Good morning, good afternoon, good evening everyone.  Thank you for being part of our credible online community. And to all those who have discovered us for the very first time today, welcome po at saan na po masayyan po kayo sa pag-join sa ating online community. As the economy slowly starts to reopen and workers po na nunumbalik na po sa kanilang mga jobs on a day-to-day basis, mayroon po ang concern sa kanilang mga kaliktasan. Industries are claiming they are providing for sufficient health standards, testing, vaccination kung saanman po applicable, the question still remains, are we doing enough to protect our workers? Ano po ba yung mga industries na maarip mong maging at-risk as we are trying to open up more sectors sa ating pagbabak ng ating alert level systems? Ano po ba yung mga specific measures needed to provide optimum protection to our workforce? And if you want to get the answers po straight from the most credible experts, please stay tuned, anayahan nyo na rin po. Ang inyong mga ka-familiya, kaibigan, colleagues sa katrabaho na mag-log-in po dito po sa ating webinar for today. I'm Dr. Raymond Francis-Sarmiento, Director of the National Telehealth Center, National Institutes of Health, University of the Philippines Manila. Allo is a pleasure to be with all of you during our regular Friday lunch date. So medyo kakayiba po yung ginawa po natin last week na may game show format. Today, we are reverting to our standard panel discussion. Really, I also look forward because I get to see the same familiar names and faces po dito po sa ating Zoom webinar. I'm sure ganon din po sa ating Facebook pages and sa YouTube din po. And so that lahat po saan na ay mag-stay tuned para po sa ating webinar for today. At this point, I'd like to introduce my partner in crime. My mentor, also the Special Envoy of the President for Global Health Initiatives, our co-spot, also adjunct research faculty at the National Telehealth Center, Dr. Susy Pineda Mercado. Hi, good afternoon Raymond. Bagandang hapon po sa inyong lahat saan man kayo na ron. We are glad that you are here. It's a Friday afternoon and an opportunity for us all na matuto na naman. Alam mo Raymond, ano kasi anong sabihin natin, kahit na yung pinag-usapan natin tungkol sa workers, hindi frontliners. Mga frontliners natin, mayroon mga family members na gumabalik na ngayon sa, gumabalik na ngayon sa trabaho. Yes. Iguro, gusto natin mindin din na ano ginagawa sa workplace, anong dapat gawin na sa workplace para maging safe ang lahat. Kasi as we open up, there's always that concern na parang pag araw-araw ang lumalabas, mahahawa ka ba sa workplace? Iuwi mo ba yung infection sa bahay kung saan merong confront liner o senior citizen? So ito yung mga pag-usapan natin. Anong gagawin ngayon sa ating workplace? We have a great panel of experts on occupational health and we will also talk about the mental health dimension of COVID-19 and our workers. So we've got something from TV UP Raymond, go ahead. Yes, thank you Dr. Suzy. Gaya po nang nasaipunali, gumabalik po tayo sa ating regular format which is the panel discussion. We always prepare something, well a little short video para po to put our discussion into context for this video we ask the respondents po. Anong program ba dapat meron ang bawat workplace para po magkaron po sila ng protection, pag-protectahan ang mga manggagawa mula sa COVID-19? So please watch this. Para sa akin ang dapat na program na binigay na ibigibigay dapat ng isang company sa kanilang mga empleado. Syempre kahit every two weeks meron silang artificiar o kaya yung sa live test, para di sa kanilayon. Yung pinaka magantang program regarding that na na isip ko is actually yung work from home setup na binigay ng company sa amin. Much better na kanyari, 50% ng employees na magu-work from home. Most people think it's for comfortability, pero hindi, mostly it's for security na din ng mga employees. You should have always alcohol sanitizers na entrance. To fill up mo na dahil form yung si Cheklai kung may haram dabang ka ba? And if there is any COVID related symptoms, they should get departed immediately. Bokod sa work from home setup, we also have SWAP programs and vaccination programs na sobrang nakakapulong sa mga employees. I let my workers to have an IPPCR when we are going out of town.  Before we enter the hotel premises, we should always wash our hands and check for temperatures. Social distancing until now, using face mask and face shield in work, but in my open place na site, they are using only face mask. If we're gonna follow the regulations sa binigay nila, even if sometimes hindi natin maintindihan or hindi natin makikita yung point or yung sense ng mga regulations na yun. Kiyasa naman yung hindi tayong makikin, hindi tayong susunod. We can only make the situation even worse. Even if it doesn't make sense at times, I suggest na let's just all unite and, of course, let's just follow as much as we can. Thank you very much, TV UP. It's always great to hear what people on the street are thinking about what's going on. Kasi yan, nabibigyan din tayo ng perspektivo para sa mga speakers natin. And also for you kasi, for our front diner, mga tanong mingsan ng mga patientin natin or people who come to us for help, they're asking us questions and we should be able to give them really good advice. So we have some really good experts and resource persons today. We'll talk about safety in the workplace and excited na kami kasi parang maraming pagbabago tayong nakikita at, of course, gusto natin, share yung information sa inyo. Raymond, over to you. Thank you, Dr. Suzie. Just a reminder lang po kung pwede po kayong makapag-invita pa po, we understand that we have nearly 1,500 registrants. For this webinar, we are seeing that the registrants are slowly trickling in dito po sa Zoom. Obviously, there are those who are watching po sa YouTube and the Facebook pages of TV UP, the University of the Philippines stop COVID deaths. But we hope we'd be able to entice you and your colleagues to be able to join us dito po sa Zoom kasi po ang maximum po natin is 3,000 participants for this Zoom webinar. So please join us so you can fully experience the interactive program. And as mentioned po, maalalan nyo po last week, gumamit po tayong nang special feature and function po ng Mentimeter. Medyo hindi na po ganoon ng ating format for today. We will be reverting to the two-question format. And for those who are joining us for the very first time, ang gagawin nyo po, type in sa inyong internet browser www.menti.com And enter the code 3335659. That's 3335659 para po makapag-join po kayo sa ating poll. The same questions that are being shown sa Menti, that is also what is being shown dito po sa Zoom poll. So please let us know if you are having trouble in answering the poll questions. But we hope dito po sa Zoom at ang sasali po sa Menti ay mag-join po talaga actively. Those who are asking may certificates pa rin po kami that we continue to hand out. But at least yung webinar number 75 nalang po ang natitira. For today we have our director, direct GG who will be receiving the certificate. This is just an example po, but certificates will be issued to those who have attended at least 50% of the webinar duration. We are constantly sifting through all of the requests, especially to confirm if you really are eligible to receive the certificate. So please we appreciate your patience po and thank you so much for your continued support. Okay, Dr. Suzie, I think let's just go ahead and introduce our opening remarks speaker. Everyone is really excited to learn more about occupational health and the preparations that's needed in order to protect worker safety. Please go ahead po. Okay, thank you very much Raymond. So for today our webinar is co-sponsored by the Philippine College of Occupational Medicine. So gusto natin ba tingin lahat ting mga occupational medicine specialists out there who are joining us today. Welcome, you're welcome to the webinar and we hope later on we'll have a good discussion. You can put questions later in the Q&A box. Sometimes people put in the chat box or if you're watching from Facebook or YouTube, you can also put it in not in sustain natin slide. Okay, so for our opening remarks, we have the vice president of the Philippine College of Occupational Medicine. We'd like to welcome Dr. Anna Sophia Victoria Fajardo. Riya Fajardo, welcome Dr. Riya. Thank you, Magsu Si. Thank you and good morning po.  Alright, thank you so much. And good morning, no? Greetings, greetings of good health and safety to everyone. Again, I'm Dr. Anna Sophia Victoria Tamayo Salazar Fajardo. In short, Dr. Riya, the national vice president of the Philippine College of Occupational Medicine. And on behalf of our national president, Dr. Phil M. Pamilinen and the national officers and board of directors, we are truly grateful for this timely invitation from the University of the Philippines UP Manila National Institutes of Health National Telehealth Center in cooperation with PGH to a special edition of the Stop COVID Deaths webinar series of which I am very fond of attending. Damina po akong certificate from this webinar series and because of its relevance in our practice in occupational medicine. Thank you again, Dr. Susi Mercado and Dr. Raymond Sarmiento for this invitation. And we would like to acknowledge our esteemed speakers of which some are very familiar to us as well with the work also of PCOM, Dr. Jose Lito Gapas, Dr. Maria Regina Alampay, Dr. Rosalie Rivera, Dr. Paul Michael Hernandez and Dr. Stella Marie Jose. The UP webinar series Stop COVID Deaths is also aligned with PCOM's vision to preserve, protect, promote, and enhance the health and safety of workers in all occupations while conserving the environment, thereby contributing to the progress of our nation. Now, I'd like to share a few messages, no? From local, from international organizations and the International Commission on Occupational Health President, Dr. Juka Takala released a statement early this year, no? Around March of this year, which emphasized that safety and health at work is a fundamental right. So PCOM is here together with you and all the stakeholders of health and safety at work to ensure that all workers can have decent work, take care of themselves and their families and contribute positively to the recovery of our national and global community. Now, Paul Francis expressed to the International Labor Organization, there is an urgent need for economic reform and protection of all workers. And he went on to express a few key concerns. He said that it is a fundamental mission of the Church to appeal to everyone, to work together, to serve the common good, whose goal is above all to build and consolidate peace and trust among all. He added that the most vulnerable cannot be set aside in the dialogue that should also bring together governments, businesses, and workers. And as towards of workers' health, we were faced with a daunting task of fighting the formidable COVID-19 virus in the workplace, but with the support and collaboration of different stakeholders such as the medical community, the Philippine Medical Association, and the different organizations comprising the Health Professionals Alliance against COVID-19 and our government agencies, the Department of Labor and Employment, Bureau of Working Conditions, and the Occupational Safety and Health Center, and the Department of Health. With these two important messages, it is evident that our role as occupational health physicians, as occupational medicine specialists, healthcare workers, it is vital to our mission to take care of the health and safety of all workers to give dignity to their work. In the beginning of the pandemic, PCOM formed a COVID-19 technical working group composed of 12 hardworking members headed by Dr. Marie-Lynn Evangelien M. Cruz to provide interim guidelines to our members on COVID-19 management in the workplace, return to work, workplace readiness, and mental health in the pandemic. The Philippine College of Occupational Medicine is also committed to increase capacity building through the training of health professionals taking care of workers' health, through our basic course in occupational medicine, as well as our very first residency training program in occupational and environmental medicine at the University of Perpetual Health Medical Center here in Minyan, Laguna. We are also committed to work together with other OSH professionals, safety officers, OSH practitioners to promote OSH advocacy in the workplace and become champions of workplace health and safety. We also collaborated with HPAC and DOH to come out with a workplace handbook to facilitate COVID-19 management and prevention in the workplace. We continue to collaborate with different stakeholders in order to address other workplace health hazards. So let us continue to transcend this pandemic. Let us continue to heal as one. We are all ready to take care of the health and safety of Filipino workers. May you live and stay safe. Thank you very much. That's Dr. Ria Fajardo of the Philippine College of Occupational Medicine. Salamat na kong such a timely message. At ngayon talagang nagiging kilala ang ating occupational medicine specialist kasi nakikita natin na we have to bring health to every setting. Hindi lang yung hospital. Hindi lang sa lahatman lugar, sa skuelahan, lalo na sa lugar na pinagdaprabahuman. So manaming salamat, Dr. Ria. We're looking forward to having you in a panel discussion later, maybe to answer some questions. And I'm going to turn over to Raymond. Raymond, go ahead. Thank you, Dr. Susie. And thank you to one of our avid viewers, Dr. Ria Fajardo. We just checked. We have, I think, issued at least 10 certificates to her. So marami na po talagang natin na webinar si Dr. Ria Fajardo for our stop COVID-19 webinar series. Thank you so much, mam. Okay. For today's webinar po, just so I don't forget to mention this, there might be a time when we might be asking a participant po from our audience po to open up their videos and their audios to ask the question to members of the panel. So we hope that those who are in Zoom at least numbering a little over 860 will be able to, paonlakan po tayo na mag-aspo na kayo lang questions live sa ating mga expert group of panelists. But there will be questions po kasi may be upvoted. So yun po yung mga katulong po kung ano po yung mga questions na pipiliin para po sa ating live Q&A session for later. So we encourage again everyone to type in your questions if you already have questions prepared. Dito po sa ating Zoom Q&A. Maybe also in the comment section ng Facebook pages po natin at sa YouTube darin po natin for the YouTube channel. May we have po again the infographic for Mentimeter para na po alam po nila. May mga nakakatanong po paano po sila maglalag in sa ating fun quiz. There we go. Okay. So for those who have just logged in, please type www.menti.com and use the code 3335659 that's 335659 especially for those who are joining us outside of the Zoom webinar. We have two questions for today and these are as follows. May we have it on the screen po. There we go. Okay. Sa Zoom po na launch na po yung opinion poll po natin. We are just waiting on the... Okay. Thank you so much. First question. What should be done to prevent COVID-19 from entering the workplace para po mapigilan ang pagpasok po ng COVID-19 parang siya yung kumapasok saan. Sa trabaho po. Anyway, the options that we have right now option A, education and awareness, option B, stakeholder engagement, option C, workplace screening, option D, work from home, and option E, all of the above. So we are seeing po almost 200 participants po who are responding to our fun poll. We are seeing the... I think very, very similar numbers din naman po para po dito sa ating Mentimeter, 155 to date. So hopefully, makahewalay po sila at very, very unique so that hindi po nagkaka... Ulet-ulit po yung mga sumagot po dito po sa ating fun poll, different po dito po sa Mentimeter po natin. I'd also like to take this opportunity to greet those who are joining us all the way from the Occupational Health Nurses Association of the Philippines in Makati, Bicol University College of Medicine in Daraga, Albay, Cebu Institute of Technology University, Cebu City, Notre Dame of Marbelle University, Coronadale, South Cotabato, and Illigan City Health Office in Lanao, Del Norte. For question number two, what are the steps that should be done to prevent COVID-19 spread in the workplace? So we have six options. Pili lang po kayo ng isa. Number one, minimum public health standards. Number two, ventilation controls. Number three, routine screening. Number four, early reporting. Option five, contact tracing, isolation, and quarantine. Option six, all of the above. Meron na po tayong four, well, almost 500 na po sa ating zoom ang sumagot po sa ating opinion po and 176 sa ating mentee. We will not be losing. We will not be losing. We will not be losing. We will not be losing. We will not be losing. Very nice. Very, very nice. Very cool. Para siyang white blood cell. Dr. Suzie na lumalapit. So ayon po, we will not be closing yet. Our opinion po, hopefully, more people will be able to join and provide the responses for this fun quiz. I'll just greet those who are joining us from Chonin Hospital in Taipei, Taiwan, Bangkok, Thailand, Penang Malaysia, Kanto, Vietnam, from Dubai, United Arab Emirates, Taif, Saudi Arabia, Lunichi Ali University of Bleeda 2 in Algeria, and the University of Fiji in Laotoca. So maraming, maraming salamat po. Over to you, Dr. Suzie. Thank you very much, Raymond. Sababatiin po din yung mga nanunod from the Department of Education. We always have folks from the Department of Education.  Okay, so we are going now to our main speaker and our main speaker for today nako expert po ito. So sabi nga natin dito sa webinar we try, we do our best to give you the best speakers and I've known our speaker for a long, long time at mano kami mga pinagdadahanan na parehong mga issues related to the workplace. Siya ang tinatakbuhan ko pag meron ako, ano ay meron ako question about ano pang gagawin Anyway, so we have he's an occupational health specialist and the head of occupational health of First Philippine Holdings Corporation. He is also adjunct faculty to the Department of Environmental and Occupational Health of the UP Public Health College of Public Health. So it is my honor to welcome Dr. Jose Lito Paslito, welcome to the webinar. How are you? Thank you very much, Susie. Welcome everybody and thank you very much for the graceful introduction. Salamat ko. Hindi kita pwede ng hindi an pag ikaw ayan nag-request sa aking. Alright, sige. So magandang umaga, magandang hapon at magandang gabi sa inyong lahat kung nasaan man kayo sa ating kapuluad at saan man sa ating mundo. So maraming salamat sa opportunity for me to talk about topping COVID death and presenting to you what we call the approach or the concept of workplace model. And I will weave my discussion around the idea that addressing the COVID-19 from beginning to its eventual end is like a dance. Nag-iiba-iba po ang tug-tog sa sayaw na ito. The more we know information about COVID-19 lalong lumilina ang tug-tog pero ang tug-tog nagbabago-babago. Ang outbreak tumataas bumababa, may bagong variant, tumataas ang ating bakunahan. Kaya, kailangan lahat ito nagbabago. Kaya moving forward as we continue to protect our workers and our businesses. We actually need to continue to dance with the virus. Para po itong chat-cha. Hopefully, pumuusad, kunting backstep, pero uusan pa rin. So, I'm the head of occupational health of First Philippine Holdings Corporation, an adjunct professor of the Department of Environmental and Occupational Health, College of Public Health, University of the Philippines. Ito po sa aking presentation, I declare no conflict of interest. Ano po ang ating pago-usapan ngayong araw na ito. Pag-uusapan po natin unang-unang yung tinatawag namin conceptual framework. Papano ba namin tinitingnan ang COVID-19 sa workplace? How do we prevent and protect workplaces and ensuring business continuity during COVID outbreak? IMPORTANTI po na titingnan din natin yung business continuity sa ating mga pupatnya. Kasi, IMPORTANTI yung sa ating. This is also the reason for why we are in the workplace. So although our priority is to protect the health and safety of people and their families, we have to protect also our businesses. I'm going to share with you kung pa pano namin in-interpret visually yung conceptual framework para lalong maintindihan ng ating mga managers, ng ating mga workers, at nang kanilang mga pamilya. Pangalawa, pag-uusapan po natin ang isang case study. Mike Lee lang po ito about how First Philippine Holdings Corporation, or FPH, ano ang ginawa nilang strategy including yung kanilang yung aming vaccination program nang tawag namin ay back to normal. Lastly, magkatapos po tayo sa isang discussion on ano ba ang hinaharap natin? What are the future scenarios of the COVID-19 outbreak? Importante na meron tayong prediction or projection kung ano ang mangyayari sa COVID-19 outbreak sa dadating pang mga taon. Dahil, kung may projection tayo, pwede natin itong paghandaan. So, how did we expect the COVID-19 outbreak to be and how did it eventually turn out? Nung nagumpisa po, ang COVID-19 outbreak, kami sa industry, at least ako personally, medyo na even innocent pa ako. At the start of the outbreak, we thought that it would be a simple inverted bell furb yan. Tataas, ba-babak, we will hammer it with draconian control measures and it will simply settle down and remain low. Occasionally, it will come out sporadic but easily controllable spikes. Ito na yung tinatawag natin, ah, magsasayaw na lang kami sa virus dito. Nong tinkembot lang yan, mawawala na yan. This is our naive thinking when we started the COVID outbreak in 2020. Unfortunately, and in retrospect, the outbreak turned out very differently. Instead of the simple bell shape curve, undamling multiple peaks and surges, even in the Philippines. This is driven by lumalabas ang iba-ibang infectious variants like the alpha, beta, gamma, delta. Sayaw tayo ng sayaw sa mga variants. There is also insufficient and inadequate public health measures at the start globally, not only in the Philippines. There is no country in the world that is actually prepared for this pandemic. So we learn as we move along. Sabi ko nga sa tim ko para tayong bar ko na tayo ay naglalayag na pero ginagawa pa rin natin ang bar ko. So pwede may kontin pasok ng tubig, but ah, address natin yan. We will, we hope to make it better in the coming years. Pangatlo is the delay in our vaccine acquisition and vaccine inequity especially in low and middle income countries. So at this time, we are definitely not back to normal. So what is the COVID-19 risk management strategic framework? Ito yung tinitin na namin na concepto ng bubbles. The strategy that we develop, we said, dapat hindi sabog ang ating strategy. Dapat may maganda tayong choreography. Ano ba ang four key aspects of control and protection that we should focus on? So we have identified for the workplace. Importante yan because we have workers and business partners that we need to keep safe. And it's also a reason for being, being private sector. We have to protect the workplace. Pero dila wakang panamin ng upcoming perspective and said, hindi lang sa workplace, pati sa bahay. Dahil ang workers natin umuwi sa bahay. Pwede, pag hindi natin po protektahan ang ating tahanan, pwede, magdala, ma-infect ang ating workers at pumasok sa workplace. Worse is, pwede mag-uwi ang ating mga workers sa kanilang tahanan at ma-infect ang kanilang mga kasama sa bahay. So the home is another focus. We also said, hindi naman forever ang ating workers at ang ating household members ay nasa workplace at sa bahay. Lalabas at lalabas yan. Dahil dadating ang pangkakataon na bababa ang ang outbreak, kataas ang vacunahan, mag-open up ang ating society and business. So dapat, tiniting namin natin, how our people, workers and their household members could be held so that there is a semblance of protective bubble while they're moving about in the community. Lastly, we have said ang ating workers ay magbabiyahe from home to work. We need also to protect them while traveling in between. Therefore, we have identified these four key focus of control and protection and then we illustrated how we will, the things that we will do as bubbles. Protective, preventive and reactive control bubbles were implemented to reduce the risk from COVID-19. So ano ibig sabihin sa amin ng safety bubble? A safety bubble is a set of engineering, administrative, personal protective equipment and other measures designed to reduce the risk of exposure of people to the COVID-19 virus and to minimize and prevent spread. We also realize hindi perfecto ang ating bubbles. Tatagusan at tatagusan tayo. Therefore, ano ilalagay natin na recovery measures so that, kung meron man min infection sa loob ng bubble na ito, we can do something to identify them fast and to help them recover and go back to their normal lives. So for each bubble, this is our more detailed concept of end strategy. Number one, we need to prevent seeding. Seeding means control measures that we need to put in place to prevent the COVID-19 virus from entering the bubble. Second, we have to have a strategy to prevent spread, which is to prevent COVID-19 virus from infecting people if they are already inside the bubble. Tatagusan at tatagusan tayo and we know that. We need also to put in place and ask pa pano tayo mag-re-recover? Dahil, we need to have measures to ensure that infected persons recover from infection and return to normal function. So, our bubble metatutay kaming atake. How do we prevent seeding the bubble? Second, how do we prevent spread if it gets in our bubble? Finally, how do we recover so that we can save lives and go back to our business as fast as possible? So, what's light about our company? The first Philippine Holding Corporation is a holding company with interests in clean and renewable energy. We are involved in premium real estate, manufacturing, construction, healthcare and education. First Philippine Holding's businesses all work to ensure at the carbonized and regenerative future. So, in a nutshell, what are we doing within the company? Please state note that from where I operate, I operate at the corporate level and my team at the corporate level has a responsibility to guide our various businesses. We are not naive as well because we realize ang aming ibat-ibang kumkanya, ibat-iba ang business process, ibat-iba ang kanilang kakayahan, ibat-iba ang kanilang lokasyon sa Pilipinas, at ibat-iba ang kanilang ugali or level of education ng aming mga workers and their household members. So, ang una namin sinabi is there is no such thing as one size fits all. Hindi pwede nabikaho ng ating management. So, when we started early in 2020 to develop our fit for purpose programs, we required all our companies to conduct first a site risk assessment before they develop their company-specific COVID-19 risk management program. We have to know your individual risks so that we can develop a program that is appropriate for that risk. Effective, but not wasteful. To protect people, but not unduly burden their health or their mental well-being. So, we have to think first and think fast. All our companies were required to consider as well the ongoing outbreak in their location. Ano ba ang operations ang ginagawaan ninyo? Ibat-iba po ang control measure kung ikaw ay nasa upisina, ikaw ay nasa isang construction site, ikaw ay nasa isang power plan o ikaw ay nago-operate ang isang mall. Ibat-iba ang risk profile ng mga yan. Ibat-iba ang mga stakeholders. We also ask them ano ba ang available resources natin? Because we cannot put something that we cannot afford to implement and sustain effectively over a certain period of time. Mag-inventario tayo. Anong kakayahan natin? And lastly, and very important, ting na natin ang worker and family profiles natin. Kailangan natin mainkindihan ang ating mga kasama sa trabaho sa nilang pamilya. So we put all of this together and each and every company now develop their what we call fit for purpose and cost efficient COVID-19 protocol. So overall, speaking generically, the R program has several components. Yung unang-unang component are control measures that protect the workplace. Please bear in mind, hindi lahat ito i-de-implement lahat ng aming kumpanya at exactly the same way. It has to be thought well so that fit for purpose sa kanilang kailangan. I will focus my talk more on the yellow highlighted elements here. I'd like to spend more time on the work from home concept. Kasi, although logically napakadaling gawin na akala natin okay, many of us before COVID-19 has been dreaming of sana pwede ako ng trabaho sa bahay. And then suddenly here we are right now and to experience namin dito it is not as easy to work from home and not all of us have the proper work environment nor the proper IT tools to do their job from home. It is very difficult for example to have a housewife juggling her work while maintaining the house and cooking and taking care of the household sabay-sabay na po yan. So isayon sa learnings namin sa work from home. Because of that, we have opened up some of our work sites that are a little outside of the city center na tinatawag natin protected work locations. Kung ikaw ay masyado ng pressure sa bahay, once in a while you can transfer to this work site merong pwede ka magkape pwede ka magtrabaho, nakaonline ka at least once in a while you can escape the pressure of working from home but definitely working from home has been a very effective tool in minimizing the risk of infection to our workers. Marami na rin ang sasabi we do have return to work streaming questionnaires, temperature check in fact ang questionnaire namin ngayon online so wala ng paper form we always adhere to the use of face mask face shield, hand hygiene and physical distancing. Pero to be honest, hindi ka dali ito kung ang trabaho na ginagawa mo is underground. So kailangan mo talagang aralin kung ano yung nature of work ng inyong mga workers para ma-implement mo ito properly. We have early detection of cases and contact tracing. We have testing. We do have quarantine and isolation protocols for COVID positive workers and their families. We have treatment and work integration programs. Around the middle of the outbreak we began focusing on ventilation system. So importante ang ventilation pero ang mantra dito if you can work outdoors that is best for you. If you can work without air conditioning and your windows and doors are open at places that is very good for you. We also have in place a safe link protocol. Because of our testing in our workplaces, we have on site our TPC, our testing booths. One of the recent innovation that most of our companies are now implementing is the advanced social distancing tracking system. Ito po yon ang lita. Para siyang ID, sinusoot siya nang lahat ng workers na ka-identify yun sa kanyang sarili. Pag ang isang worker lumalapit ng more than two meters sa itisa na ka-alarm po yun to remind them of physical distancing. Hindi lang po yun, re-record niya electronically sa database. Yung mga interaction ng isang worker sa lahat ng imang workers na nakakasalumbong niya. So that, pag pero kamin suspected case in the workplace at sa tingin namin COVID positive siya in five minutes, meru na po kami close contact tracing list because of this advanced social distancing. Another control measure that we put in place is yung tinatawag namin shelter in place. Ito po yung ginawa namin sa mga aspeto ng negosyo namin na very critical to operations and to workers. For example, in our power plants, very critical po yun sa amin at hindi lang sa amin pero sa aming sa ating bansa. We cannot afford our power plants to shut down and we cannot supply electricity to the country. Napaka important po yun. Because of that, in locations where we have power plants, nagadap po kami ang tinatawag namin shelter in place work arrangement. This is a diang dramatic example dito ng shelter in place. Pag pumasok po ang worker yun para kang nakahiwalay sa tunay ng mundo. There is a bubble here that covers your accommodation facilities and the workplace na nakababol siya. Bago pumasok ang aming workers yun, meron kami tinatawag na free shelter in place protocol. May cleaning period po ka de. Magkwakwarantin sila for 10 days. May RTPCR testing on day five or day one and then another RTPCR testing before they enter the bubble. Kasi napaka critical nung aming operations o kailangan ng pagsak. So we need to protect them and put the whole workforce na kailangan po masok at mag-operate ang isang proceso sa isang bubble. They stay there for long periods of time, sometimes two months bago mag-rotation. But we needed to put in place also measures to manage their emotional and mental health and LTE. So yung po itinatawag namin shelter in place. Pero hindi po lahat ang aming workers ay nakashelter in place. A vast majority of our workers are working from home. Ang mga iba is occasionally pumapasok sa trabaho while others are now regularly reporting for work. For those workers namin na hindi shelter in place, we do routine antigen screening every one to two weeks for our non-shelter in place workers, especially during the time of surges para ma-identify kagad namin kung sino ang positivo. Para kang nag-gugupit ng damo sa inyong harbin, dinugupit mo siya regularly para hindi tumasang damo pero hindi na wawala yung damo, pero hindi siya dumadami. So this is a measure that we put in place to prevent spread in the workplace and also to prevent entry into the workplace. Our third component is protect the home. Sabi ko nga kanina, napaka-importante nung home-ended household member. Pag may sakit ang isang member sa bahay, hindi na kakapaso ko ang balaang worker and may impactin sa trabaho and vice versa. So we have put in place since the very start ang tinatawag namin Family Protection Guide. This is basically a deformation in awareness campaign. Ang tinutouna nito ay to make the household competent and have the capacity to protect themselves. To protect themselves from the outbreak outside of the home. What to do if there's a suspected person in a COVID case in the home. Papano kung may nag-puhom quarantine na tao doon? At ano ang gagawin kung lumalala ang symptom niya? All of this is contained in our Family Protection Program. Our third component is we need to provide support services. We are staying apart. We are losing our social contact with our co-workers and our other friends and support groups. But we need to maintain that communication. So all throughout, very important, ang aming COVID hotline man by our health team. It is a 24-7 service to our workers and business partners and their families. We have tele-consultation kasi hindi naman po lahat ang sakit ay COVID o lahat ng talong ay COVID. So meron di silang matakawagan na they can talk to a doctor, get consultation, get medical advice, get prescriptions online or get referral to specialists in hospitals as well. We have to do this remotely. Lastly, we've realized this from the very start. Emotional well-being and mental health will become an issue in COVID. Especially in our case, workers who are working from home. So we have a project. It's called Reach Out. It is an emotional well-being and mental health assistance program. People can call, can viber, can Google and they can be made in touch with a counselor kung kailangan meron tayong face-to-face. Our fourth component is communication and engagement. We've realized napaka-importante nito sa isang programa. Kailangan maintindihan ng mga workers kung bakit ano ang nangyayari sa paligid nila, ano nangyayari sa COVID-19, ano ang ginagawa ng kumpanya at ano ang dapat nilang gawin kung sila'y pupunta sa trabaho. Kailangan sila'y magpapabakuna. So this is very important because we believe people are rational well-being. If we inform them properly, they will decide rationally and support the program. Our last component is vaccination. Let's vaccinate our employees, contractors, business partners and household members. Lastly, in terms of our recovery measure, na-realize namin na paglumating ang surge. Meron kaming employees and their household members na mahihirapan kumanap ng quarantine facility kasi puno na lahat. So what we did is we have put in place the Lopez Group Isolation Facility for employees. Ang tawag namin po dito ay Life Center. Okay. We have the Santa Thomas Suite is a small hotel that we are under our group. We have reporpus to become a COVID-19 isolation facility for our group and Lopez affiliates and their families. The facility is operated jointly with our group and Ayala Kualimid Hospital. The facility accepts RTPCR confirmed asymptomatic or mild low-risk COVID cases. For moderate to severe cases, these are admitted at Kualimid Hospitals in Tanawan Batangas in Santa Rosa Laguna. A little information on our vaccination program it's called Back to Normal. Pinalad po kami, lalo na sa Pilipinas, that the private sector companies in the Philippines were allowed access to vaccines via tripartite agreement with government and the vaccine suppliers. So when we thought about this and I think when we were given the opportunity very early on, November palam of 2020 or October, we were already planning. At that time, wala kang mga bakunang lubalabas all of our vaccines are in the research stage. So we need to have bets. We need to decide in advance. Maga-acquire ba tayo nito? Baka pumalpak, baka hindi siya successful. Pero wala ka nang choice. We have to make bets. And in the process, we developed these several steps which now has become our journey. We developed a good organization within our company in a plan to implement it across our enterprise. We have identified at that time, we were monitoring the scientific literature anubang safe and efficacious vaccines. When we identified them and were given the opportunity, we acquired these vaccines. In fact, we were able to acquire for our use AstraZeneca and Moderna. Part of our journey is to communicate and engage our stakeholders to foster awareness and create demand. So ang target nabung po yan are our employees, our contractors and their household members. We engage third party partners. We are around 13 to 15 operating companies with 30 to 40 sites all over the Philippines. We definitely couldn't do this vaccination alone. So we partnered with Reliance United in AC Health as our vaccine administrators and Zwilig Pharma as our logistics provider to bring the vaccines from the warehouse to the vaccination sites. We moved on to sinubang babakunahan natin. Papano ba natin sila imamaster list? Papano ba natin silang ireregister? And then we prepare the vaccination sites. Right now, we are in the pale end of our adult vaccination process. Malapit na po kami matapos mga isa 2,000 na lang tapos na yung adult vaccination namin. But at the same time, we are gradually moving to monitoring and pharmacovigilance kasama ng aming vaccine administrators. Remember earlier on, we said we made bets. And in our case, sometimes we have excess vaccines. And on these occasions na meron kaming excess, nagpapaalam kami sa Department of Health for us to reallocate our vaccines to our LGUs in as partnerships with our host community. Kasi hindi naman po pebing kami lang ang vacunado. At sometimes, yung aming mga host communities ay hindi na babakunahan. The COVID virus does not need an ID to enter our website. So we need to protect our host communities as well. This is not to give you an information on where we are right now sa aming poong bakunahan as of October 26. As of October 26, 95.9% of all our employees have been vaccinated with the first dose at least. Amongst those, 77.4% are fully vaccinated. 18.5% have received their first dose. By the end of October, which is very near, all second doses would have been delivered. Nag-ihintay nalang po kami ng tamang interval period para babakunahan ng aming partially vaccinated. At malapit na po kami gumabuktoon. All throughout this time, we have experienced minimal vaccine hesitancy because of our intensive education and demand generation. Na saan po kami ngayon? Ready na rin po kami and waiting? Pag pumayag na at biligin na po kami go ahead ng ating gobierno ng ating Department of Health. We are ready to vaccinate our adolescents, 12 to 17 years old in our household members, and we are also almost ready to vaccinate booster doses pang pumayag na po ang ating Department of Health at meron na tayong implementing guidelines on how to do so. My third part is we would like to share with you yung scenarios aning nakikita kami in the future, at least for the next two years. Ano mangyayari sa COVID? In retrospect, which I stated earlier on, ang sinasabi natin is at this point, pababa ang outbreak, pero hindi ibig sabihin hindi ito pending tumas uleg. Na hindi ito, hindi tayo pending magkaroon ang fourth surge or even fifth or sixth. So how do we project this moving forward? Although COVID-19 vaccines are being rolled out right now, the crisis is not close to being resolved, but simply we are moving to a new phase. Ano ano ang mag-determine ng bagong phase ng to? Number one, evolution of COVID-19 virus. Meron pa ba ang padating na future variants? Namast malupit at mas pabilis ko bala. We have to keep our guards and our eyes on that. Second, ano ang magiging behavior ng ating public moving forward in the next two years? There is a general relaxation trend right now of public health measure compliance. There is more mobility. Our economy is opening up again. And andong pa rin ang vaccine hesitancy? So tiniting na natin, ano ang talon ng publiko at ano ang sayaw because it will also determine the new phase of COVID-19 outbreak. Third, ano ang magiging response ng ating pamahalaan sa mga darating na taon? Would it be better? Would it be less better as we are right now? Do we have or will we have a better national and LGO coordination? Better partnership with public and private sector? Ano ang gagalaw ng ating gobyano? Importante po ito kasi sa 2022 is an election year for us. It can be a potential to determine the new phase of COVID-19 outbreak in our country. Pang apat, minumonitor natin kasi it will determine the new phase yung dumarating na mga bakuna. And dito na ba yung silver bullet na ating hinahana? Will we have a vaccine that will be 100% preventive of COVID-19 across all variants? Meron na ba tayo magkakarontayin silver bullet? Ano ang mga paparating na mga treatment modalities na very effective for COVID-19? It will also affect the new phase like molnopiravir papadating na poyak. Lastly, tiniting na natin ano ang gagalaw ng mundo or internationally. Will there be good international and national coordination? Or will many of our countries remain nationalistic or magigising na ba tayo na it is a global approach? Because nobody is safe until everybody is safe. If we forget to help a few countries, for example in Africa, incubator lang yan po for new variants that will spread in the future all over the world again. So itong limang ito, ang nakikita namin na determinants of our new phase of COVID-19 outbreak. At this point, we see now as a naive assumption that we will ever achieve herd immunity dahil hindi pangan natin alam sa ang ba talaga nanggaling ang baham COVID-19 virus? Until we determine the animal reservoir, pwede yung pumasok ulit later in the future. Incomplete pa rin ang ating vaccine coverage. And then yung vaccines natin hindi pa perfect. Although they are very good right now in protecting us from serious COVID, hindi pa rin siya perfecto. Kaya nakikipan natin kahit na bakunahan na meron pa rin tayong breakthrough infections. So, ano ang future scenario natin na at least us in this industry foresee, we see two extreme scenario. One is what we call the most optimistic or one world scenario. This is when a new generation of vaccines are effective against all and present future bias. Meron tayong yan, hopefully. And then the outbreak control is pursued in every country and accompanied by global coordinated effort. That is the most optimistic scenario. And even then, baka kailangan ng mga dalawa kang taon bago mahinto ang COVID. On the extreme end naman, there is an extreme pessimistic scenario or some of the experts are term divided world scenario. In this very sad scenario, COVID-19 variants repeatedly emerge with high capacity to escape vaccine immunity. That only high income countries are able to respond manufacturing adaptive vaccine for multiple rounds of immunization while the rest of the world struggle with variants and with insufficient and less effective vaccines. So sabi namin, there must be a pragmatic scenario in between. So what is potentially a pragmatic scenario in between is that the endemic COVID-19 can happen. Endemic, it will be with us for a long period of time. Just like the flu, that there might be sporadic outbreaks and localized surges until effective vaccines are developed. So as my last slide, keto po ang aming corporate direction moving forward in the next two years. We will plan our existing operations in new projects based on the intermediate scenario na sinabi ko pa din na. Endemic scenarios. We will review our existing protocols and control measures and adjust for longer implementation at least two years. We have to dance with the virus. We have to modify and adjust our protocols and control measure as the outbreak waxes and wanes and as more and more of our society get vaccinated. Definitely, a return to the new normal by end of 2021 is unlikely. We will plan and resource all our operations in new projects for an endemic COVID-19 sporadic outbreaks and occasionally localized surges until effective vaccines become available. We will need to protect our business partners as well. Hindi po eding kami lang. We have to work with our contractors. We have to work with our supply chain companies so that sama-sama kami at kabit-kabit na ang aming workers o mangagawa ay napoprotectahan sa COVID. We will look at vaccines and vaccination protocols. Napaka-importante ko ito moving forward. We will ensure that we will have the capacity to rapidly acquire new generation of COVID-19 vaccines and we will maintain our system so that we can have rapid mobilization and deployment of said vaccines amongst our target group of people. Definitely we will need to strengthen our health organization across our groups. The past two years is like in the middle of a hurricane in the eye of the hurricane for us in the health team. We have to make ourselves more competent and perhaps add one or two more people to help us navigate our enterprise through this COVID-19 outbreak. Lastly and most importantly we need to go back to our stakeholders, our workers, our family members, our household members. We need to engage them and communicate. We have to set them up information-wise and internal thinking-wise that we are headed for the longer term, a bit more because we might head into an endemic COVID-19 scenario. So we need to prepare our people for that. Parang ready din sila at ready din sila makitagpulungan sa amin para we can take protect the workplace. So the dance with the COVID-19 virus would be news. And thank you very much for your kind attention. Okay, thank you very much. That's Dr. Lito Gapas, the head of occupational health of first Filipino holdings. Ang galing nga, grave. This is probably this is the best public health perspective lecture I have ever made. So and our audience, our audience realizes that we really have to be thinking about it holistically and also thinking about what might happen, who they're bad, what might happen so that we can prepare. Napakalina, no? Tingnam ni audience natin gusto nila. Very impressive. Thank you so much, Dr. Lito. Thank you so much. You'll be able to note it in the chat, Dr. Lito, for the forward thinking and the steps that you have made. I'm going to repeat ang mga comments. Kasi, you know, our audience, they have listened to many, many talks. But you'll see how much they appreciate your thoughtfulness and your thoroughness. And very calm, si Lito, parang galing. Okay. So, Lito, we have an open forum later and I'm sure there will be some questions for those of questions. Please put them in the Q&A box. We move to another aspect of bubbles and workplace safety. So, we will now talk about mental health concerns of our workers and I remember our speaker because when we were in WHO, we were doing some studies on mental health in the workplace. And so, it is my pressure to introduce Dr. Gina Hachinova Alampay who works as professor at the Department of Psychology at Ateneo de Manila University. And she is working with the Ateneo Center for Organizational Research and Development. And they have just finished some studies on mental health and workers. So, Gina, welcome to the webinar. Hello. Good morning, everyone. And thank you for the invitation. Hi, Dr. Susie. Long time no see. And I'm very happy to see all of you. And I'd like to thank Dr. Gapa sa wonderful presentation. So, my take naman is on ensuring the mental health of our workers. So, what I'd like to do today is share with you what the studies are so far on the impact of COVID on mental health. And then, how do we build mental health resilience in general and then specifically, what can organizations do to support their workers? So, from May 20, from May 2020, we began gathering data. And what struck us in the past year was that when we took a look at so, we did look at three things, we took a look at the level of stress, the level of anxiety, and the level of depression. And if you take a look at the chart here, the darkest red are those that are extremely extremely stressed, extremely anxious, or extremely depressed. And if you can take a look at this chart, you'll see that among those three mental health outcomes, anxiety and depression were the ones that were really worrisome, ang stress medyo ano pa siya, parang normal curve pa siya, but anxiety really, really heightened because of the pandemic. And if you ask me who are the most at risk, we identified two particular groups. One are the youth. So, the mental health outcomes for both stress and anxiety and depression were highest among the younger people. So, 25 years old and below. And there are biological reasons for this. So, our physical bodies mature quicker than our brains and our brain matures at mid-twenties, right? So, our ability to deal with stress isn't as well developed until we hit our mid-twenties. But the second group that had poor outcomes were women compared to men. And partly, this might be biological as well because matas naman, mas matas talaga ang mental health illness among women. At the same time, it might also be, there might be a social component to it because especially in a work from home setting, the pressures of not just balancing work and family are there, but now with online schooling, you also have now the additional burden of becoming teachers, right? To your children.  So, these are the two groups that are most vulnerable. Plus, we're seeing that among these mental health outcomes, it's anxiety that is at the issue. Now, when we ask people what stresses them the most. So, obviously, we have the expected exposure to COVID, the illness, the issues of governance, so the lack of access to basic needs, the loss of income, especially we've seen so many an increase in unemployment, right? We've also seen because of the new work from home or because of the diminished workforce, people are increased responsibilities to the workload seems greater. Those of us as in Dr. Gapas we say, before we would think of work from home as ayang sarap, pero na para ang hirap, kasi we seem to be working even more nonstop without breaks unlike before. But there are social issues also that are stressful. So one, the physical isolation as said by our first speaker, is an important stressor especially in a collective culture like the Philippines, where part of our coping, part of our well-being, is the well-being of those around us and the ability to reach out. In our study, we also found that discord in the family, so, of course, lalo na kung close quarters, hindi naman kayo sa 9 o 24-7 in each other's faces. So, meron ganyan. In fact, people who have been coming to us were saying, anong gagawin ko sa bongnutin asawa or sa, masusungit na, kasi nga stress lahat with the confinement in the work, in the home. But another source of stress is COVID-related information. And for those of you who might have experienced this, minsan, di ba parang nakakadepres mabukas ng Facebook san dami na mamatay or survivor group anay kondolensis ang naririlig natin. So that itself is stressful as well. Ano lang, just a spot check para ano, tinginin nyo aling dito ang pinaka predictive of stress. Aling kaya dito ang pinaka malaking source of stress? Pwede ko bang gawin nyan? Pwede ko naman gawin nyan di ba? Pwede nyo bang itchact? Ano yung tinginin yung source of stress dito? Which of these? Daming loss of income. Loss of income, governance. Nya, go ahead Gina, ok yan, gusto nilang magbomit. Sige, sige. Go ahead. Yan, increased responsibility. Social support. Ok, illness. Discord in the family. Puro income, baka magulat kayo sa results. But our results show that when you ran a regression analysis on this, it was actually the lack of social support that was the strongest predictor. Sabi ko nga ako din, I would expect loss of income. Maybe because not everyone who responded to the survey actually did loss of income. But everyone experienced the loss of social support. And that's very telling, no? So for this particular learning session, which is the work bubble, an interesting finding was exposure to COVID because of work actually was negatively correlated to stress. So it means that the more exposure you had the less your stress. So para kami, ha, bakit ganoon. But if you think about it, it's because when you go to work you also have social support, right? And so there seems to be a buffering, this work bubbles as we're talking about. There seems to be a buffering role of being able to interact with your office mates, being able to see them. And ako, I had a group of about, my work team is about 35 people. And especially since I have marami akong bata na staff, parang sabi, sabi sa big sila whatever we have to meet because of work, because hinahanap nilayon yung personal touch, yung kwentuhan na nawawala in the day-to-day interactions or online. Okay, so ano pwede natin gawin? One of the things that we found was that what buffers having distressors, kasi distressors are beyond our control, right? And they do predict this mental health outcomes. But what buffers the relationship of COVID stressors and these outcomes is resilience. So resilience, the personal resilience of being able to cope with the stressors that I am experiencing. Moreover, what we found was that coping behaviors, how people are coping with their situation does matter. So if you ask, so is resilience something innate to be honest, there are some people because of personality, they are more resilient. There's a personality, there's a set of personality traits that make people more resilient. For example, people who are more emotionally stable are not as reactive to others. People who are perhaps a little bit more less erotic. So meron personality traits, people who are hardy are more resilient. But the good news is resilience can be developed. It's developable. It's something that you can nurture. And the other point that I really wanted to make was that oftentimes kasi we're not as resilient as something that's individual. We often heard about during disasters, post disasters. The Filipino is resilient. But the truth is, it's not just a person. Resilience, the way we look at resilience today is from an ecological perspective. Yet yes, there's a personality character, there are abilities that are individual. But resilience is also a function of your family. How your family is reacting. Right? So for example, last month, my entire family got COVID. So what's funny was, I was the last one. So initially I was negative. And all the rest of my poor kids and my husband and kasi ang bahay were all positive. So I had to make sure that we were not specifically okay. But we were also mentally okay. So if it meant that I had to be the strong one because people were all feeling sick, right? So that's the role of parents in making sure that their kids are okay. So even if it means checking up with them, every once in a while, are you okay? How are you feeling? Are you down? Do you want to talk? That's very important as well. And of course, for this particular learning session, the role of organizations that as we had a great presentation on how employers can take care of their employees to make sure that they're okay. And then of course, the role of government in our communities. We've seen how in this pandemic, some LGUs have stepped up and done well. Some LGUs not so great, but that really does matter. So what can organizations do to help employees become more resilient? In the mental health and psychosocial pyramid, we actually don't start with mental health. We start with ensuring the basic needs of employees. So whether that means making sure that they have access to vaccine or making sure that when an employee is sick, they get the basic needs that they have. So for example, in our case, because we were all quarantined and isolated, nobody could really go out, it was so important, parang alaking tulong na somebody, parang there were some groups sending us food, sending us meds, or even as mundane as toilet paper, kasi sobrang importante yun. So these little basic needs, they can help making sure that people get the help that they need. And then of course, the importance of self-care. Most people will not need mental health specialists, but many people will be able to help themselves. And I will elaborate on that a little bit on what are some ways that we can help our employees take care of themselves. Our speaker, Dr. Gapas, also talked about employee care. And he did a great job talking about what employers, what they're doing. He talked about wellness programs and benefits. Ako, I'm a firm believer that we should actually allow mental health breaks, or mental health leaves as a part of sick leave. Kamiya, we're very, di ba, some companies, pag nagsick leave ka, kailangan may certificate ka pa.  That should be counted because physical and mental health are very much in third mind. Part of employee care might be making sure that there are people in the company who can do what you call psychological first aid, which means that when there are employees who are distressed, usually it's the HR people or sometimes your medical people. Or in some companies, they've actually trained their supervisors to do psych first aid. So you know what to do. So a lot of people may not be necessarily comfortable dealing with employees in distress, but there are some basic things that we can help them do. So psychological first aid, I believe is something very integral. I also want to emphasize the importance of making sure that employees who do get sick are not stigmatized or discriminated because we're hearing a lot about that as well, na parang, parang, nagkasakit ka nang sinisisi ka pa o parang takot pa sila sayo para it doubles the burden of getting well when you also put that another layer or stigma in discrimination. So protocols to make sure that that does not happen. And then of course, for those who might be more than might be distressed, you may want to consider resilience programs. Not sure if Dr. Gapas knows, but our team had been working with the LOPES group in implementing a program called Katatagan. We did that first for those who were let go in maybe SCBN. But this program, it's a resilience program that consists of six modules, develops adaptive coping skills from managing your body reactions to managing your negative thoughts and emotions to being able to look at your routines and being able to look at basic things like sleep and nutrition, et cetera. And then of course, access to providers, counselors, therapists, hotlines that they can call doing the briefing when something happens when there's a death, for example, or their accidents in the workplace or there's a spread. Just being able to address those and even considering peer support groups. For example, yung mga namatayan or even those who are survivors of COVID, I hear that for some, especially yung medias severe, there's a long COVID when there's a long COVID that are actually making people anxious na, bakit okay na ko? Pero bakit parang malabo yung yung parang memory ko? Or parang sometimes my brain gets foggy. So all of these are not contributing to the lowering of mental health and increase in anxiety of people. And then of course, for those who are extremely distressed, it's important that the companies or organizations do have referrals to mental health professionals. And some companies now actually have include this as a benefit. Under their insurance package or under their employee care package, people can have access to mental health professionals. So I want to go back to what we can do na. The problem with mental health professionals is they're not enough of us. The ratio of psychologists to Filipinos is about 100,000. The ratio of psychiatrists to Filipinos is even worse. It's about 200,000. So they're just not enough mental health professionals. So what we are advocating actually is let's prevent the escalation to mental illness by focusing on prevention of illness by focusing on strengthening coping how people cope. This is one of our findings from our study that certain coping behaviors appear to be more helpful than others. So for example, those, the first two, the ability to problem-solve. The ability to look at your situation from a positive perspective or from simply to reframe it and to view it in another way. That is actually negative really related to depression, anxiety and stress. So for example, last year when we began online schooling, a lot of students were really getting depressed, anxious and stressed because they feel I'm not learning anything, I don't like this. Online learning, we had a lot of student dropouts and part of helping them is helping them look at the situation and say yes, online learning, maybe it's not as great as learning face-to-face, but would you rather not be learning at all? So sometimes it's really we look at the situation or are we a glass empty or half empty or half full kind of person and really helping people reframe how they're viewing the situation. Same thing with work from home set up.  The negative part of the work from home or the positive part of the work from home. We are also seeing spiritual support was actually negative related to depression and anxiety. So one of the things that I normally do encourage families and parents is near rituals before like going to mass continue to do that. So even if it's online because we do need to continue using the things at work that are comforting to us. These three coping strategies interestingly distraction which a lot of us use we just watch Netflix or but it's actually what we are seeing is that the greater distraction was actually related to depression, anxiety and stress. Of course this is not a causal study but it can be that the distraction is not letting us attend to what we are going through. So this is related to denial. So for example not accepting that I'm stressed or I'm depressed or anxious can actually be counterintuitive or counterproductive because you're not addressing or you're not admitting that you're not okay and I know it sounds cliche-ish but that's one of the messages that we psychologists have kept pounding to people it's okay not to be okay during this time because it's an abnormal situation and so just admitting that you're not okay sometimes that's important. We're also seeing an increase in substance use whether that's alcohol or smoking and that's actually counterproductive because we're seeing that again like distraction what it might be doing it just makes us forget for a time but it's really not addressing our problem. So what does this mean it means that not all coping strategies are functional or are helpful and what organizations can do is we can help our employees develop the more functional ways of coping that are more important during this time. At this point I'd like to share with you a tool for self-care and I know one of the problems in companies is we don't necessarily have programs in place or even mental health professionals or people who know how to help our employees. This is a project of the Department of Mental Health and the USAID Renew Health Project. The mobile app which was actually just went live this week is called Luson E-SIP or Mental Health and we pilot tested this mobile app last month in September among 206 users and most of them actually have four employees in the workplace and they came from the entire Philippines from Luson to Mindanao. And what did we find? So what we did is we randomly assigned people to either the mobile app or a workbook that is being used by DOH in its isolation centers. And the good news is that both tools actually did improve while being after two weeks of use and both the workbook and the mobile app increased the ability what we call cognitive reappraisal the ability to see things differently or from a more positive light. But the one advantage of the app which we did not see in the workbook is what you call emotional release. And it's the ability to say, I'm not okay or the ability to admit that I'm feeling sad today or I'm not okay and reflecting on why I'm not okay. And I'd like to share with you some of the comments of our app users in terms of what they learned after the two week use of the app. So one theme was how important it is to take care of our mental health. So as one said, mental health is as important as physical health. And another theme is how important self-care is as one user said we can actually do something about what we're going through even in the pandemic. But in order to be okay we first need to be self-aware and that's the first step. One of the things that one user said I learned about my well-being and coping mechanisms which is important in being more self-aware and another theme was there are healthy ways to cope so one comment was people cope in different ways we just have to find the ones that are healthy and useful. Another theme was the importance of expressing our moods and emotions. So as one said taking a few minutes a day to keep one's emotions in check helps assess which aspect might be causing us to be anxious. And I like especially this even if it's an individual app there were comments about feeling not alone that they felt that I guess that they're not the only one having problems so it's okay. And so one person said the most valuable learning about mental health and substance use I have are the idea is that I'm not suffering alone and the adverse effect of smoking alcohol drinking and substance use. So if it's okay I just like to share a little bit this video. No audio Dr. Gina. Sorry, sorry. Okay. Sorry, there's no audio let me see how to do this. Sorry, let me go to the original file para hindi I think that might be the issue here. But um feeling stressed that we feel overwhelmed anxious or unwell but there are healthy ways to go. Introducing the first mobile app for self-help on mental health and wellness culturally adapted for Filipinos. It uses evidence-based tools and interventions to help you help yourself so that you can improve your overall ability to look after yourself. Now, you know where to find help when you need it the most. Download the Lusokisip app now. There. So I guess I'd like to end with that and the hope that if you think this might be useful go download it and spread the word that this is available and it's free. Thank you. Thank you all. Thank you so much. Dr. Gina Alampay. Really excellent presentation po, latest in research on mental health of the workers po. Mamgina, please join us later on sa Q&A session as we move on to our two reactors later on. Thank you po. Next, we will have two reactors po. Really excellent also in the field of occupational health. First, we will have the country health manager of Shell companies in the Philippines. Dr. Rosalie Rose Rivera. Dr. Rose? Good afternoon, Dr. Raymond and thank you for having me. Thank you so much. Mam, go ahead with your reaction po. Oh yeah, sure. So thank you so much and I really enjoyed the two presentations from Dr. Gapas who is a very dear friend and my previous boss actually. So Dr. G ang galing talaga and Dr. Gina. Matatanggihan ni Dr. GC Dr. Susie. Ako naman, hindi ko matatanggihan si Dr. Gapas. So, a very very impactful reflection so what I can share from our experience in Shell companies in the Philippines yung dancing with the virus that is really very, very real and I just like to add in our experience where we have to operate so many virus types of situations for our workers we have the Malampaya that we have to operate which is very remote. It takes us about 7 hours of helicopter to be able to bring a patient to land just to get into a hospital and that supplies very crucial to the energy of the Philippines we actually provide the natural gas to first Philippine holdings as well in their energy plants and then we also have our own plants all over the country. We have about 22 nationwide so many islands as you would imagine and also we have contractor vessels that ship our fuel wells our road transport yung aming mga lorry drivers we also have field staff yung aming mga sales staff to very essential operations during the pandemic mga pharmaceutical companies the food industry in addition to energy companies for example have to continue even during the pandemic so our field staff were very much exposed during the pandemic. The other thing is of course we have a BPO which is 4,000 plus employees so including ourselves na corporate so we had that arrangement ng work from home as what Doc Gapas also mentioned earlier so andaming dancers dito sa dance with the virus na sinabi ni Doc G kanina so it's really yung sinasabi ni Doc Nito na risk based and fit for purpose you cannot have a single solution na maiintindihan ng workers where communication strategy was very very important for us because it was really confusing if we are confused definitely the workers who need to comply with all of these health protocols are also confused even if they wanted to comply kung nakakalito yung information na binibigay natin sa kanila they really wouldn't know how to do it andami mong kailangan gawin mag physical distancing ka magugos ka ng kamay, magmaska et cetera et cetera all at the same time on top of what they are already doing it's really very daunting to the workers so simplification of communication is very key in our strategy and I cannot stress this enough yesterday I was in a lecture with a post graduate course at ito yung isa sa mga key factors that we really discussed in terms of having our occupational health programs the other thing I'd like to mention also is yung nabanggit ng doctora Susie kanina yung sometimes you feel na if you are going to work expose ka doon and you might transmit it to your family no? and it could be a source of stress also just like what Gina mentioned in our experience of course not the field staff because they really go to the retail stations and to the community but in our plants and in our offices yung mga pumapasak pa din they actually felt safer in our operations because we were really also able to put in place very similar to what Doc G.S. mentioned so that when they go home more than 50% ng COVID cases na-expose actually sa bahay and then about 45% sa community and then 5% na-expose when they go to the health facilities so we never really had transmission in the workplace because we really made sure that our workplaces were really so mention na ka doon ng reverse in terms of exposure no? transmission the other thing I also like to on the support na on the support that we had to supplement the existing support that we already have in our company for example of course we have HMOs and we have health partners as well no? we practically have very similar health partners with the first Philippine holdings it was really a challenge for the healthcare industry to quickly respond to the pandemic where digitalization was very key because there were no more face to face so we really have to work hand in hand it's very daunting to everyone kaya yung tulungan it was really very key we cannot be pinpointing fingers because things are not working just really go straight ahead and come up with solutions to really help everyone so the healthcare industry has been really stretched and I think digitalization is still a journey for us especially in the Philippines but it's very key so that we can really dance with this virus and all not to mention the contact tracing which first Philippine holdings did very well all other things that could make our lives easier so digitalization is one of the things that we are really looking into right now now in addition to the support we had to add more leaves to our staff so that for those who need to care for their families they have leaves as you know COVID could take a long time to recover so taking care of the family in addition to sick yourself you really need a lot of time for that in addition to all these other things I think one of the key things that also had a very big impact to us is on our support to mental health we had to existing mental health program already and thanks to the presentation of DOCGINA but one thing that we had to quickly respond to are of course the services so yung aming counselors they also had to go to hotel and medicine and you know how Filipinos are face-to-face so that took a while until more people became more comfortable with online consultation we had to increase the services last year we increased by 30% and then this year we increased the services to 20% yung daming nangaylangan ng counseling sessions the ones that DOCGINA shared are being experienced so right now we have about 25 sessions a week extending up to late at night because of our BPO we were fortunate to get some Filipino counselors abroad in the US so we can manage the time zone accessible kahit sa gabey yung ating counseling services because our counselors really are also overwork with our employees we had to add grief counseling I realize that there is such a specialty of grief counseling DOCGINA where they really specialize on traumatic events like a sudden loss of a loved one and even our employees they just get shocked that someone passed away amongst their colleagues it was really affecting the productivity so we came up with the grief counseling individuals for families and for team members in our organization so the other thing I'd like to add there is yung dancing with the virus we recognize that we will be having fluctuations yung dancing with the virus the nice thing in occupational health is we're really strong in terms of anticipation and predicting with so many scenarios that's really one of our core work in our company how we see it in our future of work we call it future of work in mental health is that yung mga workers where those that will be working from home will actually be given the choice whether they still want to continue working from home or they would want to go to the office and we just have to have a system around that and agree with the managers but they will be given that voluntarily so that in our healthcare in our healthcare services I'm discussing this already with our healthcare provider we need a hybrid model we cannot do away with telemedicine but we need already face to face as well because people are already starting to go back to the office once we get a very good vaccination and hopefully I have this optimistic scenario of course preparing also for a worst case scenario but for the healthcare industry we would be needing that kind of hybrid digitalized system where one of the key things to manage physical distancing also is we want an appointment system already in our consultations if you know pin noise right we do walk-ins with our doctors and long lines in the corridors of the clinics we cannot have that anymore so we're coming up with our centralized appointment system together with our healthcare provider in a hybrid model whether it's telemedicine or whether it's face to face and then really planning very well if you really need a face to face consultation with your doctors of course that's a limited service on telemedicine as we would all know kailangan pa rin talaga na face to face instances but this will be really have to be planned and then facing the endemic hopefully na the endemic scenario where COVID will be treated like a flu just like anything else so we would be needing to enhance the other services that we have to be able to really empower people to know what to do if they have symptoms ang culture kasi ng pinoy kahit may nararam na papasok pa rin tayo right so one of the things we are really advocating is that if you are not feeling well do not go to the office do not go to the plant and then you can find a way with your manager to continue working from home yung baka si sobrang si pag talaga they really want to go to the office so ita yung mga challenges in terms of behaviour that we see in our employees and lastly just to share with you with a very similar program like the first philippine holdings and the tips and suggestions recommendations of DOPGNA in our company since this pandemic we had actually i consider a successful COVID-19 program because we had very little cases it's just about 10% of our employees were confirmed to be positive and we had very sad and unfortunate deaths of about nine staff out of 4,800 so that's about 1% and we honour these deaths by making sure that we learn from the challenges that they have experienced and making sure that other employees will not experience the same making sure people are more ready and prepared when COVID hits home and also of course yung healthcare system where there's really coordination and organized coordination and early planning should anyone fail the need to go to a hospital or a clinic people get really scared of going to the clinic and hospitals we don't blame them but there are ways on how they can feel safe doing their normal lives because we have about 18% with the home or BDPs and marami sa kanila felt that napabayaan na nila yung kanilang diabetes yung hypertension and all the other non-COVID diseases but of course can post them to become have a more severe COVID case in case they get COVID so marami silang napabayaan we're also planning for that so they feel safe when they resume their normal lives so yung lang yung I can react to the two presentations Doc Raymond, Doc Suzy, thank you Odio, Doc Raymond Thank you pa, thank you so much Dr. Rose Rivera malaman pa rin po yung reaction, we really appreciate it and you will also note it in the chat box so much pa, thank you so after hearing from Dr. Rose Rivera what the shell companies in the Philippines have been doing to ensure the safety of its employees we will now have our final speaker for today he is a well, he's an occupational health expert po and he is also the chair of the Department of Environmental and Occupational Health at the College of Public Health in University of Philippines Manila please welcome to the webinar Dr. Paul Michael Hernandez Dr. PM Thank you, Doc Raymond and again, thank you for inviting me as one of the reactors for this event I'm a bit pressured because all of the speakers are my seniors except for Dr. Alampay in terms of health and safety so I'd like to highlight that existing principles of occupational health and safety particularly industrial hygiene change management and health promotion and education can also be applied to COVID-19 Dr. Gapas mentioned or highlighted the four safety bubbles particularly instituting evaluation activities and controls both within and in between bubbles Dr. Gapas also highlighted stakeholder engagement and even anticipated the scenarios in terms of this pandemic On the other hand, Dr. Alampay discussed about mental health particularly she focused on lack of social support which I would like to say is already been considered for job stress for understanding job stress particularly Takara sex job strain model which highlights that workers get stressed if they have too much job demands if they cannot decide on their own or limited ability to decide on their own plus the absence or presence of social support as shared by Dr. Alampay Dr. Alampay also mentioned about the bioecological model which can be applied for workplaces we have the employee at the center and then the social sphere which includes work, family friends and community the political sphere and ultimately the cultural sphere so I'd like to highlight a few points the first one is on the hierarchy of controls in terms of us controlling SARS-CoV-2 in workplaces SARS-CoV-2 is an although an evolving agent is another occupational hazard in which workplace exposure can be controlled we need to determine what is acceptable risk and we need to institute the control measures it was mentioned earlier we have engineering controls admin controls and PPEs Dr. Gapas and Dr. Rivera mention about these control measures as applicable to their workplaces but how about those with limited resources how about smaller companies and enterprises we are not yes, there would be limited resources but this challenge can enable us to be creative in coming up with control measures I'd also like to point out while we're controlling SARS-CoV-2 in workplaces and in the individual bubbles coming up with controls trying to reduce exposure to this virus they introduce new hazards so it was mentioned earlier about the work from home setup and how we can observe or maximize work hygiene I understand there are workers who get tired when working at home they cannot maximize their work time they have to go somewhere else they miss their office space so that these concerns are actually anticipated in the existing occupational health principles second point would be on stakeholder management occupational health and safety activities, programs and services require engaging stakeholders we need to engage regulatory agencies so for this particular case for the workplace that will be the department of labor and employment for the private sector we have the department of health for the public health workers and the informal sector and then the civil service commission for the government sector aside from regulatory agencies we need to engage management very important of course employees partners and even community members the surrounding community of that workplace and the communities where the workers stay or are part of we need to ask them what they think what they need and what they can offer throughout all the processes of planning, implementing monitoring and evaluating OHS programs strategies and activities instituting controls for example the hand hygiene wearing face masks and face shields vaccination requires change in behavior we need to understand the why's particularly why is there a resistance for example for vaccination why don't they want to go on site forward et cetera furthermore we need to have a clear and shared vision with the management employees, community and partners so that we can easily stakeholder buy in to ensure success of all OHS programs I'd like to conclude with reviewing the aims of occupational health occupational health aims to number one promote and maintain the highest degree of physical, mental and social well-being number two prevent diseases and injuries number three protect workers in their employment of risks or hazards at this point that will be SARS-CoV-2 and lastly placing and maintenance of the worker in an environment adapted to his or her physiological and psychological capabilities to reiterate existing principles of OHS particularly industrial hygiene, change management and health promotion and education can also be applied to COVID-19 thank you very much and have a great day thank you very much that's Dr. P.M. Hernandez from the U.P. College of Public Health ok, we're at the top of the hour na Raymond, pano ba to? sigay mag, ano mo na tayo well actually the public service announcement pa, yes pa happy birthday mahal happy birthday mommy hi dad, hi mahal happy birthday mahal miss na, miss na namin kayo I miss you both of you I miss you I miss pa na kayong lahat mommy, sana magkaasama na tayo muli miss na, miss na namin mommy happy birthday mommy miss and love you mommy what do you wish for lola? my wish pa pa pa ko na na ako ako din dahil mahal ko kayo magpapabakuna ako thank you so much TV U.P. the COVID communication public service announcement is one of the many outputs of the UB research and title communicating COVID-19 in post quarantine philippines it's headed by the U.P. Vice President for Public Affairs Dr. Elena Perna and funded by the DO-STPHRD and the DOH under the HSPR project Dr. Susie thank you very much let's go to the answers to our questions at the fun quiz okay, can we have them there we go, thank you Monica we have two questions po ulit number one what should be done to prevent COVID-19 from entering the workplace I think we got this question from Dr. Lito Gapas can you help us answer this maybe it's just a reiteration of what you mentioned already sir okay, salamat Raymond talaga ang pangataki nating sa mga risk ng COVID-19 hindi paring iisa lang maraming aspeto ito at kayo mga nakasulat yan ay kailangan natin lahat kasi figuratively speaking parang the diamond can only shine pag maraming siyang facets at tugma-tugma yung kajang facets so we have to have all this control it has to be holistic and it should be appropriate to the situation thank you Dr. Lito and then for our second question what are the steps that should be done to prevent COVID-19 from spreading in the workplace yeah, so ganun din na Raymond lahat lang ito dapat ang dun sa ating control measures education and awareness napaka-important din yan para nintindihan nila bakit stakeholder engagement to empower them to change their behavior we need also to do workplace screening and lastly yung work from home is a very effective way to reduce exposure so lahat po nga yan ay pwede natin ilagay sa control measures natin thank you so much Dr. Gapas Dr. Susi ok, so unfortunately Raymond we won't have time to take any more questions so I just encourage our panelists to pick out some questions in the Q&A box and answer them directly meanwhile we're going to launch our evaluation and I'm going to give that will give our speakers a minute or so to construct your parting words for our audience so Raymond let's go to our evaluation thank you so much to the more than 1000 attendees who are still in the zoom eto lang po ang ating evaluation poll there are no evaluation links or otherwise this is a five question poll with Likert scale po para po sa mga options po we are seeing that respondents are still tuning in and we hope that more and more of our attendees who are still numbering as I mentioned, more than 1000 pumasok po dito medyo maaga po ang magkakang click ok, there we go can we ask you to answer it again kasi may klik po yata ulit ng end of poll anyway, the questions are as follows the panelists demonstrated thorough knowledge on the topic the panelists were well prepared and organized the panelists spoke clearly and audibly the panelists used appropriate language with technical medical jargon adequately explained and finally the panelists contributed to new perspectives and knowledge on managing various key COVID-19 health issues thank you so much as we move on to the final messages po of our speakers, Dr. Susie ok, thank you very much we'll have our first parting yes, so PM please ko yan ok, thank you Dr. Mercado of course this virus, this pandemic will take us quite some time to respond and to recover and we need everyone to be on board we need the management we need the employees and we need other stakeholders who can help us in addressing this pandemic we need to have a shared vision so that we can ensure the success of our respective COVID-19 prevention and control programs thank you very much thank you very much, let's go to Dr. Rhodes yes, Dr. Susie what I can add here is that just like to stress ang approach na risk based and evidence based in all of the control measures that we do we need to be really studying the science behind it tayo mo siyong pakiking gan nang na we are sinus experts so we need to be making sure that this are really at the forefront and simplified so that people will not be confused therefore they will be easier to comply with whatever these control measures are thank you, Dr. Susie ok, thank you very much, Rose let's go to Gina so our advocacy has always been when we talk about health let's not just talk about physical health but let's give importance to mental health as well so I know wala pa tayo sa insurance natin yan and there's really a lack of loss in terms of how much should be invested in mental health but let's be proactive for organizations let's make sure that we only not take care of just the physical health of our employees but as well as the mental health thank you very much Gina Lito, Dr. Gapas I'd like to share what anong palagi kung sinasabi sa may mga senior leaders the number one good health is good business and take note, una ang good health for good business prerequisite yan pangalawa that anything we do for the health and welfare of our workers is just as important as any other business we do in our companies and lastly to everybody nobody is safe until everyone is safe so let us all come together and as a one country and one society move together to make sure that we address the COVID outbreak today and in the coming years thank you very much this Dr. Lito Gapas let's go to Dr. Ria thank you ma'am susa so as stewards of health again I'd like to repeat everyone here can be stewards of health let us work together collaborate, communicate and cooperate to be champions of workplace health and safety because there is an urgent need not just because of this pandemic but in the future generations and years to come for economic reform for good governance for the protection of all workers and to ensure that all workers will be able to have again decent work to be able to take care of themselves to be able to take care of their families and be able to contribute positively to the recovery of our nation thank you pa thank you very much for closing remarks, we have a summary from our deputy director of the Philippine General Hospital Dr. Stella Marie Legaspi Stella, welcome thank you for this opportunity to give the closing remarks I would like to commend all the speakers for their excellent delivery of their lectures from Dr. Gapas he emphasized the continuing dance with the virus so I agree with him totally I think this pandemic will not end soon will have to give it more time because the virus is undergoing mutation he emphasized the key aspects of control of this pandemic the workplace the home the community and traveling to and from our work I also commend his narration for our first Philippine Holdings Corporation he said the first component is protect the workplace that is also what we are doing here in PGH, we are protecting our workers we have RTTC regularly and anyone can be quarantined if he or she the worker is symptomatic but I would like to commend his advanced social distancing where they have IDs to record and the tracing of that person and who he or she has met this is the first time I've heard of that kind of social distancing tracing and he said we should protect the home that's very true we see here in PGH if one member of the family gets sick in COVID sooner or later the whole family will get sick and provide support services for our employees and I commend their company for doing that so they also have their hotline their teleconsultation and emotional well-being of their employees so here in PGH we are instituting that also so we have the mental wellness program that is under our office and also now we have the burnout policy so gradually we are seeing the light of this pandemic in terms of our healthcare workers we have to have good communication and engagement in our stakeholders and very important is the vaccination of all our healthcare workers right now we already have quite a high vaccination rate of about 92% as recently announced in our infographics from Dr. Gina Alambay I also I also appreciate her lecture on mental health outcomes who are most at risk and she said 25 years and below are at risk and those with poorer outcomes are more in women than in men and the COVID related stressors are in for our health they are afraid of the exposure to the COVID virus the healthcare workers are afraid of getting sick themselves governance access to basic needs and the loss of income and for occupational aspects the increased responsibilities are continued to stress our workers and for the social part the lack of social support discord in the family and social health issues coming from Dr. Rosalie Rivera from the Shell Company she explained the situation in their company the many factors that are contributory to their healthcare workers mental issues and she mentioned the simplification of communication so as not to confuse our workers we have to simplify our messages so that it will be clear to them and same as here in PGH more than 50% of the infections come not from the hospital it comes from the community and from the home so para-ho kami ng observation and of course we need the support from the HMOs and the health partners and digitalization is the key here in PGH we have the radish the okra and carrot these are the acronyms for our digitalization of our health records so that's very important because we minimize the coming of the patients to the hospital so it can be through telemedicine we also added we have leads for our healthcare workers which they can access anytime they wish to mental health programs are emphasized by Dr. Rosalie Rivera that now they are going into the hybrid form of their telehealth consultation from Dr. P. M. Hernandez the chair of the department of environmental and occupational health of the of the college of public health he said as mentioned by others institute control measures and also his concern for the smaller companies and their ability or inability to institute these measures he said that stakeholders should be should be engaged such as the government and private sector civil service and the community should all come hand in hand so that we can all combat this pandemic lastly he mentioned the aim the aim of the occupational health is to promote mental health prevent disease and injury protect our employees the risk and hazards and the placing of the worker in a situation adapted to his training and capabilities I think that was a well explained webinar and we hope to see you in our next webinar thank you thank you very much that's Dr. Stella Jose at the environmental hospital for that excellent summary and I'd like to thank all our speakers I think we had a fantastic webinar today really very strong public health focus and something that we all learned from okay so next week ito imbitahin naman yung mga tropa nyo this is a hot topic we're going to talk about booster shots and mix and match pwede bang i-mix and match ito ay trying to round up the best speakers we can get but you will hear it first here on your online credible online community so next friday samaan nyo kami pagusapan natin yung booster chakay yung mix and match okay Raymond over to you thank you to all of our excellent line up of speakers it di po talaga matatawaran and expertise of each and every one of you marami-marami salamat po for taking the time out in your busy schedule to join us here at the stop covid deaths webinar series we are also really thankful to the Philippine College of Occupational Medicine for being our co-sponsors for this webinar it was really very important for us to be able to talk about occupational health and safety lala po na there's a de-escalation in terms of alert levels in particular for the national capital region or for metromanila we would also like to give this announcement na yung po mga nakatanong doon po sa kanilang mga napalan na panalunang prices last week by next week po maihahatin na po ito sa UP constituent universities and we'll be able to provide you with more details on how you'd be able to wear and when and how you'd be able to claim your prices po sa inyong naturang UP constituent universities so please stay tuned sa mga announcement po yun that wraps up our webinar for this week maraming-maraming salamat po before we conclude we'd like to acknowledge the very hardworking team behind the stop covid deaths webinar series without each and every one of you we will not be able to turn out this quality content po each and every week we'll be able to mention that all 75 episodes of the stop covid death webinar series and then afterwards including this webinar po will be archived for viewing at the youtube channel ng tvup so if you could type in youtube.com forward slash tvupph please take note po how it's spelled you'd be able to watch 76 webinars to date so maraming-maraming salamat po we'll see you again next week same time same channel po this will be our regular friday lunch date we hope that you'll be able to bring in more and more of your family members your relatives and your coworkers to join us next friday it's a date together we can stop covid deaths so keep safe keep healthy and see you online and see now keep your hand in mind let's say a prayer one more time i know you long for home but i am here you're not alone let's stay with you until the coast is clear the other Spain before my fears the other labs before my tears but right behind the mask i look into myself and ask do i have strength to carry on oh god how long is this going on and need you here to keep me strong i'm here to hold the line i'll keep my until my time just hold on to the word he gave this time we'll come to pass cause this salvation makes a last you'll carry you to see the break the other Spain before my fears the other labs before my tears but right behind the mask i look into myself and ask do i have strength to carry on oh god how long is this going on and need you here to keep me strong i'm here to hold the line i'll keep my until my time before my fears the other labs before my tears but right behind the mask i look into myself and ask do i have strength to carry on oh god how long is this going on and need you here to keep me strong i'll keep my word this pain before my fears pushing on this fight please take me through the same