to the 52nd episode of the stop COVID-19 webinar series brought to you by the University of the Philippines Assistant. We are glad that you can join us today as we continue on with our journey in our fifth season of our COVID-19 learning sessions. So a few days ago po, shipments of COVID-19 vaccines had arrived in the Philippines with vaccination centers finally reopened in a race against time to get as many jobs into the arms of the priority groups.  Marami na rin po sa atin anakarenig na meron na rin po mga kinecreate na mga mega vaccination sites so hopefully we will get that discussion running po again. Good afternoon. I'm Dr. Raymond Francis Sarmiento from the National Telehealth Center, National Institutes of Health University of the Philippines, Manila. It's my pleasure and honor that every Friday I get to co-host this amazing webinar series with my partner in crime and our adjunct research faculty from the National Telehealth Center, the Special Envoy of the President for Global Health Initiatives, Dr. Susie Pineda Mercado. Dr. Susie. Hi, Raymond. Magandang araw po sa inyong lahat. I'd like to welcome you to this webinar. Binabati ko natin lahat ng mga. Nagkinig from all over the Philippines. We're going to talk about vaccination again. Mokang meron pa rin vaccine hesitancy. Maramin ang nagpapabakuna pero mukang marami pang may agam, may mga katanungan. There are seniors who still don't want to get vaccinated. There are those who are worried because they probably have some kind of an allergy or an illness. There are those who want to wait because they want a certain brand. So we thought today we would talk and we will continue to talk about vaccination. We're going to make our program today a little bit different and Raymond will walk you through later how we're going to do it. But this whole webinar will be dedicated to your questions. So sabi natin frequently asked questions pero yung mga katanungan nyo and maybe yung mga katanungan ng mga naminit nyo ang mga paciente na frequently asked. Palagin nilang tinatanong. Ibig sabihin, hindi palubos na na uunawaan kung ano yung katutuhanan or what we know about the vaccination. But of course, we will be taking in your other questions as well, not just on vaccination. Now for today, there is no question that is too simple or should not be asked. And so we're going to encourage you right now to put in the Q&A box or if you're watching us on Facebook Live or on YouTube to put your questions on the Q&A box and we are going to actually read out your questions. So maganda po yung webinar natin yung unstable us and thank you for joining us today, Raymond. Thank you, Dr. Susie. So for our especially structured webinar format for today, meron po tayong very very short presentation from our main speaker. Followed by a series of questions tapo we will really dive into the questions po kasi we created this part two of our FAQs on COVID-19 just because of the clamor from our avid viewers po, no? And we want to be able to address and tackle as many questions as possible on COVID-19. So for those who are watching us in the YouTube channel po of TVUP live streaming and also other live streaming channels in University of Philippines, TVUP, the stuff po with that's Facebook page. Meraming salamat po. Wag po kayong mayayaw mangingimipong magtanong, maglagay po ng inyong mga katanungan. For those who are joining us, we are now numbering a little over 1,050 attendees in this Zoom webinar. Kaki lagay na lang po sa Q&A. But before that, Dr. Susie will mention a very very special tool that we have been using. Anapansin yung na po yung na, I think it's been a month since we have been using this special tool. Dr. Susie, go ahead. Okay, thanks very much. So for this season, we've been trying to use Mentimeter to also include our viewers on Facebook and YouTube. Sa ito po yung ating ano, yung ating pupuntahan to participate in Mentimeter. So you go to www.menti.com and use the code 98084001.  And sometimes, as I was asking kanina, kung maya nangirapan pumasok sa Zoom, kasi I got some feedback na some people had to re-register. So anyway, those who are with us on Facebook and YouTube, you can go to Mentimeter and later we will have a question. So pwede niya nang pupuntahan ngayon ngayon ngayon, pero wala pan-tanong mamay. Si Raymond pa ang mag-bebegay ng tanong. Okay, Raymond, over to you. Thank you, Dr. Suzy. So please take note po of our code para sa ating Mentimeter. Kasi po, pagpumunta po kayo, just be very, very careful po. Pagpumunta po kayo sa www.menti.com. Without the code hindi po ninyo masusubay ba yan ang ating makatanungan sa ating webinar. So just because we want to be more inclusive and we want to really bring you different tools, different things to increase our engagement with one another, we are using Mentimeter po and the Mentimeter will prompt you for questions that you will want to ask our panel during the Q&A session. That replaces po our usual opinion poll that we always have. We will open it up in a little bit what we just wanted to make sure that you are all prepped. Yung po kasi po yung iba po nakabang po usually sa Zoom webinar po. So pa sa-pa sa questions. But really, we want to keep it light but more to the point also and informative and really fun in that process po. But before we proceed, let me take this opportunity na pasalamatan po ang lapakasipag at napakadedicated po ang hardworking team behind the stop COVID-19 webinar series. Maraming-maraming salamat po. Kung wala po ang bawat isa sa inyo ay wala po tayong webinar series na mapoproduce every week po. Friday from 12 noon to 2 pm. Okay, so before we continue I'll also take this opportunity para isang bagsak na lang po. For those who are still asking kung bakit hindi pa rin po sila nakakatanggap ng certificates po nila, we have already distributed po. TVUP may we have the Thank you so much. We have distributed po the certificates for all eligible recipients for our 51 previous episodes. Right after this episode, we will also be doing that po para po kayo po ay pabigyan ng webinar certificate kung ito. Only those who have spent at least 50% of the webinar duration will be eligible to receive a certificate po along with a copy of the presentations for that particular webinar. So please make sure na wala po ito sa inyong spam folder. If you feel, again po, if you feel that you deserve or should be eligible to receive an e-certificate, maari lang po ang sabihin po sa amin, makimilang po sa stop covid deaths at up.edu.ph. Over to you, Dr. Susie. Okay, Reymond, dami nang questions, okay? But we want more. I can see your questions already coming in both in the chat and the Q&A. So please continue to to put your questions in, Reymond. And I just wanted to say, again, I have feedback that people are getting kicked out of the Zoom. Gala nang dosi lang internet problem pero nawawala sila sa Zoom so maybe we can just check the check the technical part. Anyway, Reymond, this is webinar number 52 and I just wanted to remind everyone that if you missed missed a webinar, you can go to YouTube or Facebook, no, the YouTube channel of TVUP. You will be able to go back to the previous previous webinars and watch them. And like last week's webinar, a lot of people were interested in Mina's presentation. So it's all there now. These are all for you to review. Some of you have mentioned to us that you want to use use them for your classes, PowerPoint presentations. So please go ahead. We are here to provide the latest information coming from the Philippine General Hospital from the University of the Philippines and to help you in whatever way that we can. So please feel free to use the material for teaching and for updating our colleagues, especially Mana sa Malayang Lugarno. I just want to do a shout out to those who are watching us from the University of the Philippines in Mindanao, from Sambuanga, from Basilan, from Baguio, from Surigaw, Negros. So, kamusta po yung lahat. And yeah, anyway, we're going to put your questions in. We're happy to answer them. So go ahead. May one. Ako na ba? Okay. Okay, yung ako ma'am to introduce our opening of Mark's speaker. Sige, I got carried away a little bit. Next site ako. Okay, so we are very honored to have our opening remarks speaker for today. You have heard her before, but she really plays a very important role in vaccination for that country. So she is the lead of the vaccine expert panel and former dean of the UP College of Public Health, Dr. Nina Gloriani. Dr. Nina, how are you? Yes, I'm fine. Looking forward to this Q&A for the two hours. Yeah, so we will try to answer the questions and we are just delighted that you are able to join us today. I'm sure there will be many questions about the vaccines, but please go ahead with your opening remarks. Okay, thank you Suse and a very beautiful day to everyone. The COVID-19 pandemic, more than a year after its official declaration by the World Health Organization, continues to plague us, despite extensive efforts to control it on all fronts. Many things about the virus remain unknown and require the exchange of information across the globe from all possible sources. Now a big contagion of multidisciplinary experts have come together to educate the public about this COVID-19. For the last 12 months or so, we have been sharing information, insights, best practices and research results on the science of the virus and the disease itself. COVID-19 communications receive much attention, especially in promoting the prevention and control measures and in particular, in building vaccine confidence. Now the World Health Organization led the global community in these information campaigns and countries affected quickly followed suit. In our country, the Department of Health, the Philippine Information Agency, the Presidential Communications Operations Office, the DOST, the FDA, of course a lot of institutions from the Academy and actually produced tool kits and communications materials to help everyone deal with this pandemic in more meaningful ways. So all medical and public health specialists including sociologists, communications experts and medical anthropologists got on board. Each group only two willing and two happy to help in knowledge and information dissemination. Now, but amidst the massive information campaign we have done so far, it became difficult and even challenging for some to digest the information overload. With it came a lot of misinformation. This information if you will and many myths had to be debunked. It became more imperative on the part of our line agencies to be more forceful. Well, I hope coming out stronger and more consistent in its messaging and in its advocacy. Now, how many town hall meetings have we actually had? We have press briefings, we have scientific webinars, lay fora, you name it, no? How many of these have been actually organized? Hundreds already reaching thousands of people like this one on UPTV with different audiences and stakeholders such as the healthcare workers, business and economic groups, academe as well as advocacy groups at the community and grassroots level. You name it, we've had it covered. Now, based on current data and scientific evidence, the questions on the why's and where's force of the COVID-19 vaccines were addressed the best way we could. But as the science of COVID-19 continued to evolve, some recommendations had to be modified and guidance documents updated and amended. Some figures and statistics drastically changed from clinical trials. You know, it would be the case of the vaccine evaluation. From statistics from clinical trials to real-world conditions changed. So, some concepts were more difficult to explain and this created some confusion, maybe disappointment, frustration, even distrust in some people. The questions kept coming. A number were answered, but still others lingered or new ones emerged. Rendering many is still confused or na-lilito. Today, we have a very prominent public health figure with us in the person of Dr. Eric Tayan to help address the people's remaining issues and concerns on the COVID-19 vaccination program. We're also joined by two highly esteemed medical experts who will also shed light on your other concerns. Now, to all participants in this UPTV webinar number 52, take the most out of today's specialists and the program, especially prepared for you. So, thank you very much, everyone, and over to you, Susi. Okay, thank you very much. That is Dr. Nina Gloriani who is the head of the vaccination vaccine expert panel. She's the lead of the vaccine expert panel of the country. So, thank you very much, Din Nina and please stay with us as we proceed, and I think Raymond is going to do our 90 meter. Raymond, go ahead. Thank you, Dr. Susi, and thank you also for that very, very quick and really informative and concise opening remarks from our she used to be the dean of the College of Public Health, UP Manila, marami sana po, Mamnina. For those who are joining us na yung lang po nakalagin, no? Please type in www.menti.com at meron din po, may we ask that you put up our infographic para po sa ating 90 meter. So, our audience can see kung ano po ang code that they will be going in lalo na po yung mga bagong pasok pa lang po. Ayun, okay. So, www.menti.com kung tapu kayo sa yung internet browser ita kay po iyan, patanungin po kayo kung ano code so that you could join us in our journey in Mentimeter 9808-4001 yan po ang numero 9808-4001 pata rin na rin po sa ating mga manano na on sa Facebook pages po natin at saka sa YouTube channel ng TV UP please we enjoying everyone to join us may we ask that the Mentimeter Q&A be open po so, our audience can type in their questions for the panel TV UP. Okay, here we go. Thank you of COVID-19 production team. So, okay. So, dito po nakalagay po dito very, very general question ano po ang gusto po ninyong ita nong sa ating mga experto sa ngayong ngayong araw po ang ito. So, may ramin na po tayong mga katanungan at mayroon po dito very, very simplam po siya I want to ask everything so, gusto mo gusto po ko yung nga ganyang mga katanungan but very, very helpful din po as we try to see na there are a multitude po talaga na mga katanungan gaya po nito ano po ang mga worst side effects na mga bakuna po natin ano po ang effect po kapag dubang pas na po ako sa interval na-recommendado para sa second dose ligtas po ba ang COVID-19 bakuna para sa ating mga senior citizens lalo na po yung mga senior tayo over 80 over 90 years old ano po ang maximum number of days between doses so, a lot of your questions po talaga will try to group them if we could do that pero just keep on putting them in this mentimeter po no we really want to be able to get a sense of the questions that you will be asking meron da rin po tayong pin repair na very very short videos po of people na may mga katanungan din po but we will try to well essentially insert those videos alternating with these questions alternating with the questions coming in from our social media pages as we start ahead with our Q&A but before that we will have like I said a very very short presentation from our main discussant who will be introduced by Dr. Susie Dr. Susie okay thank you very much thank you very much Raymond so I think we all continue to have questions things are changing and it's fitting that we have to be someone you know very well who is actually quite articulate and explains to people in ways that they can understand very easily so it's really excellent in communication so we'd like to welcome Dr. Eric Tyatt who is the director for knowledge and information technology systems at the department of health so Eric welcome to the webinar Susie Raymond thank you so much hello everyone thank you for joining this webinar gusto ka na John Eric how three days ako sa piscina dalawang araw work from home and last April 15 I had my AZ first dose and I'm looking forward magkaroon ng kontin ka ba kasi makakarumbakon ng second dose siguro isa yan sa mga tinatanong ngayon na mga kasama natin dito sa ating webinar okay so Eric go ahead with your presentation okay may short presentation lang ako and I'm going to share my screen allow me to share the screen okay I'll wait for the queue not seeing the screen takam mo na para kasi host lang yung ano okay let's see okay are you okay dito na ba ah siya I'll share my screen now okay go ahead okay okay we lost it Eric it was there for a moment ayan relax nang kayo sinususpend ko kayo okay so meanwhile we're going to greet somebody who's watching us from Pakistan dito na ba Pakistan na jet na jet na jet okay um okay sandadina okay so we can see it director kaya please go to presentation view na lang sir sandadina ayan na okay kita na ba yes very clear okay COVID-19 vaccination nalili ito pa rin ako so ako mismo nalili ito kasi sinabi ko niyan nalili ito pa rin ako okay okay tale of the tape sambundong ngayon we have over 157 million cases reported as of May 9 dyan sa World Health Organization at mampas na sa 3.2 million ng namatay sa ating bansa meron tayong over 1.1 million na kaso at halos na bing siya nalibuna ang namatay ang case fatality rate sa ating bansa ay 1.7% kumpara yan sa global average na case fatality rate na 2.0% sa screen ay makikita nyo ang mga bansang nangunguna sa mga bakuna sa pagkat sa ngayong po ay mahigit ng 1.3 billion ang naadminister ng mga vaccine doses sa iba tibang bansa at sa Israel 59% na po ng papilasyon nila ang nabakunahan dito sa ating bansa 2.5 million nabakunahan magasaman dyan yung first dose 2 million at 0.5 million na nakakompleto na ng kanilang second dose gumalabas na na na na sa 2% ang coverage natin kung iko kumpara yan sa boom population ng Pilipinas sa boom mundo naman ay na sa 8.8% na ang nababakunahan Breaking news dito sa screen po ay maharing nakuan nyo mga balitang ito kasa mahalimbawa na makakaruntay nang sarili nating clinical trials sa IRer making para matapos na ang tug-of-war dun sa mga kasaman natin na nagsusulong ito at yung mga kumokontra sa Indonesia naman ay lumabas ang bagong balita na ang Sinovac ay maganda po ang effectos sa mga health workers at dito naman ang Pfizer po ay nag-report na silay masiyamasiya sa pagkat-approvado na po sa 12 to 15 years old ang kanilang bakuna at siyempre ang AstraZeneca ay na pansamantalang pinigil sa atin sa below 60 ay balik na ulit so hindi na kailang mag-alala ang marami po sa inyo na nagsasabi na po paano yung second dose ay ngayong po ay pwede na pulit sa below 60 ang AZ vaccine sa atin bansa at kamakailang po ang Centers for Disease Control ay nagsabi pag-vakunado ay pwede na nang wag gumamit ng mask pero may restrictions pa din yan eto nakita dyo nakasabit na nang yung mask hindi naging ng gamit at siyempre siyorme ay nagsabi po ang bagal-bagal ng pag-vakuna sa atin bansa so nag-irikamo siyorme na liilito pa rin ako ay ilan to sa mga katanungan na parating yung tinatanong at baka kasaman na sa distan yan nang gusto nyo itanong palimbawa sa Sinovac 50% lang ang protection mag-ibigay niya sa AstraZeneca pwede lang sa 60 taon at edad 60 taon at pataas nasagod na natin niya sa Pfizer hindi ro pwede sa regular na refrigerator sa Sinofarm pula pang EUA sa FDA sa Moderna minadaliram pagawa nito sa Gamalaya magkaibang ingredient ng first dose at second dose so Novavax nagukulang sa raw materials para sa kanilang production sa Johnson napinigil sa ibang bansa dahil sa thrombosis with thrombocytopenia syndrome sa varat biotech nabawal sa mga buntis naririto pa rin ako alam mo ito talagang minumonitor namin kasi pagkatamarami nagtatatong kailang nakumabakunan at saan talaga ito ba ay sa place of work ko or place of residence bawal bao hindi ang may allergy o asthma na mababakunahan hindi pwede ang mix and match sa nang papabakuna mariba magkakovid ang mga vacunado kailang magsusut pa rin ng mass ang mga vacunado walang dumarating na supply para sa second dose okay alam nyo sa apang araw-araw po natin at ang tatanong tayo kumisa nalilito na tayo at mahalaga po malaman natin kung bakit una kulang tayo sa informasyon tinataman tayo kung mo na informasyon o baka naman sinasabi ko rin dito hindi landak of information sa COVID masyadong maraning informasyon meron tayo informasyon overload at pangalawa hindi na mahirap po hindi ang tinatak may valuation difficulty po tayo kung baga sa pagkain alimba yung mainang dito sa araw-araw it's a challenge for us to make a choice ito ba ay maganda sa kalusugang ko o hindi ganun din sa COVID-19 yung mga lumalabas na balita lalo na sa social media o kaya sa traditional media tinatanong natin tuto ba to dapat ko bang paniwalaan at marami sa atin na hindi pa nagkakaran ng conclusion dito hindi share nakagad para mauna at siya na ikumakalat po para ang wildfire at sa pagkat meron tayong uncertainty so lahat ay tinitimbang parin natin at yung iban naman tinatanggap na parang yun ang katutohanan kaya po sa araw na ito yung mga tanong nyo po wala hu kaming gagamiting judgment non-judgmental po kami kaya ibigay nyo sa amin ang mga katanungan nyo po at nang gandin ng fair factor at alam nyo may hirap po yung natatakot po tayo sa pagkat yan ay mag-resulta sa maling decision maaring short-sighted ang decision natin o kaya naman ayaw na natin mag-decision isa sa paraan ng Department of Health sa 3-3 na para na sa ganun ay makarating sa mga kababayan natin ang mga dapat nilang malaman ay ang frequently asked questions subali ito ay napapalitan sa pagkat may mga bagong information kaya without sa frequently asked questions yung alam natin ngayon ay baka mamaya ilang minuto lang matapos yung broadcast na ito ay iban na pala buwa tayo ng right information sa tamang sources paano natin malalaman nyo so kailangan po malaman natin kung saan dito sa screen, halimbawa di describe nila yung kasusabi ko lamang thrombosis with thrombocytopenia syndrome bago lang labas so itong ginagamit na term nyo ng Centers for Disease Control nung isanling ko lang ang tawag nila dito ay vaccine-induced immune thrombocytopenic event ninyayong po ay TTS na ang tawag po namin at para po baka tapos na po at tatanggapin ng mga tanon nyo tandaan nyo po pag may narinig kayong information anong ginagawa nyo po ito po ang aming tip stop think check uliti natin yan sabay sabay stop think check maraming salamat po at siyang po ang aking presentation makandang hapong po thank you very much that's director of knowledge management information technology systems at the department of health, Eric Tayag and now as we mentioned earlier we are going to go into a panel right away so hindi katulad datin na meron tayong a series of presentations we are now really going to go into the question so I'd like to introduce our panelists so we have Dr. Anna Onlim who you have met before she is a member of the DOH technical advisory group and professor of deep knowledge of medicine she is a specialist in infection and of course Dr. Ted Herbosa who set up not help was the pioneer behind the stock covid deaths webinar series and a special advisor of the national task force and Dr. Nina Gloriani so we are all going to have our cameras open with Ruman and we are going to answer your questions so I can see a lot of questions in the Q&A I think Raymond has a lot of questions in the mentimeter and what we are going to do now is we are going to first take a couple of questions that TVUP has picked up from people persons on the street and after that we will have some live discussion over to you TVUP with our first question I'm allergic to chicken sa soup but can I get vaccinated? Okay Okay, who would like to answer that? Alam mo paulit-ulit na tanong yan sa pagkata lalalaman nila na pag may allergy ay maaring ito ang contra-indication sa para makatanggap ng vacuna so barit ang contra-indication ng SUSE ay yung mehistorican ng anafilaxis doon sa components ng vacunang hinagami at kaya nga yung mga nabakunahan na po at nang karong kayo ng allergy ay hindi na po neredipominda yung susunod na doos at ito naman allergy sa seafood pagkain iba pampagkain o gamut ay maaring maging dahilan ng vaccine hesitancy sa marani nating mga kababayan so yung po ay hindi po pilang babawal para kaya mabakunahan so barit kailangan yung ibigay yung information yan itong kaya ibigang kung si Anna baka may gustong idag-dag Maganda po yung tanong na I think siguro maganda rin maintindihan kung kano baka dalas nakikita yung mga severe allergies na yan we're actually told that based on monitoring in certain countries 21 cases per 1.9 million doses first doses so parang napakadalang naman makita and then 71% of these will occur within the 15 minutes after vaccination kaya unang-una madalang na madalang mas madalas pa siguro at mas patas pa ang likelihood na tayong magkaroon ng COVID kaysa magtaroon ng Anapilaxis pang malawa paramihan kung mangyayariman ay mangyayari din the first 15 minutes kaya nga tayong pinaglalagid doon sa vaccination center at babatakayan para kung mangyayariman nakaredi yung pang-on-traft doon sa Anapilaxis Okay, Raymond go ahead Thank you for answering the very first question po no? I will now be making hugot from our Q&A box in our Zoom webinar the most up-voted po kasi is ilong ba to? These are four questions in one I think that's the reason it's most up-voted Let's deal with the first question What will be the effect if there is a lapse in the second dose po? I think kung meron pung kung hongyari humaba po yung interval between the first and the second dose babalik po ba siya sa unang dose might may effect po po ba to kung sa ino ba ang kinuha mo o asasemika or kung ano mam po I'd like to post the question to our to the chair of the vaccine expert panel mam Nina Yes mam Thank you Raymond May window period naman to allow yung tinatawang na lapses or delay in the second dose Actually may mga information from other vaccines before the longer the interval up to a certain extent I'm not sure nung interval the higher the antibody response So we didn't a certain anono puwede naman like you're not talking about a year hindi naman kasi up to five six months actually puwede pa in the case of asasemika na may nung sila talagang data na up to three months and I would gather namas mahaba pa jyan the antibody responses will be even higher si Dr. Anayata may sasabihin I just like to support what mam Nina said yung kasi based on our understanding of the principles of vaccination if we are not able to comply with the schedule there's generally no need to repeat the previous dose so of course ayaw natin so obrang haba yung interval kasi ang impact nung doon sa tao is actually mas mataas yung during the time na hindi nga tapos yung kanyang vaccination at atas nung list niya na puwede pa siyang makawaan pa so instead of na protection na nasa na siya hindi nandijad ay pa rin yung list which is that makumahat na ako naman Susie may dadagdag ko diyan e kailangan alam natin yung pet siya kung kailan yung second dose kayo nang bibigay nang mga vaccination card at bag pa yung malispos sa vacuna center kulitin yung kulitin yung kung kailang kayo babalik kasi kumisang baka nakakalimutan nyan at may rapan po kayo kung yan ay sabi-sabi lang sa inyo na ganitong pet kayo babalik kaya tandaan yung po yan yung U.S. Centers for Disease Control naglabas ng guidelines sa Pfizer na pwede yung madili hanggang 42 days at may extreme din nagtatan o ang papaano ko napaaga yung pababakunaraw hindi tumaganda yan na shorter yung interval although may guideline din dumabas na at the most 4 days earlier ay pwede pero sa amin po ay dapat sakto po yung babalik nyo at ang mga dahilan na baka hindi kayo makakabalik ay una ay sigurado yung yung po na hindi kayo lili pat ng tirahan nyo habang iniintay nyo yung second dose para na sa ganun kung saan kayo nakaregister sigurado yung second dose nyo pangalawa yung iban nang kakasakit kaya na di delay yung second dose pangatlo yung iba walang supply kaya maari maghintay so baku ka yung magalala over Susie ok, thank you thank you Eric we have another person on the street question so TV UP let's bring the question meron po kami na didig na patangko sa telemedicine and home service sa mga private hospitals so antaan ko po paano po kaya makakakoneksa telemedicine and home service meron po ba kami makupunta ang mura or libre ok, i think that question is probably for Eric Eric and for Anna si Anna ang nagbigay ng home care so unang mo na si Anna susundang ko siyan ah, sige anang mo na ok, hindi home service ang tavag mo namin ay home care so ano po yung kanulong ating man on the street marami actually resources na available from the community para magbigay lang tulong sa mga taong nago-op for home care anong yudya ang yung mga barang guy health emergency response teams meron silang basic orientation po nung mga pabantayan at pakaalong magtatransfer ng mga cashenter na nangaylangan ng facility care pangalawa yung mga LGUs meron kanya kanyang line pangatlo may mga CSOs na and government agencies na tumutulong dito sa aspeto na ko bang kitin ko na si TGH-10 Nagabay no, this is actually an offshoot of the need for home care support from healthcare workers and also the office of the vice president I understand has the Bayan Nihan or the Ibayan Nihan portal both are available on Facebook and finally yung mga private medical institutions marami sa kanila meron ng home care packages na pwede i-avail so napakalawak ng range kailangan lang na mapili yung tamang patient category na successful yung kaya mag-undergo ng home care for COVID yun naman sa telemedicine ay pwede yung kaing tumawag sa DOH COVID hotline 1555 uliting ko po 1555 at nakaantabay po yung aming mga volunteers po yun at nung nagumpisak kami dyan susi na isan taon 24-7 katne at kung tumatas yung mga caso ay talagang 24-7 lagari kami para sa mga tele-console at may magandang balita malapit na yung inaabangan nyo na saname feel health home care package yung po ay nilutu na at malapit ng maihain para kayo po ay magtinabang lalo na tinatanon nyo kung merong libre so isang para ang po ito na maarin yung makuha ang home care po na benefit package sa pad ating pamanan over susi okay so it would be good to know susi mo sa usan ang idagdag ang sumang idagdag kasi meron ding COVID referral one COVID referral ang bawat LGU so most LGU's ay merong libre na phone number that people can call and pwede silang marifur sa public so yun yung mga walang bayad dyan ay given by the LGU's okay thank you very much okay Raymond I think we have another person on the street video okay go ahead pwede po ba gamit ng ibermectin bang gamat sa COVID okay so it's okay nanating mayinit ang discussion sa ibermectin at ang malungkot dito yung datin magkakaibigan ay naging magkaaway at ang mga expert ay big lang dumang pagtungkol sa ibermectin kailangan po magimahinawong po lahat at ang ginagawa naman po natin ladyo na yung mga medical societies natin ay nirereview ng regular ang mga ibedensya laban sa ibermectin sa ngayong po ang ibermectin ay hindi po na irerecominda paggamat na nalalaman namin baka patagong na ibibigay po ito pinagbabawal po yan ng FDA sa nai magkasama natin Doktor ay sumunod na muna po at pasasaan bat na baka merong ibedensya na paborting natin yan pero sa ngayong po hindi po nirerecominda ang magandang balita yung FDA na itisan na po yan kaya lang ayas antiparasitic medicine po at hindi po pinapayagan muna na maripurpose po yan over susin may nagdagakod doon aside from that inalaw din ng FDA I think 3 hospitals binigyan ng compassionate use at recently inaprobahan yung pharmaceutical ng anti-nematodic CPR so binigyan ng CPR so bumalik sa forselling and in fact nag-announce yung isang malaking drug drugstore na hinihintay lang nila yung supply now ang problema hindi pa din problematic pa din yung off-label use ang tawag natin yan isang gamot na datin ng registrado at binibenta para sa ibang purpose ay gagamitin mo as off-label so ano yan yan ang jahan yung away at nagkaroon pa ng very political issue dito yun ang isang naging problem natin sa Ivermectin became very political so maraming ay yung tumutulig sa FDA at sa DOH dahil ayaw daw umaksyon dito sa Ivermectin so I think ang problema dito is very passionate yung mga people on both sides so tama yung call for come we need to actually have peace muna peace talks and then be able to look at the data objectively without emotion and passion and then decide kung may value nga ba itong Ivermectin o wala can I just add to this discussion yun nga di ba parang napaka how would you put this it's a very active area of discussion nagkakasuli anang tan dila ang datin magkumparit kumarin dahil lang dito siguro I'd like to react to what was in the chat box nakakalungkod daw kung ano ang abuskaya ng mga mamamayan hindi interestado ang mga people I think actually sobrang interestado napakaraming tao and I think ang hini-hini lang naman natin dito I'd like to go back bakit ba tayo ganun ganun na lang kainteresado sa gamut na ito kasi siyempre nandudo ang siguro ang tako ng fear nandudo ang frustration kasi parang parang dinang parang yung caso wala tayong masyado magkawali pan sabihin naman natin mag-face mask and face shields wala nabang iba pero san ba tayo dapat maglagay ng atlustate san ba tayo dapat magtuwala siyempre ang gusto natin yung may evidencia na ang sinasabi nang naman sa ngayon wala pa doon yung level ng evidencia para sabihin natin napangdamitin natin tunggamut na to o kung damitin natin sabihin natin for example ang pamaitay o pagdinamit natin ng orange juice o kung ano paman yun ay meron talagang sapat na evidencia na nakakatiming siya ang nilini lang naman ngayon pwede bang maghantay lang ng konte kasi nakakatapot din kung gagamitin natin ikong damut o kung alamang intervention ng walang magandang patunay kasi ba arin makasama okay okay I think I don't know dude Nina do you want to say anything about that? ang Nina no okay ang bakunan na lang ako okay kasi I think what's happening is dahil yung iba nanghirapan ko mo ng bakuna nagiging alternative sa kamila yung Ivernectin pero ang sinasabi natin para malino ko ay isa ngayon wala po tayong sapat na evidencia para sabihin na ito po yung mga katulong sa inyo mas mabuti po magbabakunan na kayo tama ba yung aking summary guys yes alam mo Susie kahit siyang sinasabi natin wala pang sapat na evidencia yan ay pinapabulaan na nung mga gusto ng magsulong ng Ivernectin para sa kanila sapat na ang evidencia kaya napati sa evidencia ay nang tatalo-talo kaniro bang evidencia ang marapat magsabi na gagamitin na yung Ivernectin yung iba sinisimtihan na lang kintayin natin yung World Health Organization pero isang group naman itong Frontliners COVID Critical Care ay nagsusulong nyan na talagang dumarami yung kanilang nananadig sa kanila na tamangay nirerecomenda nila kaya nananatiling ma-init na ma-init Susie ang usapin tungkin nyan Over Okay, thank you Okay, so I think we have another question Reymond on our video Go ahead Gano po karami yung mababakunahan yung taon kailan po natin mag-achieve yung heart in unity Okay, siguro saguting ko yung from the vaccine czar ang target natin is 70 million ang gusto natin mabakunahan by November 28 So very specific yung target 70 million may computations nila how 70 million of the adult population 18 above were counted and that's the based on the computations of epidemiology based on the reproductive number yung daw yung kailangan anywhere from 60 to 70 million of the population pero as low as 50 meron tayong containment of the disease transmission containment y once you vaccinate all A1 yung mga healthcare workers yung A2 yung mga elderly at yung A3 yung mga persons with morbidity babagsak po ang ating mortality rate di decrease ang hospitalizations mo So as early as 50 million vaccinis achieve we will achieve a certain level of containment of the mortality rate So which is already a good effect but if we do get the target by end of November it will really be a better Christmas that means majority of the people can meet together like what the CDCS promulgated in the US po din ang magsama-sama yung mga fully vaccinated together So that I think is the target whether we will achieve really herd immunity with that theoretical computation that is for us to see but most countries that have achieved more than 50% of their population are showing very good results in terms of decline in the number of cases Thank you very much then. Susie ang pananaw ko naman dyan Ang real world data po kasi natin ka di na pinakita po halimbawa yung Israel 59% at yung nga po hindi na sila nagmamas para sa kanila na achieve na yung herd immunity ngayong 70% that's a moving target So anong sabi nang 70% sa ating bansa yung 2018 ay nasa 35% So ibig sabihin yung 70 million na adults ang ibig patabilo na yung 70% ng 109 million natin o 70% ng 70 million na 80 and above kasi kung 70% ng 80 na nabab so kailangan nang natin bakunahan 50 million tinataya po na po hindi natin bibilisan at daro na dumarating na yung mga bakuna baka magandang pamaskong handog na marami na po sa ating mga Pilipino na bakunahan ganung karami So balit sa plano po ng ating bansa ay maring tumagal ng tatong taon ito ngay malungkot Susie sa pagkat med disparity hindi lang sa atin kung di sa buong mundo na kung saan may may iiwang mga bansa at sana po dito sa ating bansa ay wala po may iiwang lugar pag tating po sa mga mababakunahan over Susie Okay, thank you very much we have I think one more question from our person on the street so TV UP please give us the question kung nakakovid ko ba ako atas puno yung hospital pwede ko ba ako magsa quarantine ka bahay Okay Okay, who would like to answer this question? Keana o di yan tinoturo nata Anna sa yun yan doktong yan ng home care Oh po, siges let's try to answer the question the important thing first is to select the correct patient hindi kasi lahat ng mga tao magkapwalify for home care dapat mild disease or asymptomatic or for moderate mandapat walang risk factors tulad ng advanced age other underlying illness tapuso, baga, edis, diabetes cancer and so on obesity siyong mga ganun factors can be disposed to worse category of illness so kung ikaw mild asymptomatic or moderate without risk factors pwede siguro ang home care pero dapat inevaluate ka rin ng healthcare professional so mas bagandang meru kang telekwanso partner para yung mga observations na napikita mo sa sarili mo o tinitig na nang yung mga kasama sa bahay ay nai-relay dun sa healthcare professional at natutulungan tayo in decision making Okay, thank you very much Anna Raymond, we have one more question from our person on the street interviews of TBUP let's go to the last question what? That should be the final video kung nakasurbi mo ako sa COVID maka-ovid pa rin ba? Okay, who would like to answer that? Okay, why don't we ask the infectious disease specialty? Merong paring chance no, especially we've now have a few reported cases of a re-infection kasi ang hirap ng definition was it a re-infection or a long COVID yun nang hindi natin paalam so that's part of the uncertainty and there are cases already reported in the literature talagang re-infection siya and then now with the entry of the different variants merong paring possibility because you may be infected with the second variant and then there's also those that are variants that say they have vaccine escape so which means even if you're vaccinated fully vaccinated the newer variants may also offer an infection but that severity probably will be lower I think this is part of all the uncertainty there is merong cases merong cases na nangyayari ang incidence I think is low I think the incidence so maybe Anna will add more to the scientific data on this one yung issue kasi ng re-infection is something that has already been documented in the literature so I agree with the points raised mahirap na actually in determining kung ito ay re-infection or well you can't say relapse actually but pwede ang part pa rin first illness siguro ang point lang is kaya magkarun ka na nang COVID ito yung dahilan kung bakit ka langan mo pa rin magpabaki ang nakilangan mo pa rin magtiat kasi habang tumatagalang panahon na tutunga itong virus kay ko na magbago ng ponte and yung immunity that you built up from your previous illness might not be sufficient to protect you from the next one so the precaution is to be vaccinated and also to continue with your personal protection Susi gusto kumaidagdag noon kasi at sa kakulangan ng bakuna nagkarang tayo ng COVID maghintay pa tayo ng 90 days para magpabakuna ngayong po as soon as you recover pwede na pumagpadista at magpabakuna po so hindi na kailangan maghintay ng 90 days so balit sa mga lugar naghintay ng 90 days bago magpabakuna ang mga nagkaruna ng COVID over Susi Okay, thank you Ted, did you want to add anything to that? No, okay Alright, so I think we're going to switch gears a little bit before we go into the webinar we always meet on a Monday at nagusapos kami kung papahan natin how we're going to do the webinar and last Monday we had UP vice president for public affairs Nanny Elena Perna with us and she had a very interesting question for Dr. Tayag so we're going to ask Nanny to ask that question again VP Nanny to ask that question again because as I look in the chat box a lot of the questions that you're asking are similar to what Nanny was asking Eric so VP Nanny welcome to the webinar and please go ahead with your question and we'll get our panelists to reply to you go ahead Good afternoon can you hear me? Yes, very good and thank you very much for this opportunity my question is I have an acquaintance and there's a little bit of a story to this so I hope you don't mind he's a senior citizen and he wasn't really willing to be vaccinated dun sa yung sa local government because he and his wife were listed for the vaccination in his company in the company that he works for and that company was going to import a western vaccine sabihin ko nga modern na but then when the vaccination in RLG you started naponvind siya kasi he started asking around and then he realized that the best vaccine is the one that is in your arm so he and his wife the short of it is he and his wife went to the LGU and got vaccinated they both got signed back but now he's he's still wondering because he's listed dun sa company nila billang silang dalawang mga asawa for vaccination for that vaccine so can he still do that you know whether he forgoes the second vaccination of Sinovac or takes it but then when the company's vaccination program begins can he still be vaccinated to the government okay thank you VP Nemi to his advantage po congratulations at nambigyan na kayo ng first dose nang Sinovac kayo mga asawa po so kailangan po sundin nyo yung schedule nyo sa second dose ng Sinovac kaya yung tanong nyo ay parang nangginayang kayo dahat sa ang companyapod nyo ay magbibigay lang di bring moderna vaccine unang-unang po kung ang option nyo po ay beg off sa second dose at gusto nyo ang second dose nyo moderna wala po guidelines na pwede ang mix and match pangalawa kung hintayin nyo po yung moderna nilalagayin nyo po sa panganid ninyo lalo na di delay nyo yung second dose nang Sinovac na baka magkaran ng breakthrough infection bago nyo makuha yung second dose sayang naman yung Sinovac na ipigay na sayo at pangatlupo baka po may naririnig kayo dyan sige kung pwede yung Sinovac tapos yung moderna nga gawin yung booster wala po nga nung mga guidelines at wala po basis sa science payasang ngayong po congratulations na turokan na kayo ng first dose ng Sinovac kompleto yung second dose ng Sinovac Over Susie Okay, I think mam Nina wanted to say something Well, number one yung equity nakalista na kayo sa Bela ang Sinovac please take them na yung third pwede naman na ipigay kasi pwede nyo ko lang patalagang ating vaccine but anyway the government is studying kung pwede tayong magmix and match so until then until DOH and together with DOH to come up with recommendations or studies wala po mo nang gawin yung pag eiban ng brand sa ngayon pero na assure ko kayo may rungpong ginagawa may gagawin is study so pero kung sa sama kayo dun o hindi mayang po kasi inclusion but we also have to yung look at the possibility of magkaka-delays ng mga ibang vaccines kaya baka pwedeng mangyari yun yung may ibang platforms pero right now kung ano yung una yung sana po yung pangalawa at kung meron mag-office na nyo nang third pwede nyo na pwede sa iba yun ang aking lane Anyone else want to have a rejoinder to that Anna or Ted? Okay Alright Raymond over to you so we're now going into the Nanny sorry Nanny did you have another question? Well I wanted to clarify na hindi ako yun e kasi ako AstraZeneca ang aking ano but pero but related to that one piece dano ka tagal ba maghihintay ang ano sa AstraZeneca for the second dose? Ayana Nina gusto mo ibigay yung sa God sa AstraZeneca yung kung AstraZeneca di ba may tumating po na ilang million yun 2 million? 2 million doses oh yeah so yung second dose sa guunahe na ibigay because actually have been allocated already dahil na sa expiration June 30 and July 30 so yung second dose ang sinabini yung sa kabutahe na ibigay agad and the rest around 1.5 million ay first dose kasi po may yung yung interval na long 3 months na better ang antibody responses and according to W.H. or they prefer that so yung po bakso second dose kung kayo yung buyon pwede na po na the vaccines have arrived the AstraZeneca vaccines of COVAX has arrived care of the U.S. government ito this is their contribution to COVAX we got 2 million doses on May 8 and dundun ako sa airports yung nalubong ko ito at ito yung merong issue na sinasabi nilang malapit ang expiry the 1.5 million is due to expire in June 30 and 500,000 is due to expire July 31 for the information of everybody on this issue lahat ng vaccine mga 6 months lang on shelf life from the time they come out of the manufacturing plant so minus mga isang one na yan from storage to us yung unang batch ng AstraZeneca of which VP Nanny received it 525,000 doses yun po binigay sa atin bandang early April late March it was expiring May 31 so ang COVAX also look at our capability to deploy these vaccines so hindi who sa atin bibiga yung 1.5 million with that expired it if they did not believe na kaya natin i-deploy yan in the period of time so they had confidence in our country na kaya natin i-ibigay lahat yan at walang masasayang o walang mag-expire so kita nila yung atin they are in our meetings in the National Vaccine Operations Center so the WHO people know that we are able to deliver 67,000 average daily vaccine so that 67,000 that's about 300,000 that's about 430,000 a week so that's about half a million a week now if we have the supplies bibilis pa yan I think it can continue to increase at 3,400 vaccine sites if all of them had supplies and all of them gave 100 vaccines each that's 300,000 a day that's going to be 300,000 a day so in three days ubusyong 1 million kung talagang i-ibigay yan talaga so actually kaya talaga so the doubters talagang doubters lang sila so I think alam mo dead alam mo dead at the National Vaccine Center dead alam mo mahalaga yan sa pag at 2 million yan so may papakita natin na 1 million a month kaya po natin yan magantangan gano ng nangyari para sa akin para hindi nagtagal niyan sa mga refrigerator hindi iniimbak hindi tinatago hindi pinagdadamutan kasi alam niyo pag mahababa expiry baka hindi lalong ma-ibigay yan ay lalong nangayong expiry ay gagamitin mo na kagad yan at ito nga yung gusto namin malaman kaya ba natin yung 1 million per month o kaya yung sinasabi ni Ted na 1 million tatong aro lang yan so challenge po ito sa ating dahat so din deliver na po yan gamitin natin kagad over ok thank you very much for your question Nanny and for your answers Ted and Eric this is a related question here from our friend Dr. Mario Castine who said he was vaccinated with AstraZeneca eight weeks ago what is my level of protection at this point does it matter if I get my second job at 10 weeks or at 12 weeks may I answer that Dr. Mario yes ang AstraZeneca they have data on the first dose mayjo may actually mataas 70% about but in a scotland study 88% ang vaccine efficacy after the first dose so it really and four weeks apart lang yun ang study doon sa USA four weeks din lang apart we're looking at yung mas longer interval here but look at those other data maganda ang kanyang performance after the first dose but of course you want full protection so you have to get the second dose ok thank you very much ok Raymond over to you we're now going to pick up your questions from the chat box and from Mentimeter and I can see some very interesting questions here but go ahead Raymond ok so thank you Dr. Sucino before we ask the continuation of questions just to give our panelists a breather I'd like to take this opportunity to greet our attendees all the way from James L. Gordon Memorial Hospital along the city from the Capistate University Potendvedra campus in Capist Western Visayas Visayas State University by by city in Leite from drug abuse treatment and rehabilitation center in Malay-Balay and that's in northern Mindanao and Dr. Arturo Pingoy medical center Coronadals of Sargent Internationally we also have viewers from Ho Chi Minh, Vietnam, Bangkok, Thailand Nongpen, Cambodia Malaysia, Bandar Seribigawan Brunei, North Delhi in India, Islamabad, Pakistan Riyad, Saudi Arabia, Dubai United Arab Emirates Port Denone Kaila Kalte and Niagara Falls in Ontario, Canada So sa ating mga kapatid na na sa India lala ko sa Middle East po Keep safe po and we hope and we're praying for your welfare and safety po Just to continue on the question here that we're seeing and also I just saw there is an infographic from DOH but I'd like to hear it from our experts Ang swab test po ba ay pinakailangan bago magpabakuna or after magpabakuna kailangan po ba magpates parang around those times po Dr. Anna The answer to that is no hindi kailangan ang dahilan kasi mo is eto naman mga bakunang ginagamit natin na yun they're all inactivated so hindi buhay na microbio and in fact karamihan sa kami na ipirapiras na naman ng microbio So sabihin na lang natin po na no time na magpaturup tayo we actually were incubating the illness so nagsisimula na tayo magkasakit o kaya na expose tayo at maaring pagkintapalang sa sakit or talagang asymptomatic na tayo kung tinurukan tayo hindi naman nalala yung sakit natin dahil nagpabakuna tayo so therefore yung objective natin to do the swabbing wala siyang pukuntahan now matapos naman magpabakuna dahil yung itiluruk nga naman sa atin ay hindi buhay wala rin silbe na magpaswab tayo magpoconverting ating test to a positive dahil nagpabakuna tayo no so you don't need to be swab to be vaccinated but kung positive tayo hindi naman magpapapakuna kasi ayaw naman natin malito kung yung couple of days from now may mga sintomas ka maghiging source ng confusion nyan nanggaling ba sa bakuna o talagang magkakaroon na ako ng sakit you don't want to add to that problem kung ikaw ay kasaluku yung may sakit ayaw mo naman maghawa nung mga tao sa vaccination center at magpapakuna sa yung kasi dapat ikaw ay nakakaisili ok, thank you very much Anna we have an interesting question here from James he says I have a relative na may diabetes eight years old and umiinom ng mga maintenance drugs and I have anti-vax relatives din na ayaw siyang pabakunaan is it safe ba na bakunahan siya or not sabi ko kasi pwede naman but I want to hear it from you para masin ko sa kanila kanila itong video na ito thank you very much ok, so what is the answer to this eight years old and we've heard a lot of these older people persons, our seniors saying we're too old to get vaccinated and especially if they're taking all kinds of medications in this case lo sartan metformin, amilodipin et cetera so what is our reply to this anyone we cracked that kaya nga second priority yung ating mga senior citizen because we all know that the mortality rate is highest among our senior citizen so after the health workers pre-nioritize natin na mabakunaan sila so ang sagut ko dyan kahit marami na silang gamot at marami na silang imiinom ibig sabihinon mas high risk silang mamatay mag sila ay nadapuan ng covid-19 so ang suggestion ko sa kanila ay magpabakuna sa kanila pinauna ng ating government na mabakunahan all senior citizens to protect them from dying yun ang very important message yun it protects them from dying so magkaka covid sila but most likely mag recover sila at hindi kasing bilis ng course ng mga kaibigan natin isang araw, dalawang araw na didig mo na matay na so suggestion ko sa kanila magpabakuna thank you very much Dan Anna, do you want to say something about that? yes, yes so I'm trying to understand kasi where the question is coming from para we can address it kasi yung sabi nung ating participant may mga anti-vax siyang tamag-ana na ayaw pabakunahan ang kanilang senior relative so ano kaya yung hinatakakot nung kanilang mga tamag-ana ko ito mapapa sa mga kaya yung ating elderly dahil nagpabakuna siya so ang sagut natin tinitimbang natin yung risk and benefit sabi nga ni doctor Ted napakan naki ng chance na kung sinuman na magkaka covid na nasa ganyang age group at maranong comorbidities na siya ay magkakaro ng malalang sakit at maaring mamatay so the risk of covid is significantly higher than the risk of getting any adverse events coming from the immunization so kung ang tanong is baka naman kasi walang visa well sa ngayon kung hindi kadang pabakuna siguro adong walang visa at wala kang protection kung meron kang bakuna kahit pa paano may pakinatang kaya ang pwede ang pagmula ng mga concerns na yun usually yun kasi and I hope on both counts would be able to assure this participant na ang benefit talagang significant more siguro idadag-dagpon na lang on a personal note may dad is actually also in the same situation he's in his 80s he has diabetes he's going through dialysis at two-time cancer survivor may TB pa siya, dami niyang sakit so bra and awan ng jos nakaligta siya from covid last year pero nung dumating yung mga dali-dali ko talaga siyang in-enrolled kasi hindi nga natin sigurado e di ba pwede pa siyang mahawa ulit ang balik na sa dialysis center na paka-high risk yun so he has all of those risk factors of course there's always this concern that we might have some kind of adverse reaction post immunization sa binantayan din namin siya but he did very well and this receiving the vaccinations actually quite provided us with a sense of relief kasi tayo paano alam mo nagdagdagan yung pwede mo itulong dito sa elderly family member mo na nangangailangan talaga ng protection from the risk of covid so siy kusokong mga makadagdag sa conversation kasi maraming mga young adults ngayon minumonitor po yung nere-report ng DOH ay mas maraming naman palang mild asymptomatic hindi naman pala lahat na o hospital pero itatan ko po sa inyo kayo po ang maaaring magalas yung mabas po ng inyong mga bahay at wala po ang Pilipino na walang kasamang matanda o kaya may co morbid so ilalagi inyo po sila sa panganid sa paglabas-labas nyo at kaya nga inhikaya kayo magpabakuna natin ang araw at dumarating ngayon maraming bakuna na sana may isipan nyo na panagpabakuna kayo ay hindi lang sarili yung protectionan nyo kung depate yung mga makakasaman nyo sa bahay over Susie ok, thank you very much Raymond you might have a question yes, we have a question po and since we want to maximize the presence of Dr. Anna Onglin who will have classes in a few minutes po so my next question po will be from our YouTube viewer Mario Bautista and I will tweak it a little bit maari po bang magpabakuna ang mga may cancer or ang nakarecover na po sa malubuhang sakit kasulokoy ang nagsmimaintinas medication po so the question po is too wrong may has a parent cancer diagnosis and those who have recovered ok, can I start off on that Raymond marami kasing tanong na related to comorbidities I think sa kukinan natin yan lahat basta ang status mo is stable medical condition you may be vaccinated you may receive the vaccine so ano ba ibig sabihin na stable medical condition masasakup na yan lahat halos mga sakit natin mga may hypertension sakit sa kuso sakit sa baga sakit sa atay wherever at kahit yung mga may cancers ang hinahanap lang actually are you sufficiently well to actually perform your activities at daily living na hakapaso ka pa sa kabahong hindi ka naman siguro kasalukuyang na sa hospital at magpapagaling galing sa sakit so kung gano yung status mo may stable pa yung may be vaccinated yung may be vaccinated now yung special groups yung sinasabi nila yung yung compromise like transplant then may taw lang ngayon sa chat box o yung mga underbonging team therapy mas magandang kumuhakayo ng advice from your physicians pero ang concern actually dyan sa mga aspet ko nga nang mababa ang system or immunocompromised si dinakawag maari hindi sila mag-responsive sufficiently sa vaccine pero hindi ibig sabihin na kumapapasa maa sila so may benefit pa rin would just want them to get specific advice from their doctor but generally no harm you may not get full benefit but there will still be benefit nevertheless Okay, thank you very much There are a couple of questions here about pregnancy and breastfeeding so one of the questions is I'm 24 weeks pregnant can I be vaccinated and one of our friends Femm is asking can you be vaccinated if you're breastfeeding Anna, go ahead So yun po tungkol sa breastfeeding and pregnancy again we go back to what is in these vaccines nabah so that we should be concerned so the vaccines containing activated particles and even if they found their way into the growing pitus or they found their way into the breast milk and of course ingested by the infant so that's why the recommendation now is breastfeeding mothers may continue to breastfeed after they are vaccinated and for pregnant women we wait until the first trimester is done and then we also allow them to be vaccinated particularly if they are at high risk like they are healthcare workers or they have homework to do Okay, thank you Raymond, go ahead Okay po, one of the questions came in from the comments po it's about ako po ay nambakunahanan ng flu vaccine dapat pa rin po bakong mag-COVID-19 vaccine who wants to answer it po Very very common question po pero I think it's better to hear it from the experts po Alam mo Raymond it utulip natin yung ibang bakuna, hindi po ibig sabihin COVID-19 vaccine lang po ang bakuna natin lalo na sa mga bata don't miss on your routine immunization nanyo ang may recommendations na yung interval between another vaccine at yung COVID-19 vaccine should be 14 days so balit nagbabago yung recommendation lalo na ito pinag-iisipan nila sa mga bata pwede ng sabayan so balit dito sa ating bansa ay wala patayong very tight recommendation yan kaya ang ginagamit natin Basta 14 days yung interval so either mauna yung flu vaccine o pag atapos ang COVID-19 yung flu timbangin nyo po kung halimbawa you have to make a choice between flu vaccine and COVID-19 unayin nyo na muna po yung COVID-19 vaccine tapos after 14 days ay sunod nyo po yung flu vaccine over okay okay who wants to add to director tides' response po so get going meron po ba mga wala naman po okay sige ma I have a question here but it's most it's related to the priority grouping po and the question is ako po and it's coming from our mentimeter so marami salamat po sa mga niparticipate po sa ating mentimeter PUNA the question is ako po ay isang caregiver kasama po ba ang caregiver sa mga priority groupings kasi hindi po explicit na nakalagay po most of our priority groupings are frontline healthcare workers or healthcare workers in frontline facilities po so any comments po from I think na elevate na ang caregivers sa A4 so there in the next year sinaman na sila together with A4 I think that's the latest they modified because of many questions like that so A4 is coming junya that we will be vaccinating A4 okay so there's a question here if I have been vaccinated will I test positive on RTPCR? no can I answer that? because I get vaccinated and I get tested every week every time I have to meet the virus because yun ang fear na pag nabakunahan ako pagkirang ko ng fit to work na test swab test baka ako mag-positive so explain natin kung explain natin yan go ahead the RTPCR detects the presence of the virus in your nasal firings sa ilong I was vaccinated I finished my second dose in March 28 29 and since that time I've had many PCR tests and all of them were negative so hindi toto o yun na pag nabakcinate ka na pwede kang magpapasitive ka magpapasitive ka kung nahawa ka sa COVID-19 yun yung ano if you were exposed to someone with the virus and then you inhaled the virus pagpin PCR ka magpapasitive walang relasyon yun dun sa vacuna si Anna siguro would like to add to that go ahead Anna so I think for the concept that we have to understand is where this where the vaccine enters what compartment does it enter versus what compartment are we testing using the RTPCR so since the vaccine is injected into the intramuscular area and eventually finds its way into the bloodstream as particles that might induce yun response dun mo siya makikita pero as Dr. Erbosa said yung RTPCR naso farings ang sinasampol natin and yung pinakalining na naso farings kung sa natin na kukuha yung or naglalabi yung virus ang tingiti na natin sating so mahirap yatang lumusot yung papunta doon yung ibinakuna kaya hindi nagpapasitive yan so siya ako naman dun sa kumpan niya pinapasukod kasi nagpapabakuna ka okay so waka magalala na kung sa kaling natatapot siya na RTPCR na pasitive ka the vaccine commodified kung na infect ka talaga at tapat malaman nung kampani mo na isaka sa mga nabakunahan na at yan na po ay makakatulong po para mabawasan yung panganib sa pinapasupan mo over okay thank you very much um we have a question here from Emma if I tested positive and symptomatic but got well when can I get vaccinated is it true that you have immunity for 2 to 6 months Ibi Mamina wants to answer this actually the current recommendation by our infectious disease experts is that you can get vaccinated 2 weeks or longer after you have been assessed to be fully recovered and you have completed all your treatment for COVID whatever that may be commitment treatment for 2 weeks it's lapat-completo so yun yung current ano ng pismil yeah I think the question is around if I got COVID then therefore I have some immunity from the natural infection yes that's that's really something but kanina dapat because you know from natural infection the immunity would wane usually mga 4-5 months ang kay siya magwain I know some people who actually had COVID again after 2 months ay sabihin gumaba na yung immunity so the sooner the sooner that's why we want to give the vaccine at least one shot the soonest 2 weeks at least after 2 weeks after recovery okay Raymond go ahead people so questions I'm just browsing through the mentimeter I'll just amalgamate them the questions are about the concerns regarding yung limited supply po nat kailan po ba darating is there enough for those who have been given the first dose and then moving into a question on mix and match which has already been answered by the panel na wala po ang guidelines in terms of mixing and matching but the question here is the Philippines conducting any studies on mix and on mixing and matching of vaccines din gloriani yes I will answer that actually in the pipeline niyang to lang few days ago actually today as we speak na present na sa the DOHT PCHRD yung proposal so anytime soon that will be announced by DOHT together with DOH thank you mam Nina okay Dr. Susie okay there's a question here ano wala ko yung question okay when is moderna kami June 15 na ta di ba do? yes June June the schedule is June moderna is coming about a million doses siya tayo yung naka schedule sa June okay hindi yung co-vax wala siya sa co-vaxin no no biniliyon purchase okay pero pwede ko bang sabihin mam Susie mag nanilang hantayin yung June kung pwede na sila sa ibang kating na matagal pa ang June by the end of May we will be having 11 million doses of vaccines already we currently have a stockpile of 7.7 million about 2.5 million has been injected into people's arms and I think with the speed now this week if we get another half a million this week tuluy-tuluy yan na dada may yung to 3 million probably vaccinated so wala na tayong takot na wala tayong stockpile no the plan of Secretary Galvez is to have a monthly availability of supply of about 10 million doses monthly so we will achieve the 11 by the end of May and then there's an additional 9 million for delivery in June which will give us another standard so 20 million na yung makapasok by the end of June so tuluy-tuluy na and June July August will be the dagsa no mga vaccines that we have ordered we have to date commitments of over 102 million doses talagang sobra-sobra na sa 70 million na dagusun natin kasi 140 lang ang kailangan mo for the 70 million so sobra-sobra na yung ating na ikumit ay just ang importanti lang dumating sila they should be delivered and they should be deployed to the provinces and be vaccinated sa mga tao okay Susie gusto ko din bagdagyan nyan na sino subay-bayyan natin ng mga kag-anapan sa inja kasi alam naman natin isa siya sa pinakaman laking ban sa nag-export ng mga bakuna so itong kakulangan sa bakuna ay marimekin nalaman sa kag-anapan din sa inja at pangalawa may mga bagong bakunang nalabas na nagkakaran ng problema sa raw materials or raw ingredients okay hindi nami sinasabi na walang darating ng bakuna sa atin subadita kailang maintindihan nyo po na nasecured na nang bansa natin yung kailangan natin bakuna ngayon ang labanan na lang ngayon ay kung yan ay makakarating sa ating bansa at umaasap po kami na pag-dumating po yan ng pinakay-importante ay ma bakunahan na po ang mas maramin Pilipino po over okay there's a question here in the chat from Floreta Pwede bang mabakunahan ang post kidney transplant okay so Anna please um the answer is yes puede as sinasabi nating na compromise that hindi naman live ang vaccines wala naman issue ng oding source of harm pero dahit ito ay pacienting under medical care I would suggest to get specific instructions from their doctor to go ahead at dosage for vaccination okay Raymond over doctor okay doctor Susie as you are trying to scan the questions one of the questions here will be about so it has been mentioned by our panel of experts na wala po kung guidelines in terms of booster vaccines or kung anumang po no but based on mga ugong-ugong at saka sa mga updates po ba gano po ba kato to ang COVID-19 vaccine ay yung yearly vaccine na raw po is there any truth to that assertion or kung anumang ugong-ugong mamnina? Yes, yes I'll answer that Well actually because of the variants we are looking at second generation vaccines yung updated version dibig sabihin ang doon yung unang original strain plus idadag nila yung variants of concern na right now up at na but we do not know if it will be a decision ng mga vaccine companies although yung for instance moderna nag-present sila nung isang araw meron silang ginagawa yung original strain plus yung UK variant and then meron silang ginagawa na original strain plus all the three so multivalent ang tao nila doon and that is being tested right now so panating yan sa kanila siguro of course na the answer po is yes there is some truth to that we will leave the updated version of the vaccines okay thank you go ahead dr Susie okay this is from Maria Cecilia paano ko after first dose nagka COVID po ang vaccine when can he or she take the second job and I think there's another question here is if you got the first dose and you get COVID should you start from one again and take have two shots na hindi na hindi yung sabi natin kanina na you have to recover so two weeks after recovery that's the best time to get your vaccine in second dose na hindi na belawa na lang hindi na yung na uliteng na hindi na yung na okay okay nagdagang ko rin Susie na kung sa kaling lampas na yung recovery mo doon sa schedule mong second dose waka magala na kasi pwede yung sinabing na nina kanina na kahit ilang one na lumampaskar na schedule ng second dose ay pwede naman sa importante na naka recover tapos yung second dose ay tanggapin mo hindi na ulit at hindi po ibang bakuna ibigay kung ano po na umpisahan yung po yung pangalawang bakuna over thank you Raymond go ahead we have a question here in our zoom Q&A box magadanghapon po from Lia Aldeza regarding po sa priority grouping for vaccination bakit hindi po kasama ang medical students dentistry students nursing students at interns po who wants to answer that po can I answer that actually po Dr. Mirna kabutay already issue the memo that interns, clerks and medical students will go on face-to-face rotations can be vaccinated in fact just last week we already had more than 92 who had sputnik vaccination these are first year medical students because they are going back for their face-to-face by June and we want them fully vaccinated by then unsputnik po three weeks apart lang so we're banking on them being fully vaccinated before they go back to their own hall at the U.P. College of Medicine our interns po and clerks matagal na po na bakunahan they're now going to have their second dose of AstraZeneca vaccination by May 31 sa PGH so they will also be fully vaccinated and all our interns will be ready to maybe take the PLE examinations na face-to-face na not like before na online because they would have been fully vaccinated by September when they take the licensure exams okay thank you very much thank you very much would you know po Dean if na if that extends to the non-medical students dentistry, nursing po I think so I think so as long as they go on hospital rotations they should be given the vaccination by their LGUs they have to bring in their student ID a certification from their Dean and of course the memo from Dr. Kabutahi okay thank you thank you very much so that's in the U.P. College of Medicine na bakunahan na doin mga tagay up so kailangan mga bakunahan na yung mga iban na hindi pa na bakunahan na ewan ng directive and department and so there's another question here from honey may I know the length of efficacy of Sinovac would like to confirm if it is just six months after the first job ah I'll answer that go ahead mam kasi yung six months or up to say is maybe seven six months now yung palang yung duration yung length of time that we are monitoring so dun nun palang yung first doses na big guys so that is why we are saying six to seven actually siguro eight months na ng ayun since people have been vaccinated in Sinovac this all these vaccinated people will have to be monitored for at least a year actually ang Sinovac ang kanyang clinical trial ay 18 months ang gan 24 months so yung sabihin yung durability ng immunity ay matitignan pa sa ngayon yun but it does not mean na hanggang six months lang yung they will continue to be monitored and their blood test dead na baka after nine months twelve months may room pa we will know soon okay as long as we are all vaccinated sa hindi lang Sinovac okay thank you mam thank you so we have we have questions po na I think coming in from Imari I can see the last name na question po is related to the earlier one in terms of the need for testing before vaccination I think the question is emanating from this Adam Adam kasi po paano po kayo po ay magpapabakuna tapos hindi niyo po alam na kayo po pala ay covid positive pero wala kayong symptoms parang how based on our data po siguro how likely that is may malganon na po bang nangyari anything that you could share thoughts around that po maybe dr. Ana Raymond kung wala narita si Ana let me answer that writer siguro ang importante po dito ma naman kung may suspect siya po na maaling nahawa po kayo pala mag sa hindi po ay kayo ay nahawa so alam naman natin yung protocol po yan na kailangan mag-quarantine po tayo kung malaking posibilidad na nahawa po tayo at sa 14 days na yung ang babantayan natin kung may symptoms tayo so kung wala matapos yung 14 days punta na sa bakuna center para magpabakuna ngayon kung dude hindi niyo alam kung kayo na expo so ayon yung mag-quarantine so punta hu kayo sa bakuna center magpabakuna ko kayo at kung kayo magkakaroon kailangan po nang karandaman compatible sa COVID-19 napat lat po tayo ay nire-report namin natin po yan katurad namin sa BOH wether or not may nararamdaman kami mayanong kami symptom chakra nire-report namin araw-araw yung aming nararamdaman para nang sa ganon nababantayan na mo-monitor natin yung mga posibli ang side-effect o adverse events ng bakuna kasama po yan nung pagkakaroon po ng COVID-19 infection or disease over okay thank you very much um from Jenny what would happen if an asymptomatic COVID-positive patient would receive the vaccine kasi sabi natin maraming ano asymptomatic what if you're asymptomatic and you get vaccine will anything happen? nero ko bang mga yare na hindi ka aya-aya or mas tumaas bang risk niya for adverse events kung siya pala ay may COVID tapos nabakunahan po any response po po daw alam mo rin mo ang asymptomatic ay kilangan linawin po natin yan so pwede kasing asymptomatic tapos after 3 days nagsoka ng signs and symptoms okay so ibig sabihin yan ko pala ay presymptomatic alam naman natin yung bakuna ay hindi tatalab ka it takes 2 weeks kayo sa first dose at kaya nga sinasabi natin you are protected after the at least 14 days after the 2nd dose or sa Janssen kasi a single dose after 14 days ngayong kung asymptomatic hindi mo alam asymptomatic at kontines kasana ay positive ka ang tandaan mo nabakunahan ka so dahil wala naman nang sasabi na yung wala kang symptoms ay ibig lang magkakarung ka ng symptoms dahil sa nabakunahan ka wala kung ganun so kung sakaliman ang babantayan mo ay yung mga side effects na kailangan mo i-report at kung magkakarung ka na sakit na compatible sa COVID-19 i-report din po yan at siyempre alam naman natin kung ano may mga gagawin po natin pag nagsuspecia na tayo na mga COVID-19 na po yung mga sin Thomas niyo over. Okay, Raymond. Go ahead. Thank you, director Tayag. At tapo, may interesting question from Ma'am Mercedes Randy Cruz magandangapun po kailan po kaya pwede magdonate ng dugo kapan nabakunahan na po sila? Meron po bang guidelines around blood donation post-vaccination? Bina, ikaw ba? Di ko alam yung guidelines sa post for blood donation. Alam ko meron pero di ko alam yung guidelines kasi I was just talking to the Red Cross blood bank and they do take your level of neutralizing antibody and then may parang time period sila. So hematologists will best answer that kung ano yung guidelines meron may guidelines when you can donate blood. Okay, so we don't you know we don't know the answer but we'll find out. Okay, so Laura Bell Reyes, good afternoon. I'm a nurse from ATB.Center in Bacolod. I know that. Hala tumalon. Anyway, the question was can we give the vaccine to patients who are being treated for drug-resistant tuberculosis? Anyone? Ang hirap naman mo at tanong na. Excuse me, na, wala tayong sagot. Oh, pero this is a nurse who is from Bacolod City who's handling these patients and they want to know can they be vaccinated? Maybe Anna, is Anna there? Eric. Anong talong gulis, Jose. They're handling a dots clinic in Bacolod for drug-resistant TB. Can we give the vaccine to the patients who are being treated for drug-resistant TB? Oh naman. Pero titing nan natin kundis siyang pinadiwanag na nga ni Anna na hindi po si Ranan dun sa acute stage. Siya dimbawa yung mudo Ranan dugo. O kaya naman ay nagumpisa pala ng treatment. O kaya may hapo na sa late stages na. So titing nan po natin yung condition ng paciente. Marami sa mga naka TB, ilalo na kung huli na yung kanilang pagkokonsulta, ay na sa late stages na. Pero kung maagap po yan at albawa dalawang bingo kayong olampas na talagang tulit-tuli yung ubunyo mag-suspect siya po na may meron kayong TB magkonsulta na po kayo ulit hindi po dahilan niyang para hindi kayo magpabakuna over Susie. Okay, thank you. Rehman, go ahead. Okay. So the next question po would be from Mr. Edgar Do Malabuyok. His question po is around kasagotin po ba na kumpanya kapag nagkaroon po sorry, kung po ba ng vaccine provider o nong kumpanyo ng create ng bahuna kapag nagkaroon po ng problema sa vaccination katulad po nang nangyari sa deng vaccine. Sakating ko yan. Hindi sa sekundin. Ang tayo ay nagpasan ng batas yung COVID-19 vaccination law that includes indemnity. And the indemnity fund is about half a billion pesos siya tayong inalokit. Pero dadahan siya sa tinatawag natin naifik. Any adverse event death related to or near a vaccination will have to be investigated by the naifik. National adverse events from Immunization Council is a panel of experts on vaccination and they will decide if it is causally related. Kasi merong mga nangkataon lang na matay sa following day totally unrelated sa vacuna. So only those that are causally related will have a qualification for indemnity. Now yung ia-award na indemnity is dependent on the adverse event or the complications. Yung kanilang pa-hospital naman sa gut ng feel health binang sabi ni Sekretari Doke. So kung kailangan ng hospitalization from the adverse event as it is the portion that feel health will pay will be also already included in the in the hospitalization. So ganun pa lang. I think we're still waiting for the IRR. Merong requirement to make the IRR for this indemnification and I think feel health and naifik will be making this implementing rules and regulation for the COVID-19 vaccine indemnity fund. Eric, may dadag-dagak. Susi, unang-unang doon sa tanong sa blood donation unang-unang wala naman nerecommendang deferral time pero importante kung kayo ay mag-donate ng blood may katibayan kayo kung ano yung bakunang binigay kasi sa mga susunod na buwan baka may mga lumabas ng bagong bakuna kaya mangyayari yan may maring in defer may iksin naman mga 14 days bako kayo mag-donate lalo na kung yung bakuna ay live at inweight dad. Otherwise pwede ko kayo mag-donate at kailangan po natin yung duguyan importante. Ngayon yung doon naman Ted sumasang ayo naman na ko sa mga sinabi nya at yung po ay kailangan maintindihan nyo kung bakit po ganun over. Okay, thank you. We have a question here from maybe five years from Marvin Calas. Lumalabas sa isang US based study na kung pag-delay sa administration ng second dose ng Pfizer and AstraZeneca could reduce the mortality rate for up to 20%. Is this true? And should be done in the three things. Maybe this is for money. Yung ang nakita namin for AstraZeneca I'm not familiar with the Pfizer na ano. Yung AstraZeneca ang talagang med data but this was actually done in the UK. Sa ibang clinical trials sites nila hindi nilaginamit yung long interval between doses. It was only in UK so I don't know about Pfizer actually I thought na ayon ng Pfizer na longer interval sya. Pfizer is being given three weeks after three weeks so but I will have to see that mukambago yan. I agree mo. Okay so next question po I got it from the Mentimeter I found it interesting po kasi a lot of our discussion is about ang mga bakunap po ay para sa adults 18 and above meron po tayong minimum so 18 pero meron po ba tayong maximum age na pwedein mabukon na hanggang doon lang po ang pwedein mabakunahan sa mga doon po sa up there age po I will answer wala meron nabigyan 91 di ba may 95 si Queen Elizabeth ba yan sa UK and dami nabigyan more than 90 and dito mismo sa atin ibang mga kilala namin ba sa day? Alam mo Nina tama Nina alam mo tama yan first yun na din ngayong mami ko 87 years old na ngayon ay sabi sa akin na anak di na kung magpapabakuna I'm already 87 years old finally na convince ko nga sinabi ko nga sa kanya na maraming matanda pa sa kanya ang nagpapabakuna so ang restrictions natin ay yung less than 16 sa Pfizer pero na may FD approval na sila sa 12 to 15 ang baka mas bata paro nung iri-recommenda at saka sa 2018 doon sa ibang bakuna over okay I think we are reaching the top of the hour Raymond you might have a last question before we ask our speakers to give their final thoughts okay so for the last question that I would like to ask po and this is coming in from where is that oh there we go ano and it's about side effects po from Maria Cecilia Pulido who is one of our avid viewers po good afternoon ano po ang update or findings regarding blood clot related adverse reactions na may kinalamans AstraZeneca and J&J ano po ba yung mga population demographics at risk para punten okay unang-una yung mga na observahan at na report sa AstraZeneca at saka sa Janssen involves mostly women pero hindi sabihin mga ba'i tamang po may mga kalalaki ang dam kung nagkarun ng blood clots ito ay Siribola Venus thrombosis officiality na tawag po siya ng thrombosis with thrombocytopenia syndrome yung DTS nga po at na maraming bansa sa Europa ang pinigil po nung pag-deploy ng AstraZeneca at na-affecto ang din po yung Janssen so balit ang Centers for Disease Control napansaman talang pinigil yung Janssen ay ngayong po nilift nila po yung pag-post na yan at pinapagamit na udi po yung Janssen ang importante po rito ay monomonitor po natin yan at malaman natin yung mga sintomas na magsuspect siya po tayo kung yung po ay maaring sintomas na nung blad blad associated sa mga vacunang nabangit matatandaan nyo dito sa ating bansa yung AstraZeneca ay pinigil muna dahil nga sa concern na po yan so balit mga experts po ay nag-sabi na rin that the benefits outweigh the risk kaya yan po ay pinayagan na rin po mule na sa below 60 ay ibigay na over. Okay, thank you very much Eric. Okay, so I think time went by really quickly we had more than 100 questions on our Q&A I'm sure in Mentimeter Raymond had a lot but there is a common question that I think I would like to ask our panelists to address in their closing remarks. Okay, so in your closing remarks what is your advice? So we're talking to our frontliners right now watching from different district hospitals, big hospitals, small ones, private practice here and abroad. How do you advise a person who is still hesitant to be vaccinated? So let's start with Ted, come on. Well, before I answer that I just got a reminder that May 12 was International Nurses Day. So I'd like to shout out to all our nurses, love, love, love to all the nurses that help us fight COVID here in the Philippines and everywhere else all the Filipino nurses in the different parts of the world they're probably the ones tuning in to disturb COVID deaths every week so love, love, love sa inyong lahat do, do keep safe. Hala, nakalimuta ko yung question. Oh, takalaman. Good bye na to, good bye. These are your party words. How do I convince someone? I think it's very important that ang sabi to ni Eric sa akin ay nung undersecretari ako there are two important inventions in public health, sabi ni sa akin. One is safe, potable drinking water and the other one was vaccination. So to me, two important things talagang it will save lives. So kung yun lang, ang importantin yung gagawin talagang magpabakuna na kayo especially those that can be vaccinated because when you get vaccinated you are also protecting the people who can't and who are not allowed to be vaccinated. So yun lang. Ano yan, ingat, angat, bakuna lahat. Thank you. Thank you very much. Okay, thank you very much. Anna. I think we dropped. Anna, we lost Anna for a while but I can see she's back. Anna, are you there? Parang hamyut yan ta si Anna. Okay. Okay. So let's go to Eric. Okay. Alam niyo, may hirap ka convincein po talagang yung mga may iniisip kung bakit nagdadalo ang isip po sila ngayon kasi yun na merong wait and see. Number two, it's a decision na talaga na hindi ako magbabakuna no matter what happens kahit na ano ang binibigay na mensahin ng goberno o concealman expert. No, no, no hindi ako magbabakuna. So malita, kami po ay nagpapalala po sa inyo sa mga taong nabakunahan, masprotektado po sila kung pala doon sa mga hindi po magbabakuna. Tandaan nyo po ang ating pamanan hindi gumagawa ng paraan. Gabi at araw na po yan na yung bakuna masikur po natin yan. Ang hirap po mila doon sa COVAX at mak convincein na magpadarasati ng mga bakuna. Sayang naman kung nandito na yung bakuna ay hindi magagamit dahilang sa hindi kayo nakakawa ng tamang information, kayo ay naapektuhan sa nakikita nyo sa social media kayo ay nagatubili sa pagkata hindi nasagot yung mga tanong nyo halimbawa dito sa ating webinar. Yung po ay normal po. Kung kayo po ay nag-hesitancy normal po yan, hindi naman po namin aalisi na kayo magkakaran ng ganung hesitancy. So balit hindi naman pwede po na parating nag-hesitate kayo sa pagkatandaan nyo. Hindi lamang to para sa inyo. Ito ay para sa manyo sa buhay. Ito ay para sa ating bansa. Ito ay para sa ating mundo. Marami salamat, Susie. Thank you very much, Eric. Anna is back. So Anna, your party words and how do you advise those who are still not convinced? Siguro yung isang isi share po lang is coming from personal experience. I mentioned that well, my dad got sick and very recently we had two elderly family members who passed away three days from each other because of COVID. Isan taon yan hindi lumabas ng pahay. And basically the illness was introduced into their household because the caregivers continued to have to go out and run errands and do the household activities. Ang isang kaya, ang isa siguro ang gusto kung hindi yung bukod danging nakakalungko talag atong sakit na to. Alam mo sanay na sanay tayo bilang Pilipino na paggami na kakasakit, pinadamayan natin ang babantaita sa hospital. Hindi pwede ng walang kasama sa hospital. Marami pang isang parang day pang ang daladala. Pero itong disease na ito it's so isolating. We're not saying naman natilahat ng kao na makakaroon ang COVID ay masamaang kalala basan. Pero maraming ganyo. And in this era where there's already this extra layer of protection that's going to be made available to us. Hindi kaya hindi ba nakakalungko na hindi natin sa mantal lahin yung pagkakataong ito para maiwasan na natin yung pagkalap ng sakir and more important yung magkaroon ang sakit yung ating mga mahalos sa pohay na hindi nang nating madamayan kung nangyari mo. So I think if nothing else, maybe that particular mindset will help you think twice or twice about your hesitation. Because really the impact of this disease on a personal level is also very significant in as much as the impact is very significant on a community or a global level. In lang po. Thank you very much. Anna, okay ma'm Nina Yes, actually we're not talking about ourselves anymore. We're in a pandemic. So lahat affected, yung sinasabi natin na kualipikado should get the vaccine para yung hindi kualipikado yun ang po-protectahan natin indirectly. So if we have 70-80% na qualified, sana sumama nakutayo dun yung pagmamahal sa iba yung thinking of the others yung community spirit, yung posana. Yun lang, public health talaga ito lahat sa pandemic. Okay, thank you very much Dr. Nina Goriani. Alright, so we have a synthesis. This has been a very interesting discussion. We covered so many so many topics and there are more topics out there but I hope we've been able to answer most of your questions nababahala din kami maraming tanong namin sa nindin namin napapag-bigyan yung nakikinig dun sa mga personal questions dila. Raymond, are you flashing a evaluation? Okay. Yes, yes. Just very, very quickly before Dean Chong gives her part synthesis and closing remarks. For those who are in the Zoom webinar, you will be, you are seeing an assessment here about our panelists with regards to their thorough knowledge of the topic, preparedness and organization, speaking clearly and audibly appropriate languages and contributing to perspectives and knowledge on managing various COVID-19 health issues. So for those who are still with us, we are still numbering a little less than 1,500 attendees, please input your answers in this light-hearted scale for the five questions. And without further ado, turning over the floor to Dean Charlotte Chong of the U.P. College of Medicine. Hello. Good afternoon. I'm very pleased to be able to give the synthesis for today's webinar. And I'd like to be able to congratulate all our panelists, our reactors, of course our presenter, Dr. Eric Payag, for again, very, very interesting webinar number 52. I didn't realize na gano na po, na katagal more than a year na and we're now in the 52nd version of this Stop COVID Death webinar. So to recount, yung opening remarks of Dr. Nina Gariani highlighted the fact that COVID-19 still very much with us. This is still affecting a lot of our population and we, she emphasized that our government, our non-government organizations, our professional and academic organizations have already helped each other in coming out with the information that's needed by the public. But there's still a lot of misinformation, disinformation out there and there's still a lot of questions as we can see from this webinar that will need to be answered clearly before we can actually convince those who still have doubts regarding vaccination and still have a lot of questions regarding the disease. We had a very good presentation by Dr. Eric Tayag, although it was short, Dr. Tayag is the director of the Knowledge Management and Health Information Systems and our Epidemiology expert in DOH, really highlighted also the confusion of our public, ang mga nakakalito tungkol sa COVID-19 but he did give us the facts, 3.2 million deaths na po worldwide, 1.7% po ang naman matay dito ang bansa versus 2% fatality rate worldwide. 1.3 billion doses na po ng vaccination worldwide ang na-idigay at sa Israel po ay naka naka-accomplish na po sila ng herd immunity with about 59% of the population vaccinated. Dito po ay naka 500,000 na po tayo or half a million. That's about 2%. At sa bong mundo po ay 8.8% na po ng population of the whole world ang na-vaccinate. So binigyan rinhuti na tayo na mga breaking news tungkol doon sa trial ng Ivermectin. Inaaral na po ngayon yan. Medin po tayo Ivermectin trial even I think in PGH. Sinaberin po nyan na may mga breaking news about Sinovac. Yung sinasabiin 50% na mababang effectiveness healthcare workers ay mataas na po more than 80% na po in the real world. At nakita rin po natin ang mga binigyan ng Pfizer vaccination ay bumabana sa idad 12 years old. Although dito po sa atin wala po tayo nyan ay 18 years old na mabab pa rin. Sinabi po nyan sa atin yung bagong condition, yung TTS yung sinasabiin sinasabiin thrombocytopenia with thrombosis with thrombocytopenia syndrome na kapagpahinto ng mga vaccination programs even in Europe at sa ibang bansa. Ngayon po ay pinapayagan na. So na tapos na po ang issue regarding this TTS. Sinabi nyan po sa atin na siguro marami ang agam-agam dung po sa impact ng allergen asthma or yung mga mix and match questions natin dung po sa iba't ibang brands ng vacuna na pwede nating gamitin. At sinabi rin po nyan na sa ngayon ay ang probleman kumisa na like information overload dahil na po hindi natin alam kung saan tayo kukuhon ng information kung saan saan tayo kumukuhat tapos nisheragad hindi pa natin bire verify. Diluruan po tayo ni Dr. Tayag kung paano natin may verify at masisigurado na ang information na hinitina natin ay isang reliable source. So importante po yan because yung po mga information ng mali ay makapag-ibegay sa atin ng maling decision kaya kumisa na ay napakahirap mag-decision dahil nakakalito po mga information na nakukuhan natin sa ibang-ibang source. Resbakuna po at DOH ay binigay nga tayo ng poster kanina sure ay isay ang source of the information pero sinabi nining nga po nyan na nag-iiba-ibang information sa DOH. So kailangan po ay lagi natin ko bini-bisita na itmaya upang malaman kung may bago na hubang guidelines. So during the question and answer which is actually very interesting nakita po natin ang ating mga ibad ibang families na sumagot ho sa mga katunuhan ng yun nyo. For example ano ba talaga ang counter-indication sa vaccination na sagot po yan na yun lang po talagang may allergies sa mga datang vaccines ang hindi pwede at ito po ay pwede yases na isang doctor. Mga allergy po sa seafood, sa medicine, sa ibang-ibang pagkain hindi po yan counter-indicated sinabi po ni Dr. Anna. 21 cases lang po sa more than 1.9 million na nabigan ng punang dose ng vaccination ang nagkarunang problema. At ito po, ang 71% ng mga yun ay nakita po sa within the first 15 minutes after the vaccination. Kaya po, pag nabakunahan na doon po na nasa post vaccination, monitoring station po for about 15 to 30 minutes ang ating mga nabakunahan. Sinasabi din po doon yung papano yung naglaps yung second dose maraheo na tatakot na baka hindi mabigyan nang second dose ng Astra. Sinabi po sa ating ni Dr. Ted dumating na po yung mga 2 million at 1.5 million po ng doses ay doon sa mabigyan ng unang bakunan na Astra at half a million po ay pa doon sa nang ilangang punang nang second dose of Astra vaccination. Papano naman daho ko lumalam pas doon sa sinasabi 12 weeks o kaya mga 3 months? Sinabi po ni Dr. Nina na iyan naman ay may allowance up to 5 to 6 months na pwede ka magpasecondo so hindi kaya napat nabahala. Nabaka kaya naglaps 2-3 hindi na magiging effective o yung second dose. Sinabi po ni Dr. Anna sa ating yung home care services resources even in the communities na pwede nating puntahan. Kasama na po yung office of vice president by any hand portal patient yung po mga 1-5-5-5 sa DOH 1-5-5-5-5 DOH at na doon po yung mga 24-7 resources na pwede yung puntahan at yung sa PGA is po yung PGA is telegabay sinasabi hindi doktor tayo pinag-aaralan na po kung pa paano mababayaran na feel health ang mga teleconsultation services at home care packages para damang kudo sa nangaylangan ng ganyang classing financial support. Yung issue po ng Ivermictin ay isang napaka sensitivong issue pa din ang ganyan pero ginagawa na po mga pagaaral yan so siguro po na hong maliliwanagan po tayo although nabigyan ng pakakataon ng permiso ng FBA ang loy pharmaceutical nagumawa po ng Ivermictin at may tatlong hospital nabigyan ng permiso ng FBA na makapag-reset ng Ivermictin although ito nga po isang gamut para sa parasites hindi paho nalalaman ng effective for COVID-19. Sinabi po natin ni doktor Teder Bosa na ang target natin mga specialis sa gobyerno November 28 para magawa po yung 60 to 70 miliyon natin target for vaccination for our herd immunity. Although may mga nagsasabi na baka dalawa hanggang tatong tayong patayong magtiti sa COVID-19 ay positivo at very optimistic ng ating gobyerno na may bidigay sa atin itong herd immunity hopefully by the end of the year. Ino unang po dito yung mga may priority mga frontline workers healthcare workers ay ang po mga senior elders at yung may mga comorbids kasi silang po yung mga at-risk at kung magagawa po natin niya ang magpapotection natin po yung mga hindi qualified o kaya yung mga talagang ayung magpabakuna pero kailangan po ay sama-sama tayo at kung qualified ay magpapabakuna tinanong po tayo tungkol sa re-infection mahirap po sa gobyerno minsan ang mga questions sa about re-infection dahil kung minsan yan ay part pan in-infection at maraibyong variants gating sa itwan ibangbansa sa U.K., sa South Africa India na dumating na rin po sa ating bayan pero tinating nanparihun natin kung po kano ang, for example, our own variant kung ano naging naging effecto nito pero masasabi po natin nakahit naka COVID-19 ay kailangan pa rin homo pagpapakuna at ang binibigay po natin ng mga expeto sa ating yung hapon 14 days after your recovery pwede kan magpapapaxinate na tinanong po tayo ni U.P. Vice President Nemiper niya actually ang sinasabi dito ay kung nakapagpapakuna ka na ng unang brand ay kailangan taposin mo yung second dose mo at tsaka mag-isip dahil ang sinasabi na po ay usually mga 2-6 months o mga 6 months ho ay meron kang antibodies or protection given by your vaccine at di pahun natin alam kung kailang kailangan pa another vaccination dahil ang unahim po natin ay mabakunahan ng karamihan sa ating populasyon at sinasabi po dito na yung ngapong mga elderly po ang ating dapat unahin at ako po yung natutuwa tulad ho ni ni Dr. Ana dahil niya yung umaga po ay pinabakunahan ko na po rin po ang akin 92 years old no matter pirmira po ako na 730 dyan sa baranggay hall po para din ala ko po siya para mabakunahan no, una ko ay ayo ko siya mabakunahan pero ngay ho yung malakas siya sabi niya kung magpabakuna so dapat ho lahat ho na mga lolo at lola ay mabakunahan ko natin para rin at siyempre yung ating mga caregiver later on ay mabakunahan na rin ko natin as long as medical condition stable ay walang contra indication to vaccination even those undergoing chemotherapy or immunocompromise can still have their vaccination those who are pregnant women after their first semester can be vaccinated and even the on dialysis or those who have tuberculosis as long as di po complicated ay pwede rin mabakunahan na according to doctor tayag ang sinasabi rin po dito ay walang value yung pakay ko po yung nagpabakunahan hindi po yung necesarily makakalunang swab positive RT-PCR so hindi po nakokos ng positive test po na RT-PCR ang vaccination so ang mga ibang healthcare workers po pati mga medical students have already been given a memo by our department of health na kung sila ay puputa sa hospital for their face-to-face rotations they can also get vaccinated ng indemnity clause po ay sinabi po ay doctor Ted yung po ay aalamin pa with the implementing rules and regulations by NAFIC as with fill health ang kanilapong last words doctor Ted and love love love to our nurses si doctor Eric po ay sinabi na protectado po pag nagpabakuna sayang law po kung hindi mabakunahan inanda dyan na ito yung kailangan for our loved ones para sa ating bansa at para sa mundo and doctor Anna gave us her personal experience na she was may mga na matahosa kanyang mismo mga member na kanyang pamilya ang COVID-19 because of that devastating isolation that our patients with COVID-19 suffer from and of course doctor Nina former dean of CPH sinabi po nya na those who are qualified should all be vaccinated because we need to also protect those who are not qualified. So again I'm very happy to be able to summarize that as the dean of the U.P. College of Medicine meron home more than 500 studies po na ginagawa sa U.P. College of Medicine and more than 500 million worth of funding just for COVID-related researches at the U.P. College of Medicine being done by our faculty members as well as the residents and fellows of PGH at patiho mga studiante ang mga 6% of them are also doing researches on COVID-19 so lahat po tayo ay nasa isang bankalamang marang maraming salamat po sa inyong pagdalo dito sa aming webinar of 52 maraming salamat sa TV U.P. at ang ating host Dr. Susy Pineda and of course Dr. Raymond and director Vice Chancellor former Vice Chancellor Gigi Alfonso and her team at TV U.P. It's been a good day but maraming maraming salamat keep safe everyone. Thank you very much that's Dean Charlotte Dean of the U.P. College of Medicine for a brilliant summary very interesting a very very interesting webinar and I'd like to thank all our panelists for their time and I would like to thank all of you lahat po kayong mga kasama natin ngayon who spent the time to put in the questions important po yung nagtatanong kasi kung di po tayo magtatanong di po tayo matututo So kami po natututo din kami sa mga katanungan nyo at nagingtindihan po namin ang mga situation nyo sa baba maano ng yayari and I hope that this has been next week okay don't miss it babalik po tayo sa virtual grand rounds pa tagala natin di ginagawa ito na pinag-aralan ang ilang mga paciente ng pagusapan po natin ay mga bata na nagkakaroon ng moderate and severe covid kasi ang paniniwala ng marami ang nagkakaroon ng moderate and severe covid ay yung mga may idad merong po tayong ilang caso mga bata na nagkakaroon ng moderate and severe covid at malaman po natin kung papano po silang ginamot sa Philippine General Hospital para lahat po tayo ay matutong kaya importante talaga yung magpapabakuna tayo dahil patipo pangabata ay pwede yung magkaroon ng malobhang uri ng covid-19 So Raymond over to you Marami salamat po for that co-prehensive closing remarks and synthesis from our dear Dean of the College of Medicine Dean Charlotte Chong Marami salamat din po sa mga sumagot ng ating assessment poll na i-flash po sa yung nyo mga screens kani-kani na lang may we also ask TVUP sa mga nakatano po sa anong po mga po pwede makarefer ng mga information na verificado at accurate ano po bang mga resources po ito eto po please visit these websites for more information we have QR codes for each of them coming in from the DOH.gov.ph on the 2019 NCOV site we also have a site po from the UP system on covid-19 updates also the website you will also find the Living City recommendations here from the site of the Philippine Society of Microbiology Infectious Diseases www.pismid.org at napaka really in the news right now ang ating colleagues over from the food and drug administration of the Philippines FD.gov.ph So kung kayo man po ay mga katanungan it really needs some more reliable and accurate information sources kung kayo mga atubiling magpunta sa mga sites po mga ito Next week magbabalik ang ating virtual grand rounds at sana po ay kayo rin po ay aming makasama next Friday that will be May 21 from 12 noon to 2pm it's a date Together we can stop covid deaths So keep safe keep healthy and see you online The enemy remains unseen I'll keep your hand in mind but say a prayer one more time I know you long for home but I am here you're not alone but stay with you until the coast is clear The other's pain before my fears The other's lives before my tears 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 hands until my hands is named 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 You'll carry you to see the break The other's pain before my fears The other's lives before my tears 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 hands I'm on my fears The other's lives before my tears 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 hands until my hands is named 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 You'll carry you to see the break The other's lives before my tears