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Nicole-Anne Lagrimas
Shared Stories
07 November 2017
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Pinoys with COPD urged to join landmark study on the disease

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Lung specialists urged Filipinos living with a progressive condition known as chronic obstructive pulmonary disease (COPD) to take part in a “landmark” five-year study that is seen to yield important, still unknown data on what is considered the seventh leading cause of death in the country.

COPD patients would need to consult their nearest pulmonologists in order to be recruited for the study, whose goal is to shed light on the still unclear “local flavor” of the disease, lung doctors on Wednesday.

Launched last year, the COPD Profile and Survival Study (CPASS) of the Philippine College of Chest Physicians (PCCP) aims to gather the profiles of COPD patients across the country, compare it with those of foreign patients, look at the survival rates, and bolster research on the disease in the country, said Dr. Tim Trinidad, who chairs the Council on COPD and Pulmonary Rehabilitation of the PCCP.

“The problem is we don’t have data on COPD, with regards our local setting...so we tried doing a research,” said Trinidad. He also said the study will involve the PCCP's nine chapters and 24 training institutions.

Dr. Charles Yu, president of the PCCP, said the CPASS is “the largest study of its kind” in the Philippines. He added that it has passed an ethics review and is now in the process of recruiting subjects.

“It is going to be a five-year study—we started 2016, hopefully we will be ending 2021,” Trinidad said.

The study—funded by the Department of Science and Technology's Philippine Council for Health and Research Development—will be especially helpful because doctors in the country do not yet know just how high the prevalence of COPD among Filipinos is, or why COPD seems to be more prevalent among women.

What they do know is based on an international study that is at least 10 years old, which said that two out of 10 persons over 40 years old in Metro Manila and Nueva Ecija had COPD; and that eight out of 10 of those with the disease do not know they have it.

COPD is projected by the World Health Organization (WHO) to be the third leading cause of death in the world by 2030. COPD reportedly affects 210 million people worldwide and was also the disease that killed veteran comedian Dolphy in 2012.

Silent until substantial damage is done

COPD is a progressive lung disease that damages the lungs slowly and may not be felt by a patientuntil 20 to 50 percent of the lungs are damaged, said Trinidad.

While it is not curable, the symptoms of the disease can be treated to improve quality of life and reduce the risk of death, according to the WHO.

“Ang COPD ay isang pinsala sa daanan ng hangin o baga na karaniwang nakukuha sa paninigarilyo,” said Dr. Roland Panaligan of the PCCP when asked for a simple explanation of COPD.

It is mainly caused by exposure to cigarette smoke; biomass fuels such as firewood or charcoal; as well as air pollution and occupational dust.

CODP is not tuberculosis, which is also highly prevalent in the country, said the doctors, though it can be a combination of emphysema and bronchitis.

To a lay person, Panaligan would say the symptoms are “hapo, hingal, ubo na hindi nawawala, na may kasamang plema.”

Patients may complain of asthma but actually be diagnosed with COPD, said PCCP board member Dr. Jubert Benedicto,  who also recommended attaching a prominent face—the late Dolphy, for example—to simplified explanations of the disease.

“Doon niya [patient] maiisip na, ‘naku, kung si Dolphy nga, mayaman, hindi na-spare sa COPD...’” he said.

“It’s an opportunity opening for us to tell them that you know, even if you have COPD, as long as you adhere to the medications which are available in the country...kaya pa hong magamot ang COPD,” Benedicto added.

COPD in the Philippines also goes largely undiagnosed for various reasons, which includes delayed consultations due to the cost of healthcare in the country, as well as a feeling of "comfort" with one's coughing and wheezing, symptoms of the disease, said Panaligan.

"Remember, the cost of healthcare delivery system is something out-of-pocket, so if they don’t have much money or savings for their health care, then it will really add up to the delay in terms of consultation," he said.

Majority of patients "take their symptoms for granted," too, said Benedicto.

One important way of addressing COPD is to quit smoking or to prevent exposure to noxious gases, said the doctors. There are also drugs that dilate the airways and curbs further lung damage, they said.

Raising awareness

Another strategy seen by the lung specialists to spread information about the COPD is through grassroots level awareness campaigns in barangays and municipalities, but they did not yet share details of their plans.

The PCCP on Wednesday also launched a partnership with private healthcare firm Novartis to boost their COPD awareness efforts, and to further the use of devices known as spirometers, which measure the amount of air inhaled and exhaled by the lungs.

It can be used by doctors and by lay folk who want to monitor their lung performance, said representatives from Novartis and the PCCP. A newer version of the spirometer may be connected to a mobile application for use by even non-doctors.

Novartis turned over spirometers to the PCCP, which will in turn distribute up to 650 of the portable devices to their members in the country for free-of-charge use by patients, said PCCP’s Yu.

The awareness-raising campaign, meanwhile, is called the BREATHE Initiative, which stands for Broadening Reach, Enhancing Awareness and Transforming Health Education. Novartis Philippines president Cheryl Maley said the endeavor will “ease the heavy burden [of CODP] in the country.”

The World COPD day is set to be held on November 15 and will be marked by various activities that aim to raise awareness and improve COPD care around the world.

Manila Bulletin
Shared Stories
23 June 2017
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Unilab’s Sekaya inaugurates Laguna plant for natural medicinal products

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United Laboratories, Inc. (Unilab), the leading pharmaceutical and healthcare company in the Philippines, announced that its affiliate, the Sentrong Katutubong Yaman (Sekaya), is tapping into the country’s rich biodiversity to develop natural medicinal products with the help of science and technology (S&T).

Sekaya signed a memorandum of understanding (MoU) with the Philippine Council for Health Research and Development (PCHRD) of the Department of Science and Technology (DOST) enhance research and development (R&D) on health, especially in medicinal plants.

The signing was held during the recent inauguration of the Sekaya Research and Development Plant at the Unilab Pharma Campus in Mamplasan, Laguna. The facility is envisioned to become a collaborative R&D center for local medicinal plants and as a platform to develop natural products based on science to help the indigenous communities and small farmers benefit from the country’s rich resources.

Present during the signing and the inauguration of the Sekaya R&D Plant were Dr. Rowena Guevara, DOST undersecretary for research and development; Gov. Carmencita Ongsiako Reyes of Marinduque; Dr. Fabian Dayrit, professor at the Ateneo de Manila University Department of Chemistry; Dr. Dolores Ramirez, National Scientist; Dr. Teresita Borromeo, professor and head of the Plant Genetic Division of UP Los Banos; and Dr. Cecilia Maramba, director of the National Institutes of Health.

“Indigenous communities and farmers, who are among the poorest in the country, have a lot to gain from the development of plant-based natural products in terms of livelihood and health benefits,” said Dr. Eliseo Banaynal, executive director of Sekaya.

Lack of access to modern technology and technical expertise are among the barriers that prevent Filipino farmers from being competitive and from increasing their income, he said. Through the Sekaya facility, small farmers can tap the expertise of scientists and gain access to innovative technologies and processes.

The Philippines is one of the 17 megadiverse countries in the world or the world’s top biodiversity-rich countries which contain about 70 to 80 percent of the world’s plant and animal species. The Philippines ranks fifth in terms of number of plant species and is home to 5 percent of the world’s plants (about 10,000 to 13,000 species of plants described and recorded).

“The Philippines’ rich biodiversity should be protected at all costs; at the same time we should make sure that benefits from it will redound to the Filipinos,”  Joey Ochave, senior vice president of Unilab, said. Unilab, through Sekaya, will support communities in cultivating and developing practical applications for the country’s natural resources that will be beneficial to them,” said

For the DOST’s part, PCHRD Executive Director Dr. Jaime Montoya underscored the government’s call for continuous development of the country’s biodiversity for health-related discoveries, particularly plant-based medicines. DOST, through PCHRD, has been at the forefront of the government’s efforts to develop herbal medicines to maximise the potential of medicinal plants which abound all over the country.

According to PCHRD, experts have identified over 1,500 indigenous medicinal plants in the Philippines. Globally, there is renewed interest and demand for herbal medicines in recent years. The World Health Organization (WHO) estimates that eight out of 10 people worldwide use herbal medicines.

Ben Kritz
Shared Stories
18 April 2017
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Research-to-policy gap still a challenge in PH

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The Philippines should adopt policy-driven health priorities to better utilize the research being done in the country, the Department of Health (DOH) stressed in a recent forum.

Although the country’s strong showing in a recent study by the Brookings Institution indicated the Philippines has a good environment for medical research and development, there is still a gap in translating research into policy, current and former DOH officials said at the Philippine Council for Health Research and Development (PCHRD) 35th Anniversary Research to Policy Forum held last month.

Dr. Gloria Nenita Velasco, Medical Officer IV of the Department of Health – Health Policy Development and Planning Bureau, cited limited research production due to poor data collection and limited funds; low research credibility due to poor evidence; and limited appreciation of research to policy impacts as challenges affecting research uptake as challenges the government and healthcare sectors are still facing in translating research outcomes to effective policy.

Velasco suggested that health priorities should be policy-driven to ensure that health research would be utilized through policy implementation. Research co-production and increased support for evidence-based research were also cited as strategies to effectively turn research into concrete policies.

Apart from data and findings, Dr. Fely Marilyn E. Lorenzo, former Professor of the Department of Health Policy and Administration of the University of the Philippines Manila said that policy documents must be able to capture the views and wishes of the beneficiaries, as well as opinions of the researchers and testimonials. Effective policy research must be problem-driven, multi-dimensional, flexible, and strongly evidence-based, she stressed.

On the issue of policy adoption as a major challenge in implementing research-based policies, “It’s always prudent to consult with stakeholders/end-users,” said Dr. Lorenzo.

Ober Khok
Shared Stories
05 May 2017
Hits: 8184

Sira-sira Store: ‘Bisag saging’ life is tolerable

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“BISAG saging, basta labing” is a Cebuano phrase that makes light of the pain of want. It means something like, “even if we only have bananas to eat for as long as we have love, everything will be fine.” The rhyme gets lost in the translation, but the sense remains. Life is tolerable if you have bananas.

The plant grows easily and bears fruits in clusters or tiers or sipi (hands) attached to a bulig or stem. It can feed the whole family. Ripe bananas can be paired with boiled rice. Boiled green sab-a (also saba) or cardaba is often boiled and dipped in oil mixed with salt, or ginamos (fermented anchovies or bolinao) mixed with lemonsito juice.

Bananas are a blessing to the country, not just because it’s a cash crop, but because being common, many people can go on being labing (loving). This popular fruit has a lot of varieties to choose from like tundan or latundan, lakatan and bungan; and less common seniorita, tindok, morado and pitogo (round and small like the pitogo palm, which can be fashioned into keychains once the woody core is removed).

One folk belief attached to the fruit swears that a pregnant woman eating twin bananas will produce twin babies. I remember a GMA 7 Brigada feature on the explosion of twins in a town in Pampanga. If memory serves me right, the small community had 16 pairs of twins or triplets. According to a geneticist, twinning can be found in large communities but not in wide incidence. What happened probably had to do with the migration of people into that sitio who have the genetic factor of bearing twins, thus the big concentration of double-kids, so to say.

For the benefit of good health, the Philippine Council for Health Research and Development (PCHRD) published online why it’s good to eat bananas.

1. Bananas are good for heartburn, which the PCHRD based on a study published in The Journal of Nutritional Biochemisty (February 2001). The article said bananas have anti-ulcer properties. There was no mention of which type of banana was most effective, perhaps because a banana is a banana is a banana.

2. It seems that two bananas a day will keep the doctor away because the fruit is high in fiber and vitamins (C, potassium, iron and B6). It has soluble fiber, like oats, which may help lower blood cholesterol and lower the risk of heart disease and stroke.

3. Bananas help drive out stress and insomnia. Have you ever seen monkeys acting out? Terrible joke aside, bananas have serotonin, a hormone known to make you feel happy and improve your mood.

4. Bananas are good for fatigue and anemia (charge it to iron). Its carbohydrate content boosts energy. Perhaps, this is the fruit Pambansang Kamao Manny Pacquiao takes before a game.

The PCHRD forgot that bananas are versatile. You can sip them in shakes; snack on them as chips or splits or cakes (banana cake and linuyang or mashed sab-a mixed with sugar and grated young coconut); nibble as “banana-que” or candied banana; cubed to give halo-halo texture; or added to soup (pochero) or curries (green banana curry with chicken). Maybe we should start calling the banana King of Fruits. Do I hear amens?
Ben Kritz
Shared Stories
17 April 2017
Hits: 15134

Fast food health risks rapidly rising in Asia, PH

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Asia-Pacific is at a risk of poor nutrition as modern trade policy opens the region to a flood of ultra-processed food and drinks, according to a study published in Globalization and Health, a conclusion supported by a study by University of the Philippines researchers, who found young people here are at greater risk of noncommunicable diseases from consuming fast food.

In a study by Australian researchers that looked at sales and company data from transnational food and beverage companies, it was found that in China, expenditure on food services from companies such as KFC and McDonald’s increased eighteen-fold from $1.90 per person in 1999 to $34.80 per person in 2013. The research also revealed that the Coca-Cola Company alone had sales in 2013 of more than $16 billion in the Asian region, or 18 percent of their world sales.

“It is a health disaster waiting to happen. Companies are focusing their efforts in Asia because of the large market opportunities and growth in consumption that has still to happen,” said study co-author Sharon Friel, a professor at the Australian National University. “Many countries, particularly lower-middle income ones, are having increasing issues with diet related diseases such as cardio-vascular disease, heart disease, diabetes, and some cancers.”

Friel called for stronger health regulations across the region, including in Australia. “We need to start looking at policies that mitigate the health risks of these types of products,” Friel said. “We need to look at introducing a tax on sugary drinks.”

Investment by food and beverage companies is facilitated by trade and investment agreements, the study noted. Friel also called on governments “to think about the trade and investment agreements they are signing, what they will mean for domestic health policy, and how they can protect human health.”

Growing problem in PH

The findings of the Australian researchers echoed those of researchers from the University of the Philippines-Diliman, who found that most of the commonly consumed fast food products among youth could increase risks of developing noncommunicable diseases (NCDs).

NCDs are cardiovascular diseases like heart attacks and stroke, cancers, chronic respiratory diseases, and diabetes, and are responsible for more than 36 million annual deaths worldwide, according to data from the World Health Organization (WHO). The WHO stressed that NCDs are highly preventable, but that unhealthy diets are the most significant contribution to their development.

In the UP study, researchers surveyed 1,030 college students aged 16 to 20 years to determine their commonly consumed fast food products. The Food and Nutrition Research Institute (FNRI) then analyzed the most preferred foods.

The FNRI found that the most consumed fast food products of young people were energy-dense but low in fiber.
“Meaty dishes exceed the recommended amount of energy, saturated fat, cholesterol, sodium, and cholesterol for ages 16-18 years old. Side dishes and condiments also contained considerable amounts of saturated fat, cholesterol and sodium while sweetened beverages and desserts contributed to the total amount of energy from meals,” the FNRI conclusions said.

Previous research has linked excessive energy content, cholesterol, fats, and sugar with increased risks of NCDs, researcher Cecile Klaudine C. Cabigas said.

To promote healthier food choices among the youth and reduce the incidence of NCDs, researchers advised fast food establishments to provide nutrition labels on their food products and develop healthier combinations in “value meals.” Also, the young must be educated with physical activity pointers, the researchers suggested.

The UP study was funded by the Philippine Council for Health Research and Development under the Department of Health’s Health Systems Research Management Program.

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  4. DOST launches InfoSerbilis on agency services

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