Update No. 10 - Fireworks Surveillance 2007

6:00 AM December 21-31, 2007 

Injury Registry Update  

There are 31 new fireworks-related injuries reported today. The total number of cases as of 31 December 2007 is 165, which is 24 cases (13%) lower than previous 3-year average (Fig. 1) or 72 cases (30%) lower than the same period last year. There is no stray bullet and watusi ingestion incidence. No deaths reported.

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance		Official DOH Reports: Update No. 10 Update No. 9 Update No. 8 Update No. 7 Update No. 6 Update No. 5 Update No. 4 Update No. 3 Update No. 2 Update No. 1 Press Conference Presentation 123007
Cumulative Surveillance Findings A total of 164 fireworks related injuries, with one stray bullet injury were reported from December 21-31, 2007 from 41 sentinel sites (Table 2). A. Fireworks-related Injuries Majority, 138 (84%) were males, ages ranged from 3 to 71 years (Median 11): 73 (45%) cases were children 10 years and below. One hundred (61%) cases were from NCR (Table 1). One hundred twenty-one (73%) sustained blast/burn injury without amputation, 34 (21%) with eye injury, 9 (5%) with amputation. Ninety(55%) directly handled firecrackers, among which 11 (7%) were under the influence of alcohol. Piccolo is the most common type of firecracker used (Fig.2). Piccolo is now banned and will be confiscated. There is still no fireworks-related tetanus.		To send report , please fax or e-mail to: FAX Nos. 02-743-6076 02-743-1937 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 0921-841-0562 0920-918-1369 To share pictures on surveillance activities, send e-mail to:  n.orosco@gmail.com
Figure 2. Top-Five Firecrackers Used (N=134) Fireworks Injury Surveillance 6:00 AM December 21-31, 2007		Piccolo is dangerous!!!  Piccolo is now banned!
B. Watusi Ingestion There was no reported case of watusi ingestion. C. Stray Bullet Injuries There is still just one stray bullet injury.
Status of Reporting of Sentinel Hospitals Forty-one (82%) out of 50 hospitals submitted injury reports. Thirty-nine (95%) hospitals submitted before the 8:00 AM deadline.
Table 1.  Number of Injuries by Region (N=134) Fireworks Injury Surveillance December 21-31, 2007

Greetings to all our Sentinel Hospital Surveillance Partners . . .

Keep up the good work!!!

 Merry Christmas &

Happy New Year to All . . .

 

Update 9 - Fireworks Injury Surveillance 2007

6:00 AM December 21-30, 2007 

Injury Registry Update  

There are 15 new fireworks-related injuries reported today. The total number of cases as of 30 December 2007 is 134, which is 26 cases (17%) lower than previous 3-year average (Fig. 1) or 71 cases (34%) lower than the same period last year. There is no stray bullet and watusi ingestion incidence. No deaths reported.            

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance		Official DOH Reports: Update No. 9 Update No. 8 Update No. 7 Update No. 6 Update No. 5 Update No. 4 Update No. 3 Update No. 2 Update No. 1 Press Conference Presentation 123007
Cumulative Surveillance Findings A total of 134 fireworks related injuries, with one stray bullet injury were reported from December 21-30, 2007 from 32 sentinel sites (Table 2). A. Fireworks-related Injuries Majority, 112 (84%) were males, ages ranged from 3 to 71 years (Median 11): 61 (46%) cases were children 10 years and below. Eighty (68%) cases were from NCR (Table 1). Ninety-five (71%) sustained blast/burn injury without amputation, 29 (22%) with eye injury, 9 (7%) with amputation. Seventy-nine (59%) directly handled firecrackers, among which 9 (11%) were under the influence of alcohol. Piccolo is the most common type of firecracker used (Fig.2). Piccolo caused more eye injuries and blast/burn without amputation (Fig.3). It should be banned and confiscated.		To send report , please fax or e-mail to: FAX Nos. 02-743-6076 02-743-1937 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 0921-841-0562 0920-918-1369 To share pictures on surveillance activities, send e-mail to:  n.orosco@gmail.com
Figure 2. Top-Five Firecrackers Used (N=134) Fireworks Injury Surveillance 6:00 AM December 21-30, 2007
Figure 3. Type of Injury Caused by Piccolo (N=29) Fireworks Injury Surveillance 6:00 AM December 21-30, 2007		Piccolo is dangerous!!!
B. Watusi Ingestion There was no reported case of watusi ingestion. C. Stray Bullet Injuries There is still just one stray bullet injury.
Status of Reporting of Sentinel Hospitals Thirty-two (64%) out of 50 hospitals submitted injury reports. Twenty-eight (88%) hospitals submitted before the 8:00 AM deadline.
Table 1.  Number of Injuries by Region (N=134) Fireworks Injury Surveillance December 21-30, 2007

Greetings to all our Sentinel Hospital Surveillance Partners . . . Keep up the good work!!!

 Merry Christmas &

Happy New Year to All . . .

 

Update 8 - Fireworks Injury Surveillance 2007

6:00 AM December 21-29, 2007 

Injury Registry Update  

There are 16 new fireworks-related injuries reported today. The total number of cases as of 29 December 2007 is 119, Twenty-seven cases (18%) lower than previous 3-year average (Fig. 1) or 71 cases (37%) lower than the same period last year. There is no stray bullet and watusi ingestion incidence. No deaths reported.                      

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance		Official DOH Reports: Update No. 8 Update No. 7 Update No. 6 Update No. 5 Update No. 4 Update No. 3 Update No. 2 Update No. 1
Cumulative Surveillance Findings A total of 118 fireworks related injuries, with one stray bullet injury were reported from December 21-29, 2007 from 30 sentinel sites (Table 2). A. Fireworks-related Injuries Majority, 103 (87%) were males, Ages ranged from 3 to 71 years (Median 11): 56 (47%) cases were children 10 years and below. Sixty-eight (58%) cases were from NCR (Table 1). Eighty-three (70%)sustained blast/burn injury without amputation, 27 (23%) with eye injury, 8(7%) with amputation. Seventy-two (61%) directly handled firecrackers, among which 9 (8%) were under the influence of alcohol. Piccolo, 5 star, triangle were the most common type of firecracker used (Fig.2). Piccolo caused more eye injuries. Piccolo and 5 star caused more blast/burn without amputation. B. Watusi Ingestion There was no reported case of watusi ingestion. C. Stray Bullet Injuries There is still just one stray bullet injury.		To send report , please fax or e-mail to: FAX Nos. 02-743-6076 02-743-1937 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 0921-841-0562 0920-918-1369 To share pictures on surveillance activities, send e-mail to:  n.orosco@gmail.com
Status of Reporting of Sentinel Hospitals Thirty-five (70%) out of 50 hospitals submitted injury reports. Thirty-two (91%) hospitals submitted before the 8:00 AM deadline.
Table 2.  Number of Injuries by Region (N=119) Fireworks Injury Surveillance December 21-29, 2007

Greetings to all our Sentinel Hospital Surveillance Partners . . . Keep up the good work!!!

 Merry Christmas &

Happy New Year to All . . .

 

Update 7 - Fireworks Injury Surveillance 2007

6:00 AM December 21-28, 2007

Official DOH Reports:

Update No. 7,  Update No. 6, Update No. 5, Update No. 4, Update No. 3, Update No. 2, Update No. 1

Latest List of Reporting Hospital

To send report , please fax or e-mail to: FAX Nos. 02-743-6076, 02-743-1937, 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 or 0921-841-0562 or 0920-918-1369 To share pictures on surveillance activities, e-mail to: E-mail: n.orosco@gmail.com

Injury Registry Update

There are 16 new fireworks-related injuries reported today. The total number of cases as of 28 December 2007 is 103, which is 27 cases (21%) lower than previous 3-year average (Fig. 1) or 68 cases (40%) lower than the same period last year. There is no stray bullet and watusi ingestion incidence. No deaths reported.

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance

Cumulative Surveillance Findings

A total of 102 fireworks related injuries, with one stray bullet injury were reported from December 21-28, 2007 from 7 sentinel sites (Table 2).

A. Fireworks-related Injuries

Majority, 87 (85%) were males, Ages ranged from 3 to 71 years (Median 12): 44 (43%) were children 10 years and below. Fifty-nine (57%) cases were from NCR (Table 1). Seventy-three(71%)sustained blast/burn injury without amputation,21 (20%) with eye injury, 8(8%) with amputation. Sixty-four (63%) directly handled fire-crackers, among which 9 (9%) were under the influence of alcohol. Piccolo, 5 star, triangle were the most common type of firecracker used (Fig.2). Piccolo caused more eye injuries. Pla-pla and triangle caused blast/burn injuries with amputation.

Figure 2. Most Common Firecrackers Used (N=102) Fireworks Injury Surveillance December 21-28, 2007

B. Watusi Ingestion

There was no reported case of watusi ingestion.

C. Stray Bullet Injuries

There is still just one stray bullet injury.

 

Status of Reporting of Sentinel Hospitals

Thirty-five (74%) out of 50 hospitals submitted injury reports. Thirty-two (91%) hospitals submitted before the 8:00 AM deadline.

Table 2.  Number of Injuries by Region (N=103) Fireworks Injury Surveillance December 21-27, 2007

 

Greetings to all our Sentinel Hospital Surveillance Partners . . . Keep up the good work!!!

 Merry Christmas & Happy New Year to All . . .

 

Update 6 - Fireworks Injury Surveillance 2007

6:00 AM December 21-27, 2007

Official DOH Reports:

Update No. 6 (PDF), Update No. 5 (PDF), Update No. 4 (PDF), Update No. 3 (PDF), Update No. 2 (PDF), Update No. 1 (PDF)

To send report , please fax or e-mail to: FAX Nos. 02-743-6076, 02-743-1937, 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 or 0921-841-0562 or 0920-918-1369 To share pictures on surveillance activities, e-mail to: E-mail: n.orosco@gmail.com

Injury Registry Update

There are 22 new fireworks-related injuries reported today. The total number of cases as of 27 December 2007 is 87, Fifteen cases (15%) lower than previous 3-year average (Fig. 1) or 38 cases (30%) lower than the same period last year. There is no stray bullet and watusi ingestion incidence. No deaths reported.

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance

Cumulative Surveillance Findings

A total of 87 fireworks related injuries, with one stray bullet injury were reported from December 21-27, 2007 from 9 sentinel sites (Table 2).

A. Fireworks-related Injuries

Majority, 71 (85%) were males, Ages ranged from 3 to 71 years (Median 13): 35 (40%) were children 10 years and below. Fifty-three (61%) cases were from NCR (Table 1). Fifty-eight (67%)sustained blast/burn injury without amputation,18 (21%) with eye injury, 8(9%) with amputation. Fifty-three (60%) directly handled firecrackers, among which 9 (17%) were under the influence of alcohol. Piccolo, 5 star, plapla were the most common type of firecracker used (Fig.2). Piccolo caused more eye injuries.

Figure 2. Most Common Firecrackers Used (N=87) Fireworks Injury Surveillance December 21-27, 2007

 

Piccolo

source: Dr. Nelson C. Soriano (National Epidemiology Center, 2006)

 

B. Watusi Ingestion

There was no reported case of watusi ingestion.

C. Stray Bullet Injuries

There is still just one stray bullet injury.

 

Status of Reporting of Sentinel Hospitals

Thirty-three (66%) out of 50 hospitals submitted injury reports. Twenty-seven (81%) hospitals submitted before the 8:00 AM deadline.

Table 2.  Number of Injuries by Region (N=87) Fireworks Injury Surveillance December 21-27, 2007

Other reporting hospitals but not sentinel hospitals

Other Hospital from CAMANAVA DESU, Ospital ng Palawan, Medina Hospital, Southern Isabela General Hospital, Tarlac Provincial Hospital, PRMMH (Zambales), Province of Pampanga

Greetings to all our Sentinel Hospital Surveillance Partners . . . Keep up the good work!!!

 Merry Christmas & Happy New Year to All . . .

 

Update 5 - Fireworks Injury Surveillance 2007

6:00 AM December 21-26, 2007

Official DOH Reports:

Update No. 5 (PDF), Update No. 4 (PDF), Update No. 3 (PDF), Update No. 2 (PDF), Update No. 1 (PDF)

To send report , please fax or e-mail to: FAX Nos. 02-743-6076, 02-743-1937, 02-743-8301 local 1901 E-mail: n.orosco@gmail.com For Zero-Case Reporting, please send to numbers: 0921-606-3786 or 0921-841-0562 or 0920-918-1369 To share pictures on surveillance activities, e-mail to: E-mail: n.orosco@gmail.com

Injury Registry Update

There are 28 new fireworks-related injuries reported today. The total number of cases as of 26 December 2007 is 65, one case more than the previous 3-year average (Fig. 1) or 7 cases lower than the same period last year. There is one stray bullet injury, 37 year old male from Sta. Cruz, Manila. No deaths reported.

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance

Cumulative Surveillance Findings

A total of 64 fireworks related injuries and one stray bullet injury were reported from December 21-26, 2007 from 14 sentinel sites (Table 2).

A. Fireworks-related Injuries

Majority, 58 (89%) were males, Ages ranged from 3 to 55 years (Median 15). Forty (62%) cases were from NCR (Table 1). Forty-one (64%) sustained blast/burn injury without amputation,16 (25%) with eye injury, 7(11%) with amputation and . Thirty-nine (60%) directly handled firecrackers, among which 9 (23%) were under the influence of alcohol. Piccolo, triangle, plapla were the most common type of firecracker used (Fig.2).

Figure 2. Most Common Firecrackers Used (N=65) Fireworks Injury Surveillance December 21-26, 2007

 

B. Watusi Ingestion

There was no reported case of watusi ingestion.

C. Stray Bullet Injuries

There was one reported stray bullet injury.

 

Status of Reporting of Sentinel Hospitals

Thirty six (72%) out of 50 hospitals submitted injury reports. Twenty-six (79%) hospitals submitted before the 8:00 AM deadline.

Table 2.  Number of Injuries by Region (N=65) Fireworks Injury Surveillance December 21-26, 2007

We appreciate the efforts of all our sentinel hospital partners including those from CAMANAVA, Ospital ng Palawan, Medina Hospital and Southern Isabela General Hospital, also to Mam Tina of NCDPC and HEMS...

 Merry Christmas & Happy New Year to All . . .

 

Update 4 - Fireworks Injury Surveillance 2007

6:00 AM December 21-25, 2007

Official DOH Reports:

Update No. 4 (PDF), Update No. 3 (PDF), Update No. 2 (PDF), Update No. 1 (PDF)

Injury Registry Update

There are 22 new fireworks-related injuries reported today. The total number of cases as of 25 December 2007 is 37, 28% higher compared to last three years average (Fig. 1). There are no cases of watusi ingestion and stray bullet injuries. No deaths reported.

Figure 1. Cumulative Cases by Day 3-Year Average (2004-2006) Vs. 2007* Fireworks Injury Surveillance

Cumulative Surveillance Findings

A total of 15 fireworks related injuries were reported from December 21-24, 2007 by 9 sentinel sites.

A. Fireworks-related Injuries

Majority (92%) were males, Ages ranged from 3 to 55 years (Median 15). Nineteen (51%) of cases were from NCR (Table 1). Seventy-six percent sustained blast/burn injury without amputation, eight percent with amputation and six percent with eye injury. Twenty (54%) directly handled firecrackers, among which 6 (30%) were under the influenced of alcohol. Triangle (14%) and Kwitis (11%) were the most common type of firecracker used (Fig.2).

Figure 2. Distribution by Type of Injury (N=37) Fireworks Injury Surveillance December 21-25, 2007

B. Watusi Ingestion

There was no reported case of watusi ingestion.

C. Stray Bullet Injuries

There was no reported stray bullet injury.

 

Status of Reporting of Sentinel Hospitals

Twenty-three (48%) out of 50 hospitals submitted injury reports. Eleven submitted reports through fax, 11 via text messaging and 2 by e-mail.

Table 2.  Number of Injuries by Region (N=37) Fireworks Injury Surveillance December 21-25, 2007

 

Merry Christmas & Happy New Year to All . . .

 

Update No. 3 - Fireworks Injury Surveillance 2007

6:00 AM December 21-24, 2007

Surveillance Team in Action

   

Official DOH Reports:

Update No. 3 (PDF), Update No. 2 (PDF), Update No. 1 (PDF)

Injury Registry Update

There were seven fireworks-related injuries reported today. There was no difference in the number of cases compared to the last 3 years average (Fig. 1). There were no cases of watusi ingestion and stray bullet injuries. No deaths reported.

Figure 1.

Cumulative Cases by Day

3-Year Average (2004-2006) Vs. 2007*

Fireworks Injury Surveillance

 

 

 

Cumulative Surveillance Findings

A total of 15 fireworks related injuries were reported from December 21-24, 2007 by 9 sentinel sites (Table 2).

A. Fireworks-related Injuries

Majority (80%) were males, Ages ranged from 3 to 31 years (Mean 13). Twelve (80%) of cases were from NCR (Table 1). Eighty percent sustained blast/burn injury without amputation (Fig. 2). Piccolo (20%) and Fountain (20%) were the most common type of firecracker used. Ten (67%) were bystanders.

Figure 2.

Distribution by Type of Injury (N=15)Fireworks Injury Surveillance 2007

December 21-24,2007

 

 

 

 

B. Watusi Ingestion

There was no reported case of watusi ingestion.

C. Stray Bullet Injuries

There was no reported stray bullet injury.

Status of Reporting of Sentinel Hospitals

Twenty-three (48%) out of 50 hospitals submitted injury reports. Eleven submitted reports through fax, 11 via text messaging and 2 by e-mail.

Table 1.

Number of Injuries by Region (N= 15)

December 21-24, 2007

Merry Christmas

and Happy New Year to All . . .

Update No. 2 Fireworks Injury Surveillance 2007

Official DOH Report: Update 2 (PDF) 

6:00 AM December 21 to 6:00 AM December 23, 2007

Injury Registry Update

There are five new fireworks-related injuries reported today. The total number of cases since 21 December 2007 is eight, which is 14% higher compared to last three years average (Fig. 1). There are no cases of watusi ingestion and stray bullet injuries. No deaths reported.

 

Figure 1.

Cumulative Cases by Day

3-Year Average (2004-2006) Vs. 2007

Fireworks Injury Surveillance

 

Cumulative Surveillance Findings

A total of eight injuries were reported from 6:00 AM of 21-23 December 2007 by six different sentinel sites. All were fireworks-related.

 

A. Fireworks-related Injuries

All cases were males, ages range from 5 to 31 years (median 16). Seventy-five percent of cases were from NCR (Table 1). Seventy-five percent sustained blast/burn injury without amputation (Fig. 2). Most injuries were caused by piccolo (38%) and kwitis (25%). Majority of the cases (5/8) were bystanders.

 

Figure 2.

Distribution by Type of Injury (N=8)

Fireworks Injury Surveillance 2007

 

B. Watusi Ingestion

There was no reported case of watusi ingestion.

 

C. Stray Bullet Injuries

There was no reported stray bullet injury.

 

Status of Reporting of Sentinel Hospitals

Twenty-three (46%) out of 50 hospitals submitted injury reports. Seven submitted reports through fax, 14 via text messaging and two by e-mail. Seventeen (54%) hospitals submitted before the 8:00 AM deadline.

 

Table 1.

Distribution of Injuries by Region (N=3)

6:00 AM, December 23, 2007

 

 

DOH Surveillance Team: NEC, NCDPC, HEMS, Sentinel Hospitals

 

 Operation Center: in ACTION 

Fireworks Injury Surveillance 2007

National Epidemiology Center, Department of Health, Sta. Cruz, Manila

Surveillance Briefing Left to right: Ms. Samphy Flores  Mr. Noel T. Orosco Dr. Rollie Cruz Mr. Rammell Martinez

Drafting Reports Left to right: Dr. Roston Garces Ms. Rossana Rosell Ms. Samphy Flores

Fourmula Kontra Paputok 2007

 

List of Sentinel Hospitals for Injury Surveillance

Metro Manila Hospitals

Amang Rodriguez Memorial Hospital

East Avenue Medical Center

Jose Reyes Memorial Medical Center

Las Piñas District Hospital

National Children's Hospital

Philippine Children's MC

Philippine Orthopedic Center

Quirino Memorial MC

Rizal Medical Center

Quirino Memorial Medical Center

Rizal Medical Center

Tondo Medical Center

Valenzuela General Hospital

Metro Manila Private and LGU Hospitals

Capitol Medical Center

Cardinal Santos Medical Center

Chinese General Hospital

Dr. V. Potenciano Medical Center

Manila Doctors Hospital

Medical Center Parañaque

Medical City

Ospital ng Maynila

Ospital ng Tondo

Philippine General Hospital

San Juan de Dios Medical Center

St. Luke's Medical Center

Sto. Tomas University Hospital

University of Perpetual Help Medical Center

Regional DOH Hospitals

Ilocos Regional Teaching & Training Hospital

Mariano Marcos Memorial Medical Center

Cagayan Valley Regional Hospital

Jose B. Lingad Memorial Hospital

Paulino Garcia Memorial Hospital

Batangas Regional Hospital

Bicol Medical Center

Bicol Regional Teaching and Training Hospital

Western Visayas Medical Center

Corazon Locsin Memorial Regional Medical Center

Celestino Gallares Medical Center

Vicente Sotto Medical Center

Eastern Visayas Medical Center

Zamboanga CIty Medical Center

Northern Mindanao Medical Center

Davao Medical Center

Davao Regional Hospital

Cotabato Regional Hospital

Baguio General Hospital & Medical Center

Fourmula Kontra Paputok 2007 commences this December 21, 2007- an active surveillance on firework activities.

 

to send reports, please use the following fax numbers:

02-743-6076

02-743-1937

n.orosco@hotmail.com

for comments/suggestions/clarifications, please call:

02-743-8301 loc 1900-1903, 1937

look for:

Dr. Rolly Cruz

Dr. Grace Mirando

Mr. Noel Orosco

Fourmula Kontra Paputok 2007

Surveillance Report Website for Fourmula Kontra Paputok 2007

for more info, please call:

02-743-1937, 02-743-6076

and look for:

Dr. Rollie Cruz

Dr. Grace Rimando

Mr. Noel Orosco

WHO's Best Practices For Outbreak Communication

More info at WHO web site 1. TRUST is the goal -- Each communication builds or erodes trust 2. TRANSPARENCY is the tool 3. Announce EARLY -- Even with incomplete information, to control rumor and establish leadership 4. LISTEN to the public and respond -- Build messages to show you are listening to the public's concerns, even when those concerns seem unreasonable 5. PLAN your communications for the extreme demands of an outbreak

Disaster Response: Mayon Volcano Mudflow CHD Bicol, Albay Province December 2005