Salud Bikolnon I April - June 2016
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SaludBIKOLNON
DEPARTMENT OF HEALTH REGIONAL OFFICE V Health Promotion Unit Legazpi City, Albay Tel. No. : (052) 483-5656 loc. 551 Email: dohbicolhpu@gmail.com www.ro5.doh.gov.ph www.facebook.com/dohrov
The COVER THUMBS-UP. The Department of Health Regional Office V took a step further in attaining universal health care by distributing TSeKaP (Tamang Serbisyo para sa Kalusugan ng Pamilya) equipment packages to Rural Health Units, Urban Health Centers and Barangay Health Stations of the region. This aimed to equip Local Government Units with essential medical equipment for them to efficiently deliver basic health services especially to PhilHealth and Pantawid Pamilyang Pilipino Program (4Ps) beneficiaries. Turn over ceremonies were graced by Health Secretary Janette Garin. “Distributing the TSeKap equipment packages to LGUs is granting ease of access to all Filipinos of their basic health needs”, she emphasized.
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EDITORIAL
Board & Staff
Chairman Napoleon L. Arevalo, MD, MPH
OIC - Director IV
Vice Chairman Ernie V. Vera, MD, MPH, CHA
Director III
Members
WAR ON DRUGS. As President Rodrigo Duterte launched the fight against illegal drugs, the Department of Health Regional Office V takes opportunity to solve the drug menace with an intensified program on drug rehabilitation. Dr. Napoleon L. Arevalo, DOH RO V OIC - Director IV, said that the surge of drug surrenderees created an influx of demand for people to seek treatment. “Not all of the surrenderees need to be admitted in rehab centers. The DOH together with partner agencies devised a system in classifying them.”
Norberto A. Balane, Jr., CPA, MPA Arnulfo C. Carandang, MD, MPH Alan Lucañas, MD Ms. Noemi A. Bron, HEPO III Mr. Kenn S. Nuyda, HEPO II
Editor-in-Chief Ms. Noemi A. Bron, HEPO III Associate Editor Mr. Kenn S. Nuyda, HEPO II Writer & Layout Artist Danica D. Caballero Photographer / Sharon B. Besmonte Circulation-in-Charge Crisostomo Dado, Jr. Contributors Ma. Aura Ermina C. Tandog, RM, RN Niña Albie Dulay Jeric V. Gianan, RN Russel Joy. V. Pitajen, RN Joselle C. Magtagñob Princess Neah A.Talan Marie Gail V. Molina Ailene Bitancor Magdamit Bicol Medical Center ENTERED AS SECOND CLASS MAIL At Legazpi City Post Office , Albay Under Permit No. 2013-22 on 25 September 2013
IN THIS ISSUE
4 Be Ready this Rainy Season 5 BMC receives International Award Sanitarium launches Senior 6 Bicol Citizens’ Club
7 POPCOM-V Educates IP Teens and Teen Moms on Adolescent Health Development
12 HIV/AIDS: Advocacy thru the Stage 14 TSekaP Sets to Uplift Health Service 16 Give Extra Care to Your Kidneys 18 DOH Bicol rolls out RPRH Forum 20 GHW Law: Full Blast this November 23 What makes You a “Wina”?
Health Headlines
Be ready this
Rainy Season With the onset of the rainy season and La Niña, the Department of Health Regional Office V reminds the public of potential health risks. According to the National Epidemiology Center (NEC), infectious diseases with the acronym WILD, (Water-borne infectious diseases, Influenza, Leptospirosis, and Dengue) will be common this season. “We should be prepared and well informed of these health risks for us to prevent them,” Regional Director Dr. Napoleon L. Arevalo said. “WILD diseases are usually more prevalent during the wet season. The public is advised to have enough rest, exercise, and maintain a healthy diet to boost the body’s resistance.” RD Arevalo also stressed that proper waste disposal should be practiced especially during the rainy season to prevent waterborne disease which is a result of water contamination. Water-borne and foodborne diseases are transmitted by ingestion of contaminated food or water. This includes diarrheal diseases that are caused
by several species of the salmonella and shigella bacteria, cholera, hepatitis A, and typhoid fever. “Parents should also make sure that their children are protected from rains and flashfloods by providing them rain gears like umbrella, boots and raincoat,” RD Arevalo added. “They should always be in tune with weather forecasts and be proactive.” Children and older adults are more susceptible to catch the flu this wet season. Influenza or flu spreads from person to person by infectious droplets created by sneezing, coughing and talking. It is characterized by cold-like symptoms and headaches. It is a self-limiting illness in most instances, but a small percentage of patients develop life-threatening complications like pneumonia.
Other health risks this season are leptospirosis and dengue. We acquire leptospirosis when we get in contact with water or soil that has been contaminated with the urine of an infected animal like rats. Its symptoms include high fever, headache, muscle aches especially of the calf, abdominal pain, nausea and vomiting, red eyes, and chills. In its severe form, leptospirosis can cause kidney damage, liver and respiratory failure, and meningitis. Dengue, which is expected to have a higher incidence rate this season, is a viral disease that is transmitted by the bite of the Aedes mosquito, which breeds in stagnant water. It is characterized by fever and body aches. It is often self-limiting and mild, but sometimes it complicates and leads to fatal bleeding and death. “To prevent Dengue, we should practice 4S: (1) Search & destroy mosquito breeding places, (2) Self-protection measures, (3) Seek early consultation for fever lasting more than 2 days, and (4) Say yes to fogging when there is an impending outbreak”, RD Arevalo explains. “We can protect ourselves by wearing long sleeved shirt, pants and long socks, applying insect repellent lotion, or use mosquito nets when sleeping. More importantly, we should practice the habit of destroying possible breeding sites of mosquitoes”. RD Arevalo reiterated that we should be vigilant and be ready should the WILD diseases affect our locality. “Remember, when symptoms manifest we should take the patient to the nearest health center or hospital for proper medical interventions”.
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Salud Bikolnon I April - June 2016
BMC receives International Award by MBL64 Bicol Medical Center
In recognition of Bicol Medical Center’s best practices in blood collection and blood banking, the International Society of Blood Transfusion (ISBT) based in The Netherlands chose to award the ISBT Developing Country Award 2016 Certificate of Commendation to BMC Blood Bank and Transfusion Service which shall be awarded during the opening ceremony of ISBT congress in Dubai, UAE on September 4, 2016. This is truly a first in Bicol.
SHARE LIFE. (left) Participants during World Blood Donor Day celebration of BMC willingly donate their blood. (right) The simultaneous blood letting of BMC garnered 115 blood units from voluntary non-remunerated blood donors.
The award is a fruit of the endeavours that
diseases requiring blood transfusions. The
donation activities at the BMC Orthopedic
BMC upholds in the service to Bicolanos.
continued availability of safe blood is then
Ward and Naga City People’s Hall. A total of
The BMC Blood Bank takes seriously it
of utmost importance.
115 blood units were collected that day from
mission to achieve an average of forty five (45) Mass Blood Donation activities per month and on a regular basis.
It
enables BMC to collect and maintain the ideal daily stock levels needed by patients not only at BMC but also for private and other government hospitals in Camarines Sur, Camarines Norte and Albay. A total of 1500 to 2200 blood units are collected on a mothly basis. A single unit of blood can be used to benefit several patients and save lives in instances of emergency like conflicts, natural disasters and childbirth as well as
BLOOD DONATION ADVOCACY Recently, BMC celebrated World Blood Donor day with the theme “Blood connects us all” which highlighted the common bond
voluntary non-remunerated blood donors: students, young professionals, doctors, health personnel, media practitioners and private individuals.
that all people share with their blood. The
Such endeavours bring BMC as one of the
slogan, “Share life, give blood” brought
top performing blood service facilities in the
attention to the role that the voluntary
region. The facility continuously strive for
donation system play in encouraging
excellence in the years to come.
people to care for one another and promote community cohesion.
Dr. Raymundo B. Ibarrientos , head of the BMC Blood Bank and Transfusion Service,
BMC as the lead blood service facility,
and Mr. Mario Chavez and Mr. Jose Miguel
spearheaded the celebration on June 14,
Bergonio, members of the team, hope to
2016 with simultaneous mobile blood
attend the awarding for the ISBT award on September.
Salud Bikolnon I April - June 2016
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Bicol Sanitarium launches
Senior Citizens’ Club by Ma. Aura Ermina C. Tandog, RM, RN Bicol Sanitarium, HEPO II
In the coming years, there will be unprecedented demand for health services required by older adults. They seek better quality of life in the later years. Quality of life has come to mean much more than just physical health or absence of disease. It includes a general sense of happiness and satisfaction, meaningful activity, and the ability to express culture, values, beliefs, and relationship.
BETTER HEALTH FOR SENIORS. (left) Seniors interact and laugh during the talk of Assistant Secretary Dr. Nestor F. Santiago, Jr. (right) Participants brightly smile when they found out of the benefits and programs.
In connection with the Geriatrics Program,
Dr.
Sophia
C.
Tanicala,
Geriatrician,
is to be a Geriatric Health Center Facility in
Bicol Sanitarium (BS) launched its Senior
remarked that the activity is an appropriate
Bicol Region to provide accessible, highest
Citizens’ Club last May 5, 2016. Around
step taken by BS for senior citizens. She
quality and affordable health care for senior
150 senior citizens attended the launching,
further adds, “Our institution is directed to
citizens that is provided by competent and
to which majority of them are officials of
lead a team that would develop a service
compassionate service providers”.He also
Federation of Senior Citizens Association
plan on the commitment to provide the
introduced the Senior Citizen handbook
(FSCA) from different municipalities of the
best possible service to older adults with
developed by BS which is composed of
1st District of Camarines Sur. The senior
strategic directions and goals”. The need
complete physical history and medications
citizens from Custodial and Palliative Care
of elderly population are broad and unique,
taken by an elderly client.
and relatives of Bicol Sanitarium employees
and so is the range of approaches to
also attended the said event.
meeting those needs.
Dr. Arevalo and Dr. Santiago gave
Prominent guests and keynote speakers
Dr. Edgardo R. Sarmiento, BS Chief of
congratulated the Bicol Sanitarium family for
were present at the event namely Dr.
Hospital II, in his speech said that “from a
successfully launching the Senior Citizens’
Nestor F. Santiago Jr., Assistant Secretary of
sanitaria and general services , BS is now
Club. Both stressed that BS promotes
Health, Office for Health Operations and Dr.
expanding its services to senior citizens”.
Primary Health Care programs emphasizing
Napoleon L. Arevalo, OIC-Director IV of the
He continues, “From providing Leprosy
health promotion and education activities.
Regional Office V.
Management in Southern Luzon, our vision
their messages to senior citizens and
turn to next page
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Salud Bikolnon I April - June 2016
POPCOM-V educates
IP teens and teen moms on
by NiĂąa Albie Dulay Commission on Population RO V
Adolescent Health Development Commission on Population-Regional Office V (POPCOM-V), in partnership with the National Commission on Indigenous Peoples (NCIP), reached out to the young Indigenous Peoples (IPs) by bringing the U4U Teen Trail to the Ilians of Iriga City and other indigenous groups from different parts of the region on April 14-15, 2016. The activities were done with careful consideration of their culture, beliefs, perspectives, and behaviors. The teen trail experience had a positive impact on the young IPs who expressed gaining additional knowledge on adolescent sexuality and health issues. The peer facilitators who were trained committed to engage in health promotion in their communities. The NCIP and LGU-Iriga City provided counterpart funds for the conduct of said teen trail. A modified U4U activity was also conducted for teen mothers, in collaboration with Legazpi City Health Office and Luzon A Legazpi CHO staff (left) facilitates the nutrition assessment of a participant of the U4U for Teen Moms event.
Health at Ysabelle’s Restaurant on May 6, 2016. In attendance were 68 young turn to next page
After the talks, the elderly were given free consultations and Pneumococcal and Flu vaccines. Bicol Sanitarium serves as an instrument to provide for the special needs of senior citizens as well as guide them to prepare for old age. At the end of the day the seniors were too happy to be part of this event. BS has once again fulfilled its goal of providing
services
with
competent,
compassionate care to older people.
IMMUNIZATION. A health worker innoculates senior citizens with free pneumococcal and flu vaccines.
Salud Bikolnon I April - June 2016
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from page 7
pregnant women aged 15-19 from the
EAGER TO LEARN. Teen moms pay close attention to Ms. Sheryl Bulawan (not in the picture), PPO I, as she discuss the changes happening to the body of a pregnant woman.
different barangays in Legazpi City. The activity aimed to educate the teen mothers particularly on the importance of facilitybased delivery, pre and post-natal checkup, proper nutrition for infants and parental responsibilities.
The
activity
included
segments of #TeenMomExhibit, Let’s Talk About Responsible Parenthood (RP), and Family Planning (FP) Chat. The demand for U4U is increasing since its launch in 2014. As of May 2016, POPCOM-V counts a total of 27 U4U teen trails conducted in 44 public schools and 11 private schools in the region, serving 2,353 teens with critical information on adolescent health and development. Local government units with trained U4U facilitators have been replicating the conduct of U4U to their respective communities. U4U is the Philippine teen health resource portal, a youth hub initiative of the Commission on Population (POPCOM), supported by the UN Population Fund (UNFPA). It aims to help Filipino teens delay sexual debut, avoid teen pregnancy and reduce the spread of STI & HIV. This initiative has 4 platforms: 1. Online Portal (www.u4u.ph) - A dynamic and interactive website that allows teen users to learn about self-identity, friendship, life skills, and teen health advocacy 2. Social Media (Facebook, YouTube and Twitter) 3. Interactive Voice Response System (IVRS) - Automated mobile service that gives recorded information to teens who
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send a “U4U” text message to dedicated mobile phone numbers
entertaining teen caravan that can be set up easily in schools and communities and managed by teens themselves. It’s a 3-4 hour event that has 4 simultaneous
4. Teen Trail - An educational and
segments and 1 plenary closing segment.
Salud Bikolnon I April - June 2016
For details, contact: COMMISSION ON POPULATION Buraguis, Legazpi City Tel. No.: 480-5478 E-mail: popcomregion5@yahoo.com
RHU Virac and Religious sect conducts MBD
by Joselle C. Magtagñob RHU Virac, Catanduanes
A single drop of blood can help sustain and make a change to someone in need. The Rural Health Unit of Virac in collaboration with the Ang Dating Daan, a religious sector in the community, conducted a Mobile Blood Donation activity last April 10, 2016 at the Ang Dating Daan Coordinating Center located at Barangay Salvacion, Virac, Catanduanes. The half-day blood letting activity gathered 21 donors. This is now routinely done since it started last July 2015. Most of the donors are members of the sect. It has been their advocacy to help save lives through blood donation. Dr. Elva M. Joson, Municipal Health Officer, and the Rural Health Unit Staff composed of the PHN’s, RHM’s, NDP’s and the Med Tech’s assisted during the event. Some of the Rural Health Physicians and Medical Technologists provided services.
ADVOCACY TO HELP. A member of Ang Dating Daan donates blood during the mobile blood donation.
www.facebook.com/OfficialDOHgov
Salud Bikolnon I April - June 2016
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A passage to
Manhood
by Jeric V. Gianan, RN Russel Joy. V. Pitajen, RN RHU Virac, Catanduanes
‘Tuli’ is a Filipino rite of male circumcision. It has a long historical tradition and considered a rite of passage to manhood. Boys who have not undergone the ritual are labelled ‘supot’ and face ridicule from their peers. Nowadays, more affluent parents opt to have their children circumcised as neonates at a hospital, but majority still prefer their sons undergo the tradition at around 5-7 years of age. Boys of the same age group would either go to governmentsponsored missions, hospitals, or to local circumciser every summer. At least 230 boys ages 9-17 availed the free circumcision as part of the annual program of the municipal government of Virac dubbed as “Summer Operation Tuli” at the Rural Health Unit of Virac, Catanduanes from April 5, 2016 to May 13, 2016 on Monday, Tuesday and Friday afternoons. There would have been more boys circumcised, however, some had backed out from the queue, obviously due to fear
OF BEING A MAN. The RHU team conducts an operation during the free circumcision.
of pain. Others cried silently, some bit their lips in pain and still most of them covered their eyes with their shorts but had themselves circumcised just the same.
There were few who braved the pain and appeared relaxed. Newly circumcised boys usually wore house dresses or loose skirts to help in the healing. The swelling might occur during this period termed “pangangamatis” (literally “becoming like a tomato”, kamatis) owing to the reddish appearance of the penis. Free medicines (antibiotics and pain reliever) were given to patients who went thru circumcision. They were advised on proper care of post-operation wound and how to take their medications. They were also scheduled for their follow-up checkups. Circumcision is a matter of family tradition, personal hygiene, preventive health care and religion. The benefits of it outweigh the risks, include easier hygiene, decreased risk of urinary tract infections and sexually transmitted infections, prevention of penile problems and decreased risk of penile cancer.
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Salud Bikolnon I April - June 2016
Annual Buntis Congress to reduce maternal death
by Princess Neah A.Talan Marie Gail V. Molina RHU Virac, Catanduanes
While motherhood is often a positive experience, for many women it is associated with suffering, ill-health and even death. There is an increasing number of women dying from pregnancyrelated complications which the public and the government must give serious attention to.
On May 20, 2016, the Rural Health Unit of Virac in collaboration with the Local Government Unit held its 5th Buntis Congress at the Provincial Capitol Dome with the theme LIGTAS ANG MAY ALAM: “Si Nanay ay turuan upang komplikasyon ay maiwasan. Si Baby ay alagaan para kalusugan ay makamtan.” The annual event seeks to reduce the number of maternal death, neonatal and infant mortality, teenage pregnancy, halt HIV/AIDS or sexually transmitted infection
Jocelyn Quinones, Municipal Nutrition Officer, explains the advantages of exclusive breastfeeding and proper nutrition for pregnant women.
and provide education to future moms. It highlighted the do’s and don’ts of pre and post pregnancy. Ninety pregnant mothers, mostly teen moms, first time moms, multigravida and high risk pregnancy, were present and benefitted from the activity. RHU Public Health Nurse and MNCHN Coordinator Anne Torno graced the event with a stimulating message and acknowledgement of participants and guests, followed by a short film presentation on the different services offered by the RHU. After the program, participants went to different booths that cater different health services for the pregnant moms and their future child. These health booths were put up for: PhilHealth, newborn hearing and screening, free laboratory services (hemoglobin, blood typing and urine examination), dental health, micronutrient supplementation, nutrition, vaccination, OB-Gyne and family planning. Pregnant
Participants, mostly teens and first-time moms, are all ears during the opening program of the 5th Buntis Congress of Virac, Catanduanes.
participants were given health information
healthcare solutions to prevent or manage
by assigned rural health midwives and
complications are well known. It was a
nurses at every booth. A message from Dr.
fulfilling and rewarding occasion knowing
Elva M. Joson, the Municipal Health Officer
that by doing this annual event, lives can
of Virac marked the closing of the event.
be saved.
Most maternal deaths are avoidable, as the
Salud Bikolnon I April - June 2016
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Health Events
(top left) Red balloons released as a commemoration of those who died from AIDS. (top right) Actors of Sining Banwa, a local theatrical group, portray the life of being HIV positive. (bottom left) Regional Director Dr. Napoleon L. Arevalo explains the misconceptions and stigma of HIV. (bottom right) An officer of the Bureau of Jail Mangement and Penology clarifies how HIV is transmitted.
HIV/AIDS: Advocacy thru the Stage
“Gym Gurls”, a play staged by Sining Banwa, raised awareness on HIV prevention and removing stigma from People Living with Human Immunodeficiency Virus (PLHIV) during the celebration of the 33rd International AIDS Candlelight Memorial on May 19, 2016 at the Department of Health Regional Office V, Legazpi City. The play depicted the lives PLHIV and gave light on the issues they faced. It also encouraged people at high risk of the infection to get tested and know their HIV status.
transfusion of infected blood, sharing of hypodermic needles and sexual contact. The virus is found in body fluids (blood, semen, vaginal fluid, and breast milk) of an infected individual.
In Bicol region, there are 408 HIV cases recorded from 1984 to March 2016. By province, data showed that Camarines Sur has the highest number with 148 cases, Albay-124, Sorsogon-54, Masbate-38, Camarines Norte-28, Catanduanes-15, and one undisclosed case.
“A person is high risk of HIV when he/she is engaged in risky behaviors like unsafe sex, multiple partners, and drugs,” explained Lilian Rose Contessa Encisa, HIV coordinator.
HIV is a virus that gradually attacks the immune system. Advance cases lead to acquired immunodeficiency syndrome (AIDS) which makes a patient more vulnerable to infections and diseases. HIV/AIDS is transmitted through blood
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Salud Bikolnon I April - June 2016
To prevent HIV, DOH advocates the ABCDE campaign. This is an acronym for abstinence, being faithful to your partner, correct and consistent use of condoms, don’t do drugs and early detection or treatment. The theatrical play evolved on getting out of the “gym” – encouraging those with HIV to have courage and stop
hiding from society to go on with normal lives. “With early detection and effective anti-retroviral treatment, PLHIV can live a normal healthy life. They only need to be cautious of their health and have healthy lifestyle,” Ms. Encisa said. “We encourage those who engage in risky behaviors to know their HIV status. The testing is confidential and free,” said Regional Director Dr. Napoleon L. Arevalo. “Social hygiene clinics are available regionwide through municipal and city health offices.” The play ends with a meaningful song and a message of ending stigma to PLHIV. “Kalinga, pagmamahal at sama-samang pagkilos ang kailangan sa pagsugpo sa HIV at AIDS.”/ddc
(top left) Lilian Rose Contessa Encisa, HIV coordinator, explains the transmission of HIV. (top center) Dr. Ong gives inputs on TB and its treatment (top right) A participant eagerly reads a pamphlet about TB. (bottom left) Assistant Regional Director Dr. Ernie V. Vera energizes the crowd with his opening message. (bottom center) The hataw team of DOH and Bicol Regional Training and Teaching Hospital leads the dance exercises to start the program. (bottom right) Windalyn Baluis, Healthy Lifestyle Coordinator, empowers the participants to have a healthy living.
DOH Brings TB Caravan to Rapu-Rapu Island
“Continuous medication and healthy lifestyle is the key to prevent tuberculosis,” explains Dr. Alberto Ong Jr., Area Facilitator of the IMPACT (Innovations and Multi-sectoral Partnerships to Achieve Control of TB) Project. With the theme “Unite to end TB through Healthy lifestyle”, the Department of Health Regional Office V conducted the first TB caravan in the island of Rapu-Rapu, Albay on May 31, 2016. Tuberculosis is a disease caused by a bacterium called Mycobacterium tuberculosis that is acquired by inhalation of infectious droplets produced by coughing, sneezing, and talking. In Bicol, there were 22,251 cases of TB in 2015 and 10,994 cases as of June 2016. There is an increase of 24% in TB cases in Rapu-Rapu with 61 cases in 2015 and 76 cases as of present. “TB is not a problem in Rapu-Rapu because there is an allocation of medicines from DOH”, Mayor Ronald Galicia said. “The only problem is the discipline of the patients in finishing the six months to ten months medication.”
It was highlighted in the activity that TB patients should strictly follow the 6-month medication and healthy lifestyle for them to fully recover from the illness. Dr. Ong explained that incorrect use of antimicrobial drugs and treatment interruption can cause Multidrug-resistant TB (MDRTB). “MDR-TB does not respond to the commonly available anti-TB drugs which makes it difficult to treat,” said Dr. Ong. Healthy lifestyle as the key in preventing all sorts of ailment including TB was given emphasis by Windalyn Baluis, Nurse V, in her discussion. Practicing it can significantly increase the effectiveness of the treatment for TB patients. “We all want to live a long happy life, but that will be hard to achieve if we are sick. So let’s eat right, don’t smoke, avoid drinking alcohol, be stress free and have a regular exercise to stay healthy and fit,” Baluis added.
The prevention of Human Immunodeficiency Virus (HIV) was also given priority in the discussion of Lilian Rose Contessa Encisa, HIV coordinator. “The co-infection of TB and HIV is fatal,” Encisa explained. HIV infection has contributed to the increase in the worldwide incidence of TB. According to World Health Organization, TB is the most common opportunistic infection affecting people with HIV and it remains the most common cause of death in patients with Acquired Immunodeficiency Syndrome (AIDS). TB is curable and the treatment of which is free. It is advised that once symptoms appear one should seek for treatment immediately. The symptoms of TB may include a cough that lasts 2 weeks or longer, coughing up blood or phlegm, weakness or feeling very tired, sudden weight loss, loss of appetite night sweats and low grade fever./ddc
Salud Bikolnon I April - June 2016
13
The Cover
TSeKaP sets to uplift
Health Service
EMPOWER. (left) Health Secretary Janette L. Garin empowers health workers with her message on the DOH effort in scaling up health services in the country. (right) Representatives of Del Gallego Rural Health Unit gladly receives the TSeKaP package as turned over by Regional Director Dr. Napoleon L. Arevalo .
A step closer to Universal Health Care (UHC). The distribution of TSeKaP (Tamang Serbisyo para sa Kalusugan ng Pamilya) equipment packages aimed to increase the efficiency and effectiveness of health service delivery in the region.
The Department of Health Regional
the country”.
Office V distributed a total of 1,224 TSeKaP equipment packages to Rural Health Units, Urban Health Centers and Barangay Health Stations of Bicol region.
This is through turn over
ceremonies across six provinces last April 21-22, 2016. “Distributing the TSeKap equipment packages to LGUs is granting ease of access to all Filipinos of their basic
Pamilyang
“This will equip our frontliners in health who play a vital role in bringing health services down to our grassroots ”.
health needs,” Health Secretary Janette Garin stated during her message last April 21, 2016 at the Divine Word College Gymnasium, Legazpi City. “This will help us in achieving UHC in
especially to PhilHealth and Pantawid Pilipino
Program
(4Ps)
beneficiaries. Secretary Garin also said that this will also help RHUs get accredited by PhilHealth. The turn over activities were well attended and even exceeded their target number of participants. During the all
succession were
eager
of to
the
program,
receive
their
respective package which contained (2) non-contact thermometers, (1)
This endeavor shall equip LGUs with essential medical equipment for them to efficiently cater basic health services
stethoscope, (1) digital BP apparatus, (1) glucometer set (blood sugar monitor), (1) dressing set (for sterile wound care), and (2) nebulizers for turn to next page
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Salud Bikolnon I April - June 2016
TSeKap PACKAGE. (left) A group of nurses assist in checking the apparatus contained in each package. (right) Each set contains (2) non-contact thermometers, (1) stethoscope, (1) digital BP apparatus, (1) glucometer set, (1) dressing set and (2) nebulizers.
asthma relief.
With these new set
of apparatus, health workers will be able to monitor the health of their constituents and will enable them to respond to illnesses like diabetes, high blood and asthma at their level. This initiative of DOH will help improve the health status in the region especially to those living in far-flung areas where health care is sometimes inaccessible. “Providing equipment to RHUs down to the Barangay Health stations is a good strategy in improving our health service.”
DOH Regional Director Dr.
Napoleon L. Arevalo said during the
GLAD. Participants smile when RD Arevalo revealed the good news during the turn over ceremony at the Sorsogon Provincial Gymnasium, Sorsogon City.
turn over ceremony at the Sorsogon public health”.
Present during the activity were
“This will equip our frontliners in
Local chief executives and health
health, especially the Barangay Health
Barangay
workers acknowledged this endeavor
Workers
Nutrition
Kagawad for Healh, and Barangay
of DOH. “We are grateful that DOH
Scholars, who play a vital role in
Health
took this initiative, everyone will
bringing health services down to our
recipient. The six provinces received
benefit from this especially those who
grassroots”, RD Arevalo said. “Without
the following number of packages:
live in hard to reach areas. Now, they
the spirit of commitment and passion
Albay – 207 packages, Camarines
will be able to access health services
to public service of our health workers,
Sur – 378 packages, Camarines Norte
like monitoring their blood pressure or
our strategies will not be that efficient
– 132 packages, Catanduanes – 71
sugar level at their barangay health
and will not reach those who are in
packages, Masbate – 236 packages,
station,”
need.
and Sorsogon – 200 packages. /ddc
Provincial Health Officer of Albay, said
City Gymnasium last April 22, 2016.
and
Barangay
So we take this opportunity
to thank them for their dedication to
Dr.
Municipal/City Councilors for health,
Nathaniel
Rempillo,
Captain Worker
or
from
Barangay each
BHS
during a media interview.
Salud Bikolnon I April - June 2016
15
Give Extra Care to your
KIDNEYS
Filipinos love using condiments like soy sauce, “patis” and “bagoong” to add extra punch to their meal but, now, it’s time to limit that habit. Health Secretary Janette Loreto-Garin stated in a press release that one way to prevent kidney-related diseases is by limiting salt intake. Part of the campaign for the National Kidney Month this June is to stress not only the curative side but also the importance of kidney care to prevent renal diseases which may lead to kidney failure. The incidence of renal diseases has steadily gone up in the Philippines. Around 14,000 Filipinos die of renal diseases yearly. In 2014, 15,983 Filipinos were registered on dialysis and 470 Filipinos had kidney transplant in 2015. In 2013, the prevalence rate of kidney disease in Bicol region is 365 per 100,000 and it recorded 787 deaths.
A participant shares her experience in dealing with chronic disease and asks about how family members and carers help a patient cope with the disease.
Congress on Renal Disease Control Program (REDCOP) on July 15-16, 2016 at Hotel Venezia, Legazpi City. It aimed at intensifying REDCOP in the
Chronic kidney diseases (CKD) can
region by educating medical and non-
be treated. With early diagnosis and
medical representatives of public and
treatment, it’s possible to slow or stop
private health units, hospitals, health
the progression of kidney disease but
workers and academe.
most of the diagnosed patients found out too late.
we
Prevention is better
Yaman at Buhay Ko”, the Department of Health Regional Office V through the Non-communicable Disease Prevention Control
conducted
the
Program 1st
practice
healthy
living”,
said
Regional Director Dr. Napoleon L.
With the theme, “Malusog na Bato,
and
“Kidney disease is preventable when
Public
(NCDPC) Health
Arevalo in an interview. “Despite of it being preventable, it is 9th among the top cause of death in the country and it ranked 6th in Bicol. This means there is a need for more extensive information drive for the public to understand the importance of their kidneys and how to
prevent renal diseases.” The congress was divided into two batches with the first day focused on the basics of REDCOP for the nonmedical participants while the second day
imparted
topics
concerning
medical practitioners. “The early stages of renal disease or what we call stage one has no symptoms.
By the time someone
experiences
fever,
swelling,
red
cloudy foul smelling urine, painful urination, abdominal pain, back pain and
frequent/infrequent
urination,
the disease is already progressive,” explains Dr. Susan Losaria-Jorge of the National Kidney Transplant Institute turn to next page
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Salud Bikolnon I April - June 2016
(right) Participants from the academe and Barangay Health Workers listen attentively while taking notes from the lecture during the congress. (right) Ms. Windalyn Baluis, Nurse V and Healthy Lifestyle Program Coordinator, gives pointers on the prevention of kidney diseases by practicing healthy lifestyle.
(NKTI). Dr. Jorge gave emphasis that we should watch what we eat and be health conscious.
load to the kidneys and heart disease.
the long run, this might lead to CKD
It is recommended to have regular
and eventually to End Stage Renal
urinalysis checkups.
Disease (ESRD) where the only means to survive is through regular dialysis or
“To prevent renal
“In preventing this disease, we should
diseases we should drink enough
have a total lifestyle modification. Once
water daily, eat healthily by avoiding
we are afflicted with renal disease, it
Other co-morbidities include arthritis,
too salty food and processed food,
will be irreversible. So, watch what
liver
exercise regularly, avoid smoking and
you eat,” added Balderama.
alcohol, and practice good hygiene,” she added. Ms.
Socorro
Balderama,
NKTI
Nutritionist, gave advices on how to prevent kidney diseases.
“We
should always watch what we eat and consume a balanced and a variety of food to meet your daily nutritional requirements,” Balderama said. It is advised to drink 8-10 glasses of water everyday and avoid excessive intake of protein, salt and high cholesterol foods.
We should also
avoid exposure to various chemicals as these can injure your kidney cells and be aware that prolonged use of certain drugs can be harmful to the kidneys too.
Large consumption of
alcohol may cause fatty liver, additional
kidney transplant.
problem,
heart
conditions,
turn to page 19
Co-morbid conditions A person is more at risk of kidney disease when he has a family history of diabetes and hypertension.
Dr.
Jorge in her discussion on the disease prevalence said, “Diabetes is the lead cause of chronic kidney disease (CKD) and renal failure followed by
Dr. Susan Jorge of NKTI highlights the prevention of renal diseases adding that once symptoms are present the disease is already progressive.
hypertension based on the Philippine Renal Disease Registry”. Hypertension and diabetes disrupt the
functions
of
our
kidneys.
Prolonged high blood pressure causes a degeneration of the small artery in the kidneys. Diabetes
impairs
efficiency
because
renal of
its
medication and blood sugar that adds load to the kidney. In
Salud Bikolnon I April - June 2016
17
DOH Bicol rolls out
RPRH Forum
The Department of Health Regional Office V concluded its series of dissemination forum on Responsible Parenthood and Reproductive Health (RPRH) across Bicol on April 6, 2016 in Naga City. The event aimed at strengthening the implementation of RPRH law and women’s health. The forum was designed to provide information on the basics and elements of RPRH Act of 2012 or Republic Act 10354. It also gave light on the misconceptions of the law and intend to break the barriers to its full implementation. “The DOH conducted these series of information drive to create more awareness and provide guidance to stakeholders, national and local government agencies, and other organizations providing reproductive health services with the provisions
of the law,” said Dr. Rita Mae Ang, Medical Officer IV. “RPRH mandates the universal provision of reproductive health services as a means to improve maternal health”. Dave Isidore Plopinio, Nurse V, highligted the Family Planning Informed Choice and Volunteerism (FB-ICV) program of DOH to ensure the support of the participants by making them aware of the program. “Clients are provided with complete and accurate information during counselling. They are the ones to
decide which FP method they will use”, he said. Among the issues clarified during the forum was the involvement of other agencies on the full implementation of RPRH and adolescent health program. “These programs needs multi-sectoral effort to fully establish its mandates,” said Ms. Tricia Barozo, Nurse V and Adolescent Health Program Coordinator. “The local government units, private organizations and national government agencies should work hand and hand with DOH for us to realize the benefits of the law.” Dr. Ang further explained that conducting the forum intends to gain support from stakeholders and generate demand for RPRH services and commodities among the population. This will soon improve the quality of life of Bicolanos and eradicate maternal and child death in the region. The DOH through the Family Health Cluster also conducted dissemination fora to the provinces of Albay, Catanduanes, Sorsogon, Masbate and Camarines Norte. Participants mainly composed of provincial health officers, municipal health officers, nurses, midwives, and media partners.
EMPOWER RPRH. (top) DOH Regional Director Dr. Napoleon L. Arevalo delivers his opening remarks during the forum in Sorsogon City. (above) Dr. Rita Mae Ang explains the basics of RPRH law to the participants in Naga City.
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Salud Bikolnon I April - June 2016
In the Philippines, many mothers die due to pregnancy and childbirth primarily because of the inaccessibility of maternal health care services. RPRH law guarantees the protection of maternal and child health and ensuring the reproductive health of Filipinos./ddc
from page 17
lung pathology, history of taking pain relievers, history of urinary tract infection, kidney stones and tuberculosis. Dealing with CKD Unique to the congress was the discussion
of
Dr.
Angelli
Morico,
Psychiatrist Consultant of Bicol Regional Teaching and Training Hospital, on how to deal with the diagnosis of CKD. Dr. Morico stressed that there is no health without mental health. “Caring for the mental health of the patient and carers is as important as the caring for the physical state of the patient for there is a psychological unease of the diagnosis of CKD”, Dr. Morico emphasized. Fear, anxiety and anger are common emotions
when
one
has
been
diagnosed with a chronic disease like CKD. “When we face these kinds of situation we should inject positive insights.
Everyone will soon face
death and so we should take this as an opportunity to journey back into our lives and see what we have been doing wrong. This is also an opportunity to make your life better by doing what you can still do and improve your life eventually,” added Dr. Morico. Ms. Windalyn Baluis, DOH RO V Nurse V, highlighted the importance of integrating healthy lifestyle at the end of the congress. “We strongly advocate the practice of healthy lifestyle for us to prevent all these diseases. Healthy lifestyle is a choice. Let’s choose to be healthy,” Baluis said. Now, when you are eating a hearty meal and you have that urge to reach for that “patis”, think again./ddc
Salud Bikolnon I April - June 2016
19
Health Advisory
GHW Law: FULL BLAST this NOVEMBER The Department of Health (DOH) together with the World Health Organization (WHO) and other antitobacco partners come together annually on the 31st of May to celebrate World No Tobacco Day while the whole month of June is observed as the National No Smoking Month for the country. This year’s theme for World No
we will not waste that. Aside from the
recommend
Tobacco Day is “Getting ready for
Sin Tax Reform law, we believe the
implementing plain packaging. Since
plain packaging.” Plain (standardized)
Graphic Health Warning Law (GHW)
March this year, in line with the release
packaging of tobacco products refers
will be of great help especially in
of the Graphic Health Warnings (GHW)
to a measure that restricts the use
reminding Filipinos not to engage
implementing rules and regulations,
of logos, colors, brand images or
in smoking and to those who are
all tobacco products manufactured or
promotional information on packaging.
smoking, to eventually quit. This year,
imported for sale in the Philippines
Under plain packaging, health warnings
World No Tobacco Day reminds us to
are required to carry graphic health
would continue to appear, but the brand
go full blast in implementing GHW
warnings on the lower portion of a
portion of the package would have the
Law and that by November 4, 2016,
cigarette pack, in at least 50 percent of
same color for all brands. The brand
the public should see graphic health
both sides of the pack.
name would be allowed on packages,
warnings in all cigarette packs.” Health
but only in a standard location, color,
Secretary Janette P. Loreto-Garin said.
font style, and size.
parties
consider
On the other hand, National No Smoking Month is observed every June
Under the Framework Convention
as per Proclamation No. 183 s. 1993.
historical
on Tobacco Control, to which the
This year, DOH focuses to inform the
milestone from our strong efforts to
Philippines is a signatory, both the
youth on the ill effects of smoking
control tobacco use in the country and
Article 11 and the Article 13 guidelines
and discourage them from starting to
“We
have
achieved
a
smoke.
20
that
Salud Bikolnon I April - June 2016
turn to next page
“The problem is that youth today think that smoking is a cool hobby. They either see adults smoke or are pressured or influenced by their friends. If we cut the source or constantly emphasize to them the danger of smoking as we do in the GHW of cigarette packs, will not start smoking at all.” said Garin The health chief added that currently, there is an existing law
Republic
Act 9211 or the Tobacco Regulation Act of 2003 which provides that tobacco products could not be sold or distributed within 100 meters from the school perimeter, as well as near public playgrounds or any other facility that minors frequently go to. It is also good news for the the department that the incoming administration fully supports the total ban of smoking in the country as it would strengthen the implementation of the law and stop the youth of being tempted of starting the habit. Based on the 2015 Global Youth Tobacco Survey, overall current smokers among students of age group 13-15 years increased to 12% from 8.0% in 2011. Luzon has the highest proportion of smokers at 16.2% followed by Visayas at 12.9% and Mindanao at 11.5% among the youth population in the country. Furthermore, 73% of the respondents said they saw anyone smoking within school premises. “Walang
maidudulot
na
mabuti
ang paninigarilyo. Una, alamin ang mga sakit na makukuha mula sa paninigarilyo. Ikalawa, unawain nating mabuti kung ano ang mga masasamang epekto nito sa ating katawan. At ang pinakamahalaga, bantayan na ang mga pakete ay may GHW sa November 4.” Garin concluded./Press Release
Salud Bikolnon I April - June 2016
21
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Salud Bikolnon I April - June 2016
What Makes You a
“Wina”?
By Ailene Bitancor Magdamit Provincial DOH Office Sorsogon
For someone who has been through a lot of adversities, she is definitely a winner. “How are you?” she asked me. I responded
very optimistic. She may have a little
and eventually gave her the opportunity
with a smile.
‘shortcoming’ but it did not stop her from
to join a seminary school. Wina’s desire
doing the things she is passionate about.
for proper education was heard and given
It was a sunny Tuesday afternoon and Wina is busy cleaning up the dining area.
“Mama was sick that time so we would
Good thing, her busy schedule permits my
usually stay in the hospital. That is why I
interview. Her jet-black hair, that makes her
dreamed of becoming a doctor. I knew that
look younger than her age, shines perfectly
my parents can’t afford to send me to that
as she moves. She smiles a lot— radiating
course since it is costly. What I did was I
her inner jolly kid and vibrancy. She looks
studied really hard and I did not do things
very happy.
that will not be beneficial to my studies,”
Edwina “Wina” Berdin-Corañez, 53 years
After receiving honors
two (2), a wife to Alfredo S. Corañez, grew
in
up in Lipata, Bucalbucalan, in the humble
Elementary School,
province of Sorsogon. Having been blessed
young
with a height shorter than four (4) feet, she
needed to stretch
grew up the less superficial way.
up a bit and
I’m different because I was way shorter than them. I would cry because they would tell me that I will not be able to achieve my goals, but I told them that even though I
Bucalbucalan Wina
never an easy road for her. Facing all the bullies in school was a major challenge for Wina, not to mention the critics and foes in her community. But no, she stayed
turn to next page
SERVICE WITH A HEART. Edwina Corañes, Barangay Health Worker of Bucalbucalan, Sorsogon City for 36 years, devotedly performs her duty to her patient.
financial needs.
pursuit to
to check her condition. And yes, it was
(TESDA) for a vocational electronic course.
meet their
can never do.,” says Wina.
were not able to send her to a specialist
Education and Skills Develpoment Authority
her parents
W i n a ’ s
suffice for their essential needs, they
graduating, she enrolled herself to Technical
work to help
am just this short, I can do things that they
Because her parents’ earnings would only
After successfully
she said.
old, Barangay Health Worker, a mother of
“When I was little, they would tell me that
a justifiable reward.
study w
a
s
temporarily stopped. She became active in church activities where she was offered to join their choir
Salud Bikolnon I April - June 2016
23
Years after, she involved herself in different community service activities as a volunteer worker. Little did she know that her dream to be in the service of healthcare for the community is about to unfold. “We went to the Health Center for a checkup and then the midwife asked if I know a particular patient in our community. She asked me to go there and see how the patient is doing; I did not know that she was planning to train me. That’s is when it all started.” After attending various trainings, seminars and workshops, Wina learned a lot. She finally found her first love; helping people (above) Wina’s simple house stands in Bucalbucalan, Sorsogon City. She lives with her husband, Alfredo (left) , together with her daughter (right) and grandsons.
in terms of health and wellness and guiding them to live a better life. The lessons she acquired from those lectures made her more prepared in ensuring everyone in her community the proper knowledge about health and medications. One thing which makes her one of the most loved Barangay Health Workers (BHW) is her sincerity to facilitate things for the people, even to the point that she would spend for their hospital bills. There were times when it would cost her extra sweat to serve, but she did not give up. Her time and energy were compromised but she did not mind for the sake of others who look up to her strength and courage.
“DOH has contributed a lot in my BHW experience. I am very dedicated most
Through years of dedicated service and
especially when I see my people get well
commitment to her craft, Wina’s sincere
and feel better. My constituents know that I
effort was recognized paving her way to
am here whenever they need me, I will do
multiple recognitions and awards from
my very best to help.”
prestigious award-giving bodies in the Department of Health (DOH). But above it all, the happiness that she gives to people and the emotional incentives that she receives are what she considers for keeps.
more than a wife, a mother, a BHW and a health servant, she’s beyond labels. “Dae akong pinagsisishan ta maski ako saday sana, padaba ako kan kapwa ko. Ini dahil bako sana ako nagtatrabaho para sa DOH pero isinasabuhay ko talaga ang
Sharing her healthcare knowledge since
mga pig-gigibo ko. Kaya dae ka matakot
1980, Wina has been a household name
kung pigmamaliit ka ninda ngunyan, basta
in her community. Serving the needy from
aram mong tama ang pig-gigibo mo, may
left to right, she never gets tired, yet she
papadumanan ka na ikakaogma ning
is becoming more motivated. Indeed, she’s turn to next page
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Salud Bikolnon I April - June 2016
puso mo, ang sakuya ay ang pagsirbi sa kapwa sa pmamagitan kan DOH (I do not regret anything because even though I am undersized, the people loves me. This is because I do not just work for DOH but I live with what I do. So, do not be afraid if some people belittle you now, as long as you know that you are doing the right thing, there’s always something that awaits you—something that will make your heart genuinely happy. Mine is serving through DOH.)” She may be unsuccessful in her childhood dream of becoming a doctor; but still, she was given the opportunity to wear a DOH-BHW uniform. She may not have a Baccalaureate degree for now; still, she is able to serve the people. Wina is a living testimony that height and/ or status could not stop one from dreaming and making those goals materialize. She never fails to inspire and amaze people. Her accomplishments are indeed greater than her height. The goodness of her heart is extremely above 4 feet. She never runs out of ways to help and has limitless venues to spread cheer and tender care. Her arms are extended enough to reach those in need. Her legs are long enough to lead. She’s tall enough to help but not high enough to ignore, and these traits are what makes her a champion in life. Yes, indeed, her name is interchangeable to the noun ‘winner’ because for someone who has been through a lot of adversities, she is definitely one. How about you, are you at par? What makes you a “Wina” (winner)?
Salud Bikolnon I April - June 2016
25
Insights WHAT IS THE IMPACT OF TSeKaP?
We asked health workers on what they think is the impact of the TSEKAP (Tamang Serbisyo para sa Kalusugan ng Pamilya) equipment package distribution to the community. “Ang magiging impact nito, lalo na sa mga barangay, mas mapapadali ang pagdiagnose sa mga taong may hypertension at diabetes. Alam naman natin na halos lahat ng na-oospital ay huli na nilang nalalaman na meron silang sakit. With this TSeKaP kit, sa barangay pa lang malalaman na kung meron silang ganoong sakit. Mapapadali pa nito ang implementation ng high impact five natin.”
Dr. Edgar Garcia Sorsogon Provincial Health Officer Sorsogon
“Para sa akin, mas mapapadali ang pag monitor natin sa ating kalusugan. Sa pamamagitan lang ng pagbisita sa barangay health station malalaman mong mataas ang blood sugar mo o di kaya’y hypertensive ka. Dito na rin papasok ang intervention ng DOH sa pagbibigay ng libreng gamot. Ito ang tinatawag natin na 4 molecules kung saan libreng makaka-avail ng gamot sa hypertension at diabetes sa rural health units.”
Donna Benitez Health Facility Enhancement Program Nurse DOH RO V
“Malaking tulong itong Tsekap package sa aming barangay lalo na sa mga hypertensive at diabetic. Doon sa amin, marami kaming activities na isinasagawa para sa health na mas nagiging informed ang aming kabarangay. Ang isang problema lang namin ay pag nauubusan na ng gamot.”
Nancy Jaromamay Barangay Health Worker Sorsogon City
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Salud Bikolnon I April - June 2016
“Mas mag-iimprove ang quality health care services sa ating Local Government Units at lalo na sa mga barangay. Mas magkakaroon ng access ang mga tao sa health care na eventually mag-iimprove ng quality of life.”
Darwin R. Enriola Nurse Deployment Program Sorsogon
Comedy Cure DISREGARDED
BUSINESS AS USUAL
PROMDI
Pumasok ang isang pasyente sa klinika.
JUAN: Ikaw na naman? 3 beses mo na kong naholdup ngayong taon ah!
Pumunta si Pedro sa Manila at nag check-in sa hotel.
PASYENTE: Dok, tulungan nyo po ako. Pakiramdam ko, binabalewala ako ng mga tao! DOKTOR: Next!
KAMBAL DOCTOR: Misis, kambal ang anak mo, ang sister mo ang nagpangalan! MARIA: Naku! Weirdo yun, ano po ipinangalan?
HOLDAPER: Ganun talaga business, inaalagaan ang good customer! PIZZA Nag-order si Juan ng isang buong pizza. CLERK: Sir, ilang slice po ang gagawin namin sa pizza nyo,6 or 8? JUAN: 6 lang, baka hindi ko maubos ang 8!
ROOMBOY: Sir, nasa elevator pa lang tayo! JOSE RIZAL TITSER: Mario, kilala mo ba si Jose Rizal? MARIO: Hindi po, Mam.
DOCTOR: Sa girl, DENICE!
BIRTHDAY NG KAMBAL
MARIA: Ok yun, eh sa boy?
PEDRO: Pare,wag mong kalimutan na may handaan sa bahay bukas! Birthday kasi ng inaanak mong KAMBAL!
DOC: DENEPHEW!
PEDRO: Promdi ako pero di ako tanga! Bakit ganito lang ang kwarto ko, maliit na nga, wala pang kama at bintana? Ang mahal pa ng binayad ko!
JUAN: Wow, talaga? kanilang dalawa?
Sino
sa
TITSER: Greg, kilala mo ba si Jose Rizal? GREG: Hindi rin po, Mam. TITSER: Wala ba sa inyo ang nakakikilala kay Jose Rizal? STUDENT: Mam, baka kabilang section siya.
nasa
Salud Bikolnon I April - June 2016
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Salud Bikolnon I April - June 2016
www.facebook.com/OfficialDOHgov