ANNOUNCEMENT MEMORANDUM

Also Visit Health In Manila For Hospitals & Health Care

Marie Lorraine M. Sanchez, M.D., MPH, MHA
City Health Officer

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Health Events

DIABETES AWARENESS WEEK, JULY 21-25, 2008

The Manila Health Department will celebrate the Diabetes Awareness Week on July 21-25, 2008, with this year's theme, "Utos ni Langgam, Mahal Mo...i-Check Mo, Baka Diabetiko Na Ito!" with the following activities:

July 21, 2008
Free Fasting Blood Sugar, Blood Pressure and Cholesterol Screening, ECG,a nd Consultation for Previously   
     Diagnosed Diabetic Patient
Audio Visual Presentation on "Stroke"
Free Bone Mineral Densitometry (Bone Scan)

July 22, 2008
Free Fasting Blood Sugar and Blood Pressure Screening
Lecture on "Hypertension and Diabetes"
Audio-Visual Presentation on "Smoking"
Free Bone Mineral Densitometry (Bone Scan)

July 23, 2008
Free Fasting Blood Sugar, Blood Pressure and Cholesterol Screening
Lecture and demonstration on "Diabetes Foot"
Audio-Visual Presentation on "Diabetes Foot"

July 24, 2008
Free Fasting Blood Sugar and Body Mass Index Determination
Lay Lecture on "Diabesity"
Audio-Visual Presentation on "Diabetes and Nutrition"
Audio-Visual Presentation on "Hypothyroidism"

July 25, 2008
Free Fasting Blood Sugar and Blood Pressure Screening
Free Nutritional Counseling
Lay Lecture on "Medical Nutrition Management for Diabetic Patients"
Audio-Visual Presentation on "Diabetes and Exercise"

Updates

DENGUE UPDATES

From January - June, 2008

Total of suspected 905 Dengue Cases were reported but only 828 were confirmed.

Number of Cases seen on the following Districts:

Two (2) deaths were reported from the City of Manila.

ACTIONS TAKEN:
1. Information dissemination thru IEC materials distribution
2. Active surveillance of Dengue Cases in all private and public hospitals
3. Intensity 4 o'clock habit in all barangays and schools.
4. Continuous implementation of 4-S for Dengue Prevention (Search & Destroy, Self Protection, Seek Immediate 
    Treatment, Say No to Indiscriminate Fogging).
5. Regular spraying operation of barangays with clustering of cases.

Advisory
Updating...

Downloadable Flyers / IEC
In progress...

4-S For Dengue Prevention
Basura
BirdFlu
Blood
Bulutong Tubig
Dengue
Dengue H-fever
Dental
Diabetes
Health Lifestyle 

The Manila Health Department records show that there are 35,458/1000 population registered live births in 1999 and 39,209/1000 population in 1998 or a decrease of 9.57%. However, there is a 6.80% increase in the number of deaths from 9,799 registered deaths in 1998 to 10,513 registered deaths in 1999. The neonatal deaths of 787 in 1998 decreased to 779 in 1999; post natal deaths also decreased from 461 in 1998 to 428 in 1999. Maternal deaths were registered at 15 for 1998 and 14 in 1999. Foetal deaths likewise went down from 333 in 1998 to 324 in 1999. Click here to view Vital Health Statistics for 1998 and 1999.

As of 1999, the Crude Birth Rate (CBR) of Manila is 20.72 accounting for 35,456 live births. While Dist. I registered the highest live birth at 6,582, Dist. III, on the other hand, has the highest Crude Birth Rate (CBR) at 31.31. The crude death rate is 6.14 or 10,513 deaths.

From 1998 to 1999, the leading causes of morbidity were diarrhea, bronchitis, pneumonia, TB, heart diseases, measles, mumps, cancer, chicken fox and dengue. Mortality, on the other hand, is caused mainly by diseases of the heart, pneumonia, cancer, tuberculosis, cerebro vascular diseases, sepsis, hypertensive, prematurity, UPI and homicide. For infant mortality, the leading causes are prematurity, pneumonia, sepsis, acute gastro enteritis, congenital anomalies, measles, asphixia anomalies, neconium aspiration and meningities.

HEALTH INFRASTRUCTURE

Of the 33 hospitals located in the City of Manila, 23 or 69.69% are licensed private hospitals, 6 or 18.18% are national government owned hospitals and 4 or 12.12% are city government owned.

The 23 private hospitals are the Manila Medical Center, Manila Doctors' Hospital, Physician's Diagnostic Services Center, Seamen's Hospital, Manila Children & Lying-in Hospital, St. Jude General Hospital, Santo Tomas University Hospital, FEU-NRMF Hospital, Mary Chiles Hospital, Infant Jesus, The Family Clinic, Inc., Perpetual Succour Hospital, Perpetual Help Hospital, Chinese General Hospital, Metropolitan Hospital, Galang Medical Center, Clinica Arellano, Santos Medical Clinic and General Hospital, Our Lady of Lourdes Hospital, De Ocampo Memorial Medical Center, Mary Johnston Hospital, Sta. Rita Hospital and Amisola Maternity Hospital.

The six government hospitals are Dr. Jose Fabella Memorial Hospital, San Lazaro Hospital, Jose R. Reyes Memorial Medical Center, Tondo Medical Center, UP-Philippine general Hospital, Presidential Security Group Station Hospital. The four city government hospitals include Ospital ng Maynila, Ospital ng Tondo 2, Ospital ng Sampaloc and the Gat Andres Bonifacio Hospital.. As of 1999, there are 49 health centers in the City which translates to a health center-population ratio of 1:34,916. The health centers are distributed as follows: District I - 9; District II - 7; District III - 7; District IV - 9; District V - 7; and 10 in District VI. These public health facilities in Manila are manned by over 7370 health professionals, 138 of which are physicians, 160 are nurses, 137 are midwives, 59 are dentists and 245 are support staff. Click here to view Medical Personnel Ratio to Patients by district.

The ideal health center to population ratio as determined by the Department of Health (DOH) is 1:20,000. Therefore, there should be at least 83 health centers in the city. Under the World Bank funded Urban Health and Nutrition Project (UHNP) of the DOH, 22 new health centers in Manila are to be built to narrow the health facilities to clientele population ratio down to 1:23,335, a figure that falls within acceptable limits of the ideal proportion. The detailed architectural and engineering plans, based on World Bank specifications, have been prepared and the only remaining issue is the provision of sites for the health centers. The major criterion for site identification is the accessibility of the new health centers to the urban poor.

The table below shows the distribution of government and private hospitals and bed-capacity population ratio. It is noted that in 1994, five (5) out of thirty-one (31) government hospitals in Metro Manila are found in the City of Manila. Four out of the five government hospitals in the City are owned and operated by the city government. These are: Ospital ng Maynila, Ospital ng Tondo 2 , Ospital ng Sampaloc and the Gat Andres Bonifacio Hospital. Meanwhile, 24 of the private hospitals in the National Capital Region is in Manila. Private hospitals in the city went down from 29 in 1992 to 23 in 1993. It, however, increased by one in 1994.

HEALTH AND OTHER SOCIAL INFRASTRUCTURE

From 1991 to 1994, Manila's bed-population ratio has been lower than the National Capital Region. In 1991, NCR's bed-population ratio was 1:300 while Manila's ratio was 1:260; in 1992, NCR was 1:297 and Manila was 1:209; in 1993, NCR was 1:364 while Manila was 1:248; and in 1994, it was NCR at 1:369 and Manila was 1:246.

DISTRIBUTION OF GOVERNMENT AND PRIVATE HOSPITALS AND BED -CAPACITY POPULATION RATION