May mga payo ang DOH sa publiko ukol sa leptospirosis na patuloy pa rin ang banta lalo na sa panahon ng baha. Panoorin ang video. #TheMangahasInterviews
Category
🗞
NewsTranscript
00:00Leptospirosis has also become an issue, but how can we avoid it?
00:05The Philippines or Metro Manila and other big cities will be flooded if there's a storm.
00:13Leptospirosis is a vector borne illness.
00:16It's like a plague.
00:17What spreads there is the plague.
00:19That's why the plague is increasing, and this is the National Capital Region,
00:25because our solid waste management is not up to par.
00:30Our surroundings are dirty.
00:32If you drive around Metro Manila, you'll see that there's a dump in a corner, full of garbage.
00:37When it rains, that dump is where the plague lives.
00:42The plague is a vector, so it's like a plague.
00:48Leptospira lives in the plague and spreads in the mouth and the mouth of the plague.
00:54The problem is, if it's inside the house, it's flooded up to the second floor.
00:58The President laughed at me and said, what you said is right, but how can you implement that?
01:04How can you prohibit the child to be in a flooded place?
01:08The good news is, Leptospirosis can also be killed with soap and water.
01:16So if you're forced to go to a dry place, go to the second floor and take a bath with soap and water.
01:23If you have a wound from the flood, you may need to receive an antibiotic to get prophylaxis.
01:31Avoid going to a flooded place because if you just wipe your eyes, your hands will get wet.
01:39It can get into the mucosa of the eyes.
01:43So it's very important, we just need to know how to spread it.
01:47But my advice is to clean it.
01:50Waste disposal, sanitation?
01:52Yes, good environment.
01:55And the garbage that's being spread, I've seen that it's also in the drainage.
02:02Because it's being washed and the water is being sucked in and the garbage is in the drain.
02:10There's no water that can get in.
02:12And when it's removed, the water will flow again.
02:16So it's very important for our countrymen to understand.
02:20We are also the ones who will be affected because we are not cleaning our surroundings.
02:25Dr. Ted, what should they monitor, the symptoms, and what should they do immediately if there's a lepto?
02:34Yes, lepto is also like an infection.
02:37You get infected but it weakens, you can't move, you're just lying down.
02:42That's what we noticed because I've been the head of the emergency department for a long time.
02:46The diagnosis is late and it comes to us late.
02:49The eyes turn yellow and the kidneys shut down.
02:53So by the time that happens, we need to dialysis it and put it in the ICU.
02:59That's why I'm pushing for lepto because number one, the mortality rate is high.
03:05Almost as high as 10% will die there.
03:09And then it's expensive.
03:10If you're in the ICU, you need one nurse to take care of two critically ill patients.
03:16So you can't just have one nurse for 10 patients.
03:19You really need to have a doctor.
03:21Then you need to do the dialysis three times a week.
03:24The cost of a lepto patient is almost P300,000.
03:29The government is paying for it and we can prevent it from spreading.
03:33Not only that, you can die if you're late.
03:37It's very important for them to understand that my call to the parents is to stop the children from swimming in the flood.
03:47Who are the affected?
03:49It's likely that many of them will suffer.
03:51This is a public hospital.
03:54I also have a friend who is a lepto doctor.
03:57His story is different.
03:59He lives in Marikina.
04:01His house was flooded and he was evacuated.
04:05But he came back after the flood.
04:07He didn't drown in the flood.
04:08But he cleaned his house's gutter.
04:11He was able to walk.
04:12After two weeks, he became a lepto patient.
04:14So it's also possible in the gutter.
04:16Not only in the flood.
04:18So it's really important to have boots if you're going to clean your house.
04:22We also have a case in PGH.
04:25He became a lepto patient but he didn't drown in the flood.
04:27Our theory is that he drank from a can of soft drink.
04:32If the can was filled with water, he could have drowned.
04:37So our theory is that he drank from a can of soft drink filled with water.
04:45So it's very important to have rodent control.
04:47It should be a program of our local chief executives.
04:51It's still cleanliness.
04:55I just want to ask, do you have an estimate?
04:59Because 20 typhoons visit the Philippines every year on average.
05:04That means, especially if our drains and creeks have no more space.
05:12If the rainfall is strong, the cases of leptospirosis will increase again and again.
05:18Do you have an estimate or a medium-term plan?
05:21Or what you're saying is a whole-of-government approach?
05:25Well, I think it's part of public health because that's the problem every year.
05:31If you find out what lepto is, it's a vector-borne illness.
05:36In public health, how do you control vector-borne illness?
05:41You control the vector.
05:43So like dengue, if you reduce the number of cases, dengue will decrease.
05:47It's the same with lepto. If you reduce the number of cases, lepto will decrease.
05:52So how do we reduce the number of cases?
05:54Well, solid waste management.
05:57Let's put them in containers, make sure it's not spread and has a cover.
06:04Or dispose it immediately and bring it to the dumpsite or some place where it will be cleaned.