Regional Epidemiology and Surveillance Unit
Event-based Surveillance and Response (ESR) Date of Release
E-mail: esr.resu3@gmail.com
08/12/2024
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Follow-up report no.: Code: 2024-08-0004
Document Type Verification Report
✘
I. DETECTION
Source of information:
Date detected: 08/11/2024
R/LESU
Internet/Media
Time detected: 8 AM
✘
Others PRMMH OB WARD-PATIENT'S CHART
II. FILTER AND VERIFICATION
If outbreak, was there an official declaration?
Type of health event: Yes No N/A
Date of Verification: If yes, who declared it?
Suspect
08/11/2024 LGU CHD-RESU DOH-EB
Probable
Confirmed
Others
Clustering
Increasing For LGU declared outbreak, was it validated by RESU?
Time of verification: Yes No N/A
Outbreak
8:30 AM ✘ Others MATERNAL DEATH Date of declaration:
a. Description of health event
Title of health event: MATERNAL DEATH
Location of health event: Region III
Province/PHI ZAMBALES
Municipality IBA
Barangay PALANGINAN
Name of Facility/Others PRESIDENT RAMON MAGSAYSAY MEMORIAL HOSPITAL
Initial/previously - Initial/previously -
reported no. of cases: reported no. of deaths:
Start date:
08/11/2024 - -
Added Subtracted Added Subtracted
Latest onset:
- - -
Total no. of cases: Total no. of deaths:
b. Health status (indicate counts of case/s) c. Profile of cases (indicate counts of case/s) D. Profile of deaths (indicate counts of death/s)
1 Sex: Age / Age Range: Sex: Age / Age Range:
Admitted: Male: Male: Male: Male:
RHU/OPD consulted:
Female: 1 Female: 23 Female: 1 Female: 23
No consultation:
For verification:
Unknown: Unknown: Unknown: Unknown:
e. Summary of the health event (Describe what happened, common signs and symptoms, diagnosis, and the timeline of events, and distribution of cases and deaths if multiple locations are affected) [Note: list summary in bullets)
08/08/2024-A 23-year old, G2P0 (0010) patient experienced left-sided body weakness, vomiting (6x), dizziness and headache at home and sought consult at Dr. Florentino C. Doble Memorial Hospital. Intital VS as follows: BP-
103/90, PR- 85, RR-22, T-36.9, FHT-155, 02 sat-99%; GCS 15. PNSS 1L started, hooked to O2 inhalation, MgSo4 4gms SIVP given, IFC inserted. Patient was referred to President Ramon Magsaysay Memorial Hospital (PRMMH).
11:50 am- Admitted at PRMMH, initial VS: BP-130/80, T-36.9, PR-89, RR-21, FHT-155
-GCS 14 E3V5M6, drowsy, with facial asymmetry, left-sided body weakness
Mg SO4 drip started, Cranial CT scan-requested
08/09/2024
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6am- BP-110/70, T-36.6, PR-108 RR-22, FHT-144, OR of Cranial CT scan-pending
-referred to Medicine; ordered Mannitol 200 cc IV LD then 150cc IV q6, Ceftriaxone 2 grams OD, NGT insertion and
NGT feeding, for referral to Neurologist
08/10/2024
9am BP-110/70, T-36.4, PR-92 RR-20 FHT-145, OR of Cranial CT scan-pending
08/11/2024
6:45 am- CP arrest, CPR and ambubagging rendered, intubation done, 4 doses of Epinephrine given
7:10am-pronounced dead
- post mortem CS done-delivered a dead baby boy BW 1.580grams, BL 48
-cadaver released
f. Outcome (indicate counts of case/s) Active Recovered x Died For Verification
g. Laboratory details
Was there a procedure done? Yes No For verification
(fill up table below if laboratory examination is done)
No. of
Source Etiologic agent/pathogen No. of cases/ No. of positive cases/ negative
Type of Specimen Type of Examination done Remarks
(human/animal /environment etc.) isolated/detected samples tested samples cases/
samples
Human Blood CBC - 1 - WBC-18.38
Human Blood HBSAg, HIV, RPR - 1 - Non-reactive
Human Blood TPAG, BUN, Crea - 1 - Normal
Human Blood SGPT, SGOT - 1 - Normal
Human Blood Urinalysis - 1 - Albumin-trace
III. ASSESSMENT
Date Closed: 08/12/2024
a. Status of Health Event Open Closed
✘
b. Level of concern (Please select criteria based on the assessment)
Public Health Event of Local Concern (PHELC)
✘ The health event is confined in a specific geographical location (barangay/cities/municipalities)
✘ The number and severity of cases, deaths, and affected population are higher than expected but within the healthcare system capacity
✘ The health event may involve diseases with existing guidelines for the implementation of preventive and/or control measures to manage the event
Public Health Event of Regional Concern (PHERC)
The health event has potential to spread to other provinces/Highly urbanized Cities/Independent Component Cities
The number and severity of cases, deaths, and affected population are higher than expected and/or cases are continuously increasing despite response activities conducted
The health event requires technical assistance from the regional level in the conduct of epidemiological investigation and/or conduct of control measures
Public Health Event of National Concern (PHENC)
The health event has potential characteristics to cross boundaries or borders (regions or other countries)
Novel health event
The health event involved vulnerable population (e.g. children, pregnant, elders, healthcare workers) from two or more regions
The health event may require national level attention, resources and immediate implementation of control measures due to either of the following:
Has attracted public, media or political interest
The epidemic transmission route is new or unusual
Epidemics associated with health service failure or linked to breakdown in standards of health care delivery such as the following but not limited to infection control failure or systemic immunization failure
Public Health Event of International Concern (PHEIC)
Health event formally declared by the World Health Organization (WHO)
c. Assistance needed (please specify request)
Category Yes/No Details/Description Remarks
1. Technical support for surveillance No
2. Human resource No
3. Medicines/Medical supplies No
4. Laboratory supplies/logistics No
5. Health promotion materials No
DOH-EB-AEHMD-QMOP-03-Form2 Rev.6
6. Field/Epidemiologic investigation No
7. Others No
IV. RESPONSE
Status
Date
Response Office/Agency Specific Actions taken/Planned activities (pending/ongoing/
Started
done)
Admitted patient, Rendered treatment and management 08/08/202
1. Case management PRMMH DONE
for Eclampsia and CVA 4
08/08/
2. Laboratory confirmation PRMMH Cranial CT scan requested DONE
2024
3.Field/Epidemiologic investigation* -
Discussion with OB ward staff on guidelines in the
treatment and management of admitted high-risk
4. Program management/counter
PHO pregnancies - PENDING
measures
Retraining sessions on the identification of high risk
pregnancies and appropriate referrals
-Health Education regarding high risk pregnancies and
complications during prenatal checkup
ALL YEAR
5. Health education and promotion PRMMH-OB WARD & OPD, RHUs -Conduct lectures on “Usapang Buntis” ONGOING
ROUND
-Intensify prenatal check-ups and pregnancy tracking
-Family planning counseling and lectures
6. Response coordination mechanism PHO/ HESU/ PESU/ PDOH Maternal Death Review ONGOING
7. Others
add rows as needed
*Level of ESU who conducted epidemiologic investigation
MESU PESU RESU EB
✘
(select all that applies)
V. REPORT GENERATION
Name (s) of source(s) of information PATIENT’S CHART
Contact number of sources of information 09055631026
Who has been informed? HESU, PESU
Prepared by: Reviewed/Noted by: Approved by:
MERYL ANGELIQUE GUZMAN, RN DR. JOANNE CALLO-FERMANTEZ DR. EILEEN ROSE GARRIDO
NURSE I CHIEF OF HOSPITAL
Signature Signature Signature
Name Name Name
Position Position Position
Public Health Event of Local (L), Regional (R), National (N) Concern
Public Health Emergency of International Concern (PHEIC); according to WHO-International Health Regulation Definition
DISCLAIMER: Information indicated in this report may change upon further validation or investigation made by the epidemiology and surveillance units and other concerned agencies.
DOH-EB-AEHMD-QMOP-03-Form2 Rev.6
