45th installment of the Stop COVID Dex webinar series and we are glad that you continue to join us in this learning journey as we continue to learn more about COVID-19 and today we will continue with our understanding and also of more details as it comes out po in relation to the COVID-19 program COVID-19 vaccine program rollout that is currently happening all around the country. So we have talked about the national vaccination roadmap, the vaccination rollout in our webinar series po no? Pero we would delve into that program much more deeply in this webinar and we hope that everyone will learn from our excellent panel of resource persons on essentially the implementations what is happening on the ground yung realities po ba na nangyayari. So I'm Dr. Raymond Sarmiento from the National Telehealth Center of the National Institutes of Health University of the Philippines Manila. It's always a pleasure for you to be able to join us today March 19th 2021 and as always I'm very happy I'm very pleased I'm very honored and humbled that they get to share my hosting duties with my partner in crime and my mentor who is also our adjunct research faculty at the National Telehealth Center Dr. Susie Pineda Mercado. Dr. Susie. Hi Raymond and hello everyone good day wherever you are wherever you're watching we'd like to welcome you to our regular webinar and stop COVID deaths. We're looking forward to an afternoon na marami nang naman tayong matututunan. I'd like to everyone who's watching or with us in the webinar and those who are watching us on the playback it's always a great opportunity for us to get together to talk a little bit more in depth about what's happening COVID-19 and babating ko lang lahat ng mga nakikimig sa iba ibang bagi ng Pilipinas no so mga tagapalawan, dabao, sambuanga ilo-ilo. I was just looking at the chat box and looking at where everyone is coming from and truly it's a national effort to help our country to help our country respond to the COVID pandemic. So welcome everyone and Raymond parang one year one year tayong malaki na tayong mag-one year no? Parang yun yan. Yes it's actually we celebrated that really a celebration no? Pero the one year anniversary of the very first time when we had our enhanced community quarantine ang ibalang po is that the vaccines have started to arrive and we are hopefully and excitedly anticipating the arrival of the bulk of the COVID-19 vaccines in the next few weeks po. I'd like to greet just a few of our attendees po who are joining us internationally from Saitama, Japan, from Betaya, India so mga bago po ito no as uh to join sa ating webinar those from Bandung Indonesia, Ho Chi Minh Vietnam, Sabu, Malaysia, from Kyrgyzstan, from Doha, Qatar, Alkobar, Saudi Arabia, Luanda, Angola, Lexington, Virginia, Las Vegas, Nevada, Niagara Falls, in Ontario, Canada and from Fort Denone. I'm sure if I'm pronouncing it correctly in Italy. So maraming salamat po for those who are able to join us and I'd like to take this opportunity po to greet and actually thank the very hardworking team behind the stop COVID-19 webinar series. Maraming salamat po kung wala po kayo ay wala po itong learning series na every week ay nagsama-sama po tayo. Over to you Dr. Suzy. Yeah you know Raymond I remember a year ago. A year ago I think was March 16 was the start of our enhanced community quarantine and uh you know at that time we really didn't know what we were we were dealing with we we had um ban on flights we had very limited testing our hospitals were crowded I would say disorganized we didn't have PPE we didn't know what to expect now it's been a year I think we've come out of it better not to say that we haven't had losses we've had losses we've had very sad and tragic moments in this pandemic but we want to stay hopeful and we hope that our webinar will continue to bring hope to everybody we just have to laban lang tayo we said we need to fight right and vaccination is one way of fighting back so it's it's just uh what should I say it's just very important for us to remember that we will we'll make it we will make it pero dadaan talag dadaan talag tayo subotas ng karayon no and yung topic natin ngayon sabi natin may COVID vaccines na na-inip ka na baka may time na nag-agali tayong may time na malungkot tayong may time na you know we have some simple joys but I think my sense is that a lot of people are waiting to get vaccinated and today we are going to talk about what the plans are what will be realistic expectations for us because sometimes we get frustrated because what we expect doesn't match reality so I think we want to have a meeting between what we what we expect and what is possible so realistic expectations and to stay hopeful and positive and to continue to be careful so we've got some great guests today stay with us and again thank you everyone for being here because without you we have no webinar over to you Raymond your certificates thank you Dr. Suzy thank you Dr. Suzy so for those who are joining us for the very first time ang ating format there will be our main presenter there will be also our reactors and then we move on to a Q&A forum for those who have already questions top of their mind kaki input na lang po ito top Q&A section ng zoom webinar na ito and for those who are wondering ano po bang itura ng certificate of attendance ito po nasaharap po natin at yun lang po makakapang stay for at least half or 50% of the webinar duration they will be the ones to be given a certificate of attendance as well as copies of the presentation for today's webinar for those who are asking ko bang di pa po sila nakakatanggap ng kanilang certificate um their please email us so that we could recheck again your uh well your your web your duration and and all other details but we have already sent out all the certificates for our past 44 webinars so karami salamat po over to you Dr. Suzy yeah okay thank you Raymond and um we're going to have our inspirational opening message again from somebody who's very familiar to you he's almost uh what should they say always on the webinar which is fitting and important and uh we're just glad he's able to find the time to join us who um you know uh our executive vice president for UP is also uh advisor to the national to the national task force on special advisor to the national task force on COVID-19 so i'd like to welcome Dr. Ted Herbosa Ted welcome to your webinar hi hi Suzy and good afternoon to everyone and uh congratulations Suzy i heard the good news i think you got jab right i got job i got job and i wish everyone good good get job but Ted what is the uh i we're going to talk about vaccination but i think um if i get the pulse right i think people are concerned that there's a increasing number of cases of people who are testing positive what's your assessment of the situation yeah it's been a it's been a roller coaster ride as you said march 16 the president announced uh enhanced community quarantine and it was implemented march 17 the following day it was implemented and that was two days ago it's been a year we're still in general community quarantine here in metro manila some places in the philippines are now in mgcq but the sad parties we were expecting to go to mgcq or modified general community quarantine at the end at the middle of this week or at the end of this month unfortunately we have a spike of cases which i already call a surge of uh very many cases and the hospitals are getting filled up filled up again and it's like uh deja vu of what happened also march last year so yeah i think Ted the important word that you used was we were expecting uh things to settle down for cases to go down they didn't so i think my question now is not to put you on the spot but what are we expecting now well it was a very positive thing in march one when we started vaccinating with uh with synovac the health workers and then a few days later callbacks delivered their 525 000 doses so we're able to bring into the country 1.1 million doses and i think it's timely that our talk today will be someone from public health who's dedicated all his life in public health and understands the whole process of the immunization program you know as a clinician i i always thought it was so simple to inject a vaccine on a person it's it's harder to operate a whipple operation or a major operation but when i became under secretary of health for five years i realized how difficult it is to implement a nationwide vaccination program much less to target 70 million of our people 70 million of our 110 million and to think we have uh several vaccinations program we never reached 100% we always failed to about 90 and then it became worse when we had some problems with the dengue vaccine and we came out of that so i think it's very important that people understand what our speaker will talk about today i think it's very important that all clinicians understand the difficulties faced by our public health professionals in implementing an immunization program yeah then what do you think of this friend is this so you said gumadami almost like a vertical curve and that the hospitals are are filled up but is it a milder is it a milder kind of covid that we're seeing in in your feedback you were saying earlier when we were off off the air that you had a meeting with the er so yeah so what's happened now is we've done biosurveillance at the up philippine genome center so all positive tests from different regions of the philippines are sent to the philippine genome center for genetic uh full genome sequencing so we identify the variants that are present in the country now we have the uk or the b117 variant which is supposed to be milder but more transmissible we have the p3 which was originally variants of concern found in sibu uh and cost that spike which is now identified as the philippine variant as the p.3 variant which has been found to be very aggressive and is claimed to be related to the brazil variant which is the p p.1 and that one supposed to be deadly so so the answer to your question are they milder we're seeing milder cases now most of the cases we see are whole households going to an er that's what the er doctors were telling me last night in the meeting of the philippine college of emergency medicine but the same experience that they had in march of last year is reliving now the nurses can't work uh the hospital can't open all the covid beds because there's not enough nurses so the what we call it in er the access block so they accumulate the patients accumulate in the er queuing and waiting for their bed while uh well while the the block is really in terms of access to hospital covid beds and hospital icu beds so this is not a good thing because uh descriptions are like someone sits in a wheelchair because there's no more stretcher in the er and waits for hours and even days before they get admitted to a bed so we need to implement a surge talagang i think it's time to reopen our surge capacity and the the hospital admissions are at the critical level so we're at that level we need to stop the transmission with minimum public health measures but we also need to surge our capacity so vaccination is one additional swiss cheese we can add and i'm really glad many of the health workers are getting injected already to protect them in this particular battle second round yeah the vaccination of course of course now even if we have limited numbers talking one two million one two million shots that's one or two million people who who will not carry the disease so even if we're we're saying it's slow for me whatever we are able to add is important but we were talking about this earlier that and i agree that we have to have testing really in the hands of the people at the level of the home because you know um these go hand in hand right testing vaccination contact tracing isolation these are all coming together what's the thinking around uh you know having more testing so that people people will know immediately if somebody has COVID and can immediately isolate and it doesn't keep on spreading because if we're saying it's highly contagious so that's correct that's correct i think i think people stop to realize that when you do lockdowns whether it's a surgical lockdown a localized lockdown or a citywide lockdown or what they do in the uk circuit breaker lockdowns whether you do that the next step has to be testing testing testing testing you need to do more a lot of testing so that you can identify those infected and separate them that's the way to stop or contain the transmission and then uh together with testing and uh you you so you have to make it available to the people uk did a very nice thing because the nhs produces home test kits and they were using this so it's this is something our authority should probably start to think of we're in home testing is available and there's one that can be done which is the saliva test the saliva test offered by uh by the red cross you know people can be given the kits at home as long as someone can supervise and see that that's the person that gave the saliva and then the test can be brought for PCR so i think that's that's a way to ramp up testing we need to ramp up testing at this point of the the surge yeah great okay so Ted sorry na gantuhan tayo sorry uh well uh thank you very much everyone it's been a year of uh community quarantine um uh president 230 announced that on march 16 and implemented it in march 17 for me it's also my one year anniversary working as a special advisor to the national task force because immediately after that was implemented i was called by the office of secretary galvest to help out in the national task force and today uh my my job description has changed it's now become to help out in the national vaccine operations center to help you sec mir na kabutahe implement this rollout which we were here from our speaker today so thank you to the speakers our speakers we have a bunch of regulars there's uh erik tayag and there's uh ana onlim but i'd like to welcome especially our new uh reactor which is uh riya baltazar i work with her uh she was one of our hospital directors in region three in batan where my wife comes from so welcome and thank you for joining us to the many thousands continue to watch us weekly with you fuel us uh we we feel we're able to deliver you something by the thousands of you that actually watch us i asked our staff what is our footprint from let's say last week and they told me it was like 12 000 so that's amazing we have three to four thousand at zoom another few thousand at uh our facebook and all the share so uh i do hope we're making a difference and we are able to share the information and get the experts to come here and share their information so that we can fight this pandemic thank you very much and welcome everyone thank you very much uh that's dr tedre bossa you piece exact device thank you as i said you're our lifeline to the iatf and the national kovid 19 task force you know delivering to us the latest news developments and um just just the updates no so information is so important in a pandemic and um i think uh your your contribution to this process is really so precious to all of us and to all our listeners who feel a little more calm i think nakahalma tayo when we hear what's going on and that we have very transparent discussions we don't sugarcoat anything we like to bring you the facts and we like to talk about difficult things and that's our work as health workers so 12 000 strong so congratulations everyone almost one year na tayong malapit na malapit na sanang matapos it o eh main marami pa marami panggagwin okay raymond over to you thank you for that message uh upevp tedre bossa and thank you dr susie right now may i call in um tv up for our fund quiz and our audience survey there we go um i hope nai kita po ng ating lahat ng nata zoom webinar ito po ang ating survey uh the first few questions uh as in previous webinars po will ask kung saan po kayo at essentially demographic information lang naman po so we hope that you'd be able to key in your answers and join in in this fund survey the first question it reads what place are you viewing the webinar from so all of these po really are regions in the country uh hope uh marami po ang maga yun po kung apasok na po ang mga kasagutan at sana po ay mas marami po po out of our 1459 attendees here in this webinar ang sumangga okay next up what is your line of work yun pa rin po medyo nagdiverse uh yung ating first two options yun po talaga ang pinakamaraming attendees natin from the medical field and from the nursing field uh we hope to be able to gauge kung sino pa po ang nakaka ang nan dito po sa ating uh sub covid that's webinar series yung po others comprise nine percent almost 10 percent na of our attendees uh so we hope to be able to piece that out the next few questions will be dealing uh specifically on the content uh for this webinar uh the projected number of individuals in the philippines who will receive covid-19 vaccine ngayong taong ito 2021 is option a 10 million option b 30 million and option c 50 million medyo hati-hati po ang ating mga audience uh so we will we hope to be able to get the correct answer from our resource persons po uh number four will be all about our vaccine coverage but before that meron kung shout out dito po sa ating chat those from uh from pacic po maraming salamat po sa inyong pagdelo from perino memorial medical center also uh those watching from gma kavite from the philippine academy of dental public health maraming salamat po philippine high school for the arts in mount makiling in los valles laguna so maraming salamat po we have uh those who are from the arts na who are joining us also there are those uh that we just pulled that up uh joining us from new abiskaya emakadaryan bali from lipa batangas from the from gubat surso gond in bicol from the negus oriental state university in central missayas and from sub sergeant general hospital in surala south kotabato so maraming salamat po again number four question reads vaccine coverage is option eight the number of those who got vaccinated over the eligible population option b the number of those who got vaccinated over the total population option c the number of those who got vaccinated over those who did not get vaccinated so ano po palatang may conteng mat po tayo for today ano po uh so don't be intimidated this is just key in your answers po ano uh and last two questions would be how soon do you get the antibody response of the second dose is it seven days is it 14 days or is it 21 days po and then finally our last question for our poll how long are you protected from COVID-19 after vaccination is it six months is it one year is it three years or wala po nakakakalang is it it's unknown so patuloy nyo lang po ang sagota ng ating fund survey as we move on with our program and dr. Susie will introduce our main speaker for today okay thanks a lot Trimond and thank you everyone for participating in the poll malalaman natin mamaya ang mga paman sagot before we go to our main speaker tv up actually goes out and asks ordinary people their views on the topic that we're picking up today so uh we'll turn over to tv for your um interviews on the street ako magpapakuna ako kasi siyempre siyempre ano nared natin yun eh kung baga responsibility nared natin yun na maging mabaksinit tayo parang di tayo makahawa umpapapakuna ako para protection sa COVID-19 umpapapaksin ako para sa protection na aking sarili at sa aking pamilya ganyong din sa ibang tao personally po gusto ko nang magpapaksin basta po um magkakaroon ako ng kalaya ang mamili ng kung ano yung ibabakuna sa aking hindi naman po ako na inip dahil sinusanod ko po ang mga protocol para makaihwa sa virus na lumalagahanap sa ngayon na inip na ako sa pagdating ng vaccine sa atin kasi yung mga dumarating sa atin ngayon uh yung mga dumarating sa atin ngayon sila yung sila yung medyo hindi ganun ka taas yung efficacy rate ah sa totoo lang medyo na inip ako sa pagdating ng vaksin natin dito kasi siyempre paka lalo ngayon siyempre kailan natin mapapavaksinit umpaga as soon as possible hindi naman po ako na sa takot ng mga mabusaan dahil una una sumusanod dahil sa mga protocol na dapat natin gawin bilang mamamayang mga mga kamag-anak ako sa ano mga kamag-anak ako sa us na parang ilang months ago pa yato sila nabakonahan ganun so but parang dito hindi pa rin dumadating ganun ano tatakot ba ako maubusa ng vaksin? ummmmm o-o natatakot ako kasi siyempre andamin natin tas di natin alam kung enough ba yung yung dadating na ano kung baga amount ng vaksin sa atin natutakot ako matagalan yung ano vaksination sa atin baka umabot ng ilang taon sobrang nag-aware talaga ako kadang nababasa ko na it may take it may take ilang years hindi ako natatakot mga mabusa ng vaksin sana mas marami pang magbakuna para makamit natin ng herd immunity thank you very much thank you very much tv up for for those uh for those interviews and i think sets the tone for our uh our speaker for today and um i just like to say that one of our one of those who were interviewed said nababakonahan yung mga ibasay bambang sa tayo pano and for me i don't i i have very few regrets in my life but one is that when i don't think i fought hard enough when i was under secretary of yonth for vaccine manufacturing and the in philippine centers for disease control in the time of dr quasi romaldis in the year 2000 we actually had money a floor plan and a vision to set up a vaccine manufacturing facility alabang it was actually called the biological production service and our our main speaker now knows about this that meron na kaming drawing eh in the year 2000 mid-drawing na meron ng plano na meron tayong production ang bakuna sa tim pan sa and i really looking back i feel bad that that well you know sometimes the opportunity is not there but it's not like we lacked the ideas to do it so today when we think about vaccines we're waiting for our turn the countries that have vaccine manufacturing yung mga gumagawa ng sarili lang ang bakuna eh meron silang bakuna tayo nagaantay tayo kung sinong maawa sa atin ang magbibenta sa ating mga bakuna no so lesson learned i hope that coming out of this vaccine and i think dean charlo chong joining us in the end later may speak to this topic but we really have to become self-sufficient in vaccine production nevertheless we are it is what it is and here we are so we have with us a public health expert who you are very very familiar with who has been with the department of health is an epidemiologist and now he's handling knowledge management and information technology and he's going to talk to us about about the status of vaccination and i'd like to welcome doctor eric eric tayag eric welcome welcome to to the webinar do you remember we were going to set up a vaccine manufacturing and philippine cdc yes that was 20 years ago 20 years ago if that was established we would have been celebrating the 18th or 15th anniversary of those two important facilities that can actually promote public health even more oh okay so anyway you know we cannot as i said i don't live a life of regret i don't you know i don't look back that way but sometimes we have to take stock and say never again right never again dapat hindi na maging ganito yung situation natin na ngaantay tayo anyway eric uh you're you're you're um you're in a very good position to tell us what's going on and um one of the things i did learn from you is how to um how to talk about setting realistic expectations di ba sa quality improvement in the field epidemiology training program you do talk about how do you set realistic expectations so um i'm turning over to you the floor is yours i think our audience is waiting uh for your presentation on the status of the vaccination program this week let's go ahead eric thank you doctor susie thank you also doctor Raymond and thank you dr tether bosa and everyone in the up community i'm now going to share my screen i'm just going to check is the audio all right uh we can hear you eric i can hear you and the slides are on the screen i suppose not yet not yet we're not seeing it okay so eric has this fancy way of making a presentation release no i'm gonna i'm gonna change it so that uh everybody gets to see the presentation as big ah what's what's happening what we're seeing is you okay let's try again how about that yep we can see that okay we're all set okay go COVID-19 vaccines na i-inip ka nabang na i-inip ka nabang sa pagkata hindi pa dumarating yun inaasaan nating maraming bakuna na hinibegay sa atin araw-araw sa ating mga news na i-inip ka nabang sa pagkat yung mga bakunang na tanggap natin at dumating na sa inyong mga lugar hindi ka pa hindi na tawag para mga bakunahan na i-inip ka nabang sa pagkata nakatanggap ka na nang bakuna at ngayon gusto mo naman kung may second dose ka ito ba ay after four weeks eight weeks twelve weeks pa paano kung ang bakuna ay expired na na i-inip ka nabang sa pagkata sa inyong paghihintay ay magpapatuli ka na magsuot ng mask peri bang magmas pag tayo ay nabakunahan okay good morning everyone today i'm going to share with you what exactly is happening behind the scenes best job in the world right now okay three days ago three hundred fifteen million covid-19 vaccines doses have been administered around the world and that was in march 15 right now as reported on march 17 there are 400 million vaccine doses already that have been administered around the world israel at that time together with the united arab emirates and the united kingdom led all countries in terms of the number of doses administered per 100 population israel for example is at 109 the united kingdom and the united arm emirates over at 60 doses per 100 population now exactly how many people in the world have been fully vaccinated we have reached 85 million people in the world that have been fully vaccinated and what are the preferred vaccines more countries that 72 have used phizer and the astrazeneca vaccines than any other vaccines that have been given authority for emergency use have you had your job of the 1 million 125 000 doses available in the philippines 114 600 doses were administered from march 1 to march 10 now the march 14 updates this has been upgraded to over 215 000 doses that were already administered to our frontline health workers and hopefully all the vaccines we receive will be given in the next few weeks before the arrival of the next batch of vaccines that have been committed to us in this screen we also show you the breakdown it just tells us that every region has received their vaccines and health workers from this region have actually been given their vaccine that's the good news but are you one of those who got a job um many are asking because everybody knows that the priorities for the populations that will be vaccinated change from the time we had our plan and now that we have actually look at the situation for example in this slide we show you that the frontline workers in health facilities both in the national and local public and private so there's no distinction between public and private professionals and non-professionals even students in health and allied professional courses with clinical responsibilities nursing aids janitors but nangay health workers they're the a1 priority population now the thing is this is how our vaccination goes after vaccinating this population we now go to the next one in the hierarchy that's the senior citizens 860 years old and above so yung tanong na na iinit ka naba if you're a health worker at na iinit ka naba then the senior citizens na iinit na kami kasi hanggang matatapos na nabayan yung health worker sa pagkat hangkat hindi kayo na tatapos mag-aantay kami much more so the persons with comorbidities is not otherwise included in the preceding categories na iinit ka naba so ako na may diet beefies kailang ko pala mabakunahan sa pagkat if i get infected and i'll be hospitalized i run the risk of getting more complications and hopefully i survive so na iinit ka naba for those with comorbidities sa a4 naman are the frontline personnel in essential sectors katulad ko kung hindi ako senior ay baka dito ako sa a4 pa malagay and this includes uniform personnel and those in working sectors okay yung mga nakatabaw sa gobierno so na iinit ka naba so ako na iinit yung mga healthcare workers how much more yung ating mga seniors those with comorbidities at ito mga frontline and of course yung ating mahirap na mga kababayan na iinit ka naba so na ano sila nakikitas nila sa mga social media nakapost tayo na tayo binabakunahan nakamiti nantatanong din sila na iinit na kami pwede bang isali nyo naman kami okay but many filipinos don't know that we have a hierarchy of priorities which i'm just which i have just shared to you unless we secure the vaccines we need then we will have this face facing for providing the vaccines okay so in phase one that's the only vaccines we're going to use are those that have been approved by FDA under the emergency use authorization so limited unsupply ng COVID-19 vaccines so we have to concentrate on critical populations so we have to rethink for example later i will want you to think about it what are we talking about of critical populations it's still based on risk of exposure mortality burden just like the list i have shared to you now watch phase two this is when large numbers of vaccine doses are available to us so this is will ensure us the access for the general population particular to the working population now there's gonna be a mix maybe there are vaccines that have been given EUA we don't know the period uh when it ends and when the clinical trials would have been completed so that routine immunization will actually take over it's not anymore an emergency use authorization so that everyone will have this access to all the vaccines and of course phase three if i have a surplus of these doses we want to make sure that everyone is vaccinated so for phase three our call out our shout out is not one yes everybody should have access to these vaccines now security and vaccine uh vaccine supply is not easy you will hear from the news that our vaccines are secretary galvez would have uh traveled to inja so that uh he can come back and announce to us that um he got the deal about 30 million doses from novavax and because it's the serum institute in inja that's manufacturing this um novavax vaccine and then you'll hear about the earlier announcement wherein we're we're set to receive over 117,000 uh Pfizer vaccines and then there was the donation and then we're having uh bilateral trots so the astrazeneca is from the covax facility okay the silent vac vaccines is from uh the donations the bilateral agreements are independent of that we had negotiated with the covax facility okay for the understanding of everyone uh uh of so many countries in the world that have uh applications at the covax facility we're only uh one uh we're only 18 of over five dozen countries and yet we still don't have the vaccines so how does the covax facility operate the covax is part of the trio of uh the uh accelerate the accelerator of the whl for the diagnostics therapeutics and vaccines so because we want to make sure that the access to vaccines will be equitable the covax facility was a partnership between the whl the vaccine alliance and the sepi the organization for uh epidemiologic for epidemiologic preparedness innovations and the countries that have manufacturing capacities all countries that have uh self financing mechanisms but the covax facility's principle is that you don't get to access the vaccine by your ability to pay everything will be fair and you will get your vaccines so there's another mechanism separate from the covax facility that's the advanced market commitment and here countries that have the funds can actually buy these vaccines and these are the ones that are donated okay and so when these are donated you know that these are from countries that have the finances for an advanced marketing commitment and this is what the manufacturers want because it's risky to manufacture these vaccines for these vaccines. Mahirap sila sa kanilan na gumawa po ng bakuna na wala na mga order sa pagkat napakalaki po ng investment po nila kaya nangyari dito dito sa covax parang isang palenke yan may insurance policy pag kasama ka dyan sigurado ka na makakapoka ka ng bakuna kahit paano pinangakuni na dito ngayong sa 2020 ay 2 billion doses ang magiging available yung mga high income countries ay pwede ng bumili 10% hanggang 50% ng kanilang pangangainangan yung iban ng mga bansa na walang ganitong kapasidad na bumili ay madibigyan hanggang 20% ng kanilang pangangainangan so lahat ngayon ay nagtulong-tulong kaya sa covax facility na yan na siyisiguro na mas mura pa makukuhang mga bakuna tayo naman ang ba ating bilateral agreements ay malawak kung saan saan na kung ang maraming bansa ang pinapakiusapan ng ating vaccines are at magiging maganda ang risulta sa natulitulina pa yan at siyempre tayo ay nakakarundin ng mga donation Plan in motion. Alam nyo, meron tayong plano kasama yan yung sa vaccine deployment. Hindi po ito yung katulad ng ating mga service yung benidigay na hindi pinag-iisipan po ng maayo sa pagkakailangan po maayos yung plano ko natin because if you don't have this plan ay magiging kawawa tayo kaya lang ang isang issue po dito ay nakarating ba ito doon sa dapat makaalam ng plano kaya nga itong ating webinar gives us an opportunity sa department of health para paliwanal sa inyo. So ito po makikita nyo sa screen na simple lang po ang plano ito na nakikita nyo po. So importanteng magkarun tayo nito mga vacuna ay hindi nga tayo ng pro-produce dino naturem, binilin natin yan o galing sa covax, kailangan makuwa natin yung mga vacuna. Hindi lang ganong ka simple nakuwa mo yung vacuna pero tatlong taon naman yung inabot bago mo makuwa yung vacuna. Aba may problema yan kasi ito ang umpisa po sa plano natin kasi hindi po ito magtutulay tuloy hangkat hindi po ito na nangyayari kasi paano tayo magkakarun ng herd immunity ay wala kayong vaccines. So ito dumating yung vaccines dito wan-tua tayo. Eh hindi yung makakasarban ng buhay it will not save lives. It's vaccination that will save lives. So kailangan ito makarating sa mga vacuna centers natin. Aba logistic nightmare yan, 7100 islands. Kung marami tayong klasing bakunang kokunin, merong dapat ang storage ay minus 70 degrees, merong dapat minus 20 degrees, merong 2 to 8 degrees. At sa pabibigay ng bakunan natin, nag-iiba-iba pa yung panahon natin. So magiging maging madali ba pag deliver ng vaccine, pag meron na tayong mga bagyo, pag-uulan at alam nyo naman sa ating bansa, unpredictable. So kailangan planuhin huw namin yan para hindi inaabutan po na yan ay natatambak po sa warehouse. So kung datirate ay napupuna ang Department of Health lalo na sa mga budget hearing na natatambakan yung mga supply, ito dapat ikelangan matanggal kagad sa mga warehouse namin at madeliver nga. So sa pag-deliver ay kailangan maingat na maingat po kasi pag namin standard po ito, baka mawalan yung visa at magindahilang pato na mga kinatatakutan mga address event. Tapos pupunta huw tayo dito, iba vaccinate yung priority individual. Alam mo sa mga bata, andali-dali lang. Pag mga baby, new born vaccine, pagdating nang 2 months, ito naman yung bakunan tatanggapin nyo. So mga bata yun, alam natin kung siyung bakunahan. Ngayon hindi natin masabi na, lahat ng 18 years old bakunahan, hindi sa pagkapinaliwanag namin sa inyo ka inina. We explained to you earlier, may priority, health care worker muna. So nabakunanan ay mga priority individual. So ito, gano katagal to? Kailan tumatata tapos? Kasi kung baga sa ano, may panganay, may pangalawa, may pangatlo, may bunso. So si bunso nagigintay. Kailan na ko, gootom na ko sa mantalang sikuya na kakain na. So nagigintay siya ng kakasyun niya. Ngayon, pag nabakunahan, hindi patapos doon sa pagkat emergency use authorization to. We have to monitor for the adverse events following immunization. At siya ka, makapagambag tayo sa cien siya. Bagamat may mga pagaaral sa mga bakunang ito sa mga clinical trial. Kailangan malaman hindi natin ang vaccine effectiveness. Yun ang kaybahan po, yung efficacy sa clinical trial, yung effectiveness sa real world situation. Katulad niyan, naman monitor ba natin niya, ang pano minumonitor ng pamalaan? Bawat ba nakatapos ng vacuna ay ititesting every week para malama kung sino ang na-infect, kiyamba ay follow up every year. So yan po ay malinaw po na pinaplano. At katagalam po itong araw na to na kikita yung maingse pero pwede ang mahabang mahabayan. Lalo na ay may pagaagam sa ating lahat kung gano kabilis at gano karami mababakunahan para magkarun tayo ng herd immunity. Paliliwan na ko sa inyong sub-prioritization ng facility type sa pagkat dito natin matatagpuan ng ating mga healthcare workers. So na una na MPG-8 sa pagkat, isap ko kayo sa COVID-19 referral hospitals. Na-sambit dyan dali ng hospital ang Lang Center of the Philippines and also en Rodriguez Memorial Medical Center. Pagkatapos po nyan yung mga public and private hospitals and infirmaries providing COVID-19 care. Susunod naman yam bababasa mga hospital na tumitingin ng COVID at saka ng COVID malamang to yung aming over 70 di retained DOH hospitals kasama na yung mga local government hospitals at yung maliliyit ang matanglaking private hospitals. Tapos, susunod pa dyan ang isolation and quarantine facilities as a temporary treatment and monitoring facilities. Tapos, yung remaining hospitals ang mga uniform personnel na hindi naman nagkakaran ng mga patientin na may COVID. Yung government-owned primary care facilities sa community na tayo nyan na yung urban health center, rural health units. Nakikita nyo na i-init ka na ba? Hindi lang yung mga health workers ang i-init, hindi yung mga health workers sa iba-ibang facility. So number seven nga lang to yung standalone facilities. So kumisarili kang clinic, ikaw identista, anapin mo kailang kaya kong mababakunahan. Health worker ka na, pero sa sub-prioritization ng health facility na sa number seven pa lang. Tapos si Tommy, number eight tayo yung congregate settings katulad ng mga nursing homes, yung mga kulungan, correctional center, ok, drug treatment and rehabilitation center na sa dulu po sila. So pa paano na yung senior na i-init ka na ba? Pero mo uubusin mo na natin lahat to. So yun ang na sa plan, kung yung health care worker at ito nga yung bi-facility type, e kailang tayo matatakos, so dapat talaga may organizado tayong plano paano natin nganggamin. Hindi ba pending sabay-sabay nalang yan, tatanongin natin. Hindi ba pending kailangan ma-unang muna tiyo tapos bababa dito. Hindi ba pending sabay-sabay nalang yan. So makikita nyo naman ay paano natin ila-allocate yung vaccine. Ang pag-allocate ba nang natin vaccine, ay tingin-tingin para parang token lang yung i-dibigay. At tingnan naman natin ito, isang para-ampano ng sub-prioritization. O sige, properioritize nga natin yung bi-health worker, properioritize natin bi-health facility. Pero dahil ito lang yung bakunan natin. Hindi ba natin sub-prioritize yun by geographic location? So yung pinakamataas kung saan na-activo yung transmission. Pangalawa, yung vaccination site, yung vacuna center na mismo na talagang kitang-kita muna pa ngangampanya sila. At siyempre yung mga rihiyon, depende sa listahan nila na shini-share naman nila, ay ganun yung gagawin. Ay ngayon, may kasayan pa nga sa mga epidemiologist. Di ba tinuruan tayo na baka hindi mag-bakuna kung saan intense and transmission sa baka malamang sa hindi mga babakunahan mo, ay baka nag-incubate na. Pero marami rin naman nag-sasabi ay may infectious diseases tayo na ang bakuna ay nakakatudong sa outbreak management. So ganun dim ba magiging effecto ng bakuna natin kung sakalit na ang pipiliin natin bakuna at itong gagawin natin strategy na limbawa sa Metro Manila muna. Launch Learn Level Up. Importante po itong pinakikita ko sa inyong ngayon. Latpo na nangyayari ay nandito po sa Bandang Kaliwa, itong grade box. Nag-i-start pa lang tayo. We have launched our vaccination campaign. So baka kalat nyo ganung kasimte. It's not. FDA has to work doubly hard. It should make assessments and provide the emergency use authorization approvals. May independent pa na mga recommendations ang NITAC, ang HTA council, and then we have to secure the supplies. Dapat malino ang ating inventory. Tapos ginawa namin to yung master listing katulog namin ng Department of Information Communication Technology. Meron tayong tinantawag na VIMS, the Vaccine Immunization Management System. Ang original plan dito ay end-to-end sa pakakilangan gan gumamit tayo ng technology. So kayo kumahalalan nyo ay mga pangalan nyo po na submit ko sa DICT. So itong listahan to pagbabakunahan na kayo. Pwede nga balikan para sa ganun mabinit, mabidis po ang verification at kayo mabigyan nakagan ng bakuna. Sa Bakuna Center naman po ay kailangan mag-register po sila kasi importating malaman natin. Sa mga babakunahan ay yung mga senior sila ba ay kaya pang lumakan? Anong pinakamalapit ng Bakuna Center? Oyamba ay maibapang strategy sa pagkat sa ngayon ang plano ay lahat ay fixed pose sa pagkat maselam po yung kailangan na temperature sa mga bakuna. At kailangan po train, ay hindi po sapat yung bilang ng na-train natin kaya kailangan fixed pose. Kailangan natin na maraming volunteers kaya pati pharmacist ay we're trying to reach out to you. Allocation and delivery of supplies na ko. Kumpere lang yung AI, yung artificial intelligence yung gumawan ito para sa ganun. Hindi tayo magiging haring solo mo na kanino pa di deliver aling hospital, sino sa kanilang babakunahan. Lalo na at hindi sapat yung supply. So napakayirap po sa aming yan, sana may intindihan nyo. Kasi kailangan nami i-coordinate yan sa mga flights. At bagamat meron kaming courier. Kami ay katulong din sa mga problem ang lumalabas yan. Tapos meron pa pa tayong, semple, mga ceremonies para ma-roll out yung mga vaccine paraan natin para mag-promote at magkaroon tayong ng advocacy at atumaas yung vaccine acceptance and confidence. Cold chain and inventory. May sapat ba tayong storage, facilities, warehouse, tama ba ang temperatura? Bakam na mamasira yung vacuna. Adverse events, following immunization reporting and notification. Syempre lahat tayo. Konting katilang, gusto natin report, headache, report. Eh lahat siyang pag-aarala ng isang kumiti para sa ganon. Malaman natin kung ito ay may kinalaman sa vacuna, po hindi pa. At ito ay importante sa pagkat, po hindi natin gagawin ito, marami matatakot at may intuna naman yung pagbabakuna natin. Katulan na nangyari sa AstraZeneca from many European countries yung kanilang blood clots na ngayon ay binabalik na utit sa pagkat naglabas na European Medicines Authority ng kanilang risuta sa pag-investigar na hindi naman wala kinalaman yung blood clots sa AstraZeneca vaccine. Tapos itong performance monitoring and result sharing, somebody should be accountable, someone will be accountable. The DOH will be accountable. Anong accountable ng local government should be? Kung akalan niyo po ang gobyano lang may accountability o kaya private sector hindi po, babat isap po sa atin, I my accountability. Ngayon punta po tayo dito sa git na, itong orange box, ito yung learn. Dito kailang tayo magadap at mag-adjust. Dalas ang mga yayari ngayon, kala unang magtatanong tayo. Mas magandang bang dalawang klasin na lang yung bakunan natin kesa lima o anin yan, kailang ang ba kumpeto yung menu natin? So parang restaurant, kailangan ba may menu maraming pagpipilihan? O isang item lang? Pag isang item ba nakakasawa o kung may lima, sinasabi nga ng taong ba yan, wala ba akong choice hindi ba peding mamili? Ngayon, pa paano paraan para makakawa tayo? Mukha ang hibit-hibit ng COVAX, ang hirap magparating ng bakunan dito, tayo ba ay sumisigisigin na lang sa bilaterals? Or kung naglalarutay ng baraha, sige tayo ang lahat yan para na sa ganon meron tayong asa sa COVAX, meron din tayo sa bilaterals. Ngayon, ang ati bang pagbabakuna ay by priority individuals or by some other mechanisms of prioritization? Sa ngayon po, nagiging parang komportable ang lahat sa pagkat siyong bakunan na natanggap natin, over 1,100,000 doses ay na-deliver na e paano kung big lang bagsak ng milyong-milyong yun? Sa ampun tayo, so kailangan nakahanda na po tayo, so kailangan malina. So siguro na, as I start pa yun pero kaya mag-adjust. Fixed pose ba? Or bibigay tayo balang araw na hindi kakayani ng fixed pose, kailangan dumiscarke tayo sa house-to-house? O kaya naman, may mga bakunan na na tapos na yung clinical trial, kailangan mag-decide tayo na bibitawa na natin yung EUA, ito na tayo sa routine immunization. Tapos ito naman sa amin, sa ICT o IT technology, yamba ay tayo mag-de-develop o tanggapin na lang natin yung outsource technology sa mga third party vendors sa pagkat maramin na mga talentong mga Pilipino. At siyempre ito apagtatalunan, survey na lang tayo ng survey o talagang gumawa tayo ng mga research, kailangan din yan ng investment. Yung pupunta po tayo dito sa kanan and here, ito po yung green box, ito po tayo sa kanan. Matatandaan nyo na na launch na natin, mga ibuwan o tao na nang babakuna tayo. May pagkakatahun tayong ngayon ng makapagplanong. Na yung palang, so iniisip ko namin sa good end, tayo ba ay donning na lang, nagihintay na tubang dark or tayo na yung manufacturer ng vacuna. Tayo ba ay tagastanggap lang nung donation or tayo naman ngayon ang tumutulong sa ibang bansa at tayo ay donor. Tayo naman ba ay matutuan na lang at may ila tayong ginagawang vaccine clinical trial science or nag-tutuklas tayo ng mga bakula sa ating mga vaccine laboratories katulad nga ng sinabi ni Susie kanina, 20 years ago there was a dream. Ito ba ngayon ay printed vaccination cards lang, ang kaya natin, hindi ba namin natin na bitis-bitisang pagtulogan para meda tayong hindi lang digital vaccination cards, hindi digital immunity cards. Kalalabas lang po ng batas yung vaccination act para pag-support sa COVID-19 vaccination. Nakasaad doon na yung secretary of health kailin mag-diplara balang araw na pagkailangan ng vaccination card at may patunay na ito ay talagang matatawag natin immunity cards. So ito ay maaring maibigay. From government appropriations to field health benefit, so pinag-iisipan na ba yan? Ngayon ng field health para sa ganon sa mga susunod na taon ay hindi na po naglalabas po ng pera po ang mga mambabatas natin through appropriations o mga bagong bata sa pagkat, meron na tayo mechanismo sa field health. At ngayong po ang FDA, country sanctioned FDA natin, sinusundan yung mga national regulatory authority sa ibang bansa at kung maganda naman ang kanilang assessment doon ay sinusundan namin. So inaasahan natin ng FDA ay isang magiging manakas na national regulation authority na may respeto yung ibang karating bansa natin na dito na rin nagpapases ng mga bakunang. Sa pagkata, marali pang bakunang candidates hindi lang po itong 11 that are available now. So how do we manage expectations? So kanina, earlier Susie said that it's about expectations, it's about desires. Ang kaybahan ng desires ay yung pinapangarap natin, expectations yung grounded tayo sa pagkat I've just presented to you what we have. So kaya ano yung expectations natin? So by year's end, half of 166 million COVID-19 vaccine doses are exactly available. 80% of the 25 million priority target individuals have been administered with at least one dose of any type of COVID-19 vaccine. 50% are fully immunized. So kung dalawang dosyon, dalawa. Kumaunpesan yung Janssen, isa lang dos. Zero serious or life-threatening adverse events. Is that going to happen? Decreasing numbers of new cases per day. Maraming nakitaan nyan sa Israel. Big lamb bagsa kahit sa UK, kahit sa US. So sumunod kaya tayo pag nag-roll out ng ganun tayo karaming magbapakunahan every day. Binanggit mo yung Secretary Galvez based on the calculations sa April baka kaya natin ng ganito karaming nabapakunahan every day. 250,000 every day. So sumunod nabuan, tataas natin sa 500,000 to 1 million every day. Tapos sa sumunod nabuan ay 2 million ng 5 million na nabapakunahan every day. Pero siyempre yan, hindi mangyayari ko yun kung wala yung bakuna. At pagnangyari ko yan, can we see the transition to new normal inaasaan yan by years and sa dulo? But wait, which year? Maraming salamat po sa inyo. Vaccines do not save lives, vaccination saves lives. In everything, all of this, it is all up to us. Maraming salamat po. Okay, thank you very much. That's Dr. Eric Tayag, very comprehensive and provocative presentation. Eric, love it. I think if you look at the chat box, there are 37 questions waiting for me. So while the reactors are speaking, maybe Eric, you can answer these questions. So lots of questions in the chat box, lots of interest. And I think maganda talaga yung merong malaking pananaw, meron tayong malaking pananaw. Milsang kasi, inisip natin yung salili natin, pamily natin. Of course, that's very, very natural. But as health workers, as frontliners, and that's our audience, our audience are the frontliners of the Philippines. We always have to have a bigger picture so it's great to have a public health expert like Eric explain that this is quite complex. But it is not something that we can't achieve. We can do this. So thank you so much, Eric. I'm going to turn over to Raymond. And while there are speakers, Eric, sabutin mo na yung fans mo marame 40 questions. Okay, Raymond, over to you. Thank you for that. Well, as one of our attendees said, enlightening and well-delivered presentation, director tayong maramin. Salamat po. We'll move on to our reactor po. She is the professor and chief of the section of infectious diseases, Department of Pediatrics at Philippine General Hospital. She's more popularly known as well as the members of the technical advisory group at the Department of Health. She's none other than Dr. Anna Onglim. Mamana, for your reaction po. Thank you, Raymond. And good afternoon, everybody. Thank you, Dr. Tayag, for giving us such a broad perspective on the current situation with respect to the vaccine rollout. It's certainly a lot to think about. And even as someone who's already working very closely with this team and aming paripagong insights na I think bilang tumutulong sa programa, e gailangan talagang pag-isipan ng maayos habang may panahon pa bago magkaroon ng full distribution or deployment in the different categories and sectors. Pwede yung ishare na coming on from your presentation is to tweak the question a little bit. Nagsimula tayo dun sa perspective na iinip ka na ba? So siguro ang gusto kung itanong is, bakit pa tayo na iinip? And for me, I think there are some positives and negatives that can be drawn out of that question. And maybe the first thing is kung na iinip na tayo, I think it indicates that people have an appreciation of what vaccines can actually do in response to the pandemic. Na iinip ka kasi gusto mo ng magkaroon ng bakuna kasi alam mo na makakatulong to sayo. And maybe I'd like to challenge the validity of that statement and turn it around a little bit sa tingin ba natin makakatulong ang bakuna. Now, early reports coming from countries that have been able to roll out their programs more rapidly, like for example, Israel, which started in December, show very encouraging information because as they've already covered about 50% of their population, they've also shown a significant decrease in terms of the number of hospitalizations and their number of cases. So kung ang tanong natin is, bakit ba tayo na iinip dahil ba sa tingin natin malaki ang maitutulong ng bakuna? Then the answer, I guess, is yes. And this is consistent with our understanding of what vaccines can do. Another way to look at this is, bakit ba tayo na iinip? Kasi ba sa tingin natin or rather dahil ba, bumalik na ang tiwala natin sa bakuna and we understand that this will be helpful in the fight against COVID. So I hope the answer to that is yes and it's encouraging in light of the initial data that we heard from the early surveys conducted in 2020 where about 30% of those who responded to the survey said that they would not be vaccinated. So may iinip ka lang kasi gusto mo siyang matanggap and sana naman hindi na or rather mas tumaas or mas dumami na yung gusto makatanggap ng bakuna. Isap ang aspet ko to try to answer this question of bakit ka ba na iinip? Is maybe because dahil ba walang masyadong clarity kung ka ilan ba tayo aaputin mo mga bakunang ito? Being a pediatrician, I kind of take, try to look at some of these issues from our perspective. Na-isip ko para yung bata na bumabiyahe, di ba? Are we there yet? Kailan ba tayo mahakarating dyan? Bakit hindi pa ako bina-baka come around when we don't explain and relay the information clearly as we ought to and I think your presentation really answered that. Dr. Tayag, you talked about ano ba talaga yung objective ng programa? Bakit ba unang binapakunahan ang healthcare workers and senior citizens and those with comorbidities? Kasi ang objective is not as much to cover as many people as possible but to try to efficiently contain the pandemic.  Meron na tayo makikita ang impact sa vaccination program. So again, we talk about bakit ba tayo na i-inip? Kasi hindi natin na i-relay yung objectives ng program so trabaho nyan natin as public health practitioners dahil ba hindi natin na ipapaliwanang kung papaano ba ang proseso so trabaho pa rin natin nyan as the public health authorities. And dahil ba hindi claro yung timetable kung kailan natin na asahan itong bakuna and once again that's a challenge for us in public health. So I guess the bottom line for that last part is the need for better communication para ma-manage natin yung expectations as you also mentioned in your presentation. So another tweak to that question is ako na i-inip ka nangaba anong pwedeng gawin alangani namin sabihin natin sa mga tao nangabaan mo pa ang pasensya mo kasi hindi naman magandang sagupt yan and we need to appreciate the fact that people are starting to ask these questions because they're engaged, they want to be involved, they want these answers. And so I guess the better way to approach this is so sige kung na i-inip ka na nang pwedeng gawin how can you address yung pagkakainip na yan and turn it into something productive. So marami naman talagang taking matters into their own hands and in fact yung mga nag-re-registro either sa LGU or sa kandilang mga kumpanya sa private sector or even yung mga homeowners associations o kung ano-ano pang mga civic societies na nang papalista ng bakun that they really are taking matters into their own hands putting their money where their mouth is na the down payment ng 50% payment. Actually I have very mixed views about this at the start no working with the program I felt this was really added confusion pero ngayon maybe we really need to think this through once again and understand that we really need all hands on deck and maybe the answer to this is to organize to get everybody on the same page and maybe did we up the work because there's really more than enough work to go around and maybe just by organizing this and trying to assign particular sectors to manage and monitor we might be able to get more headway into the deployment aspects of the program kasi with the target that we've set millions and millions and millions of doses I doubt that any sector, private or public will be able to do this alone so kung na iinip nga tayo gawanan natin ang paraan habang inaantay pa natin bago nung mating yung pakuna Siguro the final point I'd like to raise is kung na iinip nga tayo and alam natin na sagot ang pakuna. Tanda natin natin na hindi ito ang tanging sagot. Marami pa tayong pwedeng gawin and in fact importantin gawin ngayon ito So one of the things that we have to recognize is that even if the vaccines become available there's no proof right now so there's no solid proof and so we need to continue to keep our numbers down otherwise by the time these vaccines come ang ating herd immunity threshold ay tataas ng tataas right now the fall part figure that we're trying to or that we have at hand is 70% pero alam din natin ang ating reproduction number has been increasing particularly in the past few weeks so as these vaccines are coming in we need to keep our numbers down otherwise dumating man siya mahirap abutin ang gusto natin makuhang herd immunity threshold and I don't want to think about the possibility na baka maging imposible to abutin but I think we always need to work on worst case scenarios to begin so that's all from me and thank you for the opportunity to join this webinar thank you so much baka o Rana so that's a refreshing take na it's not more of about kaimipan or anything of that sort it's more of from a preventative approach at really taking care of ourselves just strengthening all of our minimum public health standards more on the compliance side and really to protect ourselves kimbis na ano po we do not, we focus on baka magkasake et cetera et cetera ok, Doctor Susie I'll turn the floor over to you for the introduction of our one other speaker ok so we have Raymond we've got one more one more reactor and it's really my honor to introduce her, I've had the chance to work with her on the ground in Bataan na province is very close to my heart I did some work with their team and when you see you know you're dealing with a general umander ito she is the director of the Bataan General Hospital Medical Center she turned this medical center around and really has done amazing innovations in in the province of Bataan that we have not you rarely see it in these provincial hospitals but she has done it so I'd like to like to welcome Riya Riya, welcome to the webinar and we are going to hear from her what she has been doing at the Bataan Bataan General Hospital Medical Center and because we do know that the local governments are going to play a big role in this rollout and she's done a lot she's got her own stories to tell and like Eric she's not going to sugarcoat you she's going to tell you what's really going on what the challenges are what the problems are and this is why we all love Riya okay Riya, go ahead please welcome Riya thank you Dr. Suzie my reaction will be focused on the acceptance of the priority group for the healthcare workers for the already available vaccine I miss the reality that a lot in the community are already in it as they really wanted and wanted to know when they will be finally vaccinated so may I share my slide please I have prepared few slides okay let's see do we have real slides up okay I think Riya you have slide sharing which is still disabled may I share my slide please let's try again slide share for for Dofya okay Raymond this co-hosting Raymond please give Riya please share director Balthasar is now co-hosting so she should be able to share with you dapat Riya, baka kaya ngayon actually do Riya tech ito yung nga yung mga electronic medical words ng bataan okay Riya try man ngayon okay okay one thing na lang okay there we go we can see it now Riya go ahead okay you're on mute please unmute Riya you're on mute we can't hear you still on mute Riya you were on mute try natin alet see what's going on no audio cannot hear you okay there we go okay very good see ya good afternoon first I would like to express my profound gratitude to the organizing committee of this webinar for the opportunity of sharing my thoughts about vaccination campaign. I am hoping that I can fully sync my reactions in the context of director Eric Dyer's discussion but before I proceed please allow me to greet our former USEC Dr. Ted Herbosa hello sir Dr. Susy Pineda Mercado whom I had a chance to work with when she was in Bataan and to my professors and mentors in the College of Public Health to all members of BGHMC family and to all the participants of this webinar again good afternoon let us look briefly on how first year of this COVID-19 pandemic up to this present time when we are already rolling out the vaccination campaign just like any other health facility locally or even globally we were unprepared to handle this pandemic as to our facility we do not have isolation rooms with negative pressure we just have ward accommodations adequate provisions of PPE was also a question accessibility to testing center adequate infection and prevention control measures we suffered from health facility outbreak in April 2020 affected about 100 of our employees which made us decide to lockdown our BGHMC the situation was not easy for we have to take care of all our employees and patients who were positive with COVID and those who were admitted for other illnesses all were tested and it took 3 weeks to cover all those who were inside we formulated 6 objectives in response to COVID-19 pandemic to provide quality care for all our employees and patients with COVID-19 and those non-COVID cases to control transmission routine and outside BGHMC to put up a biosafety level at our laboratory with gene expert and RTPCR regular type we also wanted to have a license annex for non-COVID cases and to continue our residency training program all of these objectives were achieved because of the dedicated BGHMC employees in collaboration with the province religious sector and private institutions they provided us food during lockdown hotels in the vicinity were all used for our employees when we were exclusively attending to COVID-19 cases the province entered into Amonga with all private hospitals in the province to accommodate the displaced in urgent patients province also provided us a building at the Provisional Health Office which was renovated into a PCR laboratory where negative pressure was installed we jointly equipped the PCR laboratory its manpower and operationalization is our responsibility we did not know that our pre-pandemic effort to digitalize all our transactions like the online SDM referral system between RHU district hospitals and BGHMC and the electronic medical record would be very handy at this time we just incorporated the case investigation form needed for PCR when our laboratory was licensed and eventually used by all deferring facilities to us now, how did we continue to work in the light of preparing for the vaccine campaign immediately the province called different offices and created a task force this conceived of three phases as shown on the slide survey, use of app for QR and registration master listing, risk communication cold chain management surveillance and AEFI response plan were covered during the micro planning AEFI was assigned to BGHMC as the lone level 3 hospital all point person and heads of particular tasks were required to prepare for the action plan the objective of the task force was to increase vaccine awareness confidence and eventually achieve 70% third immunity in the province with a population of around 900,000 the teams including BGHMC had several simulation exercises and our AEFI response plan was tested the different processes in micro planning were discussed and agreed looking into the preparedness of our hospital for the vaccine rollout we also did our own micro planning vaccination point person was designated for vaccination teams were created several simulation exercises were done for the vaccination process and our infectious disease especially increased the awareness among our employees by holding several virtual and town hall meetings BGHMC as an identified first priority hospital had a symbolic vaccination campaign which was promoted province-wide the readiness of the province in terms of cold chain management vaccination teams and central vaccination site have increased awareness in the community it was even published that the province airmarked a billion pesos for the purchase of COVID vaccine our initial survey in the hospital yielded only 61% approval rate for vaccination but as we started and continue to campaign and rollout majority voluntarily submitted themselves the 5-day campaign period in our hospital yielded an 86% maximization rate are we forward to achievement of herd immunity in our facility this number is expected to increase as healthcare workers initially differed are now medical cleared to receive their job retrospecting what could have contributed to this new deal the presence of our allergies and ideas emergency medicine during the vaccination day have increased the confidence of employees who were worried and afraid of its side effect the readiness of response team was visible to address minor and major AEPIs the visibility of the pack management could also contribute it we also provided food and we had a seamless flow what should be improved is scheduling was a challenge there were idle moments during rollout QSL is an answer to this short notice and unexpected distribution of questioners needed by COVID-19 Makuna Center Registry was a big challenge most of the questions were double negatives creating confusion among vaccinis ang bivalent vaccinis post commotion and doubt among those who were already on cue our division heads assisted them and addressed this concern and now vaccinis with minor AEPI should be prepared for their second dose to be vaccinated is one of the many measures we can take to protect ourselves and others from COVID-19 protection from COVID-19 is so important especially for us in the hospital setting and for our colleague frontliners because we know COVID-19 can cause very illness for them we trust and hope that after being fully vaccinated against COVID-19 we may be able to resume doing things that we stop doing because of the pandemic but we are still learning how it will affect the spread of COVID-19 we are repeatedly warned by expert that even when we are fully vaccinated we should keep taking precautions in public places we should still continue wearing masks and even face shield As the Center for Disease Control and Prevention shows proof that wearing masks or PPE provides protection against existing COVID-19 infection the increasing cases of different variants is another threat to our hospital's capacity As COVID-19 cases and variant increases a decreased occurrence or zero infection among our healthcare worker should be our goal While it is still uncertain when the general public would be vaccinated we can no longer afford to suffer from another health facility outbreak or worse witnessing our healthcare worker died from the disease As the food soldier in this war we know that our folk continue to rise and threaten our lives Our only chance is to protect our healthcare worker in vaccination and PPEs We are running out of time Let us be vaccinated Thank you for your kind attention Okay, thank you very much Riya, that was Dr. Riya Balthasar of Bataan General Hospital and Medical Center and you've got a lot of fans also on the chat on the chat box Always nice to hear what's going on on the ground in the field Okay, we're going to call everyone into the panel so Teder Bosa, Eric, Taya Anna Riya and open your cameras and before we do that we have a lot of questions So Raymond's going to give us a breakdown of who the participants are right now Thank you Dr. Suzie and thank you for director Balthasar's very practical and realistic presentation Before we proceed with our Q&A I'd like to inform you that 51% of our attendees or at least those who entered their answers are coming in from the National Capital Region followed by those from Northern and Southern Luzon and then from Central Luzon with around 1% hovering for those attending from outside of the Philippines So we also have our most attended po na coming in from the nursing followed in by those from the medical field programs and then others we really need to piece out atong si others Maybe we could go on within the Q&A forum before we tackle all the questions Okay, thank you very much Raymond Okay I think let's make this a conversation but let me ask you a question Of course when we look at the rollout it is a plan and the plan is based on certain assumptions I'm interested in thinking what do you think could be a disruptor or something that could radically change in a positive way could radically change the access to vaccines So if now we're saying the assumptions are we're not manufacturing nobody's selling to us etc etc etc what might be a positive disruptor Frankly I didn't think we would have vaccines this early in the pandemic I was one of the you really think so in 12 months we'll have a vaccine but we do have a vaccine and that was very disruptive that's changing it So what do you think could happen that could disrupt Wait, and I'll start with Eric because I'm sure you think about this Eric What's a scenario where this accelerates Okay, one of those that has been good news is the new vaccine because it's a single dose so it's advanced because it's a single dose So in terms of storage that's why it's minus 20 degrees 10 so we need to balance it so that's a disruptor The second disruptor is if all the things that Ana said that the government won't leave because it's like that we have a country What I'll disrupt is if we have a wrong plan at the bottom for example, a lot of people will ask us what we'll do when we have a vaccine not all of us will say at the facility if you just want to have a vaccine not because we have a vaccine because you don't want it because we have a vaccine it's not good because we have a principle you can't bring it to other places so we need to use it so it should be a month before you have a plan who will follow the vaccine that you can't follow the procedures and guidelines for example, I'm a hospital and I have a lot of these for example, Dr. Ria at Batan Dr. Hospital Medical Center so the vaccine is over not because we don't have a vaccine but because we don't want to have a vaccine so Ria, we are hoping to have a plan to have a hospital to have a health worker who can go to the hospital to have a vaccine and we are hoping and we don't need to ask at the Department of Health so it's not wrong if we don't have a vaccine or maybe it's been a long time since Susie that we are hoping at DOH that all the guidelines will wait for us so what will disrupt this is that first you have to wait because it's not right so you need to disrupt Susie the discarding is not right Thank you Ted, what do you think? What do you think will change the assumption? What assumptions could change this slow what we are seeing as a slow rollout? The slow rollout is actually not because the rollout because the hospitals chose the reason for this is the hospital directors didn't decide to vaccinate everyone in the hospital all at once because if you do that many people will have adverse events and you may not have a hospital functioning the following day so didn't distribute nila so that was a deliberate and the people are perceiving that this deliberate caution in rolling out in health workers I've visited different areas I've visited Imus Kabite tapos na sila sa health workers nila and they're asking me Dr. Herbosa, pwede bang padalan para sa senior namin? Kasi mas konte ang health workers nila so this is going to be up to the people that make the policy which is NITAD and IATF sa sabihin ba nila saan maghihintay pa kaming matapos ang 1.8 million bago bakunahan ang mga senior health care workers tapos na kami sa category A so that's one the second one so ang disjunction between the central decisions and the local implementation another one is what I'm foreseeing is all these vaccines that we're ordering from seven different companies will all converge in the second half of this year so padating na yung Novobax inayong Sinovac padating na yung AstraZeneca ang nakikita mo yan is the current vaccination program at its pace of let's say I'm saayong kasi mga 390 vaccinations per day to make 70 million at the end of the year so that means the whole country dapat each LGU which has a lot of vaccination sites medyo andaming criteria so vaccination center I think in the US they're doing drive through vaccinations so very interesting is how we will roll out when the vaccines start to come here I don't want them in the cold storage I want them being injected and that's going to be the challenge to me if that's going to be the cost of delay mas nakakayak yun kasi yung cost of delay natin yun is supplier driven wala pang nagsusupply ang masakit yan 1-2 million, 20 million, 30 million at nanda yan lang sa ating mga storo mas hindi natin mabigay sa mga tao to me, that is where we need to adjust and this is where private sector will kick in I think the private sector like what they do in the US even the pharmacies give the vaccinations I think we need to have some kind of whole of government in terms of the deployment yun nang na fufuziko and I think that's going to happen in the third quarter and the fourth quarter of this year Can I jump in? Go ahead, go ahead You know what my dream is I hope a summit on deployment can be conducted We're waiting now the vaccines are not yet here and even as we wait I hope that there can be a real discussion about what the plans are and getting the inputs of the LGUs and the private sector on board because policy is made by the Department of Health but the hands and feet are LGU and the private sector and if we don't tell them how to move what to do, where to go we're wasting their resources they're buying vaccines when in fact they should be spending their money on the logistics of deployment and I think that's such a duplication of efforts that we need to stem as early as possible and there's still time maybe we should be focusing on that Good point Anna Ria logistics, magaling sa logistics to Ria Ria, what do you think is a disrupter anong maaring mangyarin na mapabilis natin itong? I think based on our experience locally here when we started to roll out our vaccine within our hospital of course the concern of Dr. Ted Derboza about the vaccinators or the team being disrupted during the tour of the campaign period we have to be realistic in knowing that there's some side effects like flu-like symptoms for the young ones et cetera so they will be down for a day so for us it was strategic that the vaccination went well we targeted at a rate of 400 vaccine per day and when we were seeing that the there were times that the idle time we called for the second priority group in the district hospitals knowing that the allocated vaccines covers them so even if we are not yet done with the paisa isa na ming mga empleado because of some reasons so we already started vaccinating those coming from the second priority group so even during the first week we were able to cover the first and second group the district hospital so it's more on laying your cards that the importance of collaboration and communication with everyone in the community is very vital for this to work Thank you very much thank you very much Ria so I think what you're saying is itong nanginip tayo ngayon this is because it's early because we don't have a supply and it looks like if we use this time to prepare I think this is what Anna is saying use this time to prepare we have a summit and what Ria is saying that we have a plan on the ground that you have contingency plans and Eric has said the same thing if you have you have backup plans it's not like you're waiting for people to tell you what to do but you do have a plan then it's not going to be slow because Eric's question was very provocative what year talaga naman si Eric o kasi sabi ng mga visitors natin nakakatakot naman si Ria 21 naman yan sir kasi sabi ng mga tumagalpan ng 2021 kasi sabi ng talaga people are saying ganda ng presentation Eric but what year so anyway I think we're going to take some questions from the audience I don't know if we have some live questions but I wanted to ask you another thing I'm going to pick up what Ria said about a summit some kind of a huge difficult to do it on zoom but it can be the logistics of it or organizing it could be thought about what do you think of that then well let me explain about this so Anna is with the IETF so she's with the technical advisor I'm with the operations group so I'm with what is called the national vaccine operation center you know we work hard at the vaccine operation center because everything has been rolled out there have been two or three simulations nationwide the distribution has been practiced the vaccine deployment plan that has been approved has already been rolled out to the RTS but I agree with her on the summit with the private sector because what I have seen at the national vaccine operation center is really just the national vaccine operation center the CHD's and with the BILG and the CP and the LG so there are several meetings that happen every day there even Saturday and Sunday and actually Malinaw it's very clear to the LG youth or the people who are in charge of vaccine deployment what their role and what they will do all they said is we're just waiting for the vaccines but I agree that this will not be enough and a summit with the private sector might be necessary as well I think I agree that na demanding ba I think the private sector needs to because they want the private sector has been excluded unlike in the beginning with the testing and everything kasama sila mayong T3 I used to attend that because I attended the NTF meetings and attended the T3 meetings as well and talagang may tulungan hindi ko narekita yan dito Red Cross with Senator Gordon has promised to use his 2 million volunteers to help in the vaccination but hindi sila kasama doon sa planning at sa meeting so gusto ko masama sila so private sector NGO the religious organizations private industries na ang gusto ang gusto bumile kasi akala nila hindi sila may iiwanan sila so I agree with Anna's suggestion the different stakeholders and the difficult part is remember this is an election year this is an election year and by October December which is when all the vaccines are coming we have a problem of politicizing the deployment when the vaccines come and I don't want that I mean I really want the people that need to be vaccinated as soon as possible and the only way we can do that is like the suggestion of Anna hindi talaga the private sector the NGO the religious the universities the students can be volunteers universities the SUC's and everything we can use all of this so that we can vaccinate the most number of people na gawa nila to sa Israel so I don't see why we can't do it here in the Philippines sa bini Anna next week na daw hindi kaya yan di sir sige sige let's call the religious let's call everyone that has been excluded in the national vaccine operation center da yan nang tawagin natin and let's hear them out nang may 10,000 capacity na yung TVU P plus every type what do you think of that I mean unang muna hindi naman out of the loop yung private sector kasi may sa reeling sa private sector yung involvement nila ang tingin ko naman dito ay sinay mga iinbitahin kasi limitado lang tayo ang tinay ang inakaano kasi dito kuna reeling nyo siria nasa baba ang sekreto yung gagawin nila dun kasi mga guidelines nila bas na nanin so nasa baba sinaman nga dapat kumausap nung katulad nga yun sabi nila hindi naman kami iinbitahin nag-iiintay kami na iinbitahin hindi yung nandapat nating gawin ang tanong natin ano bang pwede kong may iambaga nung pwede kong gawin so alimba ay ko may resources ay bat hindi mo puntahan na yung mayor yung director ng hospital o paano kami makakatulong ito resources ko kasi po kung mag-aantay na tayong makalabit tayo mainbitahin at para magbigay ng pananaw it's going to happen but wala talo na naman tayo kasi alam mo sa tagal ng panahon ng paninilbihan natin if we used to do yung datin natin ginagawin ay wala po mangyayari po yan yun po ang aking pananaw at lahat po yan nandun sa baba yun ang pinakaki para nang sa ganun ay umandar ito so ang ano lang natin sa tas naman ang dapat agapan siguraduhin pagsinabing limang miliyon ang darating ngayon limang ninyon at magiging mahirap po kasi sa amin at kami ay napunanan yan may sasabing kaming ganito tapos a at ras at hinging ng sorry at dahil ang pala so ngayong po ay naging maingat kami para nang sa ganun ay yung tiwala ay nangjam pa rin po Thanks Eric I mean I agree with you na we shouldn't wait but I'll just put on my kind of like what you call it a WHO hat Sometimes it helps to see like seeing what Liya has done isn't it? Big lang makaka-idea kaya I think the thing about the pandemic is we're not I don't think people really need guidance on what they're going to do 1, 2, 3, 4, 5 but maybe they need to share and to see examples of how to how to do things differently but I do agree with you na hindi dapat agaantay I mean that's what Kilsa said di ba yung agaantay sinabi kasi ganito ganyan kailangan kalahate merong kusa pero meron din tayong binibigan na mga halimbawa halimbawa pwede nga nito and I think to 10th point on politicizing it I think right now if our political leaders all support vaccination I think it's a good thing how we just make sure that it's not it's not used for specific agendas that's the challenge and that's why if we get everybody involved in a summit then may kanya kanyang pado there are a lot of people who are listening in this webinar who are private practitioners we've seen this every week people who are working in their own clinics they're doing their own thing they're not part of the big hospitals they're not part of the government but they do want to be engaged so I think it's something to talk about to think about how do we gather and yeah maybe we should do a summit with TVUP but that's 10th point okay so Raymond do we have something from the audience yes we have two one of them is well not a stranger to us she's Dr. Raimundo may we call on Dr. Raimundo for her live question thank you Dr. Raimundo good afternoon doctors Dr. Eric Ria Anna Ten Charlotte also Dr. Sucia and Dr. Raymond so thank you for allowing me to ask my question live but I don't know if we have time but my question had to do with na iinip na na sectors with regards vaccine procurement so my question is how would you advise or what advice would you give to these sectors private sectors non-government HEIs LGUs who are interested in procuring vaccines to expedite the protection of their stakeholders their employees their staff their students with regards general process of processes for procurement funding minimum requirements for procurement timelines turnaround and whom to talk to and also do you think how would you think this would impact either positively or negatively with the overall initiative of the government but I would also like to say I really totally agree with the summit plans I think what we need is a structured, systematic and harmonized plan that involves both government and private sectors thank you po okay thank you for asking the question alam mo kaya nagkakaran ng ganun mga request sa pangkat na iinip na so kilangan siguro may nai pangaku sila sa kanilang constituents na kwayto mga priority nito at baka kulangin yung hindi sapat ang pambili o yung para makuwa yung mga vaccine gagawa kami ng paraan at isa saambag namin bibili na kami so the process is we have to submit a letter of intent okay to secretary Galvez the vaccines are in that letter of intent you have to state the details of your request like ilan ng bibili nyo ano yung preferred yung bakuna kailangan yung kailang kaya magbabakuna kanilin yung ibabakuna yan at masabaganda kumelisahan kayo kung sino yung mga babakunahan so yung po yung proseso that pinai-iral po ngayon so kung may ganun po kayong plano balak ay gagawin yung po yan kaya ala namin nikunga si Anna na may mixed feeling dito akuman sa pagkata pro-provide naman lahat yung bakuna so para mag-isip yung mga nagulat nga kami na yung mga local government nag-announce na bibili kami ng 1 billion pesos bibili kami ng 100 million para naging auction pero naintingda namin sila kung saan kasi yung mga bakunang bibili nila ay siguro wala dun sa nilisan namin sa priority baka hanapan sila kung paano naman kami so ganun nangyayari so letter of intent ang kailangan po at kailangan mapadala na po yan sa pagkata marami po na katila can I just add something to this discussion maybe at different aspect siguro yung again playing question of nai-init ka na ba siguro yung perception kasi kung meron ako order with some supplier I can control the timeline kung kailan darating yung bakunang gusto kung makuha and even as national government says nawo kayong mag-alala bibigyan kayo yung question of kailan yun ang hindi masagot ng malina kasi nga siyempre we are at the mercy of manufacturers so I think we need to recognize also and ang hirap kasi magsabi na habaan yung pasensyan inyo kung walang klarong pa I think yun yung mga kailangan natin tignan para ma-address naman yung legitimate concerns ng mga tao Raymond did we have one more question Yes, it's second up voted question it comes from Dr. Rainne Sindayan Dr. Rainne Dr. Rainne, are you in the call? We're not seeing him Okay, so I think in the interest of time because we're at the top of the hour Okay, there, there there's Dr. Rainne please go ahead go ahead Hi Good afternoon I'm not a doctor I'm a researcher by profession My main question would really be how do we assess our pace of vaccination Primarily if we compare it against our neighbors number one and then number two if we can try to yeah if we can try to standardize our comparison for example for our neighbors or those countries in the same economic classification and then I heard earlier our concern about politicizing the vaccine rollout come October so are we able to beat the clock on that? Yeah, that's basically Okay Thank you so much There are metrics about these so that we can have comparisons like the number of doses vaccine doses that have been administered per 100 population so when so you can actually make comparisons instead of just reporting the number of doses that have been administered also a metric the number of the first doses that have been administered and fully vaccinated and so this metrics are what we're supposed to gather but right now we're zero on the fully immunized we've just started and we have over 215,000 we have received the first dose so that means we are in two per 100 population whereas Israel is already over 110 per 100 population and so we're lagging behind not because we're lagging behind we don't have the vaccines and hopefully when they arrive we will be at par with other countries that have deployed the vaccines so there are metrics we can actually compare but the most important one would include of course how many have been fully immunized thank you thank you Eric okay we're going to look at the answers to the poll questions so Raymond take over thank you Dr. Suzie for our first question we have four questions for this one I'll just read off the list and hope our resource versus can just jump in and answer the questions the projected number of individuals in the Philippines will receive the COVID-19 vaccine in 2021 is 10 million 30 million or 50 million okay there have been announcements that we are said to have 100 over 160 million doses and we're setting it to just half so the projected number of individuals at the end of the year is placed at just 30 million or more but of course this is projected it's up to us that really that this really happened thank you the next question reads vaccine coverage is the number of those who got vaccinated over eligible population the number of those vaccinated over total population or the number of vaccinated over those who did not get vaccinated definitely not the number of those who got vaccinated over those who did not get vaccinated when the eligible population is equivalent to the total population then they are similar right now children younger than 18 are not considered as eligible population but in the future because there are clinical trials that will already include them so there will be universal vaccination for every age group then we prefer the number of those who got vaccination over the total population that's why the metric is the number of those administered per 100 population thank you director eri second to the last question how soon do you get antibody response after the second dose Anna can have that I'm sorry Anna I was reading the question question number five Dr. Anna reads how soon do you get the antibody response after the second dose is it seven days 14 days for 21 days actually depends on the studies most of them started counting cases 14 to 21 days after the second dose so that's the assumed range of protection 14 days to it thank you Dr. Anna and perhaps also take the last question it reads how long are you protected from COVID-19 after vaccination is it six months one year three years or not known the answer there is not known the data that we're looking at right now with respect to efficacy only talks about protection for moderate to severe disease there's no data to tell us to inform us about duration of protection thank you Dr. Anna okay so let's do the yeah okay go Raymond go with the evaluation okay I think so we'll go straight to the evaluation in the interest of time I'll just read the questions here this for our first timers this how we do it at the end of each panel discussion number one is the panelist demonstrated thorough knowledge of the topic it's a life skill number two the panelist world prepared and organized number three the panelist spoke clearly and audibly number four the panelist used appropriate language with technical medical jargons like I adequately explained and lastly the panelist contributed to new perspectives and knowledge on managing virus key COVID-19 health issues so please key in your answers but we still have 1600 attendees in this zoom webinar as we move on to the last word or messages from our panelists okay so you have a minute or so to just give a message to our our audience na iinip we'll start we'll start with Ria Ria ikaw po na last few words yeah as I have started before my presentation my focus is on really convincing all the healthcare workers to be vaccinated we should avail of whatever is available because it has undergan studies and secured emergency authorization authority so let's trust and be confident in its use because it offers some degree of protection we are in the food soldier against this war and we cannot afford again to have some healthcare workers succumbed to this infection so again let's I mean keep wearing our mask and face shield because it still offers protection thank you maybe I'd like to go back once again to the question that this webinar poses na na iinip ka na ba and na tutuwa ako na iinip ka mga tao kasi for me tells me that people really want to be vaccinated and it's our job in our role in public health right now to make sure that question that need is going to be answered in the most efficient way possible thank you Eric thank you Susie okay thank you Anna, Ria and everyone else in this webinar this has been said again and again no one will be safe until everyone is safe yam po ang ating slogan at pangalawa po yung ating solidarity this is not the time to have contrary opinions just because you want to be the more talented or the more knowing ang papasalamat ako ke Anna sa kanyang mga interviews na papaliwan ang mga basic knowledge na kailangan malaman ng mga kababaya namin pero ilang Anna meron ilang Eric ilang Susie ilang Dr. Ted lat po tayo sa webinar nanood po kayo ngayon at sa marang nakalipas na maraming bingod dito ko sa staff COVID-19 deaths hindi po ibig sabihin na paratip po tayo sumasade dito nakakatayin informasyon natutuwa po kayo sa amin na kayo ay natututo so balit more than that ang inihingi po namin sa inyo ay ano magagawa ko yung mga sinabini na Dr. Tayag na mga panities kilangan natin mag-isip ng malalim sa pag-a-tindi naman to simping webinar nakasalala ito dito ang ating kinabukasan maraming salamat po Thank you very much Eric Ted Well, for me I know na iinip kayo I think that's the sentiment pero as someone in the with an orchestra seat how the national government is deploying the vaccines I can tell you there are so many people from the Department of Health the DILG, the PNP, the LGUs working night and day literally working night and day to make sure the vaccines get to the people that need them I have some good news for you this morning the Philippine FDA approved the Sputnik 5 for the Gamalaya Russian Vaccine so it seems although we're fighting out for the western vaccines it seems that the other vaccines are coming and as you know even the supply agreement with India has been signed regarding the novel vaccine from the serum institute so that's going to be delivered as soon as they get their EUA I know they have applied in our FDA So palagay ko if you ask me yung magihintay na lang kayo bandang mga April or May my optimistic estimate will be May the public will start to get their jobs and their vaccinations din na matagal yun magholiwik lang tayo tapos kong ting stay at home tapos pagtinawog na kayo pila na kayo sa vaccination center yun lang, waraming salamat thank you very much Ted we've got the Dean of the U.P. College of Medicine Charlotte Chong to give our brief summary and closing remarks Charlotte, go ahead well I my video is not working so I'll just I'll just give the open up with a very good and candid conversation between Ted Herbosa and of course Dr. Susi and it started with some background way back in 2000 we already wanted a vaccine production with a biological product services and we also of course wanted a CDC and even though this did not happen even after 20 years I think this pandemic has taught us that there's really urgency in setting up all these our main speaker Dr. Eric Tayag gave us really a comprehensive and honest kung tinatawad na real talk talagang walang bolahan napag-uusap ng quotes of vaccine sourcing deployment programs that are envisioned by the National Task Forces and vaccine experts what is good about the talk is that he laid out the prioritization the sub-prioritization our performance targets kelan ba natin to ina aspart na magawa so that's very good in that we now have a broader and comprehensive view of how these vaccines are going to be deployed and the other issues that might come and how we compare with other countries Dr. Anna Onglim gave scenarios bakit nga ba nainip bakit ba nainip dahil convinced na na itong vaccines are really going to work o nainip ba dahil sa second dose o nainip ba dahil yung mga ibang doctor ay hindi pa nabakunahan na the senior citizen other sectors of the population so I'd like to thank her for the candid reactions on the presentation of Dr. Tayag and on a positive note she pointed out that civic societies, organizations private organizations even have already made initiatives to access these vaccines and there should be a very clear and honest culture between the public sector and government and the private sector and how we can help each other in order to make this deployment as effective as possible with a very clear transparency for all the different sectors of the population so palagay kong ay napapanahan na para talagang mag-sama-sama at mag-uusap-uusap in a public setting where people can really discuss the issues pala ang sinabi ni Dr. Anna Olim na kaya importantin that these vaccines get deployed as early as possible is because we have a reproduction number that can go up or down and the herd immunity that we're speaking of whether it's 70% or 80% will really depend on the reproduction number that's actually prevalent at the time and we've seen that variants can actually increase transmissibility there are certain variants that can also cost more mortality like the perceived variant we have now the our own variant naling to ties a world map of a virus COVID-19 variants in the world and this is the p3 variant and we are still doing studies on whether this p3 variant will be more prevalent in our population and whether they sign a VAC or whether the AstraZeneca vaccines or even the upcoming vaccines like sputnik will have the same efficacy against the more prevalent variants in our population so we need studies we need to do more research regarding this we have yet to see the the neutralizing antibodies that we're able to produce after one dose, single dose with the different vaccines that are available in our country so these are all challenges for the academy or for the researchers in our country Dr. Ria Bautasar who's the director and medical center who I've never met but I've been impressed because I also have a universal newborn hearing screening program and I know that but the ang general hospital is one of the key implementers of the universal hearing screening law gave us a clear view of the prioritization scheme and how they're able to do this in Bataan vaccination as she said is a race against time and that we need to be mindful that there could be health facility outbreaks that can affect our ability to wage a successful war against COVID-19 so setting up the laboratory the testing facilities the electronic medical record system of interconnecting different facilities is very important so that we're able to accomplish the vaccination acceptance that we really needed and we need all specialties like ideas and regulators to be there top management to be there visibly so that the ambivalency guiding vaccines can actually be managed she also rightly pointed out that if for all of us to receive the vaccines as soon as possible once available to our group according to the prioritization list set up by the Department of Health tina nung ni Suzie ano ba yung mga disruptors I think there my take on this is that probably we will still have the ability to develop our at home saliva test nung time ho ng mga march I already talked to NIA sabi ko this naso friend is not really very acceptable maraming mga variation in the test results makapwede isa saliva test talam and I am very happy that we were able to work with the treatment red gross on this and we are looking now at our IT and validating this and perhaps at home saliva test can help in the T3 the test the trace and treat it at can help the vaccination program initiatives and out of the back solutions that are needed in order to make the rollout as efficient as possible will have to be still analyzed and the distribution among all the healthcare workers I would like to see active in this especially for those who are in the doctors practicing in standalone centers because I think there's a feeling that they have been left out so maybe we should look at that as well because they're also a very potent force of our healthcare workforce. The vaccine centers that have to be set up really well with the help of private sector maybe also and of course having all the other healthcare workers like pharmacies and workers in the LGU to be involved in order to increase their vaccinations per day. Nakikita mo sa Jaryo, lahat mga business organizations are taking their vaccines, Filipino-Chinese chamber of commerce, announcing, coming up with their own master lease and I think that's good and they just have to sabiha po ni Dr. Eric Tayag, just write a letter to Secretary Galvest and we should be able to have that conversation, be able to help. Hard to see technology like JLPagic Spatial Artificial Algorithms that might help. I was a judge in one of the contests in the UP Engineering and the young people po are able to come up with software solutions for this vaccine, I saw that which takes into consideration Jospatial Artificial Intelligence solutions that might be used by our government or even our LGU. We're all in this together. If it's a war, labang po natin lahat ito. So let us stop COVID deaths. Thank you again to Dr. Ihippainted Herbosa to TVUP for this webinar and of course our main speaker Dr. Eric Tayag, our host Dr. Susan Pineda and Dr. Raymond Cermiento, our reactors Dr. Anna Onggib and Dr. Ria Baldasar, the team at TVUP. Na-i-init na po tayong lahat pero I could say that the uncertainty of Jalan Nga Aba, Jalan Nga Aba darating yan. Tignan po ng broader picture. The uncertainty of when will need to encompass a broader plan of how the next normal will be for our country. We should have to produce our own testing capacity. We should have the ability to also produce our own surveillance mechanisms. We have to be able to produce our own vaccines for our vaccine sufficiency and resiliency. At ito po ay Hamon na hindi na tatapos kahit na po tapos na po itong pandemya dahil ito po ay matatapos. So inib na kayo pero darating ko tayo yan. Tatapos po ang pandemya. Tatapos po ang pandemya noon. Lalo po ngayong matatapos po ito. Let's act together. Let's help each other. Let's have a whole of society approach. Patiyo po yung mga bata, isama na po natin yung mga matatalin yung bata sa ating populasyon. Kung po natin sila iwan, isam magpo natin sila sa conversation ito. Maraming maraming salamat po. Thank you very much. That's Charlotte Chong, the Dean of the College of Medicine of the University of the Philippines. Always very inspiring Charlotte. Thank you. Very visionary. All right. So thank you very much to our audience for being with us today. Next week, okay, ganan tapik. The topic is, is my LGU prepared for COVID-19 vaccine rollout. Now we're going to have the UP Resilience Institute talking, giving us an idea of where we're seeing a lot of increase in COVID-19 but we're trying to get two local government heads. We can't say we yet because they haven't said yet yet. But we're planning to have some LGU perspectives and handa na ba LGU nyo. And siguro magandang malaman kung anong pag-ahanda na ginagawa, we also have somebody from the private sector. So over to you, Raymond. So thank you everyone. Thank you for another lively discussion. Thank you also for that inspirational takeaway message from our Dean of the College of Medicine, Dean Charlotte Chong. Daipo na nasabi po ni Dr. Suzy, makita-kita po tayo ulit next week. We also have, eto po confirm na, very, very special person who is a part of the, well, she heads the National Vaccine Operations Center, none other than undersecretary Mirna Kabutay who will be giving the opening remarks for next week. But we really hope that those who have invited from the local government units will be able to attend and give their presentations on how they have been preparing for the LGU vaccination program rollout. In front of you, you see po the answers for the questions for our fun quiz or poll. Tomaraming salamat po sa mga sumagot at makasagot po dito po sa poll na ito. Thank you again for those who are watching. Maaaring yung po itong makanood ulit sa playback sa YouTube channel ng TVUP. Also in Facebook, din po, mapapanood nyo rin po itong episode na ito. So maraming salamat po ulit, makita-kota po tayo ulit next week. Friday, March 26th from 12 to 2 pm. It's a date. Together we can stop COVID deaths. So keep safe, keep healthy and see you online. And I am here, you're not alone. I'll stay with you until the coast is clear. The other spain before my fist. The other lives before my tip. But right behind the mask. I look into myself and ask. Do I have strength to carry on? Oh God, oh Lord, what's this going on? I need you here to keep me strong. I'm here to hold the line. I'll keep my hand until my time. Say his name to realize. It's fine to be afraid. Just hold on to the word he gave. This time we'll come to pass. Because this salvation makes a last. He'll carry you to see the break of day. The other spain before my fist. The other lives before my tip. But right behind the mask. I look into myself and ask. Do I have strength to carry on? Oh God, oh Lord, what's this going on? I need you here to keep me strong. I'm here to hold the line. I'll keep my hand until my time. My fist. The other lives before my tip. But right behind the mask. I look into myself and ask. Do I have strength to carry on? Oh God, oh Lord, what's this going on? I need you here to keep me strong. I'll keep my word. You lose pain before my fist. Pushing on the spite of tears. These things through another day.