The Notifiable Law PPT, Cheat Sheet of Nursing

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COMMUNITY

HEALTH NURSING:

The Notifiable Law

LET THE LEARNING BEGINS

REPUBLIC ACT No. 11332

An Act Providing Policies and Prescribing Procedures on

Surveillance and Response to Notifiable Diseases, Epidemics,

and Health Events of Public Health Concern, and

Appropriating Funds Therefor, Repealing for the Purpose Act

No. 3573, Otherwise Known as the "Law on Reporting of

Communicable Diseases"

Section 2. Declaration of Policy. -It is hereby declared the policy of the State to protect and

promote the right to health of the people and instill health consciousness among them. It

shall endeavor to protect the people from public health threats through the efficient and

effective disease surveillance of notifiable diseases including emerging and re-emerging

infectious diseases, diseases for elimination and eradication, epidemics, and health events

including chemical, radio-nuclear and environmental agents of public health concern and

provide an effective response system in compliance with the 2005 International Health

Regulations (IHR) of the World Health Organization (WHO). The State recognizes

epidemics and other public health emergencies as threats to public health and national

security, which can undermine the social, economic, and political functions of the State.

The State also recognizes disease surveillance and response systems of the Department of

Health (DOH) and its local counterparts, as the first line of defense to epidemics and health

events of public health concern that pose risk to public health and security.

Section 3. Definition of Terms. -As used in this Act:

(a) Disease refers to an illness due to a specific toxic substance, occupational exposure or

infectious agent, which affects a susceptible individual, either directly or indirectly, as

from an infected animal or person, or indirectly through an intermediate host, vector, or

the environment;

(b) Disease control refers to the reduction of disease incidence, prevalence, morbidity or

mortality to a locally acceptable level as a result of deliberate efforts and continued

intervention measures to maintain the reduction:

(c) Disease surveillance refers to the ongoing systematic collection, analysis, interpretation,

and dissemination of outcome-specific data for use in the planning, implementation,

and evaluation of public health practice. A disease surveillance system includes the

functional capacity for data analysis as well as the timely dissemination of these data

to persons who can undertake effective prevention and control activities;

(d) Emerging or re-emerging infectious diseases refer to diseases that: (1) have not

occurred in humans before; (2) have occurred previously but affected only small

numbers of people in isolated areas; (3) have occurred throughout human history but

have only recently been recognized as a distant disease due to an infectious agent;

(4) are caused by previously undetected or unknown infectious agents; (5) are due to

mutant or resistant strains of a causative organism; and (6) once were major health

problems in the country, and then declined dramatically, but are again becoming

health problems for a significant proportion of the population:

(l) Public health emergency refers to an occurrence or imminent threat of an

illness or health condition that:

(1) Is caused by any of the following:

(i) Bio terrorism;

(ii) Appearance of a novel or previously controlled or eradicated infectious

agent or biological toxin;

(iii) A natural disaster;

(iv) A chemical attack or accidental release;

(v) A nuclear attack or accident; or

(vi) An attack or accidental release of radioactive materials; and

(2) Poses a high probability of any of the following:

(i) A large number of deaths in the affected population;

(ii) A large number of serious injuries or long-term disabilities in the affected

population;

(iii) Widespread exposure to an infectious or toxic agent that poses a significant

risk of substantial harm to a large number of people in the affected population;

(iv) International exposure to an infectious or toxic agent that poses a

significant risk to the health of citizens of other countries; or

(v) Trade and travel restrictions;

(m) Public health threat refers to any situation or factor

that may represent a danger to the health of the people;

and

(n) Response refers to the implementation of specific

activities to control further spread of infection,

outbreaks or epidemics and prevent re-occurrence. It

includes verification, contact tracing, rapid risk

assessment, case measures, treatment of patients, risk

communication, conduct of prevention activities, and

rehabilitation.

(f) To ensure that public health authorities have the statutory and regulatory authority to ensure

the following:

(1) Mandatory reporting of reportable diseases and health events of public health concern;

(2) Epidemic/outbreaks and/or epidemiologic investigation, case investigations, patient

interviews, review of medical records, contact tracing, specimen collection and testing, risk

assessments, laboratory investigation, population surveys, and environmental investigation;

(3) Quarantine and isolation; and

(4) Rapid containment and implementation of measures for disease prevention and control;

(g) To provide sufficient funding to support operations needed to establish and maintain

epidemiology and surveillance units at the DOH, health facilities and local government units

(LGUs); efficiently and effectively investigate outbreaks and health events of public health

concern; validate, collect, analyze and disseminate disease surveillance information to relevant

agencies or organizations; and implement appropriate response;

(h) To require public and private physicians, allied medical personnel, professional societies,

hospitals, clinics, health facilities, laboratories, pharmaceutical companies, private companies

and institutions, workplaces, schools, prisons, ports, airports, establishments, communities,

other government agencies, and nongovernment organizations (NGOs) to actively participate

in disease surveillance and response; and

(i) To respect to the fullest extent possible, the rights of people to liberty, bodily integrity, and

privacy while maintaining and preserving public health and security.

Section 5. Notifiable Diseases and Health

Events of Public Health Concern. -The

Epidemiology Bureau under the DOH shall

regularly update and issue a list of nationally

notifiable diseases and health events of

public health concern with their corresponding

case definitions. The selection and the

deletion of diseases and health events of

public health concern shall be based on

criteria established by the DOH.

Under this Act:

(a) The DOH and its local counterparts are mandated to implement the mandatory

reporting of notifiable diseases and health events of public health concern;

(b) The DOH and its local counterparts shall establish and maintain functional

disease surveillance and response systems, which include coordination

mechanisms, implementation protocols for reporting and response, measures for

data security and confidentiality, and procedures and provision to ensure safety of

personnel conducting disease surveillance and response activities;

(c) All public and private physicians, allied medical personnel, professional

societies, hospitals, clinics, health facilities, laboratories, institutions, workplaces,

schools, prisons, ports, airports, establishments, communities, other government

agencies, and NGOs are required to accurately and immediately report notifiable

diseases and health events of public health concern as issued by the DOH;

(d) Data collection, analysis, and the dissemination of information from official disease

surveillance and response systems can only be done by authorized personnel from the DOH

and its local counterparts and may only be used for public health concern purposes only;

thus, should be exempted in the provision of Data Privacy Act on accessibility of data;

(e) To perform their disease surveillance and response functions, authorized health personnel

from the DOH and its local counterparts have the statutory and regulatory authority to enforce

the following:

(1) Establishment of public health information system disease surveillance and response

systems in private and public facilities deemed necessary to protect the health of the

population in coordination with the DOH-Epidemiology Bureau;

(2) Mandatory reporting of notifiable diseases and health events of public health concern;

(3) Conduct of epidemic/outbreak and epidemiologic investigations, case investigations,

patient interviews, review of medical records, contact tracing, collection, storage, transport

and testing of samples and specimen, risk assessments, laboratory investigation, population

surveys, and environmental investigation;

Section 7. Declaration of Epidemic or Public Health Emergency. -The

Secretary of Health shall have the authority to declare epidemics of

national and/or international concerns except when the same threatens

national security. In which case, the President of the Republic of the

Philippines shall declare a State of Public Health Emergency and

mobilize governmental and nongovernmental agencies to respond to the

threat.

Provincial, city or municipal health offices may only declare a disease

outbreak within their respective localities provided the declaration, is

supported by, sufficient scientific evidence based on disease

surveillance/data, epidemiologic investigation, environmental

investigation, and laboratory investigation.

Section 8. Establishment of Epidemiology and. Surveillance Units. -The

DOH, in coordination with the LGUs, shall ensure that the Epidemiology and

Surveillance Units (ESUs) are established and functional in all levels of the

DOH and its local counterparts, and in public and private health facilities and

laboratories, as well as ports and airports in ah provinces, cities and

municipalities throughout the country. The ESU shall capture and verify all

reported notifiable diseases and health events of public health concern;

provide timely, accurate, and reliable epidemiologic information to

appropriate agencies; conduct disease surveillance and response activities;

coordinate needed response; and facilitate capacity building in the field of

epidemiology, disease surveillance and response at the Epidemiology

Bureau.

All ESUs shall have trained required human resource complement and

provision of adequate resources, including equipment, logistics,

communication, transportation, laboratory supplies and reagents, personal

protective equipment and health insurance, to effectively perform their

disease surveillance and response functions.

Section 10. Penalties. -Any person or entity found to have violated Section 9 of this Act

shall be penalized with a fine of not less than Twenty thousand pesos (₱20,000.00) but

not more than Fifty thousand pesos (₱50,000.00) or imprisonment of not less than one

(1) month but not more than six (6) months, or both such fine and imprisonment, at the

discretion of the proper court.

The Professional Regulation Commission shall have the authority to suspend or revoke

the license to practice of any medical professional for any violation of this Act.

The Civil Service Commission shall have the authority to suspend or revoke the civil

service eligibility of a public servant who is in violation of this Act.

If the offense is committed by a public or private health facility, institution, agency,

corporation, school, or other juridical entity duly organized in accordance with law, the

chief executive officer, president, general manager, or such other officer in charge shall

be held liable. In addition, the business permit and license to operate of the concerned

facility, institution, agency, corporation, school, or legal entity shall be cancelled.

● Section 11. Appropriations. -The amount needed for the initial implementation of this Act shall

be charged against the current year’s appropriations of the DOH. Thereafter, such sums as may

be necessary for the continued implementation of this Act shall be included in the annual

General Appropriations Act.

● Section 12. Implementing Rules and Regulations. -The DOH shall issue the implementing

rules and regulations for this Act within one hundred twenty (120) days after the approval of this

Act.

● Section 13. Separability Clause. -If any part, section or provision of this Act is held invalid or

unconstitutional, other provisions not affected thereby shall remain in full force and effect.

● Section 14. Repealing Clause. -Act No. 3573, otherwise known as the "Law on Reporting of

Communicable Diseases", is hereby repealed. All laws, decrees, orders, issuances and rules

and regulations or parts thereof inconsistent with the provisions of this Act are hereby repealed

or modified accordingly.

● Section 15. Effectivity. -This Act shall take effect fifteen (15) days after its publication in the

Official Gazette or in a newspaper of general circulation.