basic contract training against COVID

1. “Basic Contact Tracing and
Health Monitoring Reporting
using TKC”
Quezon City Epidemiology and
Surveillance Unit

2. QUEZON CITY’S DISEASE
SURVEILLANCE & CONTACT
TRACING SYSTEM

3. DATA SOURCE
▪ Hospital Reports
▪ Self-Reported
▪ Barangay Reported
▪ Health Center Reported
▪ DOH (CDRS)
▪ DOH (LINELIST)
**COVID Document
Repository System

4. DATA SOURCE
▪ Hospital Reports
▪ Self-Reported
▪ Barangay Reported
▪ Health Center Reported
▪ DOH (CDRS)
▪ DOH (LINELIST)
DATA MANAGEMENT
TEAM
PUBLIC HEALTH
SURVEILLANCE UNIT
**Data process
and endorsement
**COVID Document
Repository System
**Data encoding

5. Workplace Surveillance
• Monitoring and Contact
Tracing of QC
Workplaces/Companies
CONTACT TRACING
(Health Center)
Health Center
(Field/Phone Contact Tracing)
• Validation of Cases
• Contact Tracing
• Swabbing of Close Contact
• Analysis of situation on the area
• Monitoring of Cases

6. DATA ANALYSIS
- Daily COVID-19
Report
- Analysis of
COVID-19 Data
CONTACT TRACING
(Health Center)
Health Center
(Field/Phone Contact Tracing)
• Validation of Cases
• Contact Tracing
• Swabbing of Close Contact
• Analysis of situation on the area
• Monitoring of Cases
Workplace Surveillance
• Monitoring and Contact Tracing
of QC Workplaces/Companies
DATA
PROCESSING

7. SARS-CORONAVIRUS 2
• Coronaviruses (CoVs) are a large number
of viruses
✓ You need a powerful microscopes to see
them
✓ “Corona” means crown
SARS-CORONAVIRUS 2

8. SARS-CORONAVIRUS 2
• This is the third coronavirus to have done
so since 2002
✓ Severe Acute Respiratory Syndrome
(SARS) CoV emerged in Guangdong, China,
in 2002.
✓ Middle Eastern Respiratory Syndrome
(MERS) CoV emerged in the Middle east in
2012
✓ SARS Cov 2 emerged in Wuhan, China in
2019
SARS-CORONAVIRUS 2

9. SARS-CORONAVIRUS 2
• The virus primarily spreads between
people through close contact and via
aerosols and respiratory droplets that are
exhaled when talking, breathing, or
otherwise exhaling, as well as those
produced from coughs or sneezes.
• The World Health Organization (WHO)
on March 11, 2020, has declared the novel
coronavirus (COVID-19) outbreak a global
pandemic
SARS-CORONAVIRUS 2

10. SARS-CORONAVIRUS 2
• SARS-CoV-2 probably originated in bats.
• They Infect a side range of mammals and
birds
• Special coronaviruses have jumped species
and can be transmitted between people.
• Bats are considered the most likely natural
reservoir of SARS-CoV-2. Differences
between the bat coronavirus and
SARS-CoV-2 suggest that humans may have
been infected via an intermediate host.

11. • Transmission of SARS-CoV-1 and 2 from mammals as
biological carriers to human.

12. • Reorient the School clinic teachers
and safety officers about basics of
Covid-19 and basic contact tracing
• Shift to an electronic information
system for better information
sharing (TKC)
• To Utilize TKC as a self reporting
tool in monitoring health status of
school staff, teachers and
students
OBJECTIVES:

13. CASE
DETECTION
AND CONTACT
TRACING

14. 1. Contact tracing starts with Case detection

15. 1. SUSPECTED CASES
- A suspect case is a person who
meets the clinical and epidemiological
criteria.
TYPES OF PATIENTS

16. ✓ SUSPECTED CASES A suspect case
is a person who meets the clinical
and epidemiological criteria.
TYPES OF PATIENTS
CLINICAL CRITERIA
Acute onset of fever AND
cough OR acute onset of
ANY THREE or MORE of
the ff signs and symptoms
(fever, cough, weakness,
fatigue, headache, myalgia,
sore throat, coryza, dyspnea,
nausea/vomiting, diarrhea,
altered mental status)
EPIDEMILOGICAL CRITERIA
• Residing or working in an area with
high-risk of transmission (closed
settings) OR health settings anytime
within the 14 days prior to symptom
onset
• Travel to area with community
transmission anytime within the 14
days prior to symptom onset
• Patient with severe acute respiratory
illness

17. TYPES OF PATIENTS
2. PROBABLE CASES
A probable case meets the following
definitions:
✓ A patient who meets the clinical
criteria AND is a contact of a
probable or confirmed case, or
epidemiologically linked to a
cluster of cases with at least one
confirmed case within the cluster.

18. TYPES OF PATIENTS
PROBABLE CASES
✓ A person with recent onset of
anosmia (loss of smell) or ageusia
(loss of taste) in the absence of any
other identified cause
✓ A suspect case with chest imaging
showing findings suggestive of
COVID-19 disease.

19. TYPES OF PATIENTS
3. CONFIRMED CASES
✓ Patients with Positive Results from
a Recognized Laboratory.
RT-PCR (Real Time Polymerase Chain Reaction)
RNA DETECTED and Positive Antigen Test

20. TYPES OF CONFIRMED CASES:
ASYMPTOMATIC CASE
Patients with no sign or
symptoms
SYMPTOMATIC CASE
Patients with sign or
symptoms
✓ Cough
✓ Colds
✓ Fever
✓ Sore Throat
✓ Tiredness
✓ Loss of taste
✓ Loss of smell
✓ Diarrhea
COMMON SIGNS
& SYMPTOMS

21. Extreme Fever
Chest pain When
Breathing
Loss of speech or
mobility, or confusion
Shortness of Breath or
difficulty in breathing
SEVERE SYMPTOMS
Bluish lips or face (May
indicate lack of oxygen)

22. QUARANTINE VS ISOLATION
Quarantine – The restriction of movement, or
separation from the rest of the population, of
healthy persons who may have been exposed
to the virus, with the objective of monitoring
their symptoms and ensuring early detection
of cases (MC No. 2020-0020)
Isolation – the separation of ill or infected
persons from others to prevent the spread
of infection or contamination (MC No. 2020-
0020)

23. ✓ During sneezes, coughs,
talking. (Landing in the eyes,
nose or mouth of people.)
✓ Touching surfaces that may
have viruses from someone’s
respiratory droplets (Hands
infected with virus can travel
to eyes, nose or mouth by
touching it
INFECTIOUS RESPIRATORY
DROPLETS AND AEROSOLS
CAN TRAVEL:

24. • Time from when someone is
infected until symptoms
develop.
• The SARS-Cov-2 incubation
period ranges from 2-14
days.
• Average of people will
become ill by 5 days after they
get infected.
INCUBATION PERIOD

25. INFECTIOUS PERIOD OF COVID-19
SYMPTOMATIC
Two (2) days before the
onset of Symptoms until
its disappearance.
ONSET OF
SYMPTOMS
INFECTIOUS PERIOD

26. INFECTIOUS PERIOD OF COVID-19
ASYMPTOMATIC
Two (2) days before and
ten (10) days after the
swab test
SWAB
TEST
INFECTIOUS PERIOD

27. • Someone who was at least 2 meters
away from a Confirmed case from a
cumulative total of 15minutes or
more over a 24-hour period.
• Direct physical contact with a
probable or a confirmed case.
CLOSE CONTACTS

28. 1. MILD CASE - patients with mild
symptoms and stable vital signs.
Unless the patient belongs to high-
risk subgroups or has
comorbidities, they are often not
admitted to a treatment facility
2. MODERATE CASE - patients with
difficulty breathing, altered mental
status, considered high-risk or in
need of hospital care
CASE CLASSIFICATION

29. 3. SEVERE CASE - confirmed case
classified as either severe pneumonia
or suspect, probable or confirmed
case of COVID-19, exhibiting severe
(shortness of breath, confusion, or
50% lung involvement on imaging)
signs or symptoms.
CASE CLASSIFICATION

30. 4. CRITICAL CASE - or suspect, probable
or confirmed case of COVID-19 with
impending or ongoing respiratory
failure, in need of mechanical
ventilation, or with evidence of end-
organ damage
CASE CLASSIFICATION

31. COORDINATED OPERATIONS TO
DEFEAT EPIDEMIC (COVID-19 CODE
TEAM)
Contingency Plan:
1. Early Detection of Signs and Symptoms
2. Management and Identification of Signs and Symptoms in
the isolation room while waiting for the School Health
Officer
3. Notification of the QCESU/Health
Centers/parents/guardians.
4. Transport of the individual from school to health facility/
home.
5. Contact Tracing

32. COORDINATED OPERATIONS TO
DEFEAT EPIDEMIC (COVID-19 CODE
TEAM)
1. Early Detection of COVID-19
Self-Check
before
Leaving
Before leaving for household visits, each students, teacher
or personnel should self-assess using the following
questions:
If the answer is No to all
three symptom questions
(cough, fever, fast
breathing) after 14 days,
then it is cleared to go the
school
But if the
student/teacher/personnel
is experiencing symptoms
of COVID-19 they should
inform their teachers or
supervisors, self report and
undergo immediate
quarantine
Is any member of
my household
presenting any of
COVID-19
symptoms -
cough, fever and
fast breathing?
Have I come into
close contact (<2
meters) with
anyone displaying
any of the COVID-
19 symptoms in
the last 14 days?
Am I having any of
the following
COVID-19
symptoms -
cough, fever and
fast breathing?

33. COORDINATED OPERATIONS TO
DEFEAT EPIDEMIC (COVID-19 CODE
TEAM)
1. Early Detection of COVID-19
Upon
Arrival
in the
School
Upon arrival students/teachers/personnel are required for
temperature check.
Isolation in a safe place
(free from stigma) until a
School Clinic Teacher or
Safety Officer came
Assessment will be done by the
School Clinic Teacher/Safety
Officer if the individual needs to
be brought in the hospital or for
home observation
Student/Teacher/Personnel who is experiencing COVID-19
Symptoms
The School Clinic Teacher will then immediately notify the
CESU for immediate Contact tracing.

34. COORDINATED OPERATIONS TO
DEFEAT EPIDEMIC (COVID-19 CODE
TEAM)
2. Management of Signs and Symptoms
When to Get Emergency Care
Call for emergency care or if the individual of any age has any of the
warning or emergency signs below:
• Fast breathing or trouble breathing
• Bluish or gray skin color
• Not drinking enough fluids (not going to the bathroom or making as
much urine as they normally do)
• Severe or persistent vomiting
• Not waking up or not interacting
• Being so irritable that the child does not want to be held
• Flu-like symptoms improve but then return with fever and worse cough
• Has other conditions (like heart or lung disease, diabetes, or asthma)
and develops flu symptoms, including a fever and/or cough.

35. COORDINATED OPERATIONS TO
DEFEAT EPIDEMIC (COVID-19 CODE
TEAM)
3. Notification of the Authorities.
School- QCESU
reporting
system
School Clinic Teachers/Safety Officer will inform and
report the cases to QCESU through email
The Contact tracing team in
the health centers will
provide advise for
Isolation/Quarantine and
assist/guide the patient for
booking of the free swab
test in the Health Centers.
The Contact tracing team
will also be the one to
advise the individual
regarding the
quarantine/Isolation Period
depending on his/her case.
The QCESU now will notify and endorse the cases to the
Health Center Contact tracing team

36. Suspected
case/Close
Contacts
Endorse
ment of
Case
Reported
Advise for
quarantine/
Isolation
and testing
Identification
Reporting and Notifying
Suspected Patient with
symptoms and Close
Contacts will be
Identified by the school
Safety Officer through
initial contact tracing
SO/School Clinic
Teacher will initiate
initial Contact tracing
and report the cases
to QCESU
The Contact tracing team will
provide advise for
Quarantine/Isolation and will guide
the Individual for the Free swab test
in the nearest health center
Barangay Health Center
Case management
Quarantine/Isolation
The cases will be
endorsed to the
nearest Health Center
of the case for contact
tracing and
verification
Quaranti
ned
/Isolated

37. Pertinent case details:
• Full Name
• Birthday
• Age
• Address (Street, Barangay, City)
• Contact number
• Case status (Symptomatic or Asymptomatic)
• Symptoms and onset
• Possible exposure (Date, Place, Person,
Nature)
• Close Contacts (with timeline)

38. References:
• PHILHEALTH Circular No. 2020-0009
• DOH Department Memorandum No.
2020-0439
• DOH Memorandum No. 2022-0013

39. Hotline numbers:
02-8703 2759
02-8703 4398
Cellphone Number:
0916 122 8628
0908 639 8086
Kylebatacandolo.qcesu@gmail.com

40. Local Government of Quezon City
QUEZON CITY EPIDEMIOLOGY AND SURVEILLANCE UNIT
QCXperience, QC Memorial Circle, Diliman, Quezon City
Email: qcsurveillance@quezoncity.gov.ph
Contact No: 8703-2759/8703-4398