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Friday, June 19, 2020

Myanmar is like going back to the past

A trip to Myanmar, I would say, will either amaze you or disappoint you. Most roads are unpaved, the buildings are old - like super old old, even the city gives you a probinsya feel.
It's like travelling back in time, say 20 years. 


BUT, if you are into culture appeciation like seeing people still wearing traditonal clothes even at school and at work, walking barefoot going to temples, watching monks cross a busy expressway, looking at people with white paste from a tree bark on their faces (a tradition) even while in the office, visiting amazing pagodas and more, then pack your bags and head to Myanmar. 

It's a trip to remember!

Sunday, June 07, 2020

Easy Peasy Homemade Ice Cream

My home-made mango ice cream! Woohoo!! Have I been living under a rock? This is so easy to make pala!

Actually, making this brings back memories of my Dad, and just at the right time as it's also the anniversary of his passing.

When we were kids our Dad bought an ice cream machine and we were very excited to try it for the first time. My recollection was it took a while to gather all the ingredients and the machine to work its magic. Ignorant that I was then I was even amazed we had to put salt on the ice inside the machine. To cut the story short, that was the first ang LAST time we used that ice cream machine. We figured it's quicker and cheaper to just buy. Parang namahalan kami sa asin hahaha 😊I think my mom still kept it for whatever reason. 

I think we're not going to buy ice cream for a very long time 😊

Thursday, May 21, 2020

Papatawarin ko ba?

Minsan ko lang utusan, eto pa ang ginawa ni junakis sa natitirang ube cheese pandesal na aking pinakaka asam-asam...

Pero nag apologize naman e.

Tuesday, May 19, 2020

What's in your smoothie?

I normally have oatmeal for breakfast but since I've been waking up late just in time to start working, I need to further shorten my prep time. That means breakfast needs to be hurried too.
 
However, hurried doesn't mean non nutritious breakfast. Before the ECQ, I'd normally get a breakfast smoothie from a juice store at our office lobby. I can drink it while working or even while in a meeting.
 
So since we're in quarantine, I tried making my own breakfast smoothies and they are as easy as 1, 2, 3!
 
This one's my favorite..
 

1 medium banana
1 avocado frozen bar 
1/2 cup oats (I prefer instant)
1 cup soy milk
1 tbsp virgin coconut oil
5 pcs apricot kernels (for my daily dose of B17)
1 cup water

Blend, blend, blend!

Monday, May 18, 2020

DOH Return to Work Guidelines

National Capital Region is now placed under Modified Enhanced Community Quarantine while other parts of the country are now under General Community Quarantine which means restrictions are more relaxed.

Are you ready to go back?

To guide businesses that will resume operations, and for those returning to work, the Department of Health issued the below interim guidelines:

 
 

 
Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
 
May 11, 2020
 

DEPARTMENT MEMORANDUM

No. 2020 -    bJ2,0        
 


TO:ALL UNDERSECRETARIES AND ASSISTANT SECRETARIES; DIRECTORS OF BUREAUS AND CENTERS FOR HEALTH DEVELOPMENT; MINISTER OF HEALTH BANGSAMORO AUTONOMOUS REGION IN MUSLIM MINDANAO; EXECUTIVE DIRECTORS OF SPECIALTY HOSPITALS AND NATIONAL NUTRITION COUNCIL; CHIEFS OF MEDICAL CENTERS, HOSPITALS, SANITARIA AND INSTITUTES; PRESIDENT OF THE PHILIPPINE HEALTH INSURANCE CORPORATION; DIRECTORS OF PHILIPPINE NATIONAL AIDS COUNCIL AND TREATMENT AND REHABILITATION CENTERS AND ALL OTHERS CONCERNED
 
 
SUBJECT: Interim Guidelines on the Return-to-Work 
 
I.             INTRODUCTION
 
Coronavirus disease 2019 (COVID-19) was first reported in December 2019 as a cluster of pneumonia cases of unknown etiology. Pursuant to the Memorandum from the Office of the President dated March 16, 2020, with the subject “Community Quarantine over the Entire Luzon and Further Guidelines for the Management of the Coronavirus Disease 2019 (COVID-19) Situation,” among the recommended guidelines included work suspension.
 
With the Enhanced Community Quarantine coming to an end, the Department of Health (DOH) shall implement these interim guidelines aimed to prevent, control, and diminish infection in the workplace.
 

II.              GENERAL GUIDELINES

 
1.    Employers in the workplace shall adopt business continuity plans to prevent the spread of COVID-19. Employers shall develop a work arrangement that will reduce the number of people in the workspace and also reduce the need to travel, including work from home arrangements to those whose tasks can be done at home, and among employees at high risk. This includes employees beyond 60 years of age, or of any age with co-morbidities, or pre-existing illness such as hypertension, diabetes, cancer or immunocompromised health status, or with high-risk pregnancy. 
 
2.     Social support that will facilitate compliance must be in place. This  includes appropriate policies on sick leave and medical insurance coverage to accommodate the COVID-19 situation, and pay allowance from the employer.
 
3.     Workplace facilities shall screen returning employees/workers for influenza-like symptoms. Temperature checks and proper disinfection of inbound and outbound persons shall be strictly implemented.
 
4.     Non-pharmaceutical interventions should be implemented in the workplace such as infection prevention and control measures such as hygiene promotion, environmental cleaning, disinfection, physical distancing, health education, and other public health and safety measures indicated in the Joint Department of Trade and Industry and Department of Labor Employment Interim Guidelines on Workplace Prevention and Control of COVID-19.
 
 

III.               SPECIFIC GUIDELINES

 
A.     Engineering and Administrative Control Measures
 
1.      The employer must ensure that the workspace is properly disinfected, ventilated, and maintained.
 
2.       The employer shall also provide proper visual reminders for safety policies around the workplace to improve compliance.
 
3.       The employer may also adopt and implement alternative working arrangements indicated in the Civil Service Commission Memorandum Circular 10, series of 2020, and Joint Department of Trade and Industry and Department of Labor Employment Interim Guidelines on Workplace Prevention and Control of COVID-19.
 

B.     Implementation of Other Prevention and Control Measures

 
1.     Conduct daily temperature and symptom monitoring and recording of all staff who report for work
 
2.       Establish referral network for employees who will develop symptoms.
 
3.     Employers must enforce infection control procedures such as physical distancing, wearing of masks, meticulous hand hygiene, and cough etiquette as stipulated in AO 2020-0015 on the Guidelines on the Risk-Based Public Health Standards  for COVID-19 Mitigation. Appropriate PPE shall also be worn based on the setting of their work (e.g. face shields and masks for those who render service via face-to-face encounters, full PPE for frontline healthcare workers, etc.).
 
4.     Employers shall implement activities to promote physical and mental resilience among their employees and workers, and ensure other measures to reduce transmission, contact rate and risk of infection of COVID-19, as indicated in the Joint DTI and DOLE guidelines.

C.     Screening of Returning Employees and Workers

 
1.     Returning employees and workers physically reporting to their place of employment shall be screened for symptoms of COVID-19, including fever, cough, colds and other respiratory symptoms, and/or relevant history of travel or exposure within the last 14 days.
 
a.      The following exposures should have happened two (2) days before or within 14 days from onset of symptoms of a confirmed or probable case:
            
            1)  .                Face-to-face contact with a confirmed case within 1 meter and for more than 15 minutes
     2)  .                      Direct physical contact with a confirmed case
     3)      Direct care for a patient with probable or confirmed COVID-19 disease without using proper personal protective equipment
 
2.     Returning employees and workers who are symptomatic with relevant history of travel/exposure on the date of work resumption shall not be allowed to physically return to work and must consult with their primary care provider. The use of telemedicine is encouraged for proper care and coordination.
 
3.     Returning employees and workers who were symptomatic with relevant history of travel/exposure within the last fourteen (14) days prior to the date of work resumption shall present the Certificate of Quarantine Completion duly issued by the step-down care facility or local health office, whichever is applicable based on the latest DOH guidelines on reintegration of suspect, probable, and confirmed COVID-19 cases.
 
4.     If asymptomatic within the last fourteen (14) days prior to the date of work resumption, employees and workers can be cleared to physically return to work.
 
 

D.     Testing of Asymptomatic Returning Employees

 
1.      While testing is an important component of response against COVID-19, limitations on their reliability and validity shall be recognized.
 
2.      Employers who opt to conduct testing may do so in a representative sample of those who have returned to work physically and have a high risk of contracting COVID-19 due to the nature of the work (e.g. frontliners).
 
3.      Testing using RT-PCR among representative samples for baseline can be conducted to look for any evidence of asymptomatic transmitters (Annex A).
a.  If tested positive, the returning employee/worker is a COVID-19 case and will be isolated and referred accordingly for appropriate management. All close contacts shall be isolated and tested accordingly based on Department Memorandum 2020-0180.
b.  If found negative, returning employee and worker can continue working with usual precautions.
c.  If initially tested negative but developed symptoms, the employee must  be tested accordingly based on Department Memorandum 2020-0180.
 
i.             If found positive, all close contacts of returning employees and workers shall be isolated and tested accordingly based on Department Memorandum 2020-0180.
 
        d.  Employers shall report the results to DOH in accordance with Administrative Order No. 2020-0013, entitled “Revised Guidelines for the Inclusion of COVID-19 in the List of Notifiable Diseases for Mandatory Reporting to the Department of Health” and Administrative Order No. 2020-0014 entitled “Guidelines in Securing a License to Operate a COVID-19 Testing Laboratory in the Philippines.”
4.     Alternatively,  testing   using  FDA-approved  rapid   antibody-based tests  among representative samples for baseline can also be conducted up to every 14 days.
 
a.    Employees who test IgM negative and IgG negative, or IgG positive regardless of IgM results may continue to work.
 
b.  Employees who test IgM positive but IgG negative on the 1st test shall be isolated for 14 days and repeat testing on the 14th day. lf results are still IgM positive and lgG negative, extend quarantine by seven-day increments and repeat testing. If persistently IgM positive but IgG negative for two consecutive retestings after the 1st 14 day period, consider potential false positives and confer with infectious diseases specialists.
 
c.  Employers shall submit to hrtucovid19results@email.com the results of the rapid antibody tests among the sample representatives using the format available on https://bit.ly/RDTReportingForm.
 
5.      Cost of the test not covered by PhilHealth shall be borne by the employer.
 
For strict compliance.
 
 

Annex A.

Decision Matrix for Sample Representative of Asymptomatic Employees with Relevant History of Travel and/or Exposure Using RT-PCR as Baseline

RT-PCR Result
Action
Positive
          Isolate, manage and refer accordingly.
         All close contacts shall be isolated and tested with RT-PCR as well.
Negative
May continue working with usual precautions.

If symptoms develop, test using RT-PCR. Cost of testing for symptomatic returning employees shall be subject to PhilHealth policies. All costs not covered by PhflHealth shall be borne by the employer.

 

Using Rapid Antibody Test every 14 days


 
IgM
IgG
Action
(-)
(+)
Not actively infected.
May continue working with usual precautions.
 
 
 
 
(+)
(-)
Isolate for 14 days.
Repeat testing on day 14 of quarantine.
         If results are still IgM positive and IgG negative, extend quarantine by seven-day increments and repeat testing.
          If persistently IgM positive but IgG negative for two consecutive retestings after the 1st 14 day period, consider potential false positives and confer with infectious diseases specialists.

Sunday, September 29, 2019

Nakapag 'Lakbay' Ka Na Ba?

When you are a mother of school children, it's nearly impossible to avoid being a chaperone in field trips. It's like an item in our Mommy's Accomplishment List that needs to be ticked before they finish elementary education.

So I do it annually, sometimes twice if I get lucky enough to get invited by my youngest daughter to accompany her instead of her Lola (her preference).

This year brought us to Lakbay Museo, a travel-themed museum featuring the different regions of the Philippines. The tour allows visitors to "experience" Philippines' top destinations as well as its select delicacies in less than two hours.


Visitors start the tour with booths featuring Cebu's Taboan Market where heaps of various dried fishes are displayed. Close by are a fruit stand corner, a setup of a fish stall and a carinderia where you can exchange your chips (given at the entrance) for some Filipino snacks.



 
 

Filipino festivals and traditions are also featured like Lucban's famous Pahiyas Festival complete with the colorful façade, lantern and native desserts.


Who would dare miss our famous lechon?



I'd say the highlight of the tour is the cultural show presenting dances from various regions. Guests are invited to join the performers towards the end of the show.







Museum tour fees is at Php799 per head inclusive of 12 chips that can be used to buy snacks like lugaw (congee), sago't gulaman and kakanin inside the museum.

Tickets may also be purchased in advanced online at a cheaper price of Php699 per head. For more details, please visit www.lakbaymuseo.ph

LAKBAY MUSEO
Level 1, S Maison, Marina Way, Mall of Asia Complex
Pasay City, Philippines
Operating Hours: 10am-10pm (9pm last tour)
 
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