Paano maiiwasan ang leptospirosis sa panahon ng baha? | The Mangahas Interviews - video Dailymotion

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May mga payo ang DOH sa publiko ukol sa leptospirosis na patuloy pa rin ang banta lalo na sa panahon ng baha. Panoorin ang video. #TheMangahasInterviews

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00:00Leptospirosis has also become an issue, but how can we avoid it?

00:05The Philippines or Metro Manila and other big cities will be flooded if there's a storm.

00:13Leptospirosis is a vector borne illness.

00:16It's like a plague.

00:17What spreads there is the plague.

00:19That's why the plague is increasing, and this is the National Capital Region,

00:25because our solid waste management is not up to par.

00:30Our surroundings are dirty.

00:32If you drive around Metro Manila, you'll see that there's a dump in a corner, full of garbage.

00:37When it rains, that dump is where the plague lives.

00:42The plague is a vector, so it's like a plague.

00:48Leptospira lives in the plague and spreads in the mouth and the mouth of the plague.

00:54The problem is, if it's inside the house, it's flooded up to the second floor.

00:58The President laughed at me and said, what you said is right, but how can you implement that?

01:04How can you prohibit the child to be in a flooded place?

01:08The good news is, Leptospirosis can also be killed with soap and water.

01:16So if you're forced to go to a dry place, go to the second floor and take a bath with soap and water.

01:23If you have a wound from the flood, you may need to receive an antibiotic to get prophylaxis.

01:31Avoid going to a flooded place because if you just wipe your eyes, your hands will get wet.

01:39It can get into the mucosa of the eyes.

01:43So it's very important, we just need to know how to spread it.

01:47But my advice is to clean it.

01:50Waste disposal, sanitation?

01:52Yes, good environment.

01:55And the garbage that's being spread, I've seen that it's also in the drainage.

02:02Because it's being washed and the water is being sucked in and the garbage is in the drain.

02:10There's no water that can get in.

02:12And when it's removed, the water will flow again.

02:16So it's very important for our countrymen to understand.

02:20We are also the ones who will be affected because we are not cleaning our surroundings.

02:25Dr. Ted, what should they monitor, the symptoms, and what should they do immediately if there's a lepto?

02:34Yes, lepto is also like an infection.

02:37You get infected but it weakens, you can't move, you're just lying down.

02:42That's what we noticed because I've been the head of the emergency department for a long time.

02:46The diagnosis is late and it comes to us late.

02:49The eyes turn yellow and the kidneys shut down.

02:53So by the time that happens, we need to dialysis it and put it in the ICU.

02:59That's why I'm pushing for lepto because number one, the mortality rate is high.

03:05Almost as high as 10% will die there.

03:09And then it's expensive.

03:10If you're in the ICU, you need one nurse to take care of two critically ill patients.

03:16So you can't just have one nurse for 10 patients.

03:19You really need to have a doctor.

03:21Then you need to do the dialysis three times a week.

03:24The cost of a lepto patient is almost P300,000.

03:29The government is paying for it and we can prevent it from spreading.

03:33Not only that, you can die if you're late.

03:37It's very important for them to understand that my call to the parents is to stop the children from swimming in the flood.

03:47Who are the affected?

03:49It's likely that many of them will suffer.

03:51This is a public hospital.

03:54I also have a friend who is a lepto doctor.

03:57His story is different.

03:59He lives in Marikina.

04:01His house was flooded and he was evacuated.

04:05But he came back after the flood.

04:07He didn't drown in the flood.

04:08But he cleaned his house's gutter.

04:11He was able to walk.

04:12After two weeks, he became a lepto patient.

04:14So it's also possible in the gutter.

04:16Not only in the flood.

04:18So it's really important to have boots if you're going to clean your house.

04:22We also have a case in PGH.

04:25He became a lepto patient but he didn't drown in the flood.

04:27Our theory is that he drank from a can of soft drink.

04:32If the can was filled with water, he could have drowned.

04:37So our theory is that he drank from a can of soft drink filled with water.

04:45So it's very important to have rodent control.

04:47It should be a program of our local chief executives.

04:51It's still cleanliness.

04:55I just want to ask, do you have an estimate?

04:59Because 20 typhoons visit the Philippines every year on average.

05:04That means, especially if our drains and creeks have no more space.

05:12If the rainfall is strong, the cases of leptospirosis will increase again and again.

05:18Do you have an estimate or a medium-term plan?

05:21Or what you're saying is a whole-of-government approach?

05:25Well, I think it's part of public health because that's the problem every year.

05:31If you find out what lepto is, it's a vector-borne illness.

05:36In public health, how do you control vector-borne illness?

05:41You control the vector.

05:43So like dengue, if you reduce the number of cases, dengue will decrease.

05:47It's the same with lepto. If you reduce the number of cases, lepto will decrease.

05:52So how do we reduce the number of cases?

05:54Well, solid waste management.

05:57Let's put them in containers, make sure it's not spread and has a cover.

06:04Or dispose it immediately and bring it to the dumpsite or some place where it will be cleaned.

Paano maiiwasan ang leptospirosis sa panahon ng baha? | The Mangahas Interviews

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