CITY ORDINANCE NO.

___________

AN ORDINANCE ESTABLISHING THE CITY EPIDEMIOLOGY AND

SURVEILLANCE UNIT (CESU) UNDER THE CITY HEALTH OFFICE AND
MANDATING ALL DISEASE REPORTING UNITS AND ENTITIES TO REPORT ALL
NOTIFIABLE DISEASES, HEALTH EVENT OF PUBLIC HEALTH CONCERN AND
HEALTH DATA NECESSARY IN THE DISEASE PREVENTION AND CONTROL,
PRIORITIZATION AND IMPLEMENTATION OF HEALTH PROGRAMS IN THE
CITY OF SAN PEDRO, LAGUNA.

Authored by: Hon. Bernadeth Olivares

WHEREAS, Republic Act 11332 (Mandatory Reporting of Notifiable Diseases and

Health Events of Public Health Concern) requires local health offices to establish and maintain
functional disease surveillance and response systems, which include coordination mechanisms,
implementation protocols for reporting and response, measures for data security and
confidentiality, and procedures and provision to ensure safety of personnel conducting disease
surveillance and response activities.

WHEREAS, Republic Act 11223 (Universal Health Care Act) requires province-wide
and city-wide health system to have an accurate, sensitive and timely epidemiologic surveillance
systems, which refer to the continuous systematic collection, analysis, interpretation, and timely
dissemination of health data for planning, implementation, and evaluation of public health
programs.

WHEREAS, Department of Health Administrative Order No. 2020-0047 (Rules and

Regulations Governing the Licensure of Primary Care Facilities in the Philippines) includes
Epidemiologic Surveillance as part of the patient care standards for licensing of any Primary
Care Facilities under the Local Government Units in the Philippines as part of its population-
based services.

WHEREAS, Department of Health Administrative Order No. 2007-0036 (Guidelines on

the Philippine Integrated Disease Surveillance and Response (PIDSR) Framework) provides
framework for PIDSR to guide its implementation at all levels of the health care delivery system
as well as both the public and private sectors.

WHEREAS, Disease Surveillance is a critical component of health system providing

essential information for the optimal health care delivery system and cost-effective disease
control and prevention strategies.
 WHEREAS, timely reporting of vital health information will help the Local Chief
Executives (LCE’s) and policy makers to formulate strategies on appropriate interventions or
actions to address a health problem.

WHEREAS, a functional disease surveillance system is useful for priority setting,

planning, resource mobilization and allocation, prediction and early detection of epidemics, and
monitoring and evaluation of health programs.

WHEREAS, The City Health Office Thru Administrative Order # 2007-0036 deems it
necessary to have a comprehensive and quality reporting system of vital health information such
as but not limited to communicable and non-communicable diseases, death and other health data
deemed necessary in the formulation of strategies and prioritization of health programs.

SECTION 1. TITLE – This ordinance shall also be known as the City Epidemiology and
Surveillance Unit (CESU) Ordinance of the City of San Pedro.

SECTION 2. OBJECTIVES. The objectives of the ordinance are the following:

2.1. To institutionalize Epidemiology and Surveillance Unit in the City of San Pedro.

2.2. To be able to collect and analyze notifiable diseases and health event of public
health concern to aid in the early detection of epidemics.

2.3. To be able to collect and analyze health data and information for planning and
implementation of health programs.

2.4. To be able to establish network of surveillance officers as front liners in epidemic

prevention

SECTION 3. DEFINITION OF TERMS – as used in this ordinance, the following shall mean;

3.1. Epidemiology – refers to the study of the distribution and determinants of health-
related states or events in specified populations and the application of this study to
the prevention and control of health problems

3.2. Disease surveillance refers to the ongoing systematic collection, analysis,

interpretation, and dissemination of outcome-specific data for use in the planning,
implementation, and evaluation of public health practice in terms of epidemics,
emergencies, and disasters. A disease surveillance system includes the functional
capacity for data analysis as well as the timely dissemination of these data to person
who can undertake effective prevention and control activities;
3.3. Disease Reporting Units (DRU’s) and Entities – refers to any government and
private facilities and entities where cases of notifiable diseases, health event of
public health concern and health data are collected/detected and reported. This
includes but not limited to the following:

3.3.1. Licensed public and private medical and allied health professionals;
3.3.2. Health facilities and offices as defined as an institution that has health care
as its core service, function or business. Health care pertains to the
maintenance or improvement of the health of individuals or populations
through the prevention, diagnosis, treatment, rehabilitation and chronic
management of disease, illness, injury and other physical and mental
ailments or impairments of human beings. This includes but not limited to
the following:
3.3.2.1. Ambulatory surgical clinic
3.3.2.2. Barangay Health Stations
3.3.2.3. Birthing Home
3.3.2.4. Blood Service Facility
3.3.2.5. Clinical Laboratory (Generalized and Specialized Clinic)
3.3.2.6. Custodial Care Facility
3.3.2.7. Dental Clinic
3.3.2.8. Diagnostic Facility
3.3.2.9. Dialysis Clinic
3.3.2.10. Drug Abuse Treatment and Rehabilitation Centers
3.3.2.11. Drug Testing Facility
3.3.2.12. General Hospital (Level 1, 2 and 3 Hospitals)
3.3.2.13. Halfway House
3.3.2.14. HIV Testing Center
3.3.2.15. Hospice
3.3.2.16. Human Stem Cell (Cellular Therapy Facility)
3.3.2.17. Infirmary
3.3.2.18. In-Vitro Fertilization Center
3.3.2.19. Medical Facilities for Overseas Workers and Seafarers
3.3.2.20. Medical Outpatient Facility
3.3.2.21. Mental Health Facility
3.3.2.22. Mobile Health Facility
3.3.2.23. National Reference Laboratory
3.3.2.24. Newborn Hearing Screening Reference Center
3.3.2.25. Newborn Screening Reference Center
 3.3.2.26. Nuclear Medicine Facility
3.3.2.27. Nursing Home
3.3.2.28. Office Clinic
3.3.2.29. Outpatient Drug Treatment Facility
3.3.2.30. Pharmaceutical Outlet
3.3.2.31. Physical Therapy and Rehabilitation Facility
3.3.2.32. Polyclinic
3.3.2.33. Primary Care Facility
3.3.2.34. Quarantine Clinic
3.3.2.35. Radiologic Facility
3.3.2.36. Recovery Clinic
3.3.2.37. Rural Health Unit/Urban Health Unit
3.3.2.38. Sanitarium
3.3.2.39. School Clinic
3.3.2.40. Specialty Hospital
3.3.2.41. Specialized Health Facility
3.3.2.42. Traditional and Complementary Medicine Clinic
3.3.2.43. Transitional Care Facility
3.3.2.44. Water Testing Facility

3.3.3. Health Office-a barangay, municipal, city, province, regional government

and private offices that do not provide direct health services or with health
services not defined as their core service, function or business. These
include administrative and management offices of municipal, city,
provincial and regional health units. Ex. Municipal Health Office, City
Health Office, Provincial Health Office, Regional Health Office, research
offices, etc.
3.3.4. Workplaces including those in special economic and/or free port zones;
3.3.5. Public and private educational institutions providing basic education, higher
education, or technical-vocational education and/or training;
3.3.6. Prisons, jails, or detention centers;
3.3.7. Major transportation passenger terminals, and seaports and airports;
3.3.8. Dining and hotel and other accommodation establishments, including other
establishments as may be required by public health authorities;
3.3.9. Communities, including household members, the punong barangay,
barangay health emergency response teams, homeowners’ associations,
indigenous people communities, cooperatives, and community-based
organizations;
 3.3.10. Other government agencies providing health and emergency frontline
services, border control, and other critical services; and
3.3.11. Professional societies, civic organizations, and other NGOs.
3.3.12. Closed facility settings like Home for Aged, Boys Town, Orphanages

3.4. Notifiable Diseases- refers to disease that by legal requirements must be reported to
the public health or other authority in the pertinent jurisdiction when the diagnosis
is made.

3.5. Health event of public health concern- refers to either a public health emergency or
a public health threat due to biological, chemical, radio-nuclear, and environmental
agents;

3.6. Health Data- Epidemiology Information related to health conditions, reproductive

outcomes, causes of death, and quality of life for an individual or population.
Typically includes a record of services received, conditions of those services, and
clinical outcomes or information concerning those services.

3.7. Disease control refers to the reduction of disease incidence, prevalence, morbidity,
or mortality to a locally acceptable level as a result of deliberate efforts and
continued intervention measures to maintain the reduction;

3.8. Disease response- refers to the implementation of specific activities to control

further spread of infection, outbreaks or epidemics and to prevent reoccurrence. It
includes verification, contact tracing, rapid risk assessment, case measures, and
treatment of patients, risk communication, conduct of prevention activities, and
rehabilitation and reintegration. Disease response activities shall include the
imposition of minimum public health standards including, but not limited to,
movement restrictions, partial or complete closure of schools and businesses,
imposition of quarantine in specific geographic areas and international or domestic
travel restrictions, construction of facilities for the quarantine of health and
emergency front liners, and the prepositioning and distribution of personal
protective equipment for health workers;

3.9. Public Health Surveillance – to the ongoing, systematic collection, analysis,

interpretation and timely dissemination of health data for the planning,
implementation and evaluation of public health data program. The use of
 information based from these data to disease prevention and health promotion
program completes the surveillance cycle in public health.

3.10. Philippine Integrated Disease Surveillance and Response (PIDSR)- is a strategy of

coordinating and integrating surveillance activities by focusing on the surveillance,
laboratory and response functions of the national surveillance system.

3.11. Event-Based Surveillance and Response (ESR) – the organized and rapid capture of
information about events that are a potential risk to public health including events
related to the occurrence of a disease in humans and events related to potential risk-
exposures in humans. This information can be rumors or other ad-hoc reports
transmitted through formal channels (e.g. established routine reporting systems) or
informal channels (e.g. media, health workers and nongovernmental organizations
reports)

3.12. Regional Epidemiology and Surveillance Unit (RESU)- refers to the unit
established in the Department of Health Regional Offices that provides services on
public health surveillance and epidemiology.

3.13. Provincial Epidemiology and Surveillance Unit (PESU) – refers to the unit
established in the Provincial Health Office (PHO) that provides services on public
health surveillance and epidemiology.

3.14. City Epidemiology and Surveillance Unit (CESU) - refers to the unit established in
the City Health Office that provides services on public health surveillance and
epidemiology.

3.15. Hospital Epidemiology and Surveillance Unit (HESU) - refers to the unit
established in the government or public health facilities (any levels) that provides
services on public health surveillance and epidemiology.

3.16. Disease Surveillance Officer (DSO) – refers to a full-time staff of the

Epidemiology and Surveillance Unit (ESU) of the Provincial Health Office,
Municipal Health Office or City Health Office who has received training on basic
epidemiology, public health surveillance and infection prevention and control with
an official designation as Disease Surveillance Officer by the Head of the Office.
 3.17. Disease Surveillance Coordinator (DSC) – refers to personnel of government and
non-government DRU’s who have received training on basic epidemiology, public
health surveillance and infection prevention and control with an official designation
as Disease Surveillance Coordinator by the head of the facility.

3.18. Disease Surveillance Assistant (DSA)- refers to a medical or allied medical

personnel of the Epidemiology and Surveillance Unit (ESU) of the Provincial
Health Office, Municipal Health Office, City Health Office or Disease Reporting
Units who assist the DSO or DSC and has received training on basic epidemiology,
public health surveillance and infection prevention and control with an official
designation as the Disease Surveillance Assistant by the Head of the Office. He/she
may handle specific surveillance as directed by the DSO or DSC (e.g. school-based
surveillance or any special health event surveillance)

3.19. Disease Reporting Advocates (DRA) – refers to the health workers assigned in the
barangay (e,g. Midwives, Barangay Health Workers and DOH deployed personnel)
and other individuals (e.g. community leaders, private practitioners, barangay
health workers, et. al) who have attended orientation on public health surveillance
and are committed to actively participate in reporting cases and assisting
surveillance activities

3.20. Personal Information- refers to any information whether recorded in a material

form or not, from which the identity of an individual is apparent or can be
reasonably and directly ascertained by the entity holding the information, or when
put together with other information would directly and certainly identify an
individual (Data Privacy Act of 2012). For the purpose of this ordinance, it will
also include information about the individual’s (living or dead) health status
(laboratory results, diagnosis, prognosis, outcome, etc)

SECTION 4. THE ORGANIZATION OF CITY EPIDEMIOLOGY AND

SURVEILLANCE UNIT –

4.1. The City Epidemiology and Surveillance Unit will be under the City Health Office.

4.2. The City Epidemiology and Surveillance Unit of the City of San Pedro shall consist
of the following standard requirements:

4.2.1. Staffing (Minimum Human Resource) –One Full-time Disease Surveillance

Officer, One Disease Surveillance Assistant (DSA) and a Data Manager. All
 staff should have a training on Basic Epidemiology, Disease Surveillance
(Case based, Event Based and Laboratory Based) and Infection Prevention and
Control.

4.2.2. Physical Facilities – office or separate room solely for the City Epidemiology
and Surveillance Unit, computer and printer work station, internet connection,
facsimile, communication services, and a copier.

4.2.3. Transportation – a vehicle for the following activities:

4.2.3.1. Outbreak investigation

4.2.3.2. Validation of reported events

4.2.3.3. Transport of specimen to National Referral Laboratories for

confirmation

4.2.3.4. Monitoring of Public Health Surveillance activities

4.2.3.5. Provision of technical assistance to Disease Reporting Units and

stakeholders

4.2.4. Health information (Notifiable diseases, health event of public health concern
and health data) collected from each Barangay should be merged, consolidated
and analyze by appointed personnel/s within the CESU before sending to the
Office of the Mayor, PESU, Provincial DOH Office, RESU and DOH to aid in
disease prevention and control, epidemic response and health program
planning and implementation

4.2.5. Disease Reporting Units and Entities in the jurisdiction of the City should
report to the CESU as stipulated in Section 7 of this Ordinance

4.2.6. Logistics and Supplies (Office supplies, Personal Protective Equipment,

Laboratory testing supplies

4.3. The City Government thru the CESU should have a Service Level Agreements
(SLAs) with different Disease Reporting Units and entities indicating the following
but not limited to:

4.3.1. Data Sharing Agreements as stipulated by Data Privacy Act of 2012,

4.3.2. Patient referral

4.3.3. Patient and specimen transport

4.3.4. Coordinated response

 4.3.5. Reporting agreements and Electronic Communication and Social Media
Guidelines

SECTION 5. POWERS AND FUNCTIONS

5.1. The City Epidemiology and Surveillance Unit shall have the statutory and
regulatory authority to enforce the following, subject to DOH guidelines:

5.1.1. Establishment of public health information systems, disease surveillance and

response systems in private and public health facilities and disease reporting
units as defined by this ordinance, deemed necessary to protect the health of the
population;

5.1.2. Mandatory reporting of notifiable diseases, health events of public health

concern and health data by the Disease Reporting Units and Entities as defined
by this ordinance.

5.1.3. Conduct of the following activities in aid of epidemiologic investigations:

5.1.3.1. Patient interviews,

5.1.3.2. Review of medical records

5.1.3.3. Contact tracing

5.1.3.4. Laboratory investigation: Collection, storage, transport and

testing of samples and specimen

5.1.3.5. Risk assessments;

5.1.3.6. Population surveys

5.1.3.7. Environmental investigation

5.1.3.8. Rapid containment, quarantine and isolation,

5.1.3.9. Recommendation of disease prevention and control measures,

minimum health protocols and product recall if needed.

5.2. The City Epidemiology and Surveillance Unit shall have the following functions:

5.2.1. Conducts Public Health Surveillance within its jurisdiction

5.2.2. Organize data collection and gather epidemiological data from their health
facilities (Rural Health Units, Health Centers, Barangay Health Stations, satellite
clinics, etc.);
5.2.3. Prepare and update graphs, tables and charts to describe time, place and person
for Notifiable / Reportable diseases and conditions on a weekly basis

5.2.4. Analyze and interpret data and provide feedback to health facilities and local
leaders;

5.2.5. Form a coordinated network of Disease Surveillance Officers and Coordinators

from Disease Reporting Units and Disease Reporting Advocates from the
communities

5.2.6. Identify and inform concerned personnel (Rural Health Physicians, Public
Health Nurses, Rural Health Midwives, and Barangay Health Workers)
immediately of any disease or condition in their expected areas that: exceeds an
epidemic threshold, occurs in locations where it was previously absent, occurs
more often in a population group than previously, and presents unusual trends or
patterns;

5.2.7. Carry out outbreak investigations;

5.2.8. Coordinate with appropriate laboratory for collection and transport of

specimens;

5.2.9. Liaise with other agencies such as Department of Agriculture or Department of

Environment and Natural Resources whose assistance is needed to complete
outbreak investigation;

5.2.10. Provide on-site technical assistance to Disease Reporting Units and Entities
within its jurisdiction to supplement overall disease surveillance and response.
Technical assistance includes but not limited to: Disease surveillance, outbreak
investigations, epidemic preparedness and response, program and project
planning and management, collection, storage and transport of laboratory
specimens and training of personnel

5.2.11. Establish a coordinated network with Disease Reporting Units and entities to
strengthen communication, surveillance and response thru quarterly meetings
and/or trainings

5.2.12. Coordinate with the Regional/Provincial/City/Municipal Epidemiology and

Surveillance Units to assess, validate and confirm reported health events within
its jurisdiction.

5.2.13. Prepares and submit reports of notifiable diseases and summary of conducted
case investigation to the next higher Epidemiology and Surveillance Unit and
 the Provincial DOH Office (PDOHO) using the prescribed forms (Case
Investigation Form, Case Report Forms and/or Event based Surveillance and
Response forms)

5.2.14. Ensures reported data and information is secure in accordance of the Data
Privacy Act of 2012

5.2.15. Monitor reporting and submission of notifiable diseases, health event of public
health concern and health data from Disease Reporting Unit and entities based
on Section 5 of this ordinance.

5.2.16. Conducts special surveillance activities that will affect public health. These
activities are the following but not limited to;

5.2.16.1. Mass Gathering Surveillance (Sports Events, Concerts,

Festivals, Jamborees)

5.2.16.2. Post disaster surveillance (evacuation centers, etc)

5.2.16.3. Fire cracker injury surveillance

5.2.16.4. Any other events that that may impact public health

5.2.17. Coordinate with other agencies to establish, operate and maintain

provincial/municipal/city epidemic preparedness and response plan, including
the creation of multidisciplinary/ multisector teams at the
provincial/city/municipal level to respond to events that may constitute a public
health emergency of local, regional, national and/or international concern.

5.2.18. Conducts risk assessment to ascertain public health events and threats.

5.2.19. Recommend the implementation of appropriate prevention and control

measures to concern program managers or department.

5.2.20. Evaluates the programmatic prevention and control measures thru data
collection and analysis.

5.3. Disease Reporting Units and Entities shall perform the following functions:

5.3.1. For Licensed public and private medical and allied health professionals shall:

5.3.1.1. For those employed in health facilities, notify the respective

reporting or surveillance unit of their facilities of notifiable
disease or health event of public health concern; and
 5.3.1.2. For private practitioners, report the same directly to the local
health office.

5.3.2. For Disease Reporting Units (health facilities and offices) as defined by this
ordinance shall:

5.3.2.1. Establish ESUs or DRUs and designate Disease Surveillance

Coordinators.

5.3.2.2. Comply with the appropriate surveillance system (verification,

validation, quality check of CIF/CRF, encoding, and reporting
to a higher level of ESU);

5.3.2.3. Report cases of notifiable diseases, health events of public

health concern and health data as indicated into Section 6 of
this ordinance to the CESU following the reporting
requirements as indicated to Section 7 of this ordinance;

5.3.2.4. Allocate hospital beds in such number or percentage as may be

deemed necessary by the DOH, or corresponding to the peak
day critical care capacity based on updated projections from a
DOH-recognized epidemiological projection model for a
particular epidemic, to accommodate and service patients
affected by the notifiable disease or health event of public
health concern. Provided, that compliance with this rule shall
not constitute a violation of relevant warranty made before the
Philippine Health Corporation (PhilHealth) or the Health
Facilities and Services Regulatory Bureau of the DOH;

5.3.2.5. Coordinate the transfer of patients who are classified as mild

cases to a different facility, in instances where there is a need to
prioritize severe and critical cases and/or once the surge
capacity has been reached;

5.3.2.6. Report health system data as required by the DOH, such as but
not limited to, the number of hospital beds available and other
critical information for decision making of prevention and
control

5.3.2.7. Participate in unified hospital command systems as may be

organized by the DOH, province or city; and
 5.3.2.8. Adhere to the Epidemic Preparedness and Response Plan issued
by the DOH, province and city

5.3.3. For other Disease Reporting Units as defined by this ordinance and private
companies and institutions; workplaces including those in special economic
and/or freeport zones; public and private educational institutions providing basic
education, higher education, technical vocational education and/or training;
major transportation passenger terminals, seaports and airports; dining, hotel and
other accommodation establishments, including other establishments as may be
required by the DOH; other government agencies providing health and
emergency frontline services, border control, and other critical services; and
prisons, jails, or detention centers shall:

5.3.3.1. Establish or designate a unit that will perform the functions of

an ESU within their respective premises;

5.3.3.2. Report cases of notifiable diseases, health events of public

health concern and health data as indicated into Section 6 of
this ordinance to the CESU following the reporting
requirements as indicated to Section 7 of this ordinance;

5.3.3.3. As appropriate, provide adequate support for their workforce in

terms of transportation, lodging, food allowance, and other
appropriate assistance.

5.3.3.4. Perform such other functions to respond to the notifiable

disease or health event of public health concern such as contact
tracing, quarantine and isolation

5.3.4. Communities, including household members, the punong barangay, barangay

health emergency response teams, homeowners’ associations, indigenous people
communities, cooperatives, and community-based organizations shall:

5.3.4.1. Report cases of notifiable diseases, health events of public

health concern and health data as indicated into Section 6 of
this ordinance to the CESU following the reporting
requirements as indicated to Section 7 of this ordinance;
 5.3.4.2. Maintain a network of Disease Reporting Advocates and
Contact Tracers to strengthen community surveillance and;

5.3.4.3. Perform such other functions to respond to the notifiable

disease or health event of public health concern such as contact
tracing, quarantine and isolation.

5.3.5. Professional societies, civic and faith-based organizations, civil society

organizations, and other non-government organizations shall:

5.3.5.1. Designate a unit or person/s that shall perform the event-based

surveillance of any notifiable disease or health event of public
health concern in any activity that may be organized by them;
and

5.3.5.2. Report cases of notifiable diseases, health events of public

health concern and health data as indicated into Section 6 of
this ordinance to the CESU following the reporting
requirements as indicated to Section 7 of this ordinance;

SECTION 6. REPORTABLE NOTIFIABLE DISEASES, HEALTH EVENT OF PUBLIC

HEALTH CONCERN AND HEALTH DATA– The following notifiable diseases, health
event of public health concern and health information/data shall be reported by the Disease
Reporting Units and Entities to the City Health Office through the CESU.

6.1. Priority for surveillance list/categories as per Republic Act 11332 or Revised
Implementing Rules and Regulations of the Mandatory Reporting of Notifiable
Diseases and Health Events of Public Health Concern Act of 2020

6.1.1. Diseases spread by droplet:

6.1.1.1. Bacterial meningitis; Haemophilus influenzae type b (Hib),

Streptococcus pneumoniae

6.1.1.2. Coronavirus disease 2019 (COVID-19); Severe acute respiratory

syndrome (SARS)-associated coronavirus 2 (SARS-CoV 2)

6.1.1.3. Diphtheria; Corynebacterium diphtheriae

6.1.1.4. Hand Foot and Mouth Disease;

 6.1.1.5. Human Avian Influenza;

6.1.1.6. Influenza-like Illness (ILI);

6.1.1.7. Severe acute respiratory syndrome (SARS); SARS-associated

coronavirus

6.1.1.8. Measles; Measles morbillivirus

6.1.1.9. Meningococcal Disease; Neisseria meningitidis

6.1.1.10. Middle East Respiratory Syndrome (MERS); Middle East respiratory

syndrome coronavirus (MERS-CoV); and

6.1.1.11. Pertussis (Whooping cough); Bordetella pertussis

6.1.2. Airborne Diseases:

6.1.2.1. Anthrax; Bacillus anthracis

6.1.2.2. Human Avian Influenza;

6.1.2.3. Influenza-like Illness (ILI); and

6.1.2.4. Measles; Measles morbillivirus

6.1.3. Diseases spread by direct contact:

6.1.3.1. Acute Viral Hepatitis; Hepatitis A virus (HAV), Hepatitis B virus

(HBV), Hepatitis D virus (HDV)

6.1.3.2. Anthrax; Bacillus anthracis

6.1.3.3. Bacterial meningitis; Group B Streptococcus, Escherichia coli, Neisseria

meningitidis

6.1.3.4. Diphtheria; Corynebacterium diphtheriae

6.1.3.5. Hand-Foot-and-Mouth Disease

6.1.3.6. Leptospirosis; Leptospira

6.1.3.7. Meningococcal Disease; Neisseria meningitidis and

6.1.3.8. Rabies; Rabies virus (RV)

6.1.4. Vehicle-borne diseases:

 6.1.4.1. Acute Bloody Diarrhea; Campylobacter bacteria, Salmonella bacteria,
Shigella species (bacillary dysentery), Entamoeba histolytica (amoebic
dysentery), Enterohaemorrhagic E. coli (EHEC)

6.1.4.2. Acute Viral Hepatitis; Hepatitis A virus (HAV), Hepatitis B virus

(HBV), Hepatitis C virus (HCV), Hepatitis D virus (HDV), Hepatitis E
virus (HEV)

6.1.4.3. Anthrax; Bacillus anthracis

6.1.4.4. Bacterial meningitis; E.coli, Listeria monocytogenes

6.1.4.5. Cholera; Vibrio cholerae

6.1.4.6. Neonatal tetanus; Clostridium tetani

6.1.4.7. Paralytic Shellfish Poisoning;

6.1.4.8. Typhoid and Paratyphoid Fever; Salmonella enterica serotype Typhi,

Salmonella enterica serotypes Paratyphi A, B (tartrate negative), and C
(S. Paratyphi) and

6.1.4.9. Poliomyelitis (Acute Flaccid Paralysis); Poliovirus

6.1.5. Vector-borne diseases:

6.1.5.1. Dengue; Dengue viruses (DENV-1, -2, -3, and -4)

6.1.5.2. Acute Encephalitis Syndrome/Japanese Encephalitis; Japanese

Encephalitis virus and;

6.1.5.3. Malaria; Plasmodium parasites (P. falciparum, P. malariae, P. ovale and

P. vivax)

6.2. Health Event of Public Health Concern but not limited to:

6.2.1. Food/drink poisoning

6.2.2. Clustering of notifiable cases

6.2.3. Chemical poisoning

6.2.4. Environmental contamination that may impact health

6.3. Health system and service delivery data but not limited to

6.3.1. Maternal and Child Care services (e.g. immunization, antenatal care, deliveries,
etc)
 6.3.2. Deaths and cause of deaths

6.3.3. Field Health Services Information System (FHSIS) data

6.3.4. Health care associated infections

6.3.5. Number of vacant and occupied beds, admissions, discharges, transfers, referrals
and other data collected by the DOH Data Collect Application

6.4. List of diseases/syndromes/conditions in the Manual of Procedures of Philippine

Integrated Disease Surveillance and Response (PIDSR) or its revision thereof.

6.4.1. Acute Flaccid Paralysis;

6.4.2. Adverse Event Following Immunization; Adverse Event of Special Interest

6.4.3. Anthrax;

6.4.4. COVID-19;

6.4.5. Hand-Foot-and-Mouth Disease;

6.4.6. Human Avian Influenza;

6.4.7. Measles;

6.4.8. Meningococcal Disease;

6.4.9. Middle East Respiratory Syndrome (MERS);

6.4.10. Neonatal Tetanus;

6.4.11. Paralytic Shellfish Poisoning;

6.4.12. Rabies;

6.4.13. Severe Acute Respiratory Syndrome (SARS)

6.4.14. Acute Bloody Diarrhea;

6.4.15. Acute Encephalitis Syndrome;

6.4.16. Acute Hemorrhagic Fever Syndrome;

6.4.17. Acute Viral Hepatitis;

6.4.18. Bacterial Meningitis;

6.4.19. Cholera;

6.4.20. Dengue;
 6.4.21. Diphtheria;

6.4.22. Influenza-like Illness;

6.4.23. Leptospirosis;

6.4.24. Malaria;

6.4.25. Non-neonatal Tetanus;

6.4.26. Pertussis; and

6.4.27. Typhoid and Paratyphoid Fever.

6.5. Additional diseases/syndromes/conditions as prescribed by the Regional

Epidemiology Surveillance Unit, Epidemiology Bureau (EB) and Center for Health
Development.

SECTION 7. REPORTING TO THE CITY EPIDEMIOLOGY AND SURVEILLANCE

UNIT

7.1. Mandatory reporting of notifiable diseases, health events of public health concern
and health data shall be done by submitting data thru the following means:
7.1.1. Case Investigation Form (CIF) or the Case Report Form (CRF)
7.1.2. Event Based Surveillance and Response (ESR) Form
7.1.3. DOH Authorized Data Encoding and reporting software like PIDSR
7.1.4. Field Health Services and Information System (FHSIS)
7.1.5. Official Forms and templates generated by the DOH and/or CESU to collect
health data
7.1.6. Other means of reporting as prescribed by the Provincial/City/Municipal
Epidemiology and Surveillance Unit provided that data privacy is ensured.

7.2. The following are the minimum health data required to be collected in reporting
notifiable disease, public health event of public concern and health data:

7.2.1. Name of disease reporting unit;

7.2.2. Name of interviewer at first point of contact;
7.2.3. Name of the person subject of the interview;
7.2.4. Age;
7.2.5. Sex;
 7.2.6. Civil status;
7.2.7. Date of birth;
7.2.8. Occupation;
7.2.9. Permanent residential address (from the smallest identifiable geographical unit
such as street, purok or barangay);
7.2.10. Current residential address (from the smallest identifiable geographical unit such
as street, purok or barangay);
7.2.11. Date of onset of illness or symptoms;
7.2.12. Sign and symptoms
7.2.13. Contact details such as mobile or landline phone number, or email address
7.2.14. History of travel (places/countries visited, date of travel to places/countries
visited, date of arrival to residence/the Philippines, as well as places recently
visited in the Philippines) in the last thirty (30) days; and
7.2.15. Other health conditions such as comorbidities, medical history, last menstrual
period if applicable, among others.

7.3. Schedule of reporting

7.3.1. All notifiable diseases and events of public health concern as prescribed by the
DOH and indicated to Section 6 of this ordinance should be reported within 12
hours from detection.
7.3.2. Health Data will be reported on a daily, weekly or monthly schedule mandated
by the CESU.
7.3.3. PIDSR weekly reports should be sent to CESU every Wednesday morning

7.4. DRU reporting can commence immediately within _______ days from
signing/approval of this ordinance between the CESU and the DRUs on its
jurisdiction pending the approval of Data Sharing Agreements if the following
criteria are met:
7.4.1. The event or disease detected is included in the Section 6 of this ordinance
7.4.2. The event or disease has a significant risk of local, provincial or regional spread

7.5. A Certification of Good Reporting from the CESU will be part of the requirement for
application of the local sanitation and/or business permit. Good Reporting is at least
95% reporting rate based on the CESU yearly monitoring.

SECTION 8. AUTHORITY TO REVIEW AND OBTAIN HEALTH RECORDS – The

CESU Disease Surveillance Officer or his/her authorized representative, in aid of epidemiologic
(epidemics, outbreaks) case investigation, shall be authorized to review the chart, medical and
laboratory records and other pertinent documents and obtain a copy thereof, of patients suspected
to have communicable disease or cases with potentials or significant impact on the health status
of the community or public health. Reviewed records, however, shall be treated with utmost
confidentiality as per guidelines of the Data Privacy Act of 2012 and the existing Data Sharing
Agreement between DRUs, and shall be used for disease or epidemic investigation and response
purposes only.

SECTION 9. DATA PRIVACY AND CONFIDENTIALITY—All data and information

gathered during surveillance activities must be treated with confidentiality in accordance with the
Data Privacy Act and existing Data Sharing Agreements between DRUs and CESU. The
following should be observed at all times:

9.1. Data Sharing Agreements should be signed in between the City of San Pedro and
Disease Reporting Units and Entities.

9.2. In pursuant of its statutory and regulatory functions, the DOH and its local
counterparts designated in the City Epidemiology and Surveillance Units can collect
and process data and information regarding notifiable diseases and health event of
public health concern.

9.3. Consent from the data subject shall be required prior to the processing of health
information in all Disease Reporting Units. Consents must be explained clearly to the
data subject and all of his/her questions will be answered. In the case of notifiable
diseases and health event of public health concern, consent will not be needed
provided that the information will be released to DOH and its local counterparts in
the Province/City/Municipal Epidemiology and Surveillance Units only.

9.4. For notifiable diseases and health events of public health concern, data subjects are
obliged to provide complete and accurate data required in Section 7 of this Ordinance
to the interviewer at point of first contact prior to availing of health care services. In
emergency cases, the next of kin shall provide the necessary data while the patient is
being treated

9.5. Personal sensitive information and any other information that can identify the case or
his/her family or relatives must only be known and/or reported to the following:

9.5.1. Personnel directly taking care the patient/case

9.5.2. Disease Surveillance Coordinator of the health facility and his/her representative

9.5.3. Designated Management Officer of the Health Facility (Medical Director, Chief
Nurse and any other as per policy of the institution)
 9.5.4. Disease Surveillance Officer of the PC/MESU and his/her representative

9.6. In the event that information was made known to other parties other than the above, a
Non-Disclosure Agreement will be signed, stipulating that in the event of information
leakage, the DRUs (e.g., health facilities) or CESU can file charges against the
individual/parties after due process.

9.7. The DRUs and CHO (CESU) should have its own Electronic Communication and
Social Media Guidelines against posting personal sensitive information of patients.

SECTION 10. EPIDEMIC DECLARATION AND RESPONSE. The City Government can
declare an epidemic if all the criteria have been met:

10.1. The following sufficient scientific evidence was collected and documented by the
CESU.

10.1.1. Surveillance information

10.1.2. Epidemiologic investigation (descriptive or analytic)

10.1.3. Environmental investigation

10.1.4. Laboratory investigation

10.2. The Local Health Board upon reviewing the presented scientific evidence by the
CESU recommended Epidemic Declaration to the Sangguniang Panglungsod.

10.3. There is an established and functional local Epidemic Investigation and Control
Team (EICT) which include the following personnel.

10.3.1. City Health Officer as a Team Leader

10.3.2. City Disease Surveillance Officer

10.3.3. Health Program Coordinator

10.3.4. Clinician

10.3.5. Medical Technologist

10.3.6. Sanitation Engineer or Sanitary Inspector

10.3.7. Vector control specialist

10.3.8. Health educators

10.3.9. Other personnel as needed like the Police for protection of the EICT, Disaster
and Response Teams for patient transport.
 10.4. The EICT can perform the following responsibilities

10.4.1. Conduct epidemiologic investigation of epidemics suspected or confirmed.

10.4.2. Establish active surveillance in the affected area.

10.4.3. Implement the epidemic response plan.

10.4.4. Identify and coordinate other sources of additional human (multi-sectoral

teams in the area) and material resources (list of referral laboratories and
available examinations, list of referral hospitals) for managing the epidemic

10.4.5. Ensure the use of standard treatment protocols for the disease and train health
workers.

10.4.6. Oversee the implementation of control measures.

10.4.7. Meet daily to review the latest surveillance data and implement additional
control measures.

10.4.8. Provide regular feedback to the community, LGU, PHO, CHD, DOH and
WHO.

10.5. There is a written and approved Epidemic Response Plan by the City Government
that includes the following but not limited to:

10.5.1. Verification of health event

10.5.2. Contact tracing,

10.5.3. Rapid risk assessment

10.5.4. Quarantine and isolation,

10.5.5. Treatment of patients

10.5.6. Risk communication

10.5.7. Conduct of prevention, control, mitigation and rehabilitation activities

10.5.8. Plans for the communities and the general public to comply with minimum
public health standards and/or non-pharmaceutical interventions as may be
enforced by the DOH.

SECTION 11. QUARANTINE AND ISOLATION. In the performance of surveillance and

response activities, authorized personnel of the City Epidemiology and Surveillance Unit are
empowered to determine if a person exhibits symptoms of infection of, or is a close contact of a
person found to have been infected with, a notifiable disease or a health event of public health
concern, and accordingly issue a quarantine/isolation order or directive to compulsorily confine
the person inside a facility or in his/her home residence for an indicated period.

A person subject to such order or directive is bound to stay therein until the prescribed period.
Failure to comply with the quarantine/isolation order, as well as violation of the term or
conditions of the quarantine or isolation, shall constitute non-cooperation.

SECTION 12. APPROPRIATIONS – A P_____________ CESU Annual Appropriation Fund

will be given which will be used on the maintenance and completion of the recommended
supplies and equipment for the unit, conduct of pertinent surveillance activities, and the payment
of bills (e.g., laboratory and diagnostic examination, patient transfer or referral); which will be
subject to the usual accounting and auditing rules and regulations.

SECTION 13 PROHIBITED ACTS. The following acts constitute an offense punishable under
this ordinance:

13.1. Unauthorized disclosure of private and confidential information pertaining to a

patient’s medical condition or to any advice or treatment given to a patient
considered privileged communication in accordance with existing laws, rules and
regulations.

13.2. Tampering of records relating to notifiable diseases or health events of public health
concern, which includes identification documents or passes and other similar
documents for the movement of cargoes and passage of persons, official medical test
results or medical certificates, or such other documents and records issued by public
health authorities in connection therewith.

13.3. Intentionally providing misinformation by:

13.3.1. Deliberately providing false or misleading information/details in the required

official forms such as but not limited to the CIF, CRF, or Events-Based
Surveillance Form; or

13.3.2. Creating, perpetrating, or spreading false information about the notifiable disease
or health event of public health concern in any form of media, such as
information having no valid or beneficial effect on the population, and are clearly
geared to promote chaos, panic, anarchy, fear, or confusion.
13.4. Non-operation of the disease surveillance and response systems by responsible
persons or entities mentioned under this ordinance shall be considered a violation of
this provision.

13.5. Non-cooperation of persons and entities that should report notifiable diseases or
health events of public concern, which can be any of the following acts:

13.5.1. Failure of persons and entities mentioned in Section 2 of this ordinance to

comply with mandatory reporting of notifiable diseases or health events of public
concern; or

13.5.2. Failure of persons and entities mentioned in Section 2 of this ordinance to grant
public health authorities’ timely access to information of persons infected with or
suspected of having notifiable disease or health events of public health concern

13.6. Non-cooperation of persons and entities that should respond to notifiable diseases or
health events of public concern, which can be any of the following acts:

13.6.1. Failure on the part of entities required to establish ESUs this ordinance to comply
with the duty to establish the same;

13.6.2. Failure on the part of entities identified under this ordinance to perform specific
disease response activities listed therein;

13.6.3. Failure to abide by minimum public health standards and/or non-pharmaceutical

interventions as enforced by public health authorities

13.6.4. Failure to abide by other disease response activities as enforced by public health
authorities

13.7. Non-cooperation of the person or entities identified as having the notifiable disease,
which can be any of the following acts:

13.7.1. Refusal of the person identified by a public health authority as suspect or

probable case to submit for physical examination and/or provision of clinical
samples as required for the investigation;

13.7.2. Failure or refusal of the person or entity identified by a public health authority
identified as suspect, probable or confirmed case to provide the required
information necessary for disease surveillance or response, including for contact
tracing activities;

13.7.2.1. Failure to comply with a quarantine/ isolation order or directive duly

issued by a public health authority;
 13.7.2.2. Violation of any terms or conditions of the quarantine or isolation order
or directive issued by a public health authority; or

13.7.2.3. Knowingly or willfully infecting another with a contagious or

communicable disease classified as notifiable or a health event of public
health concern, or aids in the spreading of the same.

13.8. Non-cooperation of the person or entities affected by a notifiable disease or a health

event of public health concern, which can be any of the following acts:

13.8.1. Failure by close contacts to cooperate/submit to public health authorities doing

contact tracing activities upon being notified of their status as such;

13.8.2. Violation of community quarantine or stay-at-home order or directive issued by

public health authorities; or

13.8.3. Commission of the acts of discrimination against an individual on account of

having a notifiable disease whether probable, suspect, or confirmed, whether
undergoing treatment or recovered; on account of being a health worker (e.g.
doctors, nurses, and other allied health workers) or being personnel providing
health and emergency frontline service.

SECTION 14 FINES AND PENALTIES. The following penalties shall be imposed upon
individuals, subject to pertinent Civil Service Rules and Regulations, found to have violated the
provision/s of this ordinance.

14.1. First Offense: Reprimand

14.2. Second Offense: Suspension for one (1) to thirty (30) days

14.3. Third Offense: Dismissal from Office

SECTION 15. ADMINISTRATIVE SANCTIONS. The following administrative sanctions

shall be imposed upon individuals or institutions or facilities found to have violated the
provisions of this ordinance.

15.1. First Offense: Fine of P 7,000

15.2. Second Offense: Fine of P 10,000

 15.3. Third Offense: Fine of P 20,000 and recommendation to the Department of Health,
Local Government Units or other government agencies for the suspension of
Business permit and/or License to Operate

SECTION 16. SEPARABILITY CLAUSE – In the event that any section, paragraph, sentence,
clause or word of this Ordinance is declared invalid for any reason, other provisions therof
should not be affected thereby.

SECTION 17. REPEALING CLAUSE – All ordinance, as well as pertinent local rules and
regulations thereof which are inconsistent with the provisions of this resolution are hereby
repealed or amended accordingly.

SECTION 18. EFFECTIVITY – This resolution shall take effect upon its approval.

I HEREBY CERTIFY TO THE CORRECTNESS

OF THE ABOVE QUOTED ORDINANCE:

_________________________
Presiding Officer

ATTESTED:

_______________________
Secretary to the Sangguniang Panglungsod

APPROVED:

___________________________
City Mayor
Date signed: ______________