1. Event-Based Surveillance and Response (ESR) / Outbreak Investigations Quezon Province 2009

2. Malaria Date : November 10, 2009 Affected Areas : Brgy. Dapdap, Calauag No. of Cases: 80 uncomplicated cases No. of Deaths: 0 Laboratory Confirmation: Malarial Smear (P. falciparum )

3. Actions Taken: Treatment of confirmed and clinically diagnosed cases Collection of blood smears Distribution of long-lasting insecticide treated nets by Global Fund Bednet treatment Training of malaria volunteer spraymen

4. Actions Taken: Indoor residual spraying of houses Orientation of health workers in the area on malaria treatment protocol and blood smear collection IEC and film showing for students in the barangay Coordination with the LGU,Global fund and other agencies for the continuous monitoring, case finding and treatment of cases

5. Malaria Date : July 17, 2009 Affected Areas : Brgy. Bosigon, Sto. Tomas, Mapulot, Casispalan and Tabason, Tagkawayan No. of Cases: 7 No. of Deaths: 0 Lab Confirmation: Malarial Smear (P. vivax)

6. Actions Taken: Treatment of confirmed cases Collection of blood smears Distribution of long-lasting insecticide treated nets Bednet treatment IEC for LGU and healthworkers Training of malaria volunteer spraymen in IRS, malaria microscopist, malaria mgt for MHO

7. Influenza A(H1N1) Date : July 5, 2009 Event : Pandemic Influenza Place of incident: Lucena, Pagbilao, Candelaria, Catanauan, Mulanay, Tayabas, Gumaca, Sariaya, Tiaong No. of Confirmed Cases: 37 No. of deaths: 0 Laboratory examination: PCR Real Time

8. Actions Taken: Contact Tracing IEC/Orientation Distribution of IEC materials Coordination with CHD, PHO, LGUs, other agencies (DECS, private hospitals)

9. Diarrhea Cases Date : March 11, 2009 Event: Diarrhea cases Place of incident: Brgys. Bayongon and San Roque Sampaloc Cases: 213 cases No. of deaths: 0 Lab Confirmation: Stool culture not done

10. Actions Taken: Treatment of cases Bacteriologic analysis of water Chlorination of water source Distribution of hyposol to affected households IEC

11. Diarrhea Cases Date : February 10, 2009 Event: Diarrhea cases (January to February) Place of incident: Brgys.Lakdayan,Manlampong, Maguiting and Abuyon of San Narciso No. of Cases: 66 cases from 4 brgys No. of deaths: 1 Lab Confirmation: Stool culture not done

12. Actions Taken: –Treatment of cases –Inspection of water sources of affected barangays –Hyposol distribution to affected households –IEC –Augmentation of medicines and hyposol through CHD4A

13. Summary of Outbreaks and ESR Disease/EventNo. of Events Malaria2 Diarrhea2 Influenza A(H1N1)1 Rabies1

14. Thank you