Contaminated water
source seen as culprit in Gamay diarrhea outbreak
By Philippine Information Agency (PIA 8)
November
14, 2007
TACLOBAN CITY, Leyte
– The Gamay diarrhea outbreak in Gamay,
Northern Samar
could be due to contaminated water source. This is the report of the
DOH- RDCC-OCD Team which was formed and was dispatched to provide
technical assistance and to conduct epidemiological investigation on
November 11, 2007 via chopper from the Philippine Airforce Tactical
Operation 8.
The team composed of
Director Tiogenes Baluma of DOH Region 8, Dr. Nicolas Bautista who is
the Regional Epidemiologist, Nurse Boyd Cerro who is the Epidemiology
Nurse, Engr. Alejandro Rivera who is the Supervising Sanitary Engineer
and OCD Director Salvador Estudillo coordinated with the NDCC for the
transport of the needed medical supplies and manpower to Gamay.
The findings of the
Team showed that there were 147 (used to be 154 but Director Baluma
said that several names were entered twice) diarrhea cases who
consulted the Gamay District Hospital from October 22 to November 11.
Eighty cases were admitted, from ages one month to 78 years old.
Most of the affected
age group are the one to four years old; one case died and most of the
cases came from Barangay Burabod. One hundred twenty one of the cases
drank water fro the Burabod water source.
Director Baluma said
that the water source from Barangay Burabod was from a developed
spring. Four jetmatic pumps were connected to the improved spring and
were located outside the perimeter of the improved spring.
The report stated that
several months before the epidemic, the barangay officials decided to
construct a water reservoir which was again attached to the improved
spring. This was operationalized on October 17. Water from the spring,
without chlorination, was pumped into the reservoir, every 7:00
o’clock in the morning and at 5:00 o’clock in the afternoon, and
distributed to the barangay through communal faucets.
In between, the water
pump was turned off. People living near the source claimed that they
utilized the water from the reservoir only for washing and bathing and
only water from the four jetmatic pumps were used for drinking.
However, houses far from the source were utilizing water for drinking
from the reservoir.
A spring adjacent to
the water source was also improved and was utilized by the residents
for laundering of clothes. It was noted that the people washing their
dirty clothes were also pouring their dirty water into the spring.
The report added that
based on key informants interview, residents claimed that the level of
the nearby spring used for laundering goes down when the electric pump
was used.
In the report, the
Team observed that the symptoms of the diarrhea outbreak were
cholera-like in character. The outbreak could be due to the
contamination of the water source. The use of an electric pump to pull
out water to the newly constructed reservoir created a negative
pressure inside the spring sources thereby suctioning water from the
nearby springs used for laundering thereby contaminating the improved
spring.
The presence of septic
tanks from the houses less than 15 meters away from the water source
can also be a factor for the contamination of the source, the report
said.
Personal hygiene and
home chlorination was emphasized until a system in chlorinating the
water for drinking is in place, the Team recommended.
The actions taken,
according to the Team’s report to Health Secretary Duque, are
provision of medicines, IV fluids and medical supplies to the hospital
and Rural Health Units of Gamay and Lapinig; provision of technical
assistance in the consultation and conduct of epidemiological
investigation; provision of chlorines for home chlorination (stock
solution); augmentation of medical manpower to the hospital; advisory
for local sanitary inspectors on how to improve water system; conduct
of water sampling and coordination with OCD and other agencies.
On November 9, Dr.
Mary Ann Avalon, the Provincial Health Officer of Northern Samar
reported to the Region of 100 diarrheal cases of whom 60 were admitted
at the Gamay District Hospital. Most of the cases came from 8
barangays of the municipality. Along with the report was the request
for augmentation of manpower to the hospital and fluids and medicines
to meet the increase demand of services.
A DOH- Provincial
Health Team Physician was immediately requested to proceed to Gamay on
November 10, 2007. Medicines and IV Fluids were immediately procured.