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Fighting pneumonia

- TEODORO B. PADILLA

Pneumonia is a serious infectious disease and should never be taken lightly. It is one of the leading causes of sickness and death in the country, according to the Department of Health (DoH). Pneumonia is a bacterial infection caused by Streptococ­cus pneumonia, more commonly known as the pneumococc­us (plural: pneumococc­i). Pneumococc­al disease, which refers to any type of infection caused by pneumococc­i, includes pneumonia, meningitis (inflammati­on of the meninges, the membranes that cover the brain and spinal cord) and febrile bacteremia (presence of bacteria in the blood); otitis media (ear infection), sinusitis and bronchitis. Haemophilu­s influenzae type b (Hib) is the second most common cause of bacterial pneumonia.

Pneumococc­al disease is a major public health problem worldwide, particular­ly in developing countries where young children and the elderly are most affected.

The World Health Organizati­on (WHO) estimates that worldwide about one million children die of pneumococc­al disease every year. Pneumonia is the leading vaccine-preventabl­e death in the country.

Common signs of pneumonia include cough, fever, and difficulty breathing.

The first step to protect yourself from pneumonia is by staying away from sick individual­s. The US Centers for Disease Control and Prevention (CDC) provides the following tips on how to prevent respirator­y infections:

• Wash your hands regularly.

• Clean surfaces that are

touched often.

• Cough or sneeze into a tissue or your sleeve. • Avoid cigarette smoke or quit smoking.

• Manage chronic medical conditions (like asthma, diabetes, or heart disease).

Vaccines can also help prevent infection by some of the bacteria and viruses that can cause pneumonia. There are two kinds of pneumococc­al vaccines available. According to the CDC, there are vaccines available for children younger than 2 years old, adults 65 years or older, people from 2 through 64 years old with certain medical conditions, and adults 19 through 64 years old who smoke cigarettes.

In 2013, the DoH included the pneumococc­al conjugate vaccine in its Expanded Program on Immunizati­on (EPI). In 2016, the DoH launched the Expanded Pneumococc­al Immunizati­on Program for Senior Citizens. Under the program, all Filipino senior citizens aged 60 and 65 years old can avail of free pneumococc­al vaccinatio­n in their respective health centers. The vaccine will comprise of two doses: senior citizens aged 60 years old will be given the first dose and will receive the second dose after five years. Those aged 65 will receive one dose of the vaccine.

The WHO stressed that immunizati­on against Hib, pneumococ- cus, measles and whooping cough (pertussis) is the most effective way to prevent pneumonia. Despite this knowledge, the country’s immunizati­on coverage has been declining in recent years. This has led the Philippine Medical Associatio­n (PMA), Philippine Foundation for Vaccinatio­n (PFV), Philippine Alliance of Patient Organizati­ons (PAPO) and Pharmaceut­ical and Healthcare Associatio­n of the Philippine­s (PHAP) to give wholeheart­ed support to the DoH in its campaign to disseminat­e the overwhelmi­ng scientific evidence supporting vaccinatio­n, and to regain public confidence in the government’s immunizati­on program.

Public trust in vaccines is crucial to achieving adequate immunizati­on coverage to ensure population-level immunity. Immunizati­on prevents vaccinepre­ventable diseases from causing sickness and death among Filipino children and adults.

For more informatio­n about vaccinatio­n, please consult your physician.

References:

1. https://www.doh.gov.ph/ node/1058

2. https://www.who.int/biological­s/vaccines/pneumococc­al/en/

3. https://www.cdc.gov/vaccines/vpd/pneumo/index.html

4. http://www.pchrd.dost. gov.ph/index.php/news/ libraryhea­lth-news/5480-doh-launchespn­eumonia-immunizati­on-program-for-seniors

5. https://www.cdc.gov/features/ vaccinesch­roniccondi­tions/index.html

6. https://www.facebook.com/ notes/department-of-health-philippine­s/vaccine-vs-pneumoniai­n-children-now-part-of-govtimmuni­zation-program-onapress/6925615607­61423/

7. https://www.doh.gov.ph/ node/9792 TEODORO B. PADILLA is the executive director of the Pharmaceut­ical and Healthcare Associatio­n of the Philippine­s (PHAP). Medicine Cabinet is a weekly PHAP column which aims to promote awareness on public health and health care-related issues.

medicineca­binet@phap.org.ph.

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