Lanao villagers get anti-measles shots; outbreak of disease prevented

COTABATO CITY, Philippines (Mindanao Examiner / Feb. 23, 2010) – The Department of Health in the Autonomous Region in Muslim Mindanao said it has contained a possible measles outbreak on coastal town in Lanao del Sur province, according to a report by the ARMM's Bureau of Public Information.

It said health workers rushed to the town of Balabagan after the reported breakout of measles in villages.

Regional Health Secretary Dr. Kadil Sinolinding Jr. in a report to acting ARMM Governor Ansaruddin Adiong said villagers were given immunizations tom protect them from the disease.

Adiong earlier ordered health workers to intensify immunization in the province following the outbreak of measles in Balabagan.

“Please do everything possible to address the reported outbreak,” Adiong told Sinolinding.

Sinolinding said he immediately sent health workers to investigate the report and conduct immunization against measles especially on children to avoid epidemic.

Sinolinding said seven adults and a one-year old child had been infected with measles, but there had been no reported deaths in the town.

Measles is an airborne disease and is contagious, Sinolinding said, prodding the public especially the parents to have their children immunized in health clinics across the region.

In 2004, the Health department launched the Ligtas Tigdas Campaign which aimed to vaccinate door-to-door some 18 million children between 9 months to 8 years old in the country. It resulted to decreased measles cases in the by 96 percent and death from measles by about 99 percent.

Prior to Ligtas Tigdas campaign, an estimated 6,000 children, mostly from poor families, died from measles.

“DOH-ARMM will continue to deliver the basic health services due our people in the region as concrete manifestation of the seriousness of regional governor Adiong to address the health requirement of his people,” Sinolinding said.

He said the symptoms of measles include fever, general weakness and occasionally red eyes. But these symptoms usually come before skin rash confirming the onset of the disease. It is transmitted through droplets from the nose, mouth or throat of infected person. (Becky de Asis contributed to this report.)

Mining Firm Rescues Measles-Infected Subanons In South RP

The Medianeros. Lilet, in orange shirt, was among those severely infected in the measles virus outbreak in Canatuan. Her mother, Sisa, a vocal critic of TVIRD, thanked the company for saving her daughter’s life. Above, TVIRD midwife Malou Prestoza (in pink hat), and below, TVIRD nurse Loi Ladera-Esnane administer anti-measles vaccine to Subanon children right where they live in remote hamlet near Canatuan. “We take care of the health of our Subanon hosts as well as we do our employees,” says company doctor Ramil Ignacio.” (Photos by Rene Patangan)

ZAMBOANGA DEL NORTE, Philippines (Mindanao Examiner / Nov. 20, 2007) - Sisa Medianero didn’t know what to do when all five of her children, aged 2 to 10, contracted the measles virus.

Lilet, her nine-year old daughter, was among the 30 Subanons, mostly children, who were severely infected during a recent measles outbreak in Canatuan, their ancestral domain in the mountainous eastern portion of Siocon town in Zamboanga del Norte province in southern Philippines.

Sisa, a former small-scale miner and unhappy about the arrival of the large-scale mining operations of TVI Resource Development Philippines, Inc. (TVIRD) in their area, had nowhere to turn.

The nearest hospital is some 30 kilometers away and her sick children, especially Lilet, needed immediate medical attention. She decided to seek the help of TVIRD, which runs a round-the-clock clinic, complete with a medical staff, for its employees and members of its host communities.

It was a decision that Sisa eventually realized was a good one. Lilet’s life was saved, and the Subanon mother said she could never thank the company enough.

“Ako mapasalamaton ug dako sa TVIRD sa pagtabang sa akong anak. Kung wala pa kini mahatagan sa pagtagad sa clinic, hayan adunay dili maayo mahitabo sa akong anak (I am very greatful to TVIRD for helping my child. If she was not given due attention by the clinic staff, something bad could have happened to my daughter),” said Sisa.

Lilet was eventually referred and brought to the Siocon town hospital for further medical care, using TVIRD facilities and financial support.

Elsa Bason Absalon, also a Subanon, had the same dilemma. Her three children, 6 months to 5 years-old, were also afflicted with measles. Her 3 year-old son Robert had high fever and diarrhea.

Fearing for her offspring’s lives, she brought them immediately to the company clinic.

Alarmed and fearing the further spread of the virus in the community and adjacent barangays, TVIRD management assigned its medical team to wage an anti-measles campaign in the area. Children from ages 9 to 48 months were administered with measles vaccine. A total to 507 children, mostly Subanon from Canatuan and surrounding communities received the vaccine. The outbreak was arrested.

“We take care of the health of our Subanon hosts as well as we do our own employees,” Dr. Ramil Ignacio, physician of TVIRD Canatuan, said. “The outbreak, if left unattended, could affect a large number of Subanon children and could even lead to death in some cases, considering that many children here are malnourished and, therefore, have weak immune systems.”

Complications with measles are common especially in remote and isolated areas where medical services are not available. These complications may include severe diarrhea, pneumonia and encephalitis.

During the campaign, Dr. Ignacio’s team found out that, because of the inaccessibility of health services in the area, more than 30 percent of the measles-afflicted children, with an average age of six, never had the required initial dose of the measles vaccine.

For many years before TVIRD began its gold and silver mining operations in Canatuan, indigenous people in the mountain communities of Siocon had to travel several kilometers through rough terrain and across rivers to the town proper to be able to get medical attention.

There were no roads or bridges back then.

As soon as the Canatuan Project commenced in mid-2004 by virtue of a Mineral Production Sharing Agreement between TVIRD and the Philippine government, the company helped pave roads and assisted in the construction of steel bridges along the Ipil-Canatuan route to the west, and the Canatuan-Siocon Proper route to the east.

TVIRD also put up a clinic and schools in and around Canatuan.
The TVIRD clinic serves the community, with a doctor, a nurse, a midwife and nursing aides on-call on a 24/7 basis.

The company has likewise conducted medical and dental outreach programs in far-flung barrios in Siocon and adjacent towns that had never been reached by government and NGO medical services. (Rene Patangan)