1.Creating “boots on the ground”: addressing the shortage of field epidemiologists in the Philippines through intermediate-level training programmes
Rio Lat Magpantay ; Ray Justin Cacho Ventura ; Mariz Zheila C Blanco ; Karen B Lonogan ; Charmaine Madria-Barangan ; Apple Charm Agulto ; Rosario Pamintuan
Western Pacific Surveillance and Response 2023;14(3):08-12
Problem: As of 2022, only 49 graduates of the Philippines’ Field Epidemiology Training Programme (FETP) were employed by the Philippine Government, emphasizing the urgent need to increase the number of practicing field epidemiologists to better equip the country for public health emergencies.
Context: The FETP–Intermediate Course (IC) curriculum is based mainly on the module of the United States Centers for Disease Control and Prevention that was incorporated into the Philippine context. It consists of five 1–2-week lecture series that provide participants with the knowledge and tools necessary to conduct job-relevant field projects. Individual projects are the centrepiece of the FETP–IC ,requiring trainees to investigate outbreaks, design and develop protocols, conduct field data collection, manage data, analyse data, interpret data, write reports and deliver oral presentations.
Action: To address the shortage of practicing field epidemiologists in the Philippines, a subnational initiative in Northern Luzon was implemented.
Outcome: Within 3 years, the two FETP–IC subnational training programmes have produced 42 applied epidemiologists who will strengthen epidemiology and surveillance in their respective localities. As of February 2023, 92 studies have been conducted, including 39 outbreak investigations, 37 data quality analysis/process improvement projects, 10 epidemiological studies and six surveillance evaluations.
Discussion: By training and deploying skilled epidemiologists to local health offices and hospitals, the programme is helping to improve the capacity of the health system to respond to public health threats and protect the health of the population. The programme’s emphasis on practical training and real-world experience is an effective way to build a strong and sustainable epidemiological workforce.
2.Foodborne illness from tuba-tuba seeds among school-aged children, Philippines: a call for community education
Darren H Venturina ; Apple Charm A Agulto ; Alireza S Faiyaz MF ; Ray Justin C Ventura ; Mariz Zheila C Blanco-Payuyo ; John Bobbie Roca
Western Pacific Surveillance and Response 2025;16(1):61-65
Objective: On 2 September 2023, the Regional Epidemiology and Surveillance Unit of the Department of Health’s Center for Health Development in Calabarzon, Philippines, received a report of foodborne illness due to the ingestion of tuba-tuba (Jatropha curcas) seeds in Talao Talao Village, Lucena City. The objective of this study was to describe the public health event.
Methods: A descriptive study was conducted. Cases were defined as previously well individuals who developed at least one of the following symptoms after eating tuba-tuba seeds: vomiting, abdominal pain, diarrhoea, headache or dizziness. Health records were reviewed, and key informant interviews and environmental surveys were conducted.
Results: Ten cases were identified, ranging in age from 10 to 12 years. The onset of symptoms ranged from 1 to 4 hours after consumption. Six of the cases were taken to the hospital, although two went home before being admitted; all recovered after 3 days. The most common symptom was vomiting (100%); other symptoms included abdominal pain, diarrhoea, dizziness and headache.
Discussion: This investigation confirmed that tuba-tuba seeds were the cause of symptoms among school-aged children in Lucena City. To prevent similar events in the future, we recommend intensifying educational campaigns at both the community and school levels, as tuba-tuba is common in the area.