and all the different services that we are giving our citizens so it's not just for the vaccination program that we decided to use it as well as a tool to facilitate the vaccination process so now the data from your Kesson City ID which is basically all your basic information plus your unique ID number this is migrated to the EZVAC system and this is the system of Zuleg Pharma which is our partner institution or our third party partner and so if you register with the EZVAC system your ID number will be asked of you to put that in and then in addition to migrating your basic information I'll ask questions na kinakailangan EZVACs para maevaluate po tayo katulad ng ating mga medical conditions comorbidities if we have any and other medical or health information that is necessary for evaluators to determine whether we should be vaccinated or not and what kinds of vaccines we should be receiving next book so we also have the QC Protect Podop sa Bakunang Sigurado Vaccine Confidence Campaign as you know one of the primary problems that we have is trying to convince our people to be vaccinated and there is a lot of fear with regards to vaccines because of what has happened in the past as well as I guess a fear of the unknown so next slide please so I just want to stress that we have a communications plan na tanggal ba dito yung survey we actually have a survey so I guess the slide was removed to make things faster but we have a survey that's online and this is surveys as well connected with our QC ID so once you apply for our Kesson City ID a question pops up are you willing to be vaccinated and then there is yes no undecided and then there is a few lines where you could put the reason why you were undecided so I'm happy to report that based on our survey the majority are in favor of vaccination almost equivalent to the majority but the great number are undecided and I think these guys are more or less decided when you think about it it's just a little bit of convincing and then there's about 20% that are definitely not inclined to be vaccinated so as a result of that we looked at the reasons why they did not want to be vaccinated and none of them are anti-vaxxers by principle unlike in the US where people don't want to be vaccinated out of principle they don't want of fear lack of information the proliferation of fake news a lot of hearsay et cetera so we decided to tailor fit our communications campaign to address these vital issues that are preventing our people from being or accepting vaccination as an intervention against COVID-19 so we have a social media booth so we have Facebook and then Twitter we have live conferences with various sectors so we do this every week so we've already met with our barangay officials we've met with our women leaders we've met with our urban poor leaders just this morning I had a meeting with our business sector we've met with the church and this afternoon we'll be meeting with our homeowners associations belonging to gated subdivisions so in other words we are doing media campaigns tailor fit to all sectors of our city we also have posters and flyers and we will be launching a dedicated website very soon just for the vaccination campaign next pa so in addition to this we also have a protectado barangay toolkit so we need the barangays to help us disseminate information so each barangay is given a toolkit and what is inside the toolkit they have a presentation they have fact sheets and commonly asked questions they have flyers they have posters they have PowerPoint presentations for various audiences in their barangays and this is something that we put together and we have distributed to our 142 barangays so each barangay can also reach out to and address the questions and fears of its various constituencies next slide please so here are some of our endorsers our Facebook page is full of these testimonies from our various health workers that have already been vaccinated so you can see that these are the most influential health workers in our city and they are the ones that we have asked to give their various thoughts and other testimonials pertaining to vaccination and this is continuous because we're still continuing our vaccination of frontline workers next slide please so like I mentioned earlier because Kesson City is such a large city really and the needs are so great we could not do it alone I'm very jealous of my neighbor and Fred Mayor because he has this fantastic cold chain facility in Manila and we could not afford that in Kesson City much as we wanted to so what we had to do was to partner with Zwilig Pharma this is our third party partner and they are taking care now of all of the other needs that we could not as a city afford so we have a partnership with them and this is a partnership that is authorized by the city council next slide please so we are WHO compliant from end to end of the supply chain process so as you can see number one Halimbawa purchasing so that's the responsibility of the city government and we're just talking about those that we in the local government unit can or are allowed to enter into agreements in a type R type mode and then delivery to Manila that's the pharmaceutical companies obligation cross docking that's the national government and then central warehousing that's Zwilig planning and scheduling that's the local government together with Zwilig order picking that's Zwilig Paking is Zwilig transport to Kasin City is Zwilig order receipt is the Kasin City government inoculation is both Zwilig and the city government and monitoring and surveillance that's Zwilig and the city government so you can see that this is really end to end process that we have really taught out taught off and worked out and so far everything is in order now although we've only been rolling out for the past four days for the general for the general public next slide so so far we have identified these are these are the sites just for these past four days now in total we have 24 vaccination sites in Kasin City including two super vaccination sites that is one of them is the Ateneo de Manila and one is either the grounds of SM Fairview and SM Nova or possibly the power of school which has closed down so we're going to have two of these very big vaccination sites or mega vaccination sites we are also in talks with the diocese of Novalichas and Kubao because they are also promising us that the parishes can be used as vaccination sites so this is not a problem the problem is really manpower but in the meantime we have 24 and from those 24 we have already activated six so the six one per district for the past four days because we started rolling out for the frontliners not in hospitals since Monday so we were we were rolling out in QCGH but now we have moved to a school on Wednesday in District 2 it is Batasan Hills National High School District 3 but para para ang District 2 that's District 3 sorry na na pupuyat na ya ako na ginawa ako so it's Aginado Elementary School District 4 is District 4 is St. Luke's Medical Center they allowed us to use their grounds District 5 is the Kaligayahan Activity Center and District 6 is the Placido del Mundo Elementary School sorry about the typographical errors here next pa so we have at the moment 672 personnel that we have identified there are the non-medical personnel and the medical personnel for a total of 1200 and these are the staff that will be manning our 24 inoculation sites once all 24 have been activated for mass inoculation and there will be 25 people per site five people per team so next slide pa so for everyone's information we have about 3.1 that's a very conservative estimate 3.1 million people in our city let's say a million of them are children or youth and are not eligible for vaccination and if you count the 80% of the total adult population 80% or herd immunity numbers would be about 1.6 million that's a really a lot and it's really very challenging and we're trying to attempt to finish the first dose in six months time so not two doses so I guess if we're talking about two doses that will be about a year in the minimum which is a long time actually so number of vaccination days per month that's 30 operating hours per day that's eight capacity per inoculator per day that's 70 capacity of per day of every inoculator that's 350 and that's about 10,500 per month and that's about 252,000 for all 24 sites per month but that's very conservative because now since we started rolling out we also can see that we are capable of doing much more than what was written down here so next book so for the emergency response plan obviously we have our medical doctors they are in every site we have our birds and DRR AMO ambulances as well in every site ready to take anybody with adverse reactions to the vaccines to the nearest hospitals and we've already established what these hospitals are and then we also have the epinephrine and auto-injector in every site as well so for patient monitoring so there's this blank space you're seeing there that's supposed to contain a dashboard but I guess it's not coming out there's a dashboard it's a real-time dashboard there it is very slow where we can actually track where our vaccines are how many there are how many people are being vaccinated etc in real time we are able to track vaccines and people so that we us the managers can keep track of things even if we are in our offices we can tell what's going on down in the field and then here is an example of the text messages that people will be receiving when it's time for them to be told that they will be vaccinated in such and such site and in such and such time so they will receive a text messaging I would like to stress of course that we have to have we have to do a hybrid situation here in Keston City because not all of our citizens have cell phones or our tech savvy so we also have on the ground registration wherein physical forms are distributed to the various people and they can register via these physical forms and our barangay health workers are the ones that inform them when it's time for them to be vaccinated and where they should be going and our barangays are our partners in transporting their people to the nearest vaccination sites so next piece so again if there are any adverse reactions months after or days after your inoculation you can call hotline122 this is a dedicated there's a dedicated call center team that will answer all of your queries pertaining to the vaccination we also have telemed this is available in all of our hospitals and health centers and we have volunteer health coaches as well from the private sector that can also answer to all of your needs and we are hooking up with them as well to answer the various issues of those that have been vaccinated and our experiencing adverse reactions and of course we have the barangay health workers who are there to conduct home visits and to monitor our vaccinated people next book so here's our status report just for everyone's information next piece so eto po ang Kesson City General Hospital that is our only tertiary hospital here in Kesson City that is a Kesson City run hospital and we received 1,100 vaccines and all of our health workers in our hospital have been vaccinated hindi po sila choosy next po so dito naman po sa ating level one and level two hospitals the total of our health workers that have been vaccinated are 6,815 hindi po ito 100% because some of the private hospitals medyo choosy so pero sa aming mga local government hospitals na na sa level one at level two lahat po sila ay nabakunahan na next po so eto po ang total number of vaccines na napatangap namin through the national government and we thank the national government for thinking of Kesson City so we have from we received in March 21 8,180 March 25,3000 and just yesterday we received 4,000 so we have received a total of 15,180 vaccines from the national government through the DOH and thank you very much for that and this is a combination of AstraZeneca and Sinovac and this does not include yung nasa tertiary hospitals po natin siya kasi level one and level two hospitals po natin ito yung para sa communities na po natin so next po so eto po so we started again and we started vaccinating yung A1 ito po yung ating mga health workers from the private sector who have their own clinics infirmaries private practices et cetera kasama natin po yung iba pa natin mga frontliners sa A1.1 to A1.1 1.17 from district one district two district three district four district five and district six so the total that have been vaccinated for the past four days was 6,891 actually we were given initially that was supposed to be 8,000 lang so dapat today na yung last day namin kaya lang kahapon nabiyayaan po kami ulit ng ilan pangbakuna kaya meron na naman tayong 8,289 so ibig po sabihin nung tuloy-tuloy ang pangbabakuna po namin thank you very much DOH sa karagdagang pangbakunang sa next po so dito po nabakunahan natin in total sa Kesson City General Hospital 6,100 sa ating pang private hospitals at saka local government hospitals sa level one at level two 6,815 na pang nabakunahan sa ating naman pang community roll out 6,891 na pang nabakunahan and at the total po nang nabakunahan as of yesterday March 25, 2021 14,806 individuals na po so eto na po ilan sa nang challenges na nakikita natin yung information on vaccine delivery delivery is quite limited kasi ang mga yari po kasi tatawag sa ating DOH sa sabihin sa ating Mayor Joy meron palang extra na Sinovac doon sa isang LGU hindi na nagamit napadala namin sa inyo and they'll tell us that maybe the night before na dapat you roll out yun yung nangyari ngayon and we appreciate that kami naman dito sa Kesson City we accept everything so yes naman kami of course thank you very much pero yung problema hindi namin napa kasi hindi namin natatang siya kong ilan ng bakuna na meron kami for a certain day and you saw that in the past slide wherein hindi namin alam na may bakuna pala kami today so parang tinitipid tibid pa namin ang konta yung bakuna tapos yung pala may dumating na Bultong 6000 so that's just an example tapo siyempre may limitations din yan kasi dapat yung next batch na dapat binabakunahan after the frontliners is the senior citizens pero ang karamihan na natanggap namin sinabak and I know na hindi pwede ang senior citizens sa sinabak so we've had to jumble around our priority list para magamit din natin yung sinabak so baka mauna pa yung may co-morbidities so yan ang halimbawa ng challenges namin nyo may connectivity issues talaga tayo talagang hindi natin may iwasan yan we're depending on digital technology here pero there are really some of our schools na meron na kami dyan the first few days were really quite tough for us really talagang birth pains pero nasanay na rin punatin tayo at alam na rin punatin kailangan hybrid talagang system nating sa Kesson City dahil marami po tayong systems problems din po pwede yung dueling pharma na partner punatin na kilalang kilalang sa buong mundo meron din silang systems problems so may man power shortage this is not now but I am foreseeing in the future at activated na po yung mega vaccination sites along with our 24 other sites makakaruntay na man power shortage pero to answer to this we have already launched a volunteer program so lahat po na nabakon nahang health healthcare workers nung unang mga araw natin lahat po yan ay hinanganan po natin ng commitment kung pwede po silang maging volunteers natin sa mga darating pang mga buwan at marami sa kanila ang nag-volunteer so again automation challenges at saka yung second dose hesitancy ala naman natin baka maraming hindi bumalik para sa second dose nila lalong lalo na dahil iba pa yung Sinovac second dose doon sa AstraZeneca second dose na yung sa 3 months yung yung yung ilang linggo lang so parang nakikita ko na magiging problema na ito once we roll out the second dose so these are just some of the challenges that we have identified and I would be lying if I said medyo mahirapan ko kami nung first four days pero today yung last report na napanggap ko po ay medyo ok na po at maais na po ang pila at mabilis na po ang roll out ng ating pangpabakuna so yun naman po marami pang salamat isang magadang pumaga po sa ating lahat ok thank you very much that's that's Mayor Joy Belmontid Joy thank you so much for that comprehensive presentation congratulations Kesson City kong diting na nyo para daming kelangan it's not easy what you're doing but we will have a discussion later so thank you very much Mayor Joy and I think marami manahikining from Kesson City now who are probably feeling a little bit more relieved ko na ganyto pero na pahirap pala talaga ng roll out na kailangan gawin from Kesson City we move to the city of Manila so it is my honor to introduce our mayor in the city of Manila Mayor Jorme isko Moreno Mayor welcome hi ko Jorme sige nga plano ang ginagawal yung hin sa Manila go ahead please ito ngarang ay magandang asa aking kinakapatin sa Metro Manila sister Mayor Joy ay sayo ang ganda nung plano ninyo sa Kesson City sa ating Dr. Mirna Kabutay Dr. Hermesita Padilla of course Dr. Mar Lagmay Dr. Raymond Sarmiento Dr. Anthony Paraon and UP Assistant Vice President Nika Abad and to all the panelists and guests and those who are watching participating in this webinar magandang araw sa inyong welcome po sa Manila I hope you are in good condition and please continue doing so talagang malungkot ang situasyon natin but like must go on we must learn how to live with COVID-19 go back to work safely but then again let me go straight about I think your topic is how are we doing with the deployment as you all know Manila is one of the most dense city in terms of per square kilometer or 70,000 talagang very challenging ang Manila but Bidatasit may sa awan ang diyo sa nakakakaraus naman kami today we had about 616 active cases in the city continue to grow talagang kailangan may bit ng polisi ang papatupad ng polisi marami ng polisi in fact I think there's too many for the people to adapt but what matters most is we continue to address it what worry me most is the debt every life sa value and there is continuing recurrence of debt sad to say nakakirambay ako sa sa mga tayibiganin yung who's come from this dreadful disease but about the vaccination when we heard about the development of COVID product of COVID vaccine product mid-year last year about June your city government appropriated already 200 million pesos at pace food at the time and we've been engaging them especially PICE at the time tapos na progress yung kanilang trials so we ended up talking to a lot of companies and January 5 your city like Kesson City and any other city about 100 of us all over the country acquire the advanced marketing commitment in the case of City of Manila we have about 800,000 doses that we ordered from AstraZeneca a tripartite agreement made and entered into by the city government the national government and of course Astra the same manner with other cities that will represent 400,000 individuals at two doses on top of the national government as we have promised all of us as Filipinos that the national government will buy more than the numbers of the population so this is a supplement of local government's effort to the national government but that will arrive on September all of us I think generally we have the same contract AstraZeneca they stop they stop engaging local government unit come January I don't know what transpired but for whatever it is I think they continue to engage the national government now in preparation for 2021 your city launched on December preparation to 2021 vaccination plan December 31 we've launched the Manila COVID-19 vaccine.com where in people can pre-register I hope you can share this slide please we've launched this pre-registration Manila COVID-19 vaccine.com where in we encourage people to this is the sitra, the other one that is the situation report because I went to Mahar we've been doing technology we've been doing that Dr. Mahar and I'm happy to hear it from you from a specialist that you appreciate technology this is a Manila COVID-19 vaccine.com refreshment sa unang nakita ko na mayroon yan alam nyo mga nyo sinasabi ni Dr. Mahar I'm just happy to put it on record that they stay safe.ph was initiated in Manila that is called Manila.stay safe.ph then when the national adopted it and we are very happy we lend it to the national government of course our partner will disease but the Manila COVID-19 vaccine.com this is where people can pre-register and there are questioners basic questioners well in line with the world organization and view policy about certain diseases or precondition for efficiency for purposes of efficiency during the deployment at there you go or this is the vaccination vaccination site as of today we have 11,994 vaccinated in the city balik kalang ng kontek sa co-box Manila co-box there you go very simple straight forward old school na hod na hod na very straight forward old school website we're in the only modern thing in this website registration is the OTP the banking system one-time password that we adopted so that we continue to protect the privacy of a person who sabita this document data online kaya kami hindi namin ma-access ng data except for a dedicated person authorized to look into other things but generally wala makaka-access it's only you the cell phone that you registered makikita mo yan yung pre-register we have now 118,719 this is real time and as you can see if you will visit this and you look at the vaccination 11,996 every minute now as we speak it will continue to grow why? Dr. Maher said kanina if you utilize technology and centralized documentation mas madalimong may identify how are we going where are we going in real time so leaders will have a real time data on the tip of his finger every now and then tamari si Dr. Maher for purposes of policy making and decision making and I do believe also that time is of the essence especially we are now I think maybe some of you may agree or say your piece that we are now experiencing resurgence towards to the second wave we are going to neglect the situation and I do believe that to continue to protect lives is true inoculation because while it is true that it is not a guarantee palika na sa screen it is not a guarantee that it will deflect COVID-19 but I am definite I think doctors here who are watching it will help protect and fight the infection in your body with regard to COVID-19 and will not be submitted to a serious serious condition which is very dangerous nowadays at that rate where our hospital COVID bed capacity in private sector and fortunately na modesty aside we've been we call this preparing to be ahead always with the numbers of infection with regard to our capacity quarantine facility and COVID bed capacity in our hospital now thinking eto lang naman assessment ko thinking that this will be a long hold because no data or medical journal that we've been researching and even Dr. Fauci and other specialists in the country have told us that isang taul na tayo magbabakuna so ang presumption ng leaders or policy makers should assume that okay this is going to be a year on year now having said that so we prepared our city upon signing January 5 our own cold storage facility in a hospital setting so that there will be tawab dito yung power supply may mga contingency hospital runs doctors so we put it in a hospital isang taana so we build our own Manila COVID vaccine storage facility can you please share that and we bought our own biomedical refrigeration system okay let me share why why are we doing this investing so much on this actually it's very cheap just to be on record this is less than 15 million including the building and the refrigeration system this is higher we have about negative to up to negative 80 it means across the board across the board across brand at our storage facility so kung ano yung dumating meron kaming pagkakargaan then we bought our transport cooler buyer then dumating na siya yung 50 transport cooler can you please share so this is the transport cooler anong purpose yan okay anong purpose yan dumating yung bakuna it mahar said and if you all agree that time is of the essence the moment tanganan na namin yung bakuna we deploy we deploy and we can deploy because it is adjacent within the area for the A1 point one and A1 up to down to A1 point one point seven which is as we ngayon usap usap tayo I think we are about to go to A2 going A3 what is this A1 A2 A3 this is the policy in terms of priority decision makikita ninyo 11,900 that is only the local government effort we don't have a data not shared to us but I'm happy as long as they doing the vaccination the vaccination done in the national government hospital and private hospital may sarili silang parang pinagsusumitihan ng mga datos at nangyayari naman yan at pinadalasa so what you're seeing is a local government effort now and let me share you things dahil din naman talagang hirap ng mga tao sa bakuna so we tried to accommodate after inoculating our doctors other medical frontliners and now including 1.7 A1.7 na pati yung mga private doctors private doctors private clinics anybody who works in Manila ako ngayon na dumating na kami pati yung mga dentista kasi they are also exposed in a radius infectious radius workplace so we really tried to niyayakap mo as many as possible so having said that we're just very happy that we're about to go to A2 which is the senior cities and we are very grateful we receive doses and although panakarnaka but what matters most is what we have we deploy yun ang scenario at nakapasalamat naman ako a few minutes ago we have received a data from DOH saying that we are now 162% about the target so kumapasin nyo 6567 lang yung target as listed but we went beyond because of the new memorandum policy number 20 if I'm not mistaken when they amended the A1 priority list it became A1.7 so we are now 162% so we're very happy so now moving on let's just say in a good weather in a good weather may awan diyo due to our if you remember at the city of Manila simulated kung maalala nyo I don't know if you saw it in the news we simulated in a smaller scale and the largest small and largest scale controlled environment and uncontrolled environment which is the field in the school having said that in apply namin may karong naman kamin what we called live simulation so may rong kaming simulation sa COVID-19 kasi karong kamin live simulation yung nalala nyo rebellia rebellia ba yung TIGDAS and we vaccinated at 141,000 in less than 3 weeks so because of this practice we went beyond what we are expecting napabilis namin na napabilis then we had the real vaccination in the city of Manila about COVID vaccine now we are averaging 1,000 a day as per our goal per hour goal yun ang goal kasi namin 1,000 a day per site now moving on if there will be vaccine tomorrow alimawa lang 0.2an naman today is September we can do 1,000 individual times 18 times 30 that's 540,000 in one month and we only target 1.1 million based on 18 years old above but that will depend just to be fair that will depend on anong uri ng bakuna kasi ang mga bakuna may kategoria meron tayong bakunang preferred para sa senior as of today like in the case of silo bak 18 to 59 unless you sign away and so on the same manner with the senior citizen na medical frontliners which is astracenica ang sinasagestan so we continue to follow this rules magalala si mayor joy at ako how i wish we can get vaccinated we continue not to violate ayaw namin pagkaita ng mga doktor ng pagkatataw ng mga bakuna but then again we cannot continue to wait just to be fair again and i think it's going to be a decision in a matter of few days we cannot continue to wait for doctors and nurses because the brand that they are not that they prefer is not yet available and we stop at point 1.7 so darating ang oras ako nanawagan kahapun ulit although umuulan na ngayon marami bupila ngayon it's a good problem in the vaccination site in osma hospital ang mainilay na darating ang oras in a matter of few days i believe so that with or without those medical frontliners and other medical frontlines in the medical frontlines ako punta na kami sa A2 kasi hindi naman namin pwede itengga ang bakuna because again and again will use mr. doctor maharlag may concept like time is of the essence ang mabisang bakuna ay ang bakunang na sa brazo mo yan ang kampanya namin baka bumabana kami kaya kung alimba wala may mga doctor pa dito na tagam mainila we have Sinovac we have AstraZeneca I think that would last until tomorrow and after that we will report to DOH and IITF and VBNTag that we must go now to other sector which is the A2 kasi sayang yung oras habang may bakun yung po so far ang mainila and I'm happy to answer some of your queries so far so good sa awan na jos dangerous but things are being done in right perspective we're happy to be of service to non manilans who are working in manilans so yun lang and then let me share you one video this is what we do nga pala this is a multiple yung kampanya how do we bakit lumalakas yung kampanya sa bakluna so you show this let me show you this quick video lang or not this one the other one the one with the gasp yung the value of vaccine is important na protectionan sa sakit sa buhay yung unapong lumabasang bakuna ako pung una nag-volunteer para maturukan dito sa philippin general hospital dahil po ako yung naniniwala na itong tanging paraan para ang mga healthcare workers natin ay maging ligtas at man magpanatiling malusog at tulit-tulit ang magampanan akadilang pag-aalaga ang mga paciente ilangan mga bakunaan ako para makapamatadan ako yung di na magkingao di makutapot nakahawaman at itimdao para makabalik sa normal kailangan ng bakuna vaccination ang solution okay so, bago ko makalimutan ng lahat marami salamat at IATF nakatanggap kami ulit ng bakuna and we will continue to deploy okay, thank you very much Mayor Isco Moreno your memory, thank you and I think again yung mga nakikinig sa Shodad ng Maylila at sa mga karateg ng laludar ay siguro nagsantakaroon tayo ng pangkalma pag nareminig ng mga local chief executives at pinapakita sa aking talagang minagawami lang lahat so, marami salamat po Yorme, marami po kayong plans marami po mga talong dito so, puno mo na kayong malis so, okay, this is our next speaker, we have BUH under secretary Mayor Nakabotahe will give us an update on what is happening in terms of the increasing number of cases so, Mayor Na, welcome to the webinar okay, nandito pa ba si Mayor Nan? Yes ma'am Pag-update ka na ano na ang nangyari sa ating bansa? Ang alam ko lang yung bakula, I don't have the cases with me but you can download it's a n-book website, sorry I was not ready for that yung bakula na lang Go ahead on the vaccination We have already vaccinated 658,050 of our mostly A1 priority out of the 825,600 doses about 74 0.4, alam namin natin ang gumating na unang bakuna sa ating ay yung 600,000 sino-back to doses yun kaya 300,000 lang tapos yung AstraZeneca dapat may second dose tapos yurado naman may darating second dose pag-i-binigay na ng COVAX Facility sometime in March and April tapos may dumating ng 24 ng another 400,000 tapos kagay ng sabi ng dalawang Mayor Naito, especially Ciorne, akpuni na hirap na kanikay Mayor isko kami ang nagha-ha hapul sa kanya, kasi sa sabihin nya sa amin, tapos na yung bakuna, saan na ba yung susunot siyempre mag-tatanong ka sa iba, sino ba bang hindi nakakag-administer ng kanyang vaccine para may-i-bigay kung saan mas mas mabilis mag-bigay and we are also happy with Mayor Joy Balmonte na in a very short time that they started the Quezon City Vaccination, maganda na yung kanyang output tapos sa strengs nila yung ating pre-vaccination vaccination at vaccination yung ating 608,000 acros 81 provinces lahat na ng regions and then critical yung local government unit role while it is national government enabled, my guidance tayo at the beginning meron tayo yung national deployment at natin na in-improve and enhance, yung nag-bootin na gusto ng ating Mayor kaya meron silang mega-vaccination sites tapos si Yorne meron siyang phone chain facility na nag-dodobol sa kanyang vaccination site. Patlung bagay lang ang importante yung tinatawag ating 3M plus ating rest-baccuna campaign faster listing important pag-baccuna noon hindi po tayo sa mga campanya hindi tayo nag-bamaster list kung ano lang nakita natin yung ang babakuna natin pero ngayon kailangan different levels may master list para we have an idea how many in the population need to be vaccinated and of course priority alam naman atin yung ating mga health workers but I agree with Mayor whether mag-papabakuna sila o hindi so we are going to have a last mile master listing call as you note out na ito tapos we are trying to reach all the platforms para latpo ng mga healthcare workers or workers in frontline health services na mag-palista, mag-tanlong kung saan sila pwede mag-bakuna up to March 31 kasi pagkatapos niyan susunod na tayo sa next priority ang next priority natin A2 dapat yung senior citizen pero yung bakuna na available ay sino bak ngayon hindi pwede sa senior citizen so pwede nang punta sa A3 yung mga comorbidities in the next one or two weeks magdibigay na tayo ng bakuna sa Metro Manila for the next A2 or A3 napag-agreean niyan because alam naman atin madami ang mga kaso so we should already start parallel habang binabakunahan natin natin ating health worker papakunahin na rin natin yung mga susunod na susunod na mga priority so planning na kita niyon na napakaganda ng planning but no plan is perfect it is the execution that will improve on it kasi this is the first time we are doing this and many parts are moving data is very important and then what you saw is the mapping of vaccination sites and teams so we are confident mga mayor na yung mga mayor na yung unang A1.1, A1.3 sa hospital pero pagkatapos po niyan A1.3 hanggang sa next population LG na po ang magpapatak mo niyan and then sorry na yung hindi namin nabigyan we should also be giving you the number of vaccinated international hospitals that are in your area so yung pang A4 na M is be move the vaccines faster and I agree we are now trying to really move the vaccines faster kung sino yung mas mabilis mag administer mas bibigyan natin ng mga bakuna. So yan lang po thank you very much for this opportunity and that we are going to work together for this bakuna nanyang si Raymond we have challenges but hopefully we can overcome the data management challenges and we learn and we improve as we go along. Rami salamat mam susi, thank you Thank you very much let's use mere nakabutahay Thank you Dr. Susi and thank you po to our NVoc chair. I know Ayusek Mirenas our natural vaccine operations center chair po and we meet every day maybe even more than once a day po for the past since the start of the year naman po so thank you Ayusek Mirenas for that excellent presentation we will now move on to our final resource speaker for today because when a glimpse of how they are doing it in the provinces, let's welcome the deputy executive director for local health systems of the Zoo Willing Family Foundation Dr. Anthony Tony Boy paraon. Dr. Tony Boy Thank you Dr. Raymond isang maganda, malusog at sana ay COVID-free na araw po sa ating lahat I'd like to express my thanks to the organizers for the presentation and I'd like to log po UPTV for organizing these regular webinars on the different dimensions of COVID-19 pandemic these webinars as you know provide us a venue for stakeholders to share practices ideas and resources and at the same time about the responses, the interventions and challenges stemming from the pandemic health crisis. As a bit of a disclaimer as Mayor Belmonte mentioned, the Zwillig Pharma Corporation a number of times earlier, I'm with the Zwillig Family Foundation and that Zwillig Pharma CFF or Zwillig Family Foundation has been working with the government, DOH in particular as well as development partners and local government units in improving our local health systems for over a decade. We are independent from the Zwillig group of companies and these independence ensured our work remain focused on nation building via community health care while the Zwillig companies like Zwillig Pharma continue their respective businesses as well as their respective corporate social responsibilities. I'd like to thank and hats off to Dr. Mahal Lagmay of the UP Resilience Institute and our two local chief executives Mayor Joy Belmonte and Yorme Escob Moreno for sharing their COVID-19 vaccine program initiatives and for doing what they do on this fight against COVID-19. I'd like to share lang and congratulate and thank Mayor Escob because I'm one of the beneficiaries of your website. I live in Manila and just mid of this week I was able to get my vaccine in hospital ng Manila and I'm proud to say that it just took me one hour from the registration to the post counseling so congratulations and thank you Mayor Escob. Listening to our speakers the two cities have made great advances in their vaccine rollout. Narinigho natin ang napakaraming mga gawain na hindi lamang sa pag-ahanda bagus ay pati sa at-actual na pag-implementa ng rollout na nasimula na para sa ating mga frontline health workers. Idadagdag ko lang po na bilang siguro mga mamamayan ay magandang malaman at makita natin ang mga kinakailangan gawing sa ating mga local na pamahalaan para lang makarating ang vacuna sa ating hospital at health centers at upang tayo ay maturukan. Ito ho ang maari natin tawaging trabaho ng kinatawag na quote-unquote backliners. Kasamahul yan si Mayor ang iba pang mga membro ng kanyang health team at maging officiales at mga tawahan sa kanyang danong din kila Mayor Ben Monte. The backliners are those who handle operations behind the scenes amid the coronavirus disease pandemic. Kabilang po dito ang iba-tibang mga roles and responsibilities nila ng mga LCEs at mga LGUs and kasama dito ang mga maraming nabanggit na nila kanina although I think I'll mention them again. Kasama dyan yung demand, yung forecasting ng demand, ang pag-set ng targets pag-alokit at pag-approved ng budgets kasama rin mo dyan yung supply chain and logistics management mahabahong discussion ang binanggit dito ng Mayor Ben Monte kanina sa pag-kipagtulungan sa Zwilling Pharma ganun din si Mayor Isco and yung pag-kipagtulungan nila sa private sector and even with other government entities especially the Department of Health and IAPF. Yung paglalagay nila ng napaka-important information system and I think this was really emphasized by Dr. Legmai kanina because this information system will enable real-time tracking of supplies and the line list of recipients of the vaccines. Yung mga ginagawa nilang tabahong pag-betting sa pag-pataas ng demand or in kina tawag natin and risk communication sa mga constituents. Yung pre and post marketing surveillance pag monitor nito at pag-supervise nito yung paulit-ulit na binabanggit na data generation and management. I'd like to share what we do in the Zwilling Family Foundation through our integrated Provincial Health Systems Development Program and our local health systems pandemic response program. We've been supporting the efforts of three provincial partners, mainly Bataan, Aklan, and Agusandil Sur in their COVID-19 preparedness and response as well as the preparedness for and rollout of their vaccination program. Way back po, third quarter of 2020, we started looking at the readiness of these three provinces in terms of supply chain management of COVID-19 vaccines. We actually designed a quick assessment tool of provincial supply chain management readiness and wrote a discussion paper and a policy paper on provincial supply chain management for COVID-19 vaccines. The paper po, applying the main supply chain issues or the many supply chain management issues na I think maramin ngayon ay na-address at yan ay nabanggit nga ng in terms of data collection in terms of the logistics, in terms of human resource, et cetera, et cetera. And gumawa ko kami ng mga key policy recommendations to strengthen both the governance and the technical capacity of these provinces to manage nga po the COVID-19 vaccine rollout. And as we are assisting these provinces in their micro-plan development and implementation, we ensure po that the learning and recommendations from the study are included in their plans. Currently, we could attest to all the hard work of the provinces in terms of their preparations related to their vaccination centers, yung pag-insure ng adequate and competent vaccination teams, yung pag-identify and profile of eligible populations naman ako dyan yung mga binabanggit kanina pa na prioritization yung ating prioritization list. Naryanin ko yung pag-secure ng vaccination waste disposal systems as well as yung developing ng kanilang transportation plans and yung pag-manage ng public perception and apprehension. We've also noted din ko that the governors of the three provinces that we work with of Bataan, Mirafloris of Aklan and Governor Cane of Agusangusur have done a lot of interventions and that includes yung pakexplore na other technologies especially related to data analytics, I think, again, emphasizing what Dr. Lagmay mentioned earlier and this is to monitor their vaccinated population per area. The governors have designated dedicated hospitals and health facilities that will respond to vaccines' adverse effects. They've also coordinated and communicated to their local chief executives or to the mayors as far as their micro-plan implementation. I think it will hold yung malaking differential with our city mayors primarily because the governors have to work with their mayors sa mga implementan na. The governors also led the critical planning with these local chief executives or with LGUs to ensure yung mga ibang-magay sa actual delivery or actual administration of vaccines and they ensured that there's timely delivery of not just the vaccines but the logistics or the ancillaries uoswero, alcohol, mula, et cetera, et cetera na yung daily vaccination plan at may implementay ito. They've also started doing, developing their communication plan and implement social mobilization and advocacy activities and yung yung yung pag-develop nila ng contingency plan for the vaccine in case there is high refusal rate among priority population. Based on what I have enumerated in the past few months yung kailang mga simulation exercises and based also on their initial rollout with the frontline workers, the three mentioned provinces I could say are also relatively prepared for the actual implementation of the COVID vaccine program. But having said that I should also say however that preparation doesn't end with a rollout considering the recent surges and that the pandemic may not be or may be with us for another one or two years or perhaps even more kung hindi hu natin ito ma-address ang gabute continuing improvement is necessary. So in that respect yung mga LG also ay dapat na talagang continuous yung pag-improba at sa kanilang readiness at sa kanilang preparedness pagdating sa pangpapapakuna at pagdating sa PD-ITR na statihiya para pagsagpuglok ng COVID hindi lang mo sa pangpapakuna. Ang siguro last hope na aking sheshare lang is that marami ho kasi sa mga local government units ang palabi magsasam sa amin na napakatasho marami na naging binanggit kanilang ating mga presenters in terms of really the importance of risk communication and community engagement and I think this is an imperative to increase public willingness to be vaccinated against COVID-19 and eventually ng ako achieve yung ating tinatawag na herd immunity from the virus and eventually I think stop COVID deaths in the webinar series. I'll end here and again would like to thank the organizers and thank you sa ating audience for listening. Over to you, Dr. Susi and Dr. Raymond. Thank you very much. It's Dr. Tony Boyfaraon of the Israeli Family Foundation that we've been working with LGUs to develop the health sector capacity for many years and have been very effective. Thanks for joining us today, Tony. Okay, so we've got a great panel like to all open your videos. So, Tether Vossa, Mayor Joy, Yorme, if you're still around and Tony Boyfaraon please open your videos and instead of asking okay, so I'm going to ask Raymond first to just quickly show our panelists who is in the audience. So go ahead Raymond. Okay, thank you Dr. Susi. For now over half of our attendees are coming in from Metro Manila followed by those watching from northern and southern Duzon and then central Duzon. We have about six at least for those who have inputed their answers watching outside of the Philippines so very consistent na may nanonog to us outside of the Philippines. Most of those who are watching are nurses and then followed by those in the medical field in other areas. Over to you Dr. Susi. Okay, so also Dr. Mahar Lagmay you're still here, right? Mahar, are you there? Yes, he is. Yes, yes, I'm here. Okay, because you all know each other I'm going to ask you to ask each other questions. I think Ted wanted to ask some questions to our mayor. Ted, over to you. I just wanted to talk about we're having some problems about data management It's the same story about the contact tracing last year. Yung Kesson City got its own data management all in place. Yung sa Manila, is it that set up or pa panong magiging reporting sa national levels? Kalo yung dapat namin malaman. Thank you. In the case of city of Manila we continue to daily report to DOHs. Yung kami let me go first to the positive person. Remember covid kaya in the early part we created our own because at the time walang covid kaya and you cannot just wait and wait if ay may baro mahar lang wage. Antayan ang antayan and resiliency or ability ba sort of sale. Kanya kanya tayo ability because if we believe that data will guide us in managing, decision making arresting the situation then we must do. But after a few months after we had our own data management Manila Sitrep is ManilaSituationReport.com ManilaSitrep.com sorry. We put our positive there but then again we don't put a different code. Kaya mapapasimo it may have to dalawang website man siya or outlet we do use the ph tagging. So what you see in the ph philipines tagging is the same ph number that you're going to see in ManilaSitrep. So we continue to share with DOH, we continue to work hand in hand with them always as always sometimes we disagree ang lang nung kaunahunahan nagkakagulo sa Metro Manila bakit ibang report ng covid kaya and iba report ng lokal nagkaroon ang basis na ng decision na ang gagawin sa lokal ipupadala sa DOH tapos nakopo na rin natin ang mga nagkaroon kasi ng pangusbong Mr. Dr. Ted nagkaroon ang pangusbong ng mga testing na hindi nagre-report nung muna sa DOH na ako lambes na kumuntik magpasararito ng clinic na kailangan ng testing because again and again we need to trace immediately so we need to know time is of the essence who got positive. Nung nung third quarter na because I've been talking to ambassadors accessing international pharmaceutical company at that time I was just fortunate to have a relationship with ambassadors of this world then I had an access to the data which I am not allowed to say nung nakita ko na maganda yung progression nung mga kumpanya in terms of trial we prepared our last quarter for the 2021 so it's not easy to build we wanted to build the simplest old school website which is static static 2-3 pager website except for the OTP kasi may bagong technology na to protect the privacy that nobody can jandos and marry we're having an attack now sad to say I have to share it with you we are being attacked by some I don't know kaya magigain nila kung bubuk sa nila mga nabakunahan sad to say but it's happening is that we bought an SSL some security and all other things but anyway that is side comment but what matter most is that December 30th we launch it then as of now wala pa kami nakigitang national na uwihan ng data na wala pa but we've been doing it December 30th so today is March so it's been 4 months but don't get the ways wrong they have our data we share always to them kaya mayro silang nomero impact makikita nyo sa reporting nila lagi sila may nomero in fairness to them yung mo uwi lahat yan sa the ways kasi gano ito tama po yung ipanibaro the words of doctor yusek mir na hindi ka nang mabibigyan ng vakuna malaman naman nila na yung binikainin ang vakuna na utilize and the best way to know the easiest way to know is to submit names that who got vaccinated by lot number brand number who is the inoculator or the vaccinator and when it was kanina nabanggit ng sir Anthony doctor Anthony nagpabakuna siya you can share your passport ito kasi mong nyayari para makita nyo lang may nipako because this is a unique passport that can be used worldwide again I went to the old technology that is existing since the 2000 which is the barcoding simple, napaka simple any cameras any phone can read this or any cameras in the world this will solve future problem arguments, this agreement that I got vaccinated no, hindi ako naniniwala and so on and so forth but with this, barcoding when it is scanned anywhere in the mall, in the workplace magagamit ito ni Jando o ni Mary very simple, straight forward and you'll see the date given given by lot number, expiry date please okay, balik sa screen so I would believe that doctor Anthony has that because it's a real time once again ito ka simple doctor Ted ako nato ka nyo the moment you get vaccinated the moment it's being uploaded in real time because there are two persons in the inoculation table the encoder kailangan magkausap yun tandem yun hindi pwede hindi sila tandem because they hold the bials and the bials has the lot number and it's very important para sa sinasabi ninyo in the future study ano naging effecto ni sinubak kaya itong idad kaya niyang and so on and so forth Mary siyang pagpuhana ng pag-aaral in the long term if we will have this about 2-3 years from now but DOAs has the data I guarantee you that they have the data umu-uwi sa kanila lahat yan kasi ganoon ito lang si-simplified ko lang ang point 1 hindi ka makakakawa ng vacuna na may alang nilang hindi ka panag-re-remate ng data yun ganong ka simple but so far we continue to utilize what is the importance of data gathering in a simultaneous vaccination para mawala yung possible kasi there is a possibility ma-attap yung tao ano ma-attap i-biolate niya yung 21-day or 28-day or 12 weeks I would assume that you know already that AstraZeneca the longer the better it will go up to 84% there's a new study I have the doctors here will study it that instead of 72% you can go up to 84% as you progress tama po si Nabi ni Dr. Amir na ganoon ito ginagawa kami nung una binigyan kami sa Libo lembawa no let's just say sa Libo hold namin yung 500 patokorok namin 500 yun sa AstraZeneca but may bagong study yung lahat ng binigyan ng doses first doses na kasi the longer the better with regard to AstraZeneca but with sino ba still 28-days kami 50-50 para ma-assure ka na merong kang bakuna so what I'm saying is kahit sa ang kamagpunta sa Maynila kahit hindi ka tagang Maynila but you are working kasi napagkasaluan na namin nila Mayor Mil Monte nila Mayor Joy ng mga mayors kung alibawa ang doktor niya nagda-travaho sa Maynila we will accommodate at the same manner yun doktor ko atira sa Maynila nagda-travaho sa Kesson City if she or he opted to go there to get vaccinated as long as it is available kasi ang gusto namin mga Mayor as soon as possible tapos accessible which is the very least is the workplace yun yung napagkasaluan namin kaya anean naguusap yan yung mga Metro Manila so kahit sa ang kamagpunta dahil one system ang Maynila hindi ka pwede ma-double job yun na nakakatakot kasi baka mamiya maymang nyari sa isang utaw mapahamak naman yung buong programa dahil lang sa hindi naman talaga kapabayaan ng vaccinator and so on and so forth so yun yung kaya nagkaroon kami nang sarili namin na what you called manilacovidvaccine.com yun Very good Mayor Maganda yung QR code yun Mayor si Adele IDP, naglagang ko lang yung sinabi ng Mayor Go ahead Napakaganda yung sinabi ng Mayor isko and I noted some of the very important keywords na sinabi niya data gathering is very important maganda yan kung mayroong tayong digital platform sana on a nationwide scale na reliable Number two nagkaroon nga lang medyo problema naging maabilidad ang ang manila in fact that is true that is a manila one of the first ones na nakitaan po nang maganda digital platform na real time so that is very important na ginawan ng solution and yung solution was simple that's the third the key word na napansin ko sa statement which is very important nilang importantin mayroong platform na digital but it must be usable understandable and the simpler it is the better yun ang mga importantin understandability mayroong tayong mga iba-ibang mga platform si Wahewala maganda lahat ito integrated sa susunod na ating problema na ganito mas handa na tayo if we are integrated doon sa mga digital platforms na mayroong tayo kasi hindi peding LGU lang na isa kasi hindi naman nag-recognize ng administrative boundaries yun by rules so if we are concerted in our efforts mayroong tayong unified platform usable and simple that would be the best for us si Nutsuboka dito lang lang ang Kesson City si mayor joy ginagawa na po namin ng end-to-end system mayor joy two months na kami nakigipag-trapao sa lahat ng departments din nyo and hopefully ma-upisahan ito sa demonstration of what UP is saying or what we are saying Doc, mayor mayor Doc ma, total lang dito si Yusek Mirna yung manila covidvaccine.com is a scalable digital mapping system when you say scalable the way it was done in manila.staysape.page that became staysape.page we are happy to share it to you ay ano nyo nalang papalita nyo nalang ng domain name papalita nyo nalang antawag namin sa technology skin if you really wanted to have it riskin I can submit the tech a small group of people because all we have to do is put in all the data in the digital maps so the general population will have an access of the pins or ayun nakita nyo kanina atin yung mga ano lang quick lang baka lang gusto nyo hiramin so pwede alaga nang pweram it can be yours with all honesty if we can be of help you can share more please tignan nyo kanina 11,966 I don't know that was an hour ago can you share the screen 12,172 so what I mean by this you can look at the right side of the right down corner nakatag lang siya city of manila but we can open the entire country just so you know click nang isang button it represents a person click nang isang button 12,107 ito kanina 11,000 zoom in ka para yun to protect the identity of course we don't show the identity but as you can see there is a barangay anong idag yun tapos yung first dose niya remarks of course the second dose will be the second remarks so these can be utilized ok pakiklose mo na yung sabihin decision making tayo alimawa alimawa let's just sequentuhan naman oh bakit yung ganitong LGU binigyan natin ang ganito anong mga update doon bakit na yung di pa sila humihingek kulit let's just say di pa sila nagre-repeel makikita ngayon yung policy maker or a group of people who decides on the matter sir ito lang ang performance nila makikita mo ngayon sa you can inspire the people when they see maps these are visual real-time data na magagamit na ng policy maker and we're happy to share it if you want anytime you just tell us or at least yung tao nakikita nila hindi lang numerical number visual so where it is makikita mo and that's very important sinir ko lang sorry may enjoy go ahead please very nice very nice mayor thank you kukopya hindi namin na may auto ok makalala oh madali actually we do not want to reinvent the wheel we will copy it thank you we want to open a rainbow makatiring nang mo, napakasimplein I mean talagang duplicable siya kung pag-inisip mo talaga siya hindi siya rocket science actually thank you very much I'm going to give mayor joy an opportunity to say something on this topic mayor joy are you still there? mukang nawalas mayor joy ok we have of course a question from the audience Raymond yes po so one of our other live audience questions was supposed to come from director Shelley Delavega but she had to go to a night at meeting may we now call on miss Sarah Jane Alemania maybe you could open your video po and ask your question welcome Sarah go ahead hi hello po everyone thank you po for the two mayors po and other speaker po for sharing an insightful how to get a vaccine programs and plans for our especially po sa Kesson City so my question po is for both mayors po if we have plans to have a drive through vaccination sites like po yung mga meron na po abroad like I think in New York and Canada ok one mayor joy mayor yeah let me go first yeah joy had to leave eh ok ok one in Manila we've been doing drive through testing because there is no protocol or rules that are required after testing so pag test ka skerda ka na then you wait for the announcement that you will receive through text messages and you can get a copy of it the same drive through pero pasyumto ka na lang just to get your certificate for other purposes may joke without pa kami it is possible it is possible but for now I think 18 sites that are available it was I think all the mayors have already planned if you if I'm allowed I'll just share you the idea of other mayors lat kami may mga kanya-kanya na kaming future vaccination site yung hospital setting is because doon mo na kami for medical frontliners and all other things but there is a requirement kasi Sarah kailangan namin e monitor putisana kung wala yun meron tayo ginatawag na 15 minute or 30 minute after the vaccination now okay doon okay pa rin doon if we have like luneta which is where we do our for general public even nang manilans to get tested but can you imagine 1000 cars 1000 cars in an area to hold with all the fumes of course hindi naman papatayin na namin ng oce so baka it will be hazardous and helpful so yes it may but for now I think let's focus on what we have which is a limited supply and how can we be efficient with this supply attending to categorization yun papunta rin naman tayo doon sa A3 yun sinabi kanin na na Doktor Amir na na o A2 kung besrasenika kung paugus na pero may sinobar kung tayo sa A3 kasi sayan yung oras so ganan muna siya ngayon malayo pa yung general population just for the sake of our viewers A, A, B, C no A A again ang maraming A tapos B maraming B so A and B pero marami ang sub-category so pwede but not now maganda lang kasi sa status unidos yun na panod natin nakakatulunan laway but I'm pretty sure they have their own idea but it doesn't mean it is effective to us hindi pa natin kasi alam yung anong reason nila doing so maganda lang sa visual pag at nakita natin but for now I think we have enough I can honestly say we have enough inoculation area Okay Yeah, thank you very much Yormie, I think we have one question for Kesson City and I understand Joseph Wiko is going to answer it but we can also ask Yormie to answer paano po yung planop sa mga seniors na hindi po makalabas ng bahay That's a good question So, Ayame, tako mo na si Joseph Wiko is going to answer on behalf of Joy tapos kayo po Go ahead, Joseph Hi, good afternoon to everyone may risk ko, good afternoon Well Here in Kesson City that's something that we are considering but definitely we have to seek the guidance coming from DOH on how to go about seeking or bringing medical attention particularly vaccines to those that are bedridden but one thing that we're trying to do now is for those senior citizens that will have difficulty going to our vaccine sites we already tap our tricycle drivers and the city will will subsidize these tricycle drivers for free free transport to the different vaccination sites Aside from that we are in talks now with a ride healing service to give special rates or if not very discounted rates to all those that will go to the vaccine sites via application So those are the two things but definitely ask to how do we bring the vaccines to those that are bedridden I think the Department of Health would be the best group to answer that question but definitely we are open to any of their recommendations and suggestions Thank you very much Thank you very much, Joseph You are the one who plans for seniors that are not available at home The same thing that we are doing right now when we test them we have what we call home service So what we do is we ask the barangay kung sino yung kanilan mga bedridden and I'm pretty sure in our case sa City of Manila alam mo napakayunit kasi nung mainila isang bloke lang sa ame isang maragay na ang impact pagdumahakap ang barangay kaya mas madaling ma monitor So we'll be doing that with regard to testing and we can do the same in ng collusion we can do the same Anyway in terms of prioritization I think it will be quite some time to finish the nga nga nga ok nga awap yoy 300,000 pala senior city sinya lakong malaki na akay 150,000 doble pala sa Tsun City medyo mahirap yun na kasi talaga in the case of Tsun City and Manila kasi hanapin namin sila tapos hindi pa namin sila pwede anong tawag doon hindi sila pwede magkagalong sa kalsada and that is a very future challenge to us on how to really tanotrawo yun ibabak yung bakuna but things will pop up based on na naman nyan experience ang importante lang there's movement but then again rest assured kung kayo may mga kaana na bedridden at na sa A2 na sila at kapag may AstraZeneca rest assured may mga barangay health workers kami may birth kami at as may barangay official kami this can be utilized ma-address naman ok, thank you very much Jeremy we're going to go now we're actually quite over the time but anyway we're going to go to the answers to the poll question so can we kindly flash the poll questions and I'm going to ask Yusek Kabotahit to answer to give us the right answers or dead ok, so I can't see this Raymond are you able to ok, let me do it ok, so how will the LGUs procure COVID-19 vaccines tripartite direct transactions wait for the national government allocation so Yusek naman thank you for the tripartite agreements it is course through DOH and the NTF and there are certain supply agreements and it is consolidated through a consolidator para mas malaki yung volume and then afterwards they go through a supply agreement that for the LGU depending kung nasana tayo sa prioritization list but they will follow the prioritization framework of the national government and they will apply it to their to their area so agan na nang nangyayari but we will also continue to give the vaccines to them kung ano yung dumarating sa atin based on the prioritization allocation kung nasa ana tayo kung na rin ngayon we can start giving senior citizen or the 8 to 4 bids already especially kung Metro Manila kasi marami na silang this is the hotspot now bako nabating din ang vaccine mayor peding sabay ay bigay yung akuna to ensure lang na walang duplication pabusta following the prioritization ganun po ang yayari we continue to give vaccines to those who need it of course there is always that equity kung mas mayaman si mayor pwede naman siguro ang sama-officier kung punta na lang sa mas malayong mga lugar although priority ngayon NCR kasi sila po ang hotspot so we have sectoral prioritization and we will also have geographic prioritization sa mga priority natin NCR region 3 for a car kasi tumatas yung pan region 6 region 7 ngayon thank you thank you you want to take this session Raymond for the next question po it's all about enlistment how does one enlistment enlisted in the registry of potential vaccinees 45% answered the LG Submit the Names Lubins IR the next answer is DOH Regional offices collect all the names for enlistment and the last popular answer is each individual enlist on his or her own we will begin sa Yusef Mirna again Apat si Raymond nang sasagot ito paano yung enlistment but kagayong sabi nang dalawang mayor na ito they were directed by DILG to do their master listing but even before the direction na kung bisang sila when they learned about the program they started master listing ito check lang natin there are several platforms suggesting ang talaga coordinated and led by the DICT yung one mayor department of ICT ang lead ng vaccine information management and they are trying to have the registration all over the country and they will have to look at the best practices that you have bagay na sabi ni mayor joy it will be blended ang tinasabi niyang hybrid pero kung digital in some areas yung pag-register ka yung manual tapos ipapasok sa mga excel ship so we are trying to improve the system and that's our biggest challenge the digitization of our master listing thank you our third question is short of a tripartite agreement can COVID-19 vaccines be commercially afford by LGUs that's an answer this we in the Isabayo can you try to which one is commercially available for COVID-19 vaccines actually the last question is if I could just put it in tagalog kung wala kung tripartite agreement pwede po bang bumile ng direct ang LGUs ng COVID-19 vaccines hindi although based on this question 54% believe that that is possible so baka someone from the LGU may your maes ko kung the straight up para lang po ano let me if I may share some rules which I think doctors knows this better than me kaya may argument who can buy and who cannot is simply because these products is under EUA ito importante ng muna malaman natin para maganda yung discurso maganda yung away may valid reason for both parties EUA stands for emergency use authority so you cannot allow any Jando's and Mary corporation for that matter to acquire product because you cannot use it how can you buy something that are not under CPR which is certified product certificate of product registration when you achieve a product when you achieve CPR ibig sabihin welcome na siya for commercial use ayon na basat yung mga doctor yung correct niya ko ula naman yung yung positive idea basa importante lang yun yung premise muna natin ng discurso para tama yung punta tanong natin sa tao so the point that the United States British government Singapore and all other countries including third world countries is acquiring this product through national government and direct manufacturer because hindi pa siya talaga for commercial use second yun yung difference between EUA and CPR now second hindi pwede yung event na kasing hindi nga siya pwede for commercial use my answer to that question is what are guarding principle guarding rules how can we say that any individual will not take the witness of others as a form of economic growth personal economic growth na magbenta na magbenta so mali pa rin kasi hindi ka dapat magbenta dahil hindi nga siya for commercial use bahul siya yung ibenta e kasi baka naman may apag lahat na lang lahat na lang ay bumili baka naman pagkakita ang pa I hope I rest my case with that now let's go now to future action that we can do together yes we can as local government as government as government sabi the local government unit may enter into under the rules under area 7160 may enter into contract of services acquisition of products and so on and so forth so we are now acting as government but due diligence was observed we cannot just go on our own kasi kawawa ka yung mga na sa municipalidad ay am telling you sa mga city walang problema yan maraming pera mga city nakita nyo naman na mga price release whether it is true or not it doesn't matter we have 200 million here 1 billion there paano yung peep class municipality port class municipality if and if na una kaming nakakuwa kasi kami may pera paano na yung equal opportunity for the entire Pilipinos kawawa naman kasi mga nyayari makikipagagawan kami tinanyan nyo ha tinanyan nyo kung kami makikipagagawang the same thing that the Americans is doing right now di ba? you cannot blame them I disagree with them I disagree with countries who store stockpile vaccine for the next 3-5 years instead of yung uses lang nila for this year but that's their country they protect their fellow citizens at the same manner in our case mahina ang supply mahina ang production so dapat magaroon ng equal distribution kaya kung gusto ko siya nagsabili mamirne incentivize natin yung performing yung underperforming incentivize natin kasi para magkaroon ng equal opportunity yung iba so having said that weekend but due diligence must be observed we have to pastor pa rin sa national government kasi hindi tayo pwede makipagunahan wala kasing supply we have all the money in this world but there is no supply so kailangan kailangan merong general rule merong may bobong may sinisilungan tayo lahat at the same manner I agree that the private corporation can acquire that I agree but again and again due diligence must be observed we have to pass through tripartite it the source for the ganda is the source for the goose a local government unit like us who under existing law existing rules can acquire directly it possible but we follow suit yung alamay concept ng synchrony wala naman tong paunahan wala naman tong paramihan ng pera it is a matter of how can we deploy it fairly and squarely and I agree you perform better you over perform we supply you perform less kubusim mo muna yung nasa iyo but with this scenario let's look at the bigger picture mas may big yan ng pagkakatawon yung wala nang kakayanan maniwala kayo marami sa provision natin sa boom Pilipinas oh my God you have to be you have to be connected with people maraming mga tao na wala nang kakayanan ng bumili so ko asa lang yan sa national government ok, now having said that yes it's true hindi repete ikoblade let's be fair to one another there are lapses that transpired along the way we've lost one quarter we've lost one quarter then let's move on instead of pointing finger we have to continue the same synchronization but private sectors local government must be continued to be allowed to have an access kailangan lang talaga may rules kasi tingin ko naman it is not about the money ok, let me share it to you ito, hindi to meta po actual, lipera ka ngayon you have one billion go anywhere in the world if you can buy you cannot because nobody will entertain you because they have commitments or contracts signed already kaya nang tinatawag natin do na advanced marketing commitment kaya nagbada-down payment na so yung sakin, pwede pwede bakit hindi but again and again let us not deprive others because we have capacity to buy hindi nang sabi nga hindi yan if I may borrow Ramon Magsaysay statement President Magsaysay those who have less in life must have more in life ayun lang sish ayun lang aking point of view private can acquire local government can acquire but nobody is allowed to sell if you sell you will be violating a criminal act because this product is not for commercial use you cannot gain from this you cannot, not a single peso and I like the idea of the private sector ang gagawin nila maganday, maganday idea nila do donate namin ang kalati sa ngang government yung 50% para sa mga empleado namin that is very, very good as long as no peace, no amount meron pa mga palusot yan sa inyo administrative pay ang inakawin dito to oyan na that is still commercial in value in terms of action and that is unfair that is unfair the less kasi meron nang mabibilin libre naman kaya nga ako di ba sabi ko nga sa inyo na nilala nyo yung isang araw nagagalit ako doon sa mga ilang individual na umihin ang clearance babayin ka pa 500 isa akong libre testing kipikey mo lang yung testing so yan yung magiging problema natin lahat lahat na this is now happy in the ground and it can happen later on I'm just kidding thank you po thank you very much Norme okay so I think we're out of time now and we're going to ask everyone to give a one sentence answer to a question I'm going to ask as they're parting words but meanwhile please fill up the assessment form I think some of you have already filled it up so before we go so let me just ask everyone to answer in one sentence Mahar started us out as saying that we have to work faster than the virus and the reason why we're not working as fast as the virus is because we are not using digital technology we have seen two LGs that are using digital technologies the question is how do we make this go out? Pano bang magayari on one sentence answer lang so let's start with Tony Boy paraon well I think ma'am let's not consider vaccine sa Silver Bullet let's all remember that marami panglimang dapat tayong gawin sa paglaban sa pandemic e di sinapudon yung tinatawag na apat-dapat a para sa air circulation and ventilation p yung ating physical distancing na one meter or more ayodit para sa always use face mask as a face shield at t yung oras na pag-interact natin should be less than 30 minutes with that I think kasama yung bakuna yung ating pang public health measures ay magalabanan talaga natin yung COVID may with that okay Mirna how do we make it happen throughout the country? physical distancing investment kailangan magport tayong investment magtulungan po ang local government ang national government and even private sector para hindi lang po tayo blended yung ating tinatawag na hybrid eventually we can now have a one system that can can be adapted for for better analysis for better services et cetera yung lang thank you thank you Joseph okay I don't think we have Joseph on yes so the question is how do you digitize the entire country? well one when you teamwork definitely number two we need all the cooperation of all the LGUs in the national government and three advanced thinking and basically just trying to figure out what work and what doesn't work so very simple ma'am thank you Yorme pala ba? alipo anong tanap? panapang sa buong bansa yung digitization digitization oh it's a long overdue we have to connect the entire 7,900 islands communication wise if not with bridges well I am happy that Elon Musk have discovered recently a new technology a low level satellite that can create interlink it's panabasa technical term it's a land system with so much satellite about 300 of them more or less in the world that can provide internet access with I've tested it 56 to 70 mbps at a cheaper price so when you look at this private sector developing this technology this is cheaper than rolling out fiber optics which is very costly nowadays and at the rate we're going it will take Jurassic years to deploy this so wirelessness cheaper better getting stable nowadays getting stable and wirelessness I think we have to go towards that investment kung in a given scenario I hope the ICT is doing that because I think the ICT has a long term plan of rolling out fiber optics that's good for stability but in a case like maharo nabiyakang kalsada bumagsakang building nabasa yung mga output you can call it may it may tawag yan anyway basa kung nasira your own infrastructure what will be the next form of communication by the general public I know there is another contingency in terms of regular communications like TV and landline but I for one believe in wireless and it's there and it's cheap and it's not rocket science anymore so I hope that the country will go towards to that line instead of we're going to invest billions and billions of pesos in what we call this in line latag baka pwede bumibili nalang tayo ng space nabibili naman yun tamaganda doon kahit di sierto alam nyo ba yun yung technology I think Starlink Starlink it's been doing good so far in United States and some parts of the world they're now testing I'm telling you they're now testing they continue to launch low orbiter satellite small satellite so anyway yun yung dream it's just a dream anyway just ask me about a dream it can be done we can have that without spending billions and billions of pesos thank you very much Mayor Mahar okay tamap po yun agdi naman ako sa lahat ang gusto ko lang sabihin is that the disaster is reduction it's always very important to anticipate para makapag anticipate ka you have to be armed with the necessary data that is converted through into information by analysts and that information will not transform into knowledge unless the people benefit from it or use it so importante sa disaster reduction kasama itong COVID ang anticipation and we need to plan ahead dapat lahat yan nakikita na natin yan and the data will give us that kind of information ang isa sa nakikita ko hindi ko naman sinabi na hindi natin ginamit ang digital technology ang sinasabi ko is that we did not use it as much as we could have done may mga gumagamit kaya lang kung nag anticipate tayo na meron tayo magantang digital infrastructure in baka hindi na tayo kailang mag-hybrid hindi ba baka I don't know but we need to plan ahead and put them all into consideration para sa ganun paraan pag dumating yung digital view mag-anticipate natin at meron din tayo mga baka katulag nga lang sinasabi thank you thank you mo heart in addition you can pay your taxes online now you don't have to borrow in city hall may addition din ako open data ang city of Manila kaya natutawa mo pwede kayo gomanila.com yung may mga property rito don't go here you can pay online www.gomanila.com or download the app it's real time end to end yung literal talaga na end to end hindi mo na kailangan magpunta rito para makakobid don't fall in line thank you very much thank you Ted go ahead your last words short lang I like all the efforts that we've heard from our local chief executives ang gagaling they're very good in terms of data there are things I would like to say number one in order to implement digitalization you need to have a good process don't expect the digitalization to solve a faulty process second you must think of skills ang naginating na pagusapan national so I work at the national level you must be able to scale whatever applications or digital use case scenarios you have done often the fault is the pilots are not able to scale yung yung mas mahirap na siya when you give a scale of national and that's why we need to all cooperate with each other teamwork open source I think I heard very nice things here the major doing the right thing what we need to do is at the national level we interoperate with them and with interoperability we will have a national chef thank you and good afternoon to everyone thank you very much okay so we're going to end with closing remarks from Chancellor Manchit Padilya Manchit, go ahead okay so Executive Vice President that was open to this webinar and he said that the second wave was expected as history has warned us and indeed the mutations and variants complicated our situation of vaccine supply and rollout Dr. Mahalagmai stressed the importance of the digital infrastructure to provide accurate timely and reliable data sets that will be communicated to our policy makers for better policy decisions we had seniors who presented Mayor Joy presented the comprehensive plan for Kesson City in partnership with drilling pharma and allow me to just mention the highlights for our residents in Kesson City there is already the easy VAX registration which covers the basic information including information on for COVID number two Kesson City is launching a vaccine confidence campaign called Protectodo sa Bakunang Segurado and this will be deployed to the barangay level where communication tool kits will be provided to every barangay anywhere from social media like zoom, posters, flyers fact sheets and FAQs at the website and I think this is important that we are sending the same message Kesson City takes pride that Kesson City has a WHO compliant end-to-end supply chain there are 24 vaccination sites with a rollout schedule of 6.3 months to cover the 1.6 million for the herd immunity Mayor Isco Moreno presented his plan for the city of Manila and allow me just to mention just the highlights of his presentation just like Kesson City they have already made advanced procurement for AstraZeneca vaccines under the Tri-Pri-Private Agreement due to arrive in September you also talks about a registration format the ManilaCovidVaccination.com which according to him and as he has demonstrated is real-time centralized documentation allowing our policy makers to take a view of what's happening around. Next he said that the third is that the city of Manila has set up its own ManilaCovid19 vaccine storage facility making sure that anytime now in the future they will have the supply of vaccines and the facility for the vaccines for today and in the future Number four they have invested also on cold chain transport coolers to make sure the easy transport of any of the vaccines to the priority sites they also have the Manila stay safe.ph for contract tracing which we know is very important for the control of COVID. Now this is interesting because they have actually they have ongoing simulation exercises and this is really interesting for the audience they are targeting a thousand per site targeting 540,000 per month for 18 years and above and I think this kind of exercise prepares us so that if the supply is available they can do it at the shortest possible time and I think that's the way for the future Our next panelist is Yusef Mirina Kabutahe who gave us an update and we're happy to note that 75% of our health workers throughout the country throughout 81 provinces have received the vaccine but he mentioned four M's and I want you to remember that he said there are four M's that are critical for the success of the engagement of the LGU Number one M for master listing Number two massive parts moving in planning and execution Number three mapping of vaccination sites and number four moving the vaccines faster We had a reactor Dr. Anthony Farraon who gave a background on the role of ZFF with a focus on nation building but I actually want to mention that he talked about the backliners during this COVID problem we only talk about the frontliners but he said let us talk about the backliners those who handle operations behind the scenes the policy makers those who do the forecasting setting targets logistics information systems pre-imposed marketing surveillance So in other words these are the people who may not be facing the patients but equally important So now we should not only be talking about frontliners we should also be talking about the backliners So just a few messages that I picked up from our panelists today let me start with Dr. Farraon he said preparation does not end with the rollout and risk communication will increase public willingness From Yusek Kapatahe aside from the four ends she emphasized the importance of the teamwork of the national local and private sector from our mayor Isko Moreno he said it's time to invest on the wirelessness for better communication and better communication we've got to think of the future not what we need now but what we need in the future from the talk of Mayor Joy Belmonte I think the message of empowering all its barang guys in the vaccine confidence campaign must be emphasized from Dr. Mahar Lagmai he kept saying it is what is important is to have an integrated digital infrastructure something unified and something simple because data is powerful and from Dr. Tenor Vosa we talked about digitalization today but he said at the end of the day it's not just the digitalization that is important but we have to start looking at our processes we need a good process a good pilot that we can scale up and for all of this to happen we need teamwork Back to you Susie and Raymond Thank you very much let's mention Padilya the Chancellor of UP Manila as always a very excellent and concise summary of a very fascinating webinar and I think if we could give a standing ovation for all of our speakers today we would maraming salamat po sa inyong dahat Next week we will not be on air it'll be good Friday so what you could do however is watch watch the old or watch this one again you can watch the previous previous episodes of stop COVID deaths this is the first time we're taking a break this year and so we'll see you on April 9 and on April 9 we are going to talk about what is going to happen in the next 12 months anubang ina asahan natin mangyayari sa COVID-19 so na rating na over to you Raymond Thank you so much Dr. Suzy so on April 9 and those who are very much into the numbers po we will have a very special guest none other than the DOH consultant po who is also a public health epidemiologist Dr. John Wong so sana po ay kayo po ay manuod that's mo bye bye on our April 9 next week po we'll take a break due to the holy week po bakita kita po tayo on April 9 po from 12 noon to 2 pm hopefully it will be something as lively as this discussion po it's a date together let's stop COVID deaths so keep safe keep healthy and see you online so long i'm here to hold the line oh keep my word until my time say his name to realize it's fine to be afraid just hold on to the word he gave this time we'll come to pass because this salvation makes a last you'll carry you to see the break of day the others pained from my fears the others vows before my tears but right behind the last i look into myself and ask do i have strength to carry on oh god how long was this go on and if you're here to keep me strong i'm here to hold the line oh keep my help until my head's dying my fears the others vows before my tears but right behind the last i look into myself and ask do i have strength to carry on if you're here to keep me strong i'll keep my word the others pained before my tears pushing on the spite of tears please say it's through another day