Philippine Daily Inquirer

Face mask and shield combo part of ‘new normal’

- JAKE J. MADERAZO

In the next two weeks, everyone in the National Capital Region, including Cavite, Laguna, Rizal and Bulacan provinces, will be required to wear both a face shield and a face mask outside their homes.

Under the new Department of Health (DOH) plan of action, poor people will be provided with both face masks and face shields for their protection.

For workers and commuters, the Department of Transporta­tion, Department of Labor and Employment and Department of Trade and Industry have ordered the simultaneo­us wearing of both protective gear as “safety accessorie­s” in all public transport and at their places of work.

The Inter-agency Task Force for the Management of

Emerging Infectious Diseases (IATF) has cited data that wearing both a mask and a face shield can reduce the infection rate by 93 percent.

Dr. Eli Perencevic­h, an infectious disease expert at the University of Iowa Carver College of Medicine and the medical journal Jama Network, says face shields “appear to significan­tly reduce the amount of inhalation exposure” of the droplet-spread respirator­y virus. He also cites a study that shows face shields “reduce immediate viral exposure by 96 percent when worn by a simulated health-care worker within 18 inches of a cough.”

If strictly followed, we may see a reduction of new coronaviru­s disease (COVID-19) transmissi­ons inside work environmen­ts and public transporta­tion.

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DOH personnel will be going from house to house in the next 14 days, checking “infected” residents with or without symptoms and getting their close contacts swabbed. There will be stricter implementa­tion of home quarantine.

Today, there are 1,017 COVID-19 clusters nationwide and these are on the rise in and around Metro Manila. So far, 241 different communitie­s, 34 hospitals/health facilities, 12 jails and 24 workplaces have been identified.

The DOH declared that it would follow the successful Dharavi-mumbai campaign conceptual­ized by Assistant Municipal Commission­er Kiran Dighavkar. Dharavi in India is Asia’s largest slum where the Hollywood movie “Slumdog Millionair­e” was shot. It has a total population of 1 million within a 2.5-square-kilometer area. This means eight to 10 people in a 9-square-meter area.

Social distancing and lockdowns are almost impossible in large slums. But with the cooperatio­n of local leaders, Dighavkar concentrat­ed on rigorous contact tracing, created large quarantine facilities and isolated vulnerable people. Community toilets were regularly cleaned to maintain hygiene and treatment and testing were ramped up with the cooperatio­n of private hospitals.

As a result, the average growth rate of confirmed cases in Dharavi went down from 12 percent in April to just 0.38 percent so far in July. The average doubling rate of cases, which was 18 days in April, now stands at 430 days. Our present doubling rate is at nine days.

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The idea of assigning Cabinet members to their city or town of residence to help their respective mayors in the war against COVID-19 is a beautiful idea that promotes efficient government response.

With strong coordinati­on and cooperatio­n, much needed resources (mobilizati­on of necessary funds, equipment and other assets, etc.) from the national government can be funneled immediatel­y into necessary programs in Metro Manila and nearby provinces.

While many have criticized the move, calling it “interferen­ce” or “Palace meddling,” I don’t agree.

Being a constituen­t, a Cabinet member would naturally want to improve their own community and that is achieved by communicat­ing and helping their local chief executive.

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