Health Awareness

It’s #TimeToTalkAboutHPV and chart the path towards a cervical cancer-free Philippines

November 4, 2022

“Let’s stop spreading fake news. We should stop spreading wrong information that cervical cancer immediately means a death sentence – it is not!”

This is the appeal of the panel of doctors and patient advocates who spearheaded the freshly held health talk on cervical cancer titled #TimeToTalkAboutHPV: A health forum on HPV prevention and cancer control. Organized by the Cervical Cancer Prevention Network of the Philippines (CECAP), together with the Asia & Oceania Federation of Obstetrics & Gynecology (AOFOG), the Philippine Obstetrical and Gynecological Society (POGS), and MSD in the Philippines, the media forum aims to serve as a reminder that cervical cancer is preventable with regular screening tests and the HPV vaccination.

Cervical cancer is largely preventable through both vaccination and screening for precursor lesions (pap smear at least every three years and HPV DNA testing for women starting age 30), with appropriate follow-up and treatment. With access to accurate information, preventive services, and routine gynecological care, most cases of the disease can be prevented and successfully treated at an early stage.

In spite of this, cervical cancer ranks as the 2nd most frequent cancer among women in the Philippines and the 2nd most frequent cancer among women between 15 and 44 years of age. Current estimates indicate that every year 7,897 women are diagnosed with cervical cancer, and 4,052 die from the disease.

Cervical cancer develops at the entrance to the uterus from the vagina, and around 99 percent of the cases are linked to HPV or human papillomaviruses. Modes of transmission include sexual contact, skin-to-skin contact, and rarely, through objects exposed to the virus.

It’s a highly-treatable disease if detected at its early stages. The precancerous stage provides ample window for detection and treatment, and it could take as long as 30 years before it reaches malignancy. However, it is one of the most common types of cancer and a common cause of cancer-related deaths worldwide, affecting mostly young, uneducated women from poor countries.

But more recently, COVID-19 has taken a toll on women’s health as studies have shown a gap in missed routine preventative exams and screening visits. “I think the world has been focused on Covid for the past 2 ½ years, and we have overlooked other health concerns,” said Dr. Anna Lisa Ong-Lim, professor and chief of the division of infectious and tropical diseases in pediatrics at the University of the Philippines-Manila College of Medicine. “It is only recently when vulnerabilities to vaccine-preventable diseases are being noticed once again.”

Things you need to know about HPV

One life-altering issue that deserves focus is the huge burden that continues to threaten women and men, including teenagers worldwide, caused by the human papillomavirus (HPV). “HPV is a virus that causes a wide range of diseases,” said MSD executive director of medical affairs for vaccines and infectious disease Dr. Mel Kohn.

“Apart from cervical cancer, the 2nd leading cancer for Filipinas, HPV can give men head and neck cancer, anal cancer for both sexes, and a variety of less common but also devastating kinds of cancers,” he enumerated. Examples are vaginal and vulvar cancers and penile cancer.

“Genital warts, while it doesn’t kill you, can be quite devastating,” said Dr. Kohn. “It is quite common and very difficult to eradicate. Imagine the psychological toll on the patient. Again, prevention is the best approach here.”

HPV is common. It is passed from one person to another during sexual contact. “It’s a quiet epidemic, unlike COVID,” he warned. Unlike the measles that have an obvious expression, “you don’t immediately see it when you meet somebody, but it’s there and has been growing rather insidiously.”

The Philippines has a population of 37.8 million women ages 15 years and older who are at risk of developing cervical cancer. About 2.9% of women in the general population are estimated to harbor cervical HPV-16/18 infection at a given time, and 58.6% of invasive cervical cancers are attributed to HPVs 16 or 18.

Although some of the infections from this commonly occurring virus with more than 100 types usually go away on their own, at least 14 types of HPV have been found to be cancer-causing.

The age indication for HPV vaccines is as young as nine years old for both girls and boys. Teens and young adults through age 26 years who didn’t start or finish the HPV vaccine series also should have HPV vaccination. Women up to age 45 may be eligible for vaccination after discussing it with their provider.

According to Dr. Ong-Lim, they are targeting the young ones because of their increased susceptibility to infections.

“That particular age group demonstrates optimal immune response. Also, only two doses are needed to achieve protection,” she shared.

But more importantly, giving the vaccine at a younger age ensures that they are already protected before they become sexually active. “HPV vaccines work best when given before exposure to the virus. We must try to catch that window when the immune system really responds very well to it,” Dr. Ong-Lim explained.

Manila Declaration: Call to Action Against Cervical Cancer chair and practicing OB-Gynecologist Dr. Jean Anne Toral mentioned that the young and adult fertility study done recently indicates that the average age Filipina women become sexually active is 18.2 years old. “Giving the vaccine at age 9-15 would be beneficial as there is no life event that exactly pinpoints exposure to HPV apart from age of sexual debut,” she said.

There will be seven to eight out of 10 women who will be exposed to HPV at one point in their life, “But not all women will develop cervical cancer,” Dr. Toral assured. The probability of HPV exposure developing into cancer increases if a patient smokes, is exposed to other sexually-transmitted diseases, and has HIV.

School-based HPV vaccination

As part of the government’s effort to protect children and adolescents from vaccine-preventable diseases, the Department of Health, together with partner agencies, has rolled out the School-Based Immunization (SBI) Program.

The SBI Program includes measles, rubella, tetanus, diphtheria (MR-TD), and human papillomavirus (HPV) vaccines that are administered to eligible students in public elementary schools. The inclusion of HPV vaccination in the SBI Program aims to protect young women from cervical cancer later in life, among other diseases associated with HPV.

Under the DOH’s SBI Program, HPV vaccination is given to grade 4 based on DOH’s recommended age group to receive the two doses of the HPV vaccine, six months apart, for protection against cervical cancer.

Prior to administering the vaccine, parents’ consent must first be obtained by school officials. That is why vaccination education campaigns usually highlight the role of parents in fortifying the health shield of their children through timely vaccination against diseases.

Due to the COVID-19 pandemic, the HPV vaccination, which was formerly delivered through the SBI Program, is now being shifted as part of the Community-based Immunization to be able to still deliver HPV vaccination to young girls amidst the pandemic to protect them against cervical cancer and other HPV-related diseases and cancers.

Towards a cervical cancer-free future

The elimination of cervical cancer has been defined as achieving an incidence rate low enough for the disease to be considered controlled as a public-health problem; this threshold has been defined by the WHO as fewer than 4 cases per 100,000 women per year.

To accomplish this, every country must reach and maintain three key targets within the lifetime of today’s young generation. The first is for 90 percent of girls to be fully vaccinated against the human papillomavirus (HPV) by the age of 15. The second is to ensure that 70 percent of women are screened using a high-performance test by the age of 35 and again by age 45. The final target is for 90 percent of women with pre-cancer to receive treatment and for 90 percent of women with invasive cancer to have their condition properly managed.

Achieving this vision and each of the elimination targets will require a whole-of-society and multisectoral approach to ensure health systems prioritize women and girls. Individuals, families, communities, civil society, and government agencies at all levels have a role to play in championing greater awareness, education, and social support.

Carmen Auste, Chief Executive Officer of Cancer Warriors Foundation Inc. said that the Philippines is among the countries that declared commitment together with WHO to finally eradicate cervical cancer in the country by 2040 and by 2030 worldwide. “There is already one type of cancer that we can delete or ‘block’ like social media,” she humored. “To attain that goal, we must augment HPV vaccine uptake and educate the Filipinos on HPV, vaccines, and cancers caused by HPV,” she said.

Auste mentioned the SUCCESS (‘Scale-up Cervical Cancer Elimination with Secondary prevention Strategy’) project as one of the advocacies recently launched in selected barangays. Led by Expertise France and delivered in collaboration with Jhpiego and the Union for International Cancer Control (UICC) in support of WHO, the project aims to deploy innovative solutions to fight cervical cancer in four countries, including the Philippines.

At this critical juncture, we must empower women and rally our neighbors, community leaders, and governments to take action and save thousands of lives. If widespread, high coverage of these interventions can be achieved by 2030 and maintained, research predicts cervical cancer can be eliminated in most countries globally by 2120—avoiding over 63 million deaths of women globally.

Together, let’s commit to women everywhere to end cervical cancer.

This article was originally published on Inquirer.net.

Health Awareness

Mommy Nins Po shares tips to help ensure vaccine safety for your child

August 22, 2022

Everyone needs a little help sometimes, especially mothers. Whether you’re a first-time mom or a mother of six, no one can deny that getting help, tips, and advice about your children’s health, safety, and well-being from your friends and families goes a long way. After all, moms always want the best for their children. Mothers know the importance of car seats, baby gates, and other ways to keep them safe. But did you know that one of the best ways to protect your children is to make sure they have all of their vaccinations?

Mommy Nins Po, a make-up artist turned mom influencer, is an active voice on various social media platforms empowering mothers to make informed choices for their children’s health.

“Aside from posting real motherhood stories and behind the scene moments of being a mom, I also like to share the things I advocate for and feel passionate about,” said Mommy Nins Po, a -pro-vaccination advocate.

“I make it a point only to share information I strongly believe in, and I believe that vaccination saves lives,” she added. Mommy Nins also shared that she makes an effort to be responsible with what she shares on social media because she strongly values its importance in positively influencing others.

“Whenever I have my kids vaccinated, my top priority is always their safety. So I try to research from reliable sources, communicate clearly with our pediatrician, and prepare my kids for the vaccination day,” Mommy Nins enumerated.

Reliable vaccine information

Vaccine information is just a click away from many sources. But, as a mom influencer, Mommy Nins shared that she is mindful of only sharing accurate and reliable information.

“I am not a medical expert, so I go to reliable sources of health information,” Mommy Nins explained. “For example, I go to Call the Shots PH on Facebook. They share reliable and easy-to-digest content about child vaccination. I find it very helpful for busy parents like me.”

Vaccinations help protect children from deadly diseases like polio, tetanus, and diphtheria. They also help keep other children safe by eliminating or significantly decreasing dangerous illnesses that may spread from child to child.

Some of the worst diseases affecting children have been significantly reduced or eliminated, thanks to vaccines. Vaccines help protect children and teens from sixteen diseases like polio, measles, rubella, mumps, chickenpox, meningitis, pneumonia, tetanus, hepatitis A and B, influenza, diarrheal infections, reproductive cancers, and more.

As misinformation proliferates online, Mommy Nins safeguards her social media platforms through fact-checking and research.

“What’s worse than reading false information is sharing it. So my tip to all moms out there is to be very vigilant about what you are reading and check the sources before you share it. Always credit your source,” she warned.

Pediatrician-parent communication

Mommy Nins also emphasized that communication is essential, whether talking to your local community health worker or your child’s pediatrician.

“The parent-pediatrician relationship is not a one-way street. We need to give and take. You need to share your child’s information and medical history with your doctor. As a parent, it is our responsibility to know our child’s overall health, and we need to communicate this clearly to our doctor. In return, our pediatrician can provide the proper care to our children to keep them healthy,” she added.

Mommy Nins Po also highlighted the importance of documenting this communication through the child’s vaccination record book.

“It’s important to have your child’s vaccination record with you. It’s free, and you don’t have to buy it. You get it after you give birth. Aside from keeping a record of your baby’s immunization, there is useful information about your next vaccine schedule,” explained Mommy Nins. “For moms like me who don’t know the schedule, this is a great guide for me to know when the next vaccine schedule is.”

For routine vaccines to be effective, children must complete the required doses according to schedule from the time they are born until they are one year old. They must also meet additional doses during supplementary or catch-up vaccination campaigns announced by the Department of Health.

“I learned about catch-up vaccinations from our pediatrician. What’s good with this is you don’t have to start all over again. For example, if your child has received the first dose and you miss the booster schedule, you just need to catch up. That’s why the vaccination record book is very important because it will help you and your doctor plot the succeeding catch-up vaccines,” she shared.

Preparation is key

Vaccine schedules for young children and adolescents are designed with kids’ young immune systems in mind, helping to protect them from preventable diseases as early and safely as possible. The timing and spacing of immunizations are set to work with a child’s immune system at specific ages and times.

Mommy Nins shared these simple and practical tips whenever her son gets a vaccine.

Bring a bag with your kid’s personal belongings like a change of clothes, face masks, or perhaps their favorite toy.
Don’t forget your vaccination card or child’s record book.
Keep your child calm while en route to the doctor and waiting for the shot.
Bring some small treats or rewards.
Prepare first aid medicines like paracetamol, gel patches, and hot-cold compress.

“At this point, my child already knows that if he gets vaccinated, he did something good and is rewarded for it. So I want to instill in him that although vaccination may hurt a little, it’s good for his health,” said Mommy Nins.

Your child is far more likely to be hurt by a vaccine-preventable disease than by a vaccine. All vaccines undergo rigorous safety testing, including clinical trials, before they are approved for public use. Countries will only register and distribute vaccines that meet rigorous quality and safety standards.

“To all moms out there, don’t be afraid because the benefits of immunization far outweigh its minimal side effects. Let’s trust the medical experts. The vaccines given to our kids underwent years of research. Doctors will not give something harmful to our kids,” she said.

As we continue vaccinating now and vaccinating completely, parents in the future may be able to realize a day wherein vaccine-preventable diseases will no longer be around to harm their children.

Call your pediatrician today and ask about the 2022 Childhood Immunization Schedule to protect your kids from vaccine-preventable diseases! For more information, you may visit https://www.facebook.com/CallTheShotsPH/.

This article was originally published in BusinessMirror.

Health Awareness

Advocates call for ‘Kalayaan ng Kababaihan mula sa Kanser’

August 9, 2022

Filipino women have a long history of fighting for freedom. From the colonial era to contemporary times, they have demonstrated the strength associated with this pursuit. They strive for freedom of speech, freedom of suffrage, and equal rights.

However, as long as diseases like cancer can take hold of their lives, hostage, they are at its mercy, and therefore not completely free. In fact, breast and cervical cancers are among the most common and fatal cancers in women. In 2020 alone, more than 10,000 Filipinas died of breast cancer and more than 4,000 lost their battle with cervical cancer.

That is why, in line with the Independence Day celebration last June, Hope from Within (HFW), a multi-stakeholder cancer advocacy spearheaded by MSD in the Philippines, organized the “Kalayaan ng Kababaihan mula sa Kanser” Women’s Cancers Summit.
The event brought attention to the plight of women afflicted with cancer, empower them, and amplify their voices as they battle the disease head-on.
Hosting the event is Ayn Bernos, a Tiktok content creator and one of the influential voices in women empowerment on social media. Following a breast cancer scare last year, Ayn underwent surgery to remove a lump on her breast. She gave a voice to the concerns, fears, and hopes of Filipina women who sought liberation from these illnesses.

Understanding triple-negative breast cancer
There are many types of breast cancer, one of which is triple-negative breast cancer (TNBC). It is considered aggressive cancer because it grows quickly, is more likely to have spread at the time it’s found, and is more likely to come back after treatment than other types of breast cancer. This cancer tends to be more common in women younger than age 40.
Medical oncologist Dr. Josephine Tolentino discussed the signs and symptoms of TNBC, preventive tips as well as diagnostics tests that will help patients identify TNBC. Dr. Tolentino will also highlight the role of a multidisciplinary team (MDT) in providing holistic treatment and care for patients.
The MDT can include a medical, surgical, and radiation oncologist, a pathologist, a radiologist, a breast surgeon, a psychiatrist, and more depending on the cancer condition.
In multidisciplinary care, instead of benefitting from only one expert’s medical judgment, a team of specialists will convene to discuss the most optimal treatment approach for the patient depending on their prognosis. Based on a study, patients with an organized MDT even saw increased 5-year survival rates.
Patients will also learn about several treatment options available for breast cancer which may include surgery, chemotherapy, radiotherapy, targeted therapy, or a combination of these treatments.
In addition to the medical expert, breast cancer survivors Dr. Gia Sison and Jaymee Joaquin shared their personal stories and give hope to cancer patients, while cancer advocate and celebrity Dianne Medina narrated the journey of her mom who succumbed to breast cancer.
Guest artists including R&B singer/composer Quest, and indie-pop duo Leanne and Naara, provided inspiration through their music.

Committed to eliminating cervical cancer
Cervical cancer is one of the most successfully treatable forms of cancer, as long as it is detected early and managed effectively. Almost all cervical cancer cases (99%) are linked to infection with high-risk human papillomaviruses (HPV), an extremely common virus transmitted through sexual contact.
Although most infections with HPV resolve spontaneously and cause no symptoms, persistent infection can cause cervical cancer in women.
In 2018, the World Health Organization (WHO) developed its global strategy to accelerate the elimination of cervical cancer as a public health problem.
WHO targets: 90% of girls fully vaccinated with the HPV vaccine by the age of 15, 70% of women screened using a high-performance test by the age of 35, and again by the age of 45, and 90% of women with pre-cancer treated and with invasive cancer managed.
Dr. Efren Domingo, Vice President of the Philippine Obstetrical and Gynecological Society, informed attendees of the importance of screening, vaccination, and available treatment options for cervical cancer patients.

Providing healthcare access to Filipinas
Equitable access to quality cancer care has been the dream of cancer patients, survivors, and their families. With the passage of the National Integrated Cancer Control Act (NICCA) in 2019, the government can strengthen cancer control in the country, increase cancer survivorship and reduce the burden on families and cancer patients.
This landmark health legislation was designed to provide cancer patients with quality health care services, increase access to innovative treatment options, and provide their families with financial risk protection, among other cancer-relevant items.
Dr. Clarito Cairo, Program Manager for Cancer of the Department of Health (DOH) will share updates on the current and upcoming programs of the DOH that provide cancer care assistance and support to patients. Joining Cairo in this segment is Dr. Cecilia Llave, technical adviser of SUCCESS Jhpiego who will provide insights from the ground regarding cancer care at the community level.
Cancer patients and care groups continue to advocate for the swift and complete implementation of healthcare laws in the Philippines. HFW is committed to renewing hope and reinforcing the fight for Filipino cancer patients through timely and medical-professional-backed information on navigating the cancer patient journey. Resources can be accessed through the Hope From Within website and Facebook page.

Cancer can affect anyone. Each one has a role to support cancer patients and survivors by signing the petition on the urgent implementation of the NICCA, which provides benefits that are needed for their treatment and recovery while allowing them a better quality of life. Make your signature matter. Sign the petition by visiting https://www.change.org/p/department-of-health-sign-the-petition-to-fully-implement-the-national-integrated-cancer-control-act-nicca-now.

This article was originally published in MANILASTANDARD.NET.

Health Awareness

MSD holds ‘JAB Well Done!’ webinar about pneumococcal vaccination

August 5, 2022

In line with its commitment to educate the general public about the importance of immunization against pneumonia, MSD in the Philippines, together with the Pharmaceutical and Healthcare Association of the Philippines (PHAP) and Philstar.com, organized a webinar on the importance of pneumonia vaccination titled Jab Well Done! Usapang Bakuna Kontra Pulmonya last July 29.

In this webinar, a panel of experts joined forces to bust long-standing myths about pneumonia prevention and immunization.

“We use our lungs every day. We cannot breathe and we cannot exist without our lungs,” says Dr. Rontgene Solante, one of the leading specialists in vaccination and adult infectious diseases in the country. No wonder one of the leading causes of death worldwide primarily impacts our lungs—pneumonia.

Pneumonia is a leading cause of death and hospitalization among the elderly and in people living with long-term chronic diseases. In the Philippines alone, pneumonia was the seventh leading cause of death in 2021.

Pneumonia also tops the list of illnesses that the Philippine Health Insurance Corporation (PhilHealth) processes claims and reimbursements annually, added Solante, who is also the head of the Adult Infectious Diseases and Tropical Medicine Unit of San Lazaro Hospital and a member of the Vaccine Expert Panel of the Department of Health (DOH).

“While pneumonia is among the leading causes of death, it is also a vaccine-preventable disease,” Bryan Posadas, national program manager of the Pharmacy-Based Immunization Program of the Philippine Pharmacists Association (PPhA), shared.

COVID-19 and pneumonia are often referred to as the “deadly duo,” as COVID-19 is now a primary risk factor for pneumococcal pneumonia and invasive pneumococcal disease. As such, pneumococcal vaccination during the COVID-19 pandemic has become more critical than ever.

Vaccination is one of the most vital and cost-effective tools available in health care to help prevent infectious diseases like pneumonia. However, vaccine awareness and availability do not immediately translate to immunization, explained Dr. Kim Patrick Tejano, program manager of the National Immunization Program (NIP) of the DOH.

Addressing pneumonia myths

Myth 1: Pneumonia is just a bad cold

No, pneumonia is not just a bad cold, explained Solante. Colds are an infection of the upper respiratory tract and are usually manageable. Pneumonia, on the other hand, is an infection of the lower respiratory tract that inflames the lungs and air sacs (alveoli).

When inflamed, the air sacs may fill up with fluid or pus, causing symptoms such as cough, fever, chills and trouble breathing. Unlike colds, pneumonia is life-threatening, causing complications such as respiratory failure, sepsis, and lung abscess.

Myth 2: You get pneumonia from dried sweat and overfatigue

No, you cannot get pneumonia from dried sweat and overfatigue, explained Tejano. As explained earlier, pneumonia is a swelling or an inflammation in one or both lungs usually caused by an infection.

Different germs can cause pneumonia, including bacteria, fungi and viruses, including influenza and the COVID-19 virus. The most common cause of bacterial pneumonia is Streptococcus pneumoniae, followed by the bacteria-like organism, Mycoplasma pneumoniae.

Myth 3: Pneumonia only affects the elderly

Pneumonia can affect people of any age, explains Solante. However, pneumonia is more likely to affect and have serious complications for infants and young children, people 50 years old and above, people with weakened immune systems, and adults with other chronic medical conditions.

Regardless of age, one is also more likely to get pneumonia if they have diabetes, asthma, chronic obstructive pulmonary disease (COPD), or heart disease. Smokers and heavy drinkers are also at high risk of getting pneumonia. These vulnerable groups are recommended to get their pneumococcal vaccine.

Myth 4: You only need one pneumonia vaccine in your lifetime

Much like with the COVID-19 vaccine, you need more than one shot of the pneumonia vaccine, explained Posadas. According to the Philippine Society for Microbiology and Infectious Diseases (PSMID), pneumococcal polysaccharide vaccine (PPSV) or pneumococcal conjugate vaccine (PCV) are recommended for the prevention of invasive pneumococcal disease in adults 50 years old and older.

The current PSMID adult immunization guidelines recommend two pneumococcal vaccines, given in a sequential approach. The vaccines are usually given 1 year apart or 8 weeks for those who are immunocompromised.

Myth 5: COVID-19 vaccines can protect me against pneumonia

While the COVID-19 vaccine can help protect one from the severe symptoms of the coronavirus, it does not guarantee protection from pneumonia. Specific vaccines protect against specific kinds of diseases and infections; as such, the COVID-19 vaccine can only protect you from COVID-19, explained Solante.

As stated, COVID-19 is now regarded as a key risk factor for pneumococcal pneumonia and invasive pneumococcal disease. As such, it is recommended that high-risk individuals get their pneumococcal vaccine as soon as possible.

Immunizing pharmacists in action

Despite vaccines being readily available, safe and effective, vaccine hesitancy remains. As such, we need the continued cooperation and collaboration of allied medical and health professionals to ramp up vaccine awareness and immunization, especially among the most vulnerable members of the population.

Pharmacists have been identified by the public as among the most accessible health care professionals as well as a trustworthy source of health information.

During the COVID-19 pandemic, pharmacists helped fast-track COVID-19 vaccination through the ResBakuna sa Botika Program, a joint government and private sector initiative that aims to expand the country’s immunization program.

Through this program, pharmacists embraced their role as adult immunizers to help address the shortage of vaccinators. Adult vaccines, such as pneumococcal vaccines and flu shots, are made available in local pharmacies and drugstore chains nationwide and can now be administered by pharmacists.

The PPhA provides a training and certification program for immunizing pharmacists, where they undergo theoretical learning, skills training and basic life support before they can be certified to administer adult vaccines.

Today, there are around 1,000 trained and certified immunizing pharmacists in local pharmacies and drugstore chains nationwide and there are more in the pipeline, Posadas shared.

“Get correct information from trusted health care professionals, including pharmacists. Trust the experts. Vaccination is another layer of protection,” he said.

“We strongly encourage everyone to get their age-appropriate vaccines to protect themselves and the people around them from vaccine-preventable diseases like pneumonia. All you need to do is visit the nearest health center to know the available vaccines and schedules. Let’s all get vaccinated for a healthier Philippines,” Tejano concluded.

This article has been originally published on Philstar.com.

Health Awareness

PNIC 2021 highlights continuous efforts to build vaccine confidence in the new normal

February 14, 2022

Today’s adolescents are expected to shape the future. But to maximize their potential, the society needs to empower the youth by ensuring that they grow into learned, confident, and healthy adults.

Thirty million young people between the ages of 10-24 account for 28 percent of the Philippine population. Adolescent immunization rates continue to remain low, despite the success of pediatric vaccination programs.

In her talk titled Vaccination for Teens during the 2021 Philippine National Immunization Conference (PNIC 2021), Dr. Cecilia Llave, gynecologic-oncologist and technical adviser of the Scale Up Cervical Cancer Elimination with Secondary Prevention Strategy (SUCCESS) project of JHPIEGO, (a Johns Hopkins University affiliate) said that lack of access to healthcare compounded with risk-taking behaviors and low health literacy make them vulnerable to sexually transmitted infections like human papillomavirus (HPV) and Hepatitis B.

She laments that many teens in developing nations like the Philippines may have missed childhood doses. But unfortunately, it is also at this stage when the efficacy of childhood vaccination wanes. “We should target adolescents even though they look generally healthy,” Dr. Llave said.

She cautions that mothers who may have missed their routine immunization may be susceptible to rubella and measles, which may lead to congenital disabilities such as microcephaly, intellectual disabilities, and eyesight or hearing defects.

Furthermore, “Immunized adolescents will protect the vulnerable by contributing to herd immunity,” which is essential in battling highly contagious diseases like measles and polio.

“We don’t want any outbreaks just like the ongoing pandemic,” she said.

Re-emergence of VPDs amid COVID-19

The current pandemic has underscored the role of vaccines as an important public health strategy. However, Philippine Foundation for Vaccination Inc. (PFV) president Dr. Liza Antoinette Gonzales reminded that while we are dealing with the global scourge that is COVID-19, there are also other vaccine-preventable diseases (VPDs) that may result in further outbreaks if not addressed.

“The pandemic does not wipe out these diseases,” she warns. “We cannot trade one health crisis for another.”

This is reiterated by the World Health Organization representative to the Philippines, Dr. Rabindra Abeyasinghe, one of the keynote speakers during the event. He reported that the country remains a high-risk spot for re-emergence of VPDs, just like the polio and measles comeback in 2018.

He added an urgent need for a rapid scale up of immunization programs to help prevent large-scale outbreaks of VPDs, especially measles, rubella, diphtheria, and potentially, polio, as it is still in circulation globally.

The importance of HPV vaccination

Some parents may balk at the idea of giving HPV vaccines to their pre-teen daughters. But healthcare practitioners can’t emphasize enough the importance of giving the vaccine at an age before the patient is potentially exposed to HPV.

Dr. Llave shares that low-risk HPV types are the culprit behind genital warts, while high-risk HPV may cause six types of cancers, including cervical cancer.

Cervical cancer is the second most common cancer among women in the Philippines, with 7,277 new cases diagnosed and 3,807 deaths annually. Regular screening can help diagnose infection at an early stage, and HPV vaccine can prevent more than 90 percent of cancers caused by HPV.

Promoting vaccine acceptance

In his special message to the conference attendees, Department of Health Secretary Francisco Duque acknowledges that more work is needed to raise vaccine confidence for HPV, polio, and COVID-19.

That is why the PFV, through its annual PNIC, continues to raise awareness on the benefits of a vaccinated population, increase confidence and dispel hesitancy. Now on its 22nd run with the theme “Understanding Vaccination in the Midst of COVID-19 Pandemic,” the event gathers all stakeholders in the vaccine advocacy to exchange ideas, learnings, methods, and experiences on national immunization as the country grapples with the scourge of COVID-19.

Health Awareness

Saab Magalona says YES to Call the Shots

February 14, 2022

“Health should be on top of the list.”

Content creator, podcast host, entrepreneur, and mother, Saab Magalona-Bacarro has officially made the call to protect her children against vaccine-preventable diseases.

Being a mom of two boys – Pancho and Vito, Saab makes sure that health is on top of every list for her family. “It’s the most important thing because if that is overlooked, everything else will just crumble down,” she said.

That’s why for her, saying YES to Call the Shots, is a “no-brainer” to help promote awareness and education on something as life-saving as protecting our children from vaccine-preventable diseases. The Call the Shots PH is an advocacy campaign by MSD Philippines to help protect parents and their children from vaccine-preventable diseases.

“Vaccination is a big factor in preventing illnesses and spreading disease,” she said. “It’s a few minutes of crying in exchange for long-term protection against life-threatening diseases so it’s very much worth it.”

Saab also advised other parents who are still not taking the call. “If you need to do more research, please make sure your readings are science-based!” Saab emphasized as a lot of articles and myths can be easily searched on the internet. It is most important to seek advice from a health professional or from your pediatrician.

She also said that it is important to be proactive in your children’s health. “Do it for your child,” Saab added as she encourages every parent to speak to their doctor about protecting their children from vaccine-preventable diseases.

Being proactive means making the call today. #CallTheShots now and go to the nearest doctor or healthcare provider to talk about the immunization schedule for your child.

For more information, visit the Call the Shots Facebook Page and consult your pediatrician on how to protect your children against vaccine-preventable diseases.

Health Awareness

Mom-of-three pediatrician shares tips in keeping family healthy amid COVID-19

January 25, 2022

Parents nowadays tend to be more careful when it comes to decisions regarding their family’s health, in Tagalog, maselan.

And no one is more maselan than a mom who also happens to be a pediatrician. Dr. Ma. Delta Aguilar is a mother to three kids aged 15, 12, and 10. She is the Vice-Chair for COVID Patient Services and a consultant of the Section of Pediatric Infectious Diseases of the Southern Philippines Medical Center.

Dr. Aguilar reminded parents to consult health experts to quell their worries about their family’s health concerns. She also shared practical tips and advice on ensuring her children’s health and safety during these challenging times.

Vaccination – a vital protection for kids

“I always make it a point to educate the parents about the importance of vaccinations,” said Dr. Aguilar. “I tell them that vaccines are vital to protect their children from severe illnesses, especially those vaccine-preventable diseases.”

According to the World Health Organization, vaccines are the most effective life-saving public health interventions in history. [1]

Fear and hesitancy about vaccinations also start at home, so Dr. Aguilar tells parents to help their children understand how vaccines work.

“My kids remain calm and at ease during their vaccinations because I took time to explain to them what to expect and how this will keep them healthy and strong,” shared Dr. Aguilar. “I’m sure other parents will find a way how to make their vaccination trip a pleasant experience.”

Filipino parents also have the habit of threatening their children with an injection to discipline them. Dr. Aguilar cautioned parents against doing this as it may develop childhood trauma and long-term fear and hesitancy.

“We should not mention, oh, pag hindi ka mabait, dadalhin kita sa doctor para ma-injectionan ka!” quipped Dr. Aguilar.

Dr. Aguilar also encouraged parents to keep records of their child’s immunization history. If local community restrictions have held parents back and have caused them to miss out on their child’s jab schedule, she advised parents to talk to their pediatrician about catching up and picking up from where they left off.

“As a pediatrician, I do not blame the mom for the delay, but I always tell them that we can catch up,” she shared. “I understand that there are a lot of restrictions during the pandemic, and moms have a lot of other things on their minds. So I encourage them to catch up and provide them a timeframe when they can get their child vaccinated.”

Additionally, Dr. Aguilar advised parents should protect themselves and their loved ones from COVID-19 by getting vaccinated themselves.

Staying strong and healthy in quarantine the “pedia mom” way

As the new school year started, children continued to take their classes online at home to reduce the spread of COVID-19. While this is a critical way to practice physical distancing, it can be disruptive to one’s daily routine, especially for children. In addition, if you’re a parent with a child studying at home, keeping them calm and occupied is an added challenge.

Dr. Aguilar admitted that she also struggled to keep her kids physically and mentally active during the strict implementation of the community quarantine. Still, she found creative ways to solve this.

“I play board games with the kids, like monopoly. And whoever loses will do 20 jumping jacks or run around the house a few times. I even bought badminton gear and a bicycle to get them to do some physical activities,” she related.

As a mom and pediatrician, Dr. Aguilar also shared practical and straightforward tips to keep children physically and psychologically healthy during lockdowns.

Ensure a balanced diet. It may not be easy to have kids eat vegetables but make sure to inject them into your daily meals.
Engage in physical activities. Bring the kids to a local park or open area in the community, if allowed. Remember to follow your local health protocols strictly.
Observe proper hygiene. Teach your kids to wash their hands regularly and use face masks and face shields when necessary.
Schedule a time for the kids to connect with relatives and friends, even virtually.
Support their emotional and mental well-being through activities such as prayer and meditation.

The COVID-19 pandemic may have changed the way we do many things, but it hasn’t changed the importance of checking in on your child’s — and your own — overall health and wellness.

Call your pediatrician today and ask about the 2021 Childhood Immunization Schedule to protect your kids from vaccine-preventable diseases! For more information, you may visit https://www.facebook.com/CallTheShotsPH/.