Professional Documents
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Philippines
5-Year Average
2010*
(2005-2009)
CAUSES
Number Rate Number Rate
Philippines
5-Year Average
2009*
(2004-2008)
CAUSES
Number Rate Number Rate
5-Year
Average 2008*
CAUSES (2003-2007)
Philippines
5-Year Average (2002-2006) & 2007
5-Year
Average 2007*
CAUSES (2002-2006)
Philippines
Philippines
5-Year
CAUSES Average 2005*
(2000-2004)
Number Rate Number Rate
*reference year
Philippines
5-Year
Average 2004*
CAUSES (1999-2003)
*reference year
Philippines
5-Year
Average 2003*
CAUSES (1998-2002)
*reference year
Philippines, 2002
2002
CAUSES
Number Rate
Philippines, 2001
2001
CAUSES
Number Rate
Philippines, 2000
2000
CAUSES
Number Rate
Philippines, 1999
1999
CAUSES
Number Rate
PHILIPPINES
5-YEAR AVERAGE
1998
(1993-1997)
CAUSES
Number Rate Number Rate
7. Chronic Obstructive
Pulmonary Diseases & 11,935 21.4 14,228 19.5
Allied Conditions
PHILIPPINES
5-YEAR
AVERAGE 1997
CAUSES (1992-1996)
PHILIPPINES
5-YEAR
AVERAGE 1996
CAUSES (1991-1995)
PHILIPPINES
5-YEAR
AVERAGE 1995
CAUSES (1990-1994)
10. Nephritis, Nephrotic Syndrome and Nephrosis 5,400 8.3 6,600 9.6
MORTALITY: LEADING CAUSES, NUMBER, RATE & PERCENT OF TOTAL DEATHS
PHILIPPINES
5-YEAR
AVERAGE 1994
CAUSES (1989-1993)
PHILIPPINES
10. Nephritis, Nephrotic Syndrome and Nephrosis 5,137 8.3 5,510 8.2
PHILIPPINES
5-YEAR AVERAGE
1992
(1987-1991)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
1991
(1986-1990)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
1990rrr
(1985-1989)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
CAUSES 1989
(1984-1988)
Number Rate Number Rate
5-YEAR AVERAGE
1988
(1983-1987)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
1987
(1982-1986)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
1986
(1981-1985)
CAUSES
Number Rate Number Rate
1985
1985
CAUSES
Number Rate
5-YEAR AVERAGE
1984
(1979-1983)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
1983
(1978-1982)
CAUSES
Number Rate Number Rate
5-YEAR AVERAGE
1982
(1977-1981)
CAUSES
Number Rate Number Rate
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Integrity Watch
Contact Information
San Lazaro Compound, Tayuman, Sta. Cruz, Manila
Philippines 1003
Cardiovascular Disease
Contact Person:
Cardiovascular Disease (CVD), cancers chronic respiratory diseases and diabetes (DM) are among the top
killers in the Philippines, causing more than half of all deaths annually. Hypertension and diseases of the
heart are among the ten leading causes of illnesses each year. These diseases are collectively known as
Lifestyle Related Non-communicable diseases (NCDs), as defined in the National Objectives for health,
particularly because these diseases have common risk factors which are to large extent related to
unhealthy lifestyle.
POLICY STATEMENT
The prevention and control of chronic lifestyle related non-communicable diseases shall be guided by
the following policy statements.
1. The country shall adopt an integrated, comprehensive and community based response for the
prevention and control of chronic, lifestyle related NCDs.
2. Health promotion strategies shall be intensified to effect changes that would lead to significant
reduction in mortality and morbidity due to chronic lifestyle related NCDs.
3. Complementary accountabilities of all stakeholders must be ensured and actively pursued in the
implementation of an integrated, comprehensive and community based response to chronic lifestyle
related NCDs.
OBJECTIVE
2. Decrease in the economic burden of CVDs to the individual, family and community
STRATEGIES IMPLEMENTED
Adopted in the context of health promotion in order to decrease the chances of the targeted
population to adopt high risk behaviours and habits that may lead to the development of cardiovascular
disease
Community-based
School-based
Industry-based
Hospital-based
Training, research, environmental support system are important components of the progress
Program is well in place and its implementation is continuous. Focus of implementation is in the
community level and other settings.
Development of Administrative Order on the National Policy on the integrated chronic non-
communicable disease registry system (cancer, stroke, DM and COPD).
1st public hearing on the Administrative Order on the National Policy on the integrated chronic non-
communicable disease registry system with CHD-NCR, government and private hospitals and non-
government agencies.
Trained hospitals for the registry system entitled Users training for the Unified Registry System.
Manual of operations on the prevention and control lifestyle related non-communicable diseases in the
Philippines.
Training manual for Health workers: WHO/ DOH smoking cessation clinic: Helping smokers quit.
FUTURE PLAN/ACTION
Implement the program through the institutionalized integrated program of NCD-lifestyle related
diseases control program.
Development of strategic framework and five year strategic plan for cardiovascular disease (2012-
2016).
MISSION
To ensure that quality prevention and control and LRD services are accessible to all, especially to the
vulnerable and at-risk population.
VISION
A nation of Filipinos with healthy lifestyle and habits, living and working in clean and safe environment
and with access to adequate medical care for CVD.
Contact Person:
Respiratory conditions impose an enormous burden on society. According to the WHO World Health
Report 2000, the top five respiratory disease account for 17.4% of all deaths and 13.3% of all Disability
Adjusted Life Years (DALYs). Lower respiratory tract infections, chronic obstructive pulmonary disease
(COPD), tuberculosis and lung cancer are among the leading 10 causes of death worldwide. Based partly
on demographic changes in in the developing world, but also on the changes in health care systemss
schooling, income and tobacco use, the burden of communicable diseases is likely to lessen while the
burden of CRDs including asthma, COPD and lung cancer will worsen because of tobacco use.
POLICY STATEMENT:
The prevention and control of chronic lifestyle related non communicable diseases shall be guided by
the following policy statements:
1. The country shall adopt an integrated, comprehensive and community based response for the
prevention and control of chronic, lifestyle related NCDs.
2. Health promotion strategies shall be intensified to effect changes that would lead to a significant
reduction in mortality and morbidity due to chronic lifestyle related NCDs.
3. Complementary accountabilities of all stakeholders must be ensured and actively pursued in the
implementation of an integrated, comprehensive and community base response to chronic lifestyle
related NCDs.
OBJECTIVES
2. Decrease in the economic burden of CVDs to the individual, family and community.
Adopted in the context of health promotion in order to decrease the chances of the targeted
population to adopt high risk behaviours and habits that may lead to the development of COPD.
School-based
Industry-based
Hospital-based
Training, research, environmental support system are important components of the progress
1. Development of Administrative Order on the National Policy on the integrated chronic non-
communicable disease registry system (cancer, stroke, DM and COPD).
2. 1st public hearing on the Administrative Order on the National Policy on the integrated chronic non-
communicable disease registry system with CHD-NCR, government and private hospitals and non-
government agencies.
3. Trained hospitals for the registry system entitled Users training for the Unified Registry System.
8. Manual of operations on the prevention and control lifestyle related non-communicable diseases in
the Philippines.
9. Training manual for Health workers: WHO/ DOH smoking cessation clinic: Helping smokers quit.
FUTURE PLAN/ACTION
Implement the program through the institutionalized integrated program of NCD-lifestyle related
diseases control program.
Development of strategic framework and five year strategic plan for cardiovascular disease (2012-
2016).
MISSION: To ensure that quality prevention and control and LRD services are accessible to all, especially
to the vulnerable and at-risk population.
Chronic diseases appear under different names in different contexts. Sometimes the term "non-
communicable diseases" is used to make a distinction from infectious or "communicable diseases". Yet
several chronic diseases have an infectious component to their cause (source: WHO Preventing Chronic
Diseases: A Vital Investment)In the Philippines, "non-communicable" or "degenerative disease"
is commonly used depending on the perspective.
What are degenerative diseases?
These are diseases that can cause premature disability, mortality and morbidity (henc, the word
degenerative). These diseases include cardiovascular diseases, diabetes mellitus, cancers and chronic
obstructive pulmonary disease.
The leading causes of death are diseases of the heart, diseases of the vascular system, pneumonias,
malignant neoplasms/cancers, all forms of tuberculosis, accidents, COPD and allied conditions, diabetes
mellitus, nephritis/nephritic syndrome and other diseases of respiratory system. Among these diseases,
six are non-communicable and four are the major NCDs such as CVD, cancers, COPD and diabetes
mellitus.
The risk factors that are linked with lifestyle-related disease are smoking, unhealthy diet, physical
inactivity and stress.
"Lifestyle-related disease" is a term used to emphasize the contribution of behavior to the development
of chronic diseases.
Diabetes
What is diabetes?
Diabetes occurs when the pancreas does not adequately produce insulin. It also happens when the body cannot properly use
insulin. Insulin is a hormone necessary for the proper utilization of sugar by muscles. Fat and liver.
Blindness
Kidney failure
Stroke
Heart attack
Wounds that would not heal
Impotence
1. Diet Therapy* Avoid simple sugars like cakes and chocolates. Instead have complex carbohydrate like rice, pasta, cereals and
fresh fruits.* Do not skip or delay meals. It causes fluctuations in blood sugar levels.* Eat more fiber-rich foods like vegetables.*
Cut down on salt.* Avoid alcohol. Dietary guidelines recommend no more than two drinks for men and no more than one drink
per day for women.
2. Exercise Regular exercise is an important part of diabetes control. Daily exercise . . .* Improves cardiovascular fitness* Helps
insulin to work better and lower blood sugar* Lowers blood pressure and cholesterol levels* Reduces body fat and controls body
weight Exercise at least 3 time a week for ate least 30 minutes each session. Always carry quick sugar sources like candy or soft
drink to avoid hypoglycemia (low blood sugar) during and after exercise.
3. Control your weight If you are overweight or obese, start weight reduction by diet and exercise. This improves your
cardiovascular risk profile.* It lowers your blood sugar* It improves your lipid profile* It improves your blood pressure control
4. Quit smoking. Smoking is harmful to your health.
5. Maintain a normal blood pressure. Since having hypertension puts a person at high risk of cardiovascular disease, especially if
it is associated with diabetes, reliable BP monitoring and control is recommended. See your doctor for advice and management. If
there is no improvement in blood sugar what advice can I expect my doctor to give? There are drug therapies using oral
hypoglycemic agents. Your doctor can prescribe one or two agents, depending on which is appropriate for you.
1. Sulfonylurea Glibenclamide, Gliclazide, Glipizide, Glimepiride, Repaglinide
2. Iguanid Metformin
3. Alpha-glucosidase Inhibitors Acarbose4. Thiazolidindione Troglitazone, Rosiglitazone, Proglitazone.
Remember If you have the classic symptoms of diabetes:* See your doctor for blood sugar testing* Start dieting eat plenty of
vegetables avoid sweets such as chocolates and cakes cut down on fatty foods* Exercise regularly* If you are obese, try to lose
some weight* Avoid alcohol drinking and stop smoking* If you are hypertensive, consult your doctor for advice and
management.
Medical science has yet to identify the exact cause of alcohol dependence, but research suggests that genetic, psychological, and
social factors.
WHAT IS DIABETES?
Diabetes is a serious, chronic metabolic disease characterized by an increase in blood sugar levels associated with long term
damage and failure or organ functions, especially the eyes, the kidneys, the nerves, the heart and blood vessels.
children of diabetics
obese people
people with hypertension
people with high cholesterol levels
people with sedentary lifestyles
The DOH Insulin Access Program is a program under the Medicine Access Program (MAP) of the Department of Health (DOH)
through the National Center for Pharmaceutical Access and Management (NCPAM) provides access to medicines for diabetic
patients and is in line with Millennium Development Goal No. 8 aims to develop global partnership for development, where
partner pharmaceutical companies participate by providing access to affordable Insulin products through the consignment
system., implementation of which was started in 2009.
Generic Drugs is a drug which is produced and distributed without patent protection.
Generic Drugs is a copy of original/innovator. Has the same active ingredient and quality but costs less
More generic drugs in the market brings down the costs of drugs due to more competition ex. Norvasc (Php 44) to Php 8 for
Bezam, Php 11 for Pharex, Php 17 for Unilab.
Generic Drugs are available once the patent protections afforded to the original developer have expired.
Drug that is put out by the company that spends billions of dollars on research to discover a molecule of a substance.
GEOGRAPHICALLY ISOLATED AND
DISADVANTAGED AREAS (GIDA)
To provide access to free Enzyme Replacement Therapy (ERT) infusion initially for patients with Type 1 and 3Gauchers
Disease and to ensure compliance to treatment and management protocol of the identified patient beneficiaries through the
Patient Navigation Program.
DOH is embarking on a program that will provide health care access to patients with rare disease through the Rare Disease
Medicines Access Program. Filipino patients born with rare diseases are orphaned by society. They suffer from social
abandonment because of lack of existing network of support to aid them. Medical help is elusive under the conditions of the
countrys health priority. The nature of their illness is hardly known due to lack of information and only a few medical
professionals in the country are aware of these disorders and know how to diagnose and address these conditions.
VALSARTAN ACCESS PROGRAM
The DOH has concluded negotiations and discussions with Novartis Phils. Having entered into a Memorandum of Understanding
(MOU) dated May 28, 2009. Under the MOU, Novartis will grant non-exclusive right to DOH market, promote and sell the
Valsartan Products under the mark DOH Valsartan in all DOH Hospitals and some Local Government Units (LGUs)
pharmacies.
Valsartan provides blood pressure (BP) reductions that lasts a full 24-hours, greater with increasing baseline systolic BP and
across diverse patient types and it is available at strengths of Valsartan 80mg and Valsartan 160mg film-coated tablets.
This anti-hypertensive drug is still under patent until 2014 and has offered 50-60% cheaper compared to the prevailing market
price.
Thirty (30) DOH Retained Hospitals and two (2) Provincial Health Offices (PHOs) participated in the first initial orders of
Valsartan 80mg and 160mg film-coated tablets.