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OCCUPATIONAL HEALTH SURVEILLANCE:
PHILIPPINE SITUATION
VALERIANO V. TIMBANG JR., MD, FPCOM, FPSVI
Medical Officer IV
Disease Prevention and Control Bureau
Department of Health
PROFILE
• Population of 104 million • Land area of 300,000 sq km • Island group of 7,600+ islands • Mountainous with 20 active
volcanoes • Earthquake prone (Pacific Ring
of Fire) • Often buffeted by typhoons
(20+ typhoons a year) • Still agricultural with economic
activity concentrated on 11 highly urbanized area (ex. Manila and Metro Cebu)
FUNCTION AND AUTHORITY OF ORGANIZATION
Article II, Section 15 of the 1987 Philippine Constitution
“The State shall protect and promote the right to health of the people and instill health consciousness among them.”
Article XIII on Social Justice and Human Rights on Health
“It is the responsibility of the State to adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health, and other social services available to all the people at affordable cost.”
FUNCTION AND AUTHORITY OF ORGANIZATION
Functions of the Division of Occupational Health:
• Formulate the policies, plans, and programs to promote and protect the health and well-being of workers
• Monitor the implementation of standards set for specific occupational hazards, investigative work, and researches
• Provide technical assistance and consultative services both to industrial establishments and health implementing agencies, and other stakeholders
Office of Secretary of Health
Executive Committee for National
Field Operations
Regional Offices
Provincial Health Offices
City Health Offices District Health Offices
City Hospitals Rural Health Units
Barangay Health
Stations
District Hospitals Municipal Health
Offices
Barangay Health
Stations
Provincial Hospitals
Regional Hospitals
Medical Centers
Sanitaria
• Devolved to provincial government
• Devolved to city government
• Devolved to municipal government
Health Leadership in Governance Program
• Thru the DOH Bureau of Local Health Development and Department of Interior and Local Government
• Training program for heads of local government
• Put premium on health of constituents and prioritize health programs
• Issuance of ordinances and allocate more budget for health from the Internal Revenue Allotment
More budget for health….
• Good health outcome (decrease in the incidence rate, morbidity, mortality from endemic and prevalent diseases
• More fund for “sponsored enrolment” to the Philippine Health Insurance
Social Solidarity or “Bayanihan”, where:
The rich subsidizes the poor
The young subsidizes the old
The healthy subsidizes the sickly
ORGANIZATION ACTIVITIES RELATED TO OCCUPATIONAL HEALTH
• Policy Formulation
• Technical Assistance
• Capacity Building
• Advocacy/Health Promotion Activities
• Research
• Inter-Agency Collaboration
Health Assessment
Detoxification of Patients for Hg Exposure, Romblon, October, 2012
AERIAL SPRAYING
OF PESTICIDES:
- Banana plantation
-Health and
Environmental
Assessment
-IEC
Areas:
Davao del Norte
Benguet
Davao del Sur
SMALL AND LARGE
SCALE MINING
OCCUPATIONAL AND WORK RELATED DISEASES
2011- BLES 2013 - ISLE
1. Work-Related Musculoskeletal Diseases 2. Back Pain 3. Essential Hypertension 4. Neck-Shoulder Pain 5. Peptic Ulcer 6. Tuberculosis 7. Occupational Dermatitis 8. Infections 9. Bronchial Asthma 10. Shoulder Tendinitis
1. Back Pain 2. Peptic Ulcer 3. Essential Hypertension 4. Neck-Shoulder Pain 5. Other Diseases 6. Occupational Dermatitis 7. Occupational Asthma 8. Other Infections 9. Other Work-Related Musculoskeletal Diseases 10. Carpal Tunnel Syndrome
OCCUPATIONAL AND WORK RELATED DISEASES
OCCUPATIONAL AND WORK RELATED DISEASES
LEGISLATIONS GOVERNING OSH
PD 856 Code on Sanitation of the Philippines - Chapter 7 “Industrial Hygiene”
Occupational Safety and Health Standards
- IRR of Article 162 Book IV of PD 442
OSH POLICIES DOH
Administrative Order 2012-0020
“Guidelines Governing the Occupational Health and Safety of Public Health Workers”
*Administrative Order 2013-0009
“National Chemical Safety and Toxicology Policy”
*Administrative Order 2013-0018
“National Occupational Health Policy for the Informal Mining, Transport, and Agricultural Sector”
*Joint Administrative Order (DOH, DOLE, CSC)
“National Occupational Health and Safety Policy Framework”
LEGAL MANDATE
Executive Order No. 489
- Institutionalizing the
Inter-Agency Committee on
Environmental Health (IACEH)
signed 22 Nov 1991
Chair:
Secretary of the DOH
Vice-Chair:
Secretary of DENR
Members:
Secretary of DILG
Secretary of DOST
Secretary of DTI
Secretary of DA
Secretary of DOLE
Secretary of DOE
Secretary of DOTC
Director General of NEDA
Director General of PIA
Functions of IACEH
1.Formulate policies,
promulgate guidelines
and develop programs for
environmental health
protection;
2. Coordinate, monitor and
evaluate environmental
health programs;
3. Undertake information
dissemination and
education campaigns on
environmental health
programs;
4. Coordinate in, assist
and/or support the
conduct of researches to
carry out the provisions
of the EO.
SECTORAL TASK FORCES
Solid Waste
Air
Water
Toxic Substances
and Hazardous
Waste Occupational Health
Sanitation
Food Safety
Climate Change
Academe
NGOs
GAs/Legislative
LGUs
Industry
1 EAMC - NCR
2 RMC - NCR
3 BMC – R4A
4 Bicol MC – R5
5 EVRMC – R8
6 CLMMRH – R6
7 WVS – R6
8 NMMC – R10 9 SPMC –
R11 10 ZCMC – R9
The Philippines and the Poison Centers in the region
THANK YOU VERY MUCH
