Vaccine preventable diseases DPT and Measles lecture for parents

Vaccine preventable disease

1. PANGUNAHING ARALIN SA PAGBABAKUNA PARA SA MGA MAGULANG

2. Pagbabakuna : Proteksyon sa bawat Pilipino Mga Aral sa Kahalagahan ng Pagbabakuna World Immunization Week 2024

3. Outline: Vaccine-Preventable Diseases (VPDs) ay mayroong seryosong kahihinatnan Ang pagbabakuna ay mabisa at nagliligtas ng buhay Ang pagbabakuna ay magandang pamumuhunan at makatipid ng pera Sa kabila ng mga pag-urong sa pagbabakuna , may pag-asa Kailangan magtulungan ang bawat Pilipino!

4. Ang sakit na maiiwasan sa bakuna ay dumadami …at mayroon itong malubhang kahihinatnan

5. https://doh.gov.ph/health-statistics/weekly-disease-surveillance-report/ Accessed 30 Mar 2024 Cases of vaccine preventable diseases are increasing

6. https://drive.google.com/file/d/1DyTk0CUWYIXZBenDOA_k_YlWuhmWt1-k/view . Accessed 30 Mar 2024 TIGDAS

7. TIGDAS

8. Mga 1 sa 15 may tigdas ang maaaring lubhang sumama ang pakiramdam . Ang maliliit na bata, buntis at may mahinang immune system ay mas malamang na lubhang magkasakit . TIGDAS

9. Maaaring kabilang sa mas malubhang komplikasyon ng tigdas ang: • impeksyon sa tainga • impeksyon sa baga (pneumonia) • pagtatae • dehydration • kombulsyon TIGDAS

10. TIGDAS

11. TIGDAS MGA SINTOMAS PAMUMULA NG MATA LAGNAT UBO SIPON MANTSA SA LOOB NG BIBIG

12. https://www.who.int/news-room/fact-sheets/detail/measles https://www.pna.gov.ph/articles/1221736 Domai et al. Measles outbreak in the Philippines: epidemiological and clinical characteristics of hospitalized children, 2016-2019. Lancet Regional Health Western Pacific. December 14, 2021. DOI: https://doi.org/10.1016/j.lanwpc.2021.100334 ; https://www.pna.gov.ph/articles/1215878 B akit tayo nag- aalala ? TIGDAS SERYOSONG COMPLICATIONS tulad ng pagtatae , impeksyon sa tainga , pneumonia, encephalitis, pagkabulag MAS KARANIWAN SA MGA BATA <5 YEARS OLD Note: San Lazaro Study: Pinakamataas na panganib ay natagpuan sa hindi nabakunahan na mga bata Median age of children hospitalized = 11 months 84.5% of cases  unvaccinated 41% of deaths occurred in children aged < 9 mos

13. Philippines 2023: 343% increase in cases (vs 2022) https://www.who.int/news-room/fact-sheets/detail/measles https://www.pna.gov.ph/articles/1221736 Domai et al. Measles outbreak in the Philippines: epidemiological and clinical characteristics of hospitalized children, 2016-2019. Lancet Regional Health Western Pacific. December 14, 2021. DOI: https://doi.org/10.1016/j.lanwpc.2021.100334 ; https://www.pna.gov.ph/articles/1215878 B akit tayo nag- aalala ? TIGDAS Ang tigdas ay maiiwasan sa bakuna ngunit : Global 2021: > 128, 000 measles deaths ( mostly in <5 yrs. o ld)

14. B akit tayo nag- aalala ? https://www.who.int/news-room/fact-sheets/detail/measles https://www.pna.gov.ph/articles/1221736 Domai et al. Measles outbreak in the Philippines: epidemiological and clinical characteristics of hospitalized children, 2016-2019. Lancet Regional Health Western Pacific. December 14, 2021. DOI: https://doi.org/10.1016/j.lanwpc.2021.100334 ; https://www.pna.gov.ph/articles/1215878 TIGDAS Ang Pilipinas ay madaling kapitan ng tigdas : Suboptimal vaccination coverage rates Philippines had l argest 2018-2019 outbreak i n the WHO Western Pacific Region “ For the Philippines to be safe from measles, 95 % of the infants must be vaccinated with 2 doses of measles vaccine at 9 and 12 months of age during routine childhood immunization .” UNICEF “P artial unofficial data on the coverage for 2 doses of measles-containing vaccine is at 45.52 % as of September 2023.”

15. https://drive.google.com/file/d/1DyTk0CUWYIXZBenDOA_k_YlWuhmWt1-k/view . Accessed 30 Mar 2024 PERTUSSIS/TUSPERINA

16. https://www.cdc.gov/vaccines/parents/diseases/child/vpd-infographics/whooping-cough-infographic.pdf; image courtesy CDC https://www.immunize.org/clinical/image-library/pertussis/ Ito ay isang nakakahawang sakit sa paghinga na kumakalat sa bawat tao PERTUSSIS/TUSPERINA

17. https://www.cdc.gov/vaccines/parents/diseases/child/vpd-infographics/whooping-cough-infographic.pdf; image courtesy CDC https://www.immunize.org/clinical/image-library/pertussis/ PERTUSSIS/TUSPERINA

18. Department of Health EDCS Weekly Disease Surveillance Report. Available at https://doh.gov.ph/health-statistics/weekly-disease-surveillance-report/ . Accessed 24 March 2024.; https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://data.unicef.org/wp-content/uploads/cp/immunisation/phl.pdf&ved=2ahUKEwiD8fPgn56FAxWAb2wGHTyMBN4QFnoECBoQAQ&usg=AOvVaw1ZcjLFOlYtAixVJAgXaN6B ; https://www.unicef.org/philippines/press-releases/doh-who-unicef-boost-child-immunization-rate-philippines ; image courtesy CDC https://www.immunize.org/clinical/image-library/pertussis/ ; https://www.pna.gov.ph/articles/1221651 B akit tayo nag- aalala ? Ito ay mapanganib sa mga sanggol Makabuluhang sanhi ng sakit at kamatayan sa mga bata Mga sanggol at maliliit na bata : maaaring makuha ang bacteria mula sa mga nakakahawang matatanda PERTUSSIS/TUSPERINA

19. B akit tayo nag- aalala ? Ang Pilipinas ay madaling kapitan ng paglaganap ng Pertussis : Suboptimal DTP3 coverage in the past several years Sharp increase in pertussis cases in 2023 compared to 2022 “According to UNICEF and the WHO under the estimates of National Immunization Coverage (WUENIC) 2022, the Philippines remains among the top five (5) countries with the most number of zero-dose children globally and the greatest contributor to the number of zero-dose children in East Asia and the Pacific Region.”  DOH, WHO, UNICEF Joint Press Release 17 Aug 2023 Department of Health EDCS Weekly Disease Surveillance Report. Available at https://doh.gov.ph/health-statistics/weekly-disease-surveillance-report/ . Accessed 24 March 2024.; https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://data.unicef.org/wp-content/uploads/cp/immunisation/phl.pdf&ved=2ahUKEwiD8fPgn56FAxWAb2wGHTyMBN4QFnoECBoQAQ&usg=AOvVaw1ZcjLFOlYtAixVJAgXaN6B ; https://www.unicef.org/philippines/press-releases/doh-who-unicef-boost-child-immunization-rate-philippines ; image courtesy CDC https://www.immunize.org/clinical/image-library/pertussis/ ; https://www.pna.gov.ph/articles/1221651 PERTUSSIS/TUSPERINA

20.   In March 2024, BARMM has reported 592 cases of measles from Jan. 1 to March 20 this year. At least 77 % of the confirmed cases of measles in the Philippines are from BARMM. In 2023, only 60% of the eligible children received their 1 st dose of the measles vaccine and only 51% of children got a 2 nd dose in BARMM.   Source: https://www.pna.gov.ph/articles/1221736 As of March 27, DOH reports a total of 568 cases of Pertussis with 40 deaths from Jan 1 to March 16 356 cases ( 62.7 %) were infants below six months old. 270 cases ( 75.8 %) of these infants were either unvaccinated or with unknown vaccination history Source: https://www.pna.gov.ph/articles/1221651 At n gayon … nandito na tayo

21. Ang pagbabakuna ay mabisa … at nagliligtas ng buhay

22. United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination, UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023;.Domai et al. Measles outbreak in the Philippines: epidemiological and clinical characteristics of hospitalized children, 2016-2019. Lancet Regional Health Western Pacific. December 14, 2021. DOI: https://doi.org/10.1016/j.lanwpc.2021.100334 ; https://www.who.int/news-room/fact-sheets/detail/poliomyelitis ; https://www.cdc.gov/vaccines/vpd/dtap-tdap-td/hcp/about-vaccine.html “ Armas ng Proteksyon ng Masa” Ang pagbabakuna ay nakakatulong na maiwasan ang mga nakapipinsalang sakit na nakakahawa E.g.: rabies, tetanus, diphtheria, polio, tetanus, measles, pneumococcal disease, rotavirus diarrhea, and pertussis Ang pagbabakuna ay nakakatulong sa pag-iwas sa kanser E.g.: human papillomavirus and hepatitis B vaccines Ang pagbabakuna ay napatunayang ligtas at epektibo Ang mga bakuna na naglalaman ng tigdas at pertussis ay ginagamit sa bansa sa loob ng > 40 taon Ang mga karaniwang side effect ay kadalasang banayad at nalulutas sa loob ng ilang araw ( pananakit , pamumula , pamamaga sa lugar ng iniksyon )

23. United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination, UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023;.Domai et al. Measles outbreak in the Philippines: epidemiological and clinical characteristics of hospitalized children, 2016-2019. Lancet Regional Health Western Pacific. December 14, 2021. DOI: https://doi.org/10.1016/j.lanwpc.2021.100334 ; https://www.who.int/news-room/fact-sheets/detail/poliomyelitis “ Armas ng Proteksyon ng Masa” Ang pagbabakuna ay nagliligtas ng 4.4 milyong buhay bawat taon TIGDAS PRE-VACCINE ERA 2021 killed 2.6 million/year 128,000/ year POLIO 350,000 cases (1988) 6 cases in 2021

24. Ang pagbabakuna ay magandang pamumuhunan … a t makatipid ng pera

25. United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination , UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023. Pagbabakuna  isang pamumuhunan sa ating mga anak Proteksyon laban sa sakit Kapag hindi natin nabakunahan ang ating mga anak , isinasapanganib natin ang kanilang buhay Pinoprotektahan ng pagbabakuna ang utak at kabuuang pag-unlad , paglaki , at kalusugan Pinipigilan nito ang mga pagliban sa paaralan , na nagpapabuti sa mga resulta ng pag-aaral PAGBABAKUNA: Halaga sa bawat iniksyon

26. United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination , UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023. Ang pagbabakuna ay nakakatipid ng pera Magulang / Tagapag-alaga  mas maraming oras para sa trabaho at mas kaunting oras sa pag-aalaga sa mga maysakit na bata Pamilya  mas kaunting emosyonal na sakit , mas kaunting mga sakuna na gastos sa pag-aalaga sa isang maysakit na bata Ang pagbabakuna sa mga bata ay sumusuporta sa kalusugan ng mas malawak na komunidad : Nagtataguyod ng herd immunity Tumutulong na limitahan ang pagkalat ng antimicrobial resistance PAGBABAKUNA: Halaga sa bawat iniksyon

27. Sa kabila ng mga pag-urong sa pagbabakuna , may PAG-ASA

28. https://www.csis.org/analysis/improving-measles-vaccination-coverage-advance-elimination . ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3967663/ . ; https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://data.unicef.org/wp-content/uploads/cp/immunisation/phl.pdf&ved=2ahUKEwjJ2JassaCFAxWld2wGHdgLBcAQFnoECBYQAQ&usg=AOvVaw1ZcjLFOlYtAixVJAgXaN6B accessed 30 Mar 2024 72% 57% 71% 71% 65% 69% Philippines DTP3 Coverage Rate Philippines MCV2 Coverage Rate 64% 55% 68% 69% 67% 64% Hindi pa sapat ang ating nababakunahan kaya nananatiling bulnerable tayo sa mga outbreak …

29. Hindi pa sapat ang ating nababakunahan kaya nananatiling bulnerable tayo sa mga outbreak … Upang maiwasan ang pagkalat sa komunidad , kailangan natin: Measles vaccination coverage Pertussis vaccination coverage https://www.csis.org/analysis/improving-measles-vaccination-coverage-advance-elimination . ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3967663/ . ; https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://data.unicef.org/wp-content/uploads/cp/immunisation/phl.pdf&ved=2ahUKEwjJ2JassaCFAxWld2wGHdgLBcAQFnoECBYQAQ&usg=AOvVaw1ZcjLFOlYtAixVJAgXaN6B accessed 30 Mar 2024 95% 90%

30. United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination , UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023.; DOH Metro Manila Center for Health Development; https://www.who.int/philippines/news/detail/11-06-2021-who-unicef-laud-end-of-polio-outbreak-in-the-philippines Ang regular na primarya at booster immunization, catch up vaccination, at supplemental immunization campaign (SIAs) ay makakatulong para maiwasan ang paglaganap ng tigdas at pertussis, at mahalaga ito para protektahan ang mga bata at komunidad . … meron pa ring PAG-ASA.  SIAs have worked before against Polio and Measles

31. United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination , UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023.; DOH Metro Manila Center for Health Development; https://www.who.int/philippines/news/detail/11-06-2021-who-unicef-laud-end-of-polio-outbreak-in-the-philippines SIA SIA SIA SIA … meron pa ring PAG-ASA.

32. Pabakunahan ang kanilang mga anak Siguraduhing makahabol sa mga hindi naibigay na bakuna Makilahok sa mga kampanya ng pagbabakuna ng DOH Magsalita para protektahan ang mga bata mula sa mga sakit na maiiwasan sa bakuna KAILANGAN GAWIN NG MGA MAGULANG AT KOMUNIDAD :

33. Ang kahihinatnan ng pagkabigo sa pagbabakuna : Namamatay ang mga bata Magdaras ng panghabambuhay na kapansanan Dapat tayong gumawa ng higit pa, dapat tayong gumawa ng mas mahusay , at dapat tayong kumilos ngayon Walang bata ang dapat dumanas ng sakit na maiiwasan ng libre at ligtas na bakuna ... lalo na ng sarili mong anak United Nations Children’s Fund, The State of the World’s Children 2023: For every child, vaccination , UNICEF Innocenti – Global Office of Research and Foresight, Florence, April 2023. WALANG BATANG MAIIWAN!