Tag Archives: diarrhea outbreak


E.coli bacteria, other organisms found in Barangay Tulalian water system, 2 other water sources

Several water sources in Barangay Tulalian are contaminated with the E. coli bacteria that causes diarrhea and could lead to death. Health authorities said they found E. coli bacteria in the barangay water system which is run by a Tulalian Water Association (TUWASA), a private water service provider in the said barangay.

E.coli or coliform is bacteria associated with human or animal wastes.

Apart from TUWASA, the water source from a water pump in Purok 1 Barangay Tulalian and Aqua Grace’s’ water stock, were also found to be contaminated with the E.coli bacteria, a strain that causes diarrhea/bloody diarrhea, vomiting and stomach pains and cramps.

Tthe MHO had examined the various water sources and stock in Barangay Tulalian last week. They took samples and submitted these samples to PHO’s Water Bacteriology laboratory for comprehensive analysis.

Tests made by the PHO showed the presence of E. coli, or coliform, in three of nine water system/stocks in the said barangay. Of the nine water source and stocks examined, only three (3) had failed in the bacteriology examination performed by the PHO-Davao del Norte while six (6) water refilling stations passed the said examination. These were Aquabless, Aqua Rhabmargam Crystal Sofia, Aquagel, AquaJam, and Sofia Malima water refilling stations.

DAVAO DEL NORTE: Cash aid given to hospitalized diarrhea patients of Sto. Tomas town

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SANTO TOMAS, Davao del Norte —Patients who fell ill with diarrhea and were admitted in private and public hospitals received a financial assistance from the municipal government through Mayor Ernesto Evangelista’s Dangpanan Ni Tomas.

Municipal Administrator Atty. Elisa Evangelista-Lapiña said the Evangelista administration was using all available resources and manpower to help the affected residents of Barangay Tulalian.

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“Walang iwanan for Barangay Tulalian. Gibubo nato ang atong resources sa Barangay Tulalian para makatabang ang Santo Tomas LGU sa maong barangay luyo sa hulga sa COVID-19 ug ang atoang ginasagubang karon na diarrhea outbreak,” Lapiña said.

The Santo Tomas LGU, Lapiña added, had been at the barangay Tulalian’s ground zero since at the start of the outbreak last July 15 to provide immediate health and sanitation services to the affected residents.

According to Lapiña, the municipal government of Santo Tomas has been funneling more aid to Barangay Tulalian to help the community back on its feet.

“Sa level sa Santo Tomas LGU, naningkamot na mahatagan nato og paspas na tabang ang Barangay Tulalian. Dili nato kini biyaan kay dako kini ang nahimong impact sa community kay kini na isyu health and public welfare mani sa katawhan ang nabutang sa peligro. Padayon atong paghatag og tabang sa mga residenteng apektado sa maong outbreak,” Lapiña said.

Lapiña also said that her office is coordinating with Davao del Norte Governor Edwin Jubahib, and Congressman Alan Dujali for the availment of “zero billing” policy for hospitalized diarrhea patients.

“Dako atong pasalamat kay pinaagi sa Dangpanan Ni Tomas makakuha pa kita og assistance gikan kang Governor Jubahib, og Congressman Dujali para maka avail sa zero billing human mahatagan og assessment,” she said

Carlo Jack Pino, executive assistant II, and focal of DNT program said the Santo Tomas LGU under the Evangelista administration was was taking all the necessary steps to provide financial assistance to cash-strapped patients admitted in various hospitals.

“Nagmando si Mayor Tatay Erning Evangelista na hatagan og cash assistance ang mga diarrhea patients na admitted sa mga hospitals.

Gilantaw gayud ni Mayor Erning ang kahimtang sa mga patients labi na katong mga bata, ug mga seniors na naa gihapon sa balay tambalanan,” Pino said.

Cash aid to hospitalized patients

Pino said they began distributing cash relief assistance on Tuesday, July 20, to several patients who were confined in hospitals as part of the Evangelista administration’s response to the diarrhea outbreak.

As of Tuesday, 88 patients received cash aid from Evangelista’s Dangpanan Ni Tomas, while some patients opted to receive milk, diapers and other goods intended for young children, according to Pino.

Pino added that the distribution of cash assistance to diarrhea patients who were confined in hospitals was a “work in progress.”

“Rest assured, ang Santo Tomas LGU ubos sa administrasyong Evangelista maningkamot na muhatag og sakto na serbisyo ug hinabang sa mga Tomasino labi na diha sa Barangay Tulalian. Kami maningkamot na mahatagan ang tanan og cash assistance para lang naa sila magamit sa hospital labi na ang pagpalit sa mga tambal,” Pino said.

‘Walang iwanan for Tulalian’

DAVAO DEL NORTE: 3 Sto. Tomas diarrhea outbreak victims Covid-19 infected

3 dead in Barangay Tulalian outbreak

SANTO TOMAS, Davao del Norte (July 20, 2021)—Three diarrhea patients in Barangay Tulalian were found to be COVID-19 positive, while three patients died of diarrhea as health officials here were ramping up disinfection and chlorination to contain the outbreak of the water-borne disease.

Based on the Santo Tomas LGU’s municipal health office report, three patients who were tested for reverse transcription-polymerase chain reaction (RT-PCR) were found positive for coronavirus.

The swab results were released on Tuesday, July 20.

3 COVID-19 positive

A 20-year-old boy who tested positive for COVID-19 was symptomatic, while the other two patients were asymptomatic.

All three were in strict isolation while recovering from the water-borne disease. The three were among the 99 patients who were subjected to RT-PCR test.

This after health officials suspected that patients might be infected with SARS-CoV-2, the virus causing COVID-19, after some were diagnosed with diarrhea but without the symptoms of dehydration.

2 deaths

Also, two patients had died on Tuesday afternoon after the loss of body fluids due to diarrhea. The patients were an 81-year-old female and a 69-year-old female, all residents of Barangay Tulalian, Santo Tomas, Davao del Norte.

81-year-old patient was admitted last July 16 at Carmen District Hospital and expired around 10 a.m Tuesday while the 68-year-old patient, in hypovokemic shock (severe body fluid loss), was rushed to the makeshift treatment facility Barangay Tulalian Covered Court.

Unfortunately, the patient also expired despite the resuscitation performed by health personnel in an attempt to revive the patient. The two female corpses were subjected to a postmortem swab specimens for SARS-CoV-2 testing. The MHO also conducted a random rectal swabbing to 17 patients who fell ill with the water-borne disease. Of the 17 patients, eight (😎 were found out to be cholera positive.

Earlier, stool tests of patients showed they suffered acute diarrhea secondary to amoebiasis, a water-borne ailment. Most of the patients were admitted to various private and public hospitals were severely dehydrated and had been responding well to treatment.As of Tuesday, the total number of diarrhea cases stood at 444 while death toll was at three.


Mayor Ernesto Evangelista has ordered the Municipal Health Office (MHO) to ramp up the chlorination efforts in the affected households. On Tuesday, the MHO’s Sanitation Team began the chlorination water source and led the distribution of chlorine to the affected households. The team also distributed aqua tabs, a water purification tablets which kill micro-organisms in water to prevent cholera, typhoid, dysentery and other water borne diseases.Four hundred aqua tabs and jerrycans were donated by the Provincial Health Office (PHO) and the Department of Health (DOH) to beef up the Santo Tomas LGU’s response in the diarrhea outbreak.

Municipal Administrator Atty. Elisa Evangelista-Lapiña said the Santo Tomas LGU continuously implemented the water rationing in Barangay Tulalian, following the diarrhea outbreak that left three people dead and more than 88 others hospitalized in private and public hospitals. Lapiña said the while waiting for the laboratory results of the water sampling, the barangay’s water source was temporarily closed since it was prone to bacteria contamination.

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DAVAO DEL NORTE: Fear of Covid-19 scares off diarrhea outbreak victims from getting hospital treatment

Cases are on the rise in Barangay Tulalian as residents with severe conditions are hesitant to be hospitalized over fear of getting COVID-19

SANTO TOMAS, Davao del Norte (July 18, 2021)—The spurt of diarrhea cases that hit Barangay Tulalian was rising as the municipal government of Santo Tomas logged 124 fresh cases over the weekend, bringing in the total number of diarrhea cases to 295 as of Saturday, July 17.

Municipal Health Officer Dr. June Lim said that residents who fell ill with diarrhea have been forced to leave their homes and decided only to get treatment when their conditions continued to deteriorate.

“Nidaghan ang patients nato kay karon lang sila nigawas sa ilahang mga balay para magpatambal. Napugos na sila adto diri sa makeshift treatment facility kay dehydrated naman sila. Mao na ang rason na padayon ang pagtaas sa mga residente naigo sa diarrhea,” Lim said.

Lim said that sick patients opted to stay home because they’re hesitant to be sent in a hospital over fear that either they would get or be diagnosed with SARS-CoV-2, the virus causing COVID-19.

“Nahadlok sila magadto diri kay ang uban dili sila gusto magpa admit sa hospital kay basig matagdan sila og COVID-19 o i-declare sila na COVID-19 positive. Mao kana ang rason nganong ingon ana ang volume sa patients na atong gitabangan,” Lim said.

124 cases

On Saturday, July 17, the Municipal Health Office (MHO) recorded 124 new cases after residents swarmed the makeshift medical treatment facility installed in the Barangay Tulalian’s covered court

Of the 124 new diarrhea patients, two were children, aged between 0 to 11 month, 20 were children, aged between 1 to 5 years old, 19 were children aged between 6 to 15 years old, 30 were adults, aged between 16 to 25 years old, 28 were adults, aged between 26 to 40 years old, and 25 were adults, aged 40 years old and above.

18 admitted patients

Fifteen patients were admitted at the Metropolitan Community Hospital, eight patients admitted at Estela Medical Clinic, 15 patients were admitted at Rivera Medical Center Inc., and 14 patients were admitted at Matutes Medical Clinic.

COVID-19 diarrhea?

But on Sunday, July 18, the MHO said that 11 patients who fell ill with diarrhea did not have the symptom of dehydration. This prompted the Provincial Health Office of Davao del Norte to recommend that patients should be subjected to a reverse transcription-polymerase chain reaction (RT-PCR) to rule out “COVID-19 diarrhea.”

“Mao kini ang development karong adlaw. Pipila ka mga pasyente naay diarrhea pero walay dehydration. Ang advise gikan sa PHO tanang patients na symptomatic ug severe ipailalom sa RT-PCR Test para ma rule out na ang diarrhea na nasinati sa uban ay possible hinungdan ay COVID-19,” Lim said.

The 11 patients registered on Sunday was not yet included in the latest case tally submitted to the PHO as this was a developing scenario happening on the ground

. But Lim said that as early as now, the Santo Tomas LGU is taking a more progressive measures to contain the outbreak in the community such as the strict enforcement of COVID-19 Safety Protocols with Barangay Tulalian COVID-19 Task Force leading the campaign in the community.

Enforcement of protocols

As this developed, Mayor Ernesto Evangelista urged the Barangay Tulalian officials to complement the efforts of the Santo Tomas LGU in the ground as the municipal government is facing health issues in two fronts: the diarrhea outbreak and COVID-19 pandemic.

“Manawagan ko sa tanang opisyales, purok leaders sa Barangay Tulalian na magtinabangay kitang tanan. Dili kita magkompyansa kay duha ka problema atong ginasubang karon ang diarrhea ug ang COVID-19. Naa naman development sa ground na and hinungdan sa diarrhea sa uban kay COVID-19 tungod wala man sila nasinati na dehydration,” Evangelista said.

Evangelista also reminded the Barangay Tulalian residents to boil their drinking water to avoid water-borne diseases. The Santo Tomas LGU, he said, began rationing potable water and tap water for household use in the village since Saturday.

Corporate Social Responsibility

Meanwhile, Municipal Administrator Atty. Elisa Evangelista-Lapiña earlier requested business entrepreneur Mr. Alfonso Mascardo of AquaPure to provide potable water to Barangay Tulalian to prevent a diarrhea outbreak.TADECO’s medical facility also accommodated patients who fell ill with diarrhea, according to Lapiña.

Davao del Norte Governor Edwin Jubahib, and the 2nd District Congresman Alan Dujali also provided medicines, bottled water, and other medical and health support for the patients and the medical personnel who were on the frontline of giving health and sanitation services.

Lapiña thanked Governor Jubahib and Congressman Dujali, AquaPure and TADECO for the assistance and support they extended to the efforts and response of the Santo Tomas LGU in dealing with the diarrhea outbreak.

Santo Tomas LGU declares diarrhea outbreak in Barangay Tulalian

SANTO TOMAS, Davao del Norte (July 17, 2021)—Mayor Ernesto Evangelista declared a diarrhea outbreak on Saturday, July 17, in the wake of the death of two residents of Barangay Tulalian and 47 others, who were confined in public and private hospitals.

“Naay diarrhea outbreak sa Barangay Tulalian kay pipila ka residente nagsige og suka, ug kalibanga. Sukad na gipahibalo sa atoa ang maong sitwasyon, nagpadala dayon kita og Quick Reaction Team para maghatag og assistance sa mga residente ug para imbestigahan ang maong panghitabo,” Mayor Ernesto Evangelista said Saturday.

May be an image of one or more people and text that says '#BAGONGSANTOTOMAS THE EVANGELISTALEGACY PUBLIC BRIEFING OFFICE OF THE MUNICIPAL INFORMATION OFFICER JULY 17, 2021 9:30 AM MO9 MUNICIPA TRUTH urbias. SAMOTOHAS_DAVAODEINOE NEWS ALERT AKSYON SA KALUSUGAN 171 1CASES, 1DEATH: SANTO TOMAS LGU DECLARES DIARRHEA OUTBREAKIN BARANGAY TULALIAN AKSYON SOLUSYON Mayor Ernesto Evangelista declared a diarrhea outbreak on Saturday, July 17 in the wake of the death of two residents› Barangay Tulalian and 47 others, who were confined in public and pri- vate hospitals. #BagongSantoTomas #EvangelistaLegacy #DisiplinadongTomasino'

Evangelista said the Quick Reaction Team (QRT) was spearheaded by the Municipal Health Office headed by Dr. June P. Lim together with the medical health workers, and the MHO’s Sanitation Team.

The Santo Tomas LGU quickly dispatched two doctors and eight nurses in Barangay Tulalian to assist and provide health and sanitation services to the affected residents.

Evangelista added that the local government has provided potable water to affected areas to ensure the outbreak would not escalate.

171 diarrhea cases, one death

According to Municipal Health Officer Dr. June P. Lim, there were 171 residents of Barangay Tulalian who were diagnosed with Acute Diarrhea Secondary to Amoebiasis.

Of the 171 registered cases, 24 cases (1-5-year-old), 43 cases (6-15-year-old), 29 cases (16-25-year-old), 27 cases (26-40-year-old), and 48 cases (40-year-old and up).

As of Saturday, MHO reported one death so far —a 58-year-old male resident who experienced loose bowel movement, stomach pain and vomiting.

-seven residents were rushed to both private and public hospitals; some are still recovering while others were discharged. Puroks 1, 3, 4, 5, 7, 8, 12, 13, and 15A were identified by the MHO to be the affected areas with 128 households in Barangay Tulalian.

On Friday, the MHO’s health personnel provided medical care to several residents who suffered amoebiasis, a water-borne ailment.

The Barangay Tulalian’s covered court was turned into a makeshift medical facility where severely dehydrated patients—young children and adults— were immediately given first-aid treatment. Inside the covered court were plastics beds arranged in row with affected patients crunching in pain due to stomach pain and vomiting, the usual symptoms of diarrhea.

DIARRHEA OUTBREAK. Sto. Tomas Municipal Administrator Elisa Evangelista-Lapiña (left) checks the water reservoir of Tulalian Water Association (TUWASA) on Friday (July 16, 2021), after the reported diarrhea outbreak in Barangay Tulalian in the town. A resident died of diarrhea while 47 others were hospitalized. (Photo courtesy of Sto. Tomas Municipal Information Office

Ongoing probe

Charlemagne Fernandez, the MHO Administrator, said the Santo Tomas LGU and the MHO began its investigation to determine what caused the outbreak. But the Environment Sanitation Report from the MHO revealed that the water system source in the area was possibly contaminated because of the water’s poor quality due to poor chlorine disinfection.

Such finding was based on the ocular inspection conducted by the Sanitation Team and random interviews with the Tulalian Water Association (TUWASA) personnel.

Fernandez, however, said the result of the initial probe is not yet conclusive as the official result of the microbiological water analysis is expected to be released on Monday, July 19. Apart from this, Fernandez said the MHO was also waiting for the results of the 15 patients who were subjected to rectal swabbing that would help them determine the bacteria in the patients’ feces.


On Wednesday, July 14, three Barangay Tulalian residents sought medical help in the MHO after they complained of experiencing loose bowel movement, stomach pain and vomiting, the usual symptoms of diarrhea.From three, 16 others visited the MHO the following day Thursday; alarmed with the influx of patients, the MHO immediately visited the barangay and found out that other residents reportedly fell ill with suspected diarrhea believed to have been caused by contaminated drinking water.

As early as Thursday, the MHO had assisted the patients who fell ill as some were recommended for admissions in hospitals for treatment.

The MHO informed Municipal Administrator Atty. Elisa Evangelista-Lapiña about the developing case in Barangay Tulalian.

This prompted her to take immediate action to save lives and prevent the spread of the diarrhea in the community.

Lapiña said that the Punong Barangay Jeronimo Gumanid Jr. informed her of the situation only Thursday evening when cases were already surging.


Upon instruction of Mayor Ernesto Evangelista, Municipal Administrator Atty. Elisa Evangelista-Lapiña went immediately to the area early Friday, July 16 and brought the QRT personnel from the Municipal Health Office to assess the situation and provide the needed assistance to the affected community.

Lapiña said the Santo Tomas LGU provided potable water, installed a makeshift treatment facility in Barangay Tulalian covered court, meals, and other medical support to patients complaining of severe diarrhea.

The Santo Tomas LGU also provided new water containers and water-purification chemicals to the affected areas while residents have been briefed about cleaning their surroundings and maintaining proper sanitation to prevent another outbreak.

“Padayon ang atong pagmonitor sa sitwasyon para masigurado nato na walay na madugang na biktima,” Lapiña said.

To avoid future outbreaks, Lapiña urged the Barangay Tulalian to sit down with TUWASA to discuss on how to improve the water supply in the barangay. She added that the Santo Tomas LGU is readily available to guide and improve water services delivery in the area.

DIARRHEA outbreak kills 1, downs 171 others in Davao del Norte barangay

Contaminated water from a community water system is initially blamed in a diarrhea outbreak in a barangay in Sto. Tomas , Davao del Norte that killed a 68-year old victim and downed 171 others on Thursday night.

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Mart Sambalud, Sto. Tomas municipal information officer, confirmed the lone death and the number of victims in the outbreak in Barangay Tulalian.

A quick response team sent out by Mayor Ernesto Evangelista to the stricken barangay immediately brought the severely-affected victims to private and public hospitals following reports Thursday night of the incident, said Sambalud in a phone interview Friday afternoon with Davao City-based radio station SuperRadyo .

Sambalud said an investigation is ongoing to determine cause of the outbreak that includes a privately-run water system that provides drinking water to the barangay.

Municipal Administrator Atty. Elisa Evangelista-Lapiña led the health efforts on Friday, July 16 after several residents complained of experiencing loose bowel movement, stomach pain and vomiting, the usual symptoms of diarrhea.

Upon instruction of Mayor Evangelista, Evangelista-Lapiña immediately brought the personnel from the Municipal Health Office to provide the needed assistance to the affected community.

Municipal Health Officer Dr. June P. Lim and other health personnel provided medical care to several residents who suffered amoebiasis, a water-borne ailment.

The MHO’s Sanitation Team also inspected the community to identify the root cause of the problem.

The MHO is supervising household chlorination and intensifying community information and education campaigns on environmental sanitation.

As of Friday, the MHO provided 13 plastic beds, meals, and other medical support to the patients who were housed temporarily in the barangay covered court.

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