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Saturday, September 18, 2021 Vol. 16 No. 339
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DOH and local government officials and residents of Tingloy Island pledge their solidarity and support to the torch of TANGLAW for the region’s TB-Free Island Initiative.
TORCH of HOPE
I
By Claudeth Mocon-Ciriaco
T was on a fine summer day in May on the island of Tingloy in Batangas when officials of the Department of Health (DOH)-Calabarzon (Cavite, Laguna, Batangas, Rizal, Quezon) launched a noble program with one single-minded objective: Decisively end the prevalence of tuberculosis (TB) disease that afflicts a good number of island residents. Launched on May 2, 2021, TANGLAW, or “TB Agapan, NGayon Lunasan at Wakasan,” is the first TB-Free island initiative in the country with the objective of eliminating tuberculosis in island municipalities of the region. The total budget for the activities of the program in Tingloy is P571,500 when it started in 2019. TANGLAW was also launched later on Polillo Island in Quezon on September 26, 2019. Derived from the Filipino word tanglaw, or torch, that shines a light to a darkened path, the DOH-Calabarzon’s program aims to bring hope and heal those on the island afflicted with the dreaded but curable respiratory disease. To avoid being stigmatized, not only the chest X-ray screening, GX testing were undertaken, but a medical and surgical mission was also conducted for Tingloy residents. This included random blood sugar (RBS), body mass index (BMI) and blood pressure (BP)
measurement, urinalysis, hemoglobin testing, newborn screening blood testing, circumcision, dental service, medical consultation, buntis check-up, smoking-cessation seminar, and provision of multivitamins and medicines for children and essential and maintenance medicines for adults. Dental and buntis kits were also distributed. The same approach was replicated on Polillo. “So, they went there not only because they will be screened for TB. This is to avoid the stigma,” DOH-Calabarzon Regional Director Dr. Eduardo Janairo said.
Planning stages
IN an interview, Dr. Maria Elena G. Castillo-Gonzales, head of the Regional Infectious Disease Cluster, said TANGLAW was presented during the National Tuberculosis Control Program (NTP) consultative meeting in 2019. Dr. Gonzales, who also coined the TANGLAW acronym for the program, said that each region
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Amid the pandemic, DOH-Calabarzon spearheads an ambitious fight for the total elimination of TB in pilot island provinces south of Manila Four phases
ACCORDING to Dr. Gonzales, the TANGLAW program has four implementation phases. Phase 1 includes the preparations. Interim guidelines were also created. Dr. Mariquita Mantala, incountry advisor, was a big help in drafting the initial plans. As part of the preparations, Dr. Gonzales said, they needed to look at the logistics, supply, health human resources, and general demography of Tingloy, a fifth-class municipality of Batangas province, which includes Maricaban Island, Caban Island and other minor is-
lets located south of the Calumpang Peninsula, with a population of around 20,000. The DOH-Calabarzon said their data showed that in Tingloy, there were 69 TB positive patients on the island and an additional 21 positive cases identified from January up to April 30, 2019. “We have chosen to start the project in Tingloy because it is one of the areas in Calabarzon where cases of tuberculosis are high and continue to increase,” Dr. Janairo said. Dr. Gonzales also said that Tingloy and Polillo were chosen for Continued on A2
DR. Maria Elena C. Gonzales, DOH-Calabarzon Regional National Tuberculosis Control Program outcome manager—and also head of the Regional Communicable Disease Control Unit— encourages residents to submit to a medical check-up and avail themselves of the free diagnostic and treatment procedure for TB patients during the opening program of the “TANGLAW sa Polillo TB Free-Island Initiative” held at the Polillo Sports Complex in the province of Quezon in 2019.
would present a plan as part of their commitment to the 20172022 Philippine Strategic TB Elimination Plan. “Our goal is to end TB. So the goal of the program is very ambitious, TB elimination right away.... We need to be anchored…each and every region has its own individual plans,” she said. She recalled that during the planning stage in 2018, before the consultative meeting in 2019, their initial goal was to conduct active case finding (ACF). Dr. Gonzales said that when
they presented the plan, Janairo suggested launching it in island municipalities. “So, our plan to have a TB -free program with active case finding became a TB-Free Island [initiative],” Dr. Gonzales said. From then, the NTP core team of the DOH-Calabarzon, composed of Dr. Gonzales; Kristine Marie I. De Guzman, nurse outcome manager; and Ms. Ma. Cristina Ann N. Buenaagua, medical technologist outcome manager, did not waste any time and immediately held brainstorming sessions.
n JAPAN 0.4544 n UK 68.7758 n HK 6.4051 n CHINA 7.7220 n SINGAPORE 37.0785 n AUSTRALIA 36.3620 n EU 58.6808 n SAUDI ARABIA 13.2956
Source: BSP (September 17, 2021)