ates amounting <strong>to</strong> P8,000 and P16,000,respectively.Complimenting the case-ratesystem is the no balance billing schemewhich applies only <strong>to</strong> indigent patientscovered by the national household targetingsystem for the poorest of the poor when theygo <strong>to</strong> government hospitals only. Under thisscheme, Philhealth beneficiaries no longerhave <strong>to</strong> pay extra in case their medicalexpenses go beyond the amounts covered bythe packages in the case rate system.Everything has been done bygovernment <strong>to</strong> minimize the impact thatdengue brings <strong>to</strong> the country - from advocacycampaigns <strong>to</strong> dengue fast lane in healthfacilities <strong>to</strong> scientific research altering thegenes of the dengue carrying mosqui<strong>to</strong>s <strong>to</strong>clinical testing of a potential vaccine againstthe disease. This is not inaction in the par<strong>to</strong>f government. What may truly be wantingis for people <strong>to</strong> change their behaviors andpractice the recommended cost-effectivemeasures <strong>to</strong> prevent dengue.3 Global Concern for <strong>No</strong>n-Communicable DiseasesIn August, the news that JukeboxKing April Boy Regino was sufferingfrom prostate cancer shocked the localentertainment industry. By Oc<strong>to</strong>ber, thenews that he was “cured” bytaking the food supplementwas even more shocking<strong>to</strong> many outside showbiz.Anyway, the news died anatural death, so-<strong>to</strong>-speak.But the real shockingnews happened on September23 when it was announcedthat the non-showbizhusband of television actress,Camille Prats, succumbed<strong>to</strong> nasopharyngeal (throat)cancer. Anthony Linsanganwas only 32.And then therewas the revelation made byac<strong>to</strong>r Albert Martinez as hiswife, Liezel, struggles withrecurring cancer. In ABS CBN’s“The Buzz” on Oc<strong>to</strong>ber 16Martinez said that when hefound out about the healthcondition of his wife, hiswhole world shattered again.He said he thought that herwife’s condition was alreadydoing well for the past two42 HEALTHbeat I <strong>No</strong>vember - <strong>December</strong> <strong>2011</strong>years. Earlier, Liezl was diagnosed withstage 3 breast cancer and went throughmastec<strong>to</strong>my, a surgery done for removingthe breast. In 2010, she was cleared of theHealth Secretary Enrique T. Ona speaks before the UN High-Level Meeting on <strong>No</strong>n-Communicable Diseases in New York.deadly disease.Cancer and other noncommunicablediseases (NCDs) are nowmajor threats <strong>to</strong> public health, globally.In 2008, the World HealthOrganization reported thatNCDs cause an estimated 35million deaths each year, and60 per cent of these deathsare due <strong>to</strong> four main noncommunicablediseases,namely cardiovasculardiseases (heart disease andstroke), diabetes mellitus,chronic respira<strong>to</strong>ry diseases,and cancers. Worse, 80 percent of these deaths occurin low <strong>to</strong> middle incomecountries, where thePhilippines belong. In fact,the seven out of 10 leadingcauses of death in the countryare due <strong>to</strong> NCDs.And recent demographicsshow that peoplehaving NCDs are not confined<strong>to</strong> the older generation asit used <strong>to</strong> be, but they areaffecting the younger andmost productive age group,just like what happened <strong>to</strong>Prat’s husband. NCDs are
ought about by <strong>to</strong>bacco use,excessive alcohol drinking,unhealthy diet and physicalinactivity. These are lifestylesthat most people love <strong>to</strong> doand habits that are <strong>to</strong>o hard <strong>to</strong>break.NCDs seldom hit bigin media’s attention maybebecause these diseases are notcontagious and do not crowdhospital beds at any giventime. Nevertheless, globalattention this year focusedon NCDs. From Moscow inApril <strong>to</strong> Geneva in May, andon <strong>to</strong> New York in June andSeptember, health ministersand world leaders tackledthe prevention and control ofnon-communicable diseasesin international meetings andconferences.At the UnitedNations (UN) High-Level Meeting held inNew York on September 19 and 20, worldleaders unanimously adopted the PoliticalDeclaration on NCDs, agreeing that “theglobal burden and threat of NCDs constitutesone of the major challenges for developmentin the 21st century, which undermines socialand economic development throughout theworld.” However, this meeting fell short ofsetting goals or targets. Countries now areurged <strong>to</strong> fac<strong>to</strong>r in NCDs in<strong>to</strong> their longer termhealth planning alongside other pressinghealth challenges. Global investments forNCDs and stronger commitments and actionsby countries and their leaders are important.But measures <strong>to</strong> control NCDs often needgovernment action such as taxation,regulation and advertising curbs that bringpoliticians in<strong>to</strong> conflict with <strong>to</strong>bacco, foodand alcohol industries. If nothing is <strong>to</strong> bedone now, the world is bound <strong>to</strong> have a sickPresident Benigno S. Aquino III shows off his biking form during a campaign <strong>to</strong>promote “Ehersisyong Pangkalusugan Para sa Lahat” in May. (Pho<strong>to</strong> by PakingRepelente)future ahead.Health Secretary Enrique T. Onasaid that lost productivity and high healthcare costs of catastrophic outcomes resultingfrom NCD can certainly drive any family in<strong>to</strong>impoverishment and poverty. He added,“You can just imagine how this will impact<strong>to</strong> those who are already very poor <strong>to</strong> beginwith. Sadly, this is always the s<strong>to</strong>ry when itcomes <strong>to</strong> non-communicable diseases. As aclinician, I’ve seen this so many times in mypractice.”He stressed that the Departmen<strong>to</strong>f Health’s health reform agenda ofKalusugan Pangkalahatan is directed<strong>to</strong>wards improving access of the poor <strong>to</strong>quality health care. It incorporates providingfinancial risk protection through theexpanded coverage and enhanced benefitsof PhilHealth (national health insuranceprogram) and improving the quality of healthservices particularly in thepublic sec<strong>to</strong>r through healthfacilities enhancement.The <strong>DOH</strong> is placing up<strong>to</strong>-datediagnostic equipmentthat will allow health facilities<strong>to</strong> respond <strong>to</strong> the commonhealth care needs whichinclude management of noncommunicablediseases andtrauma. Likewise, the <strong>DOH</strong>Complete Treatment Pack hasbeen introduced this year andthis will make a number ofmaintenance medications forhypertension and diabetesmore accessible for the poor.Interventions are alsodirected at making the societyand environment conducive<strong>to</strong> healthy lifestyles. To agreat extent, NCDs can beprevented if Filipinos are able<strong>to</strong> modify the risk fac<strong>to</strong>rs. Onasaid that the restructuring of excise taxes forsin products is one of the priority legislationsof the Aquino administration. And <strong>to</strong> do this,he added, we need <strong>to</strong> empower people <strong>to</strong> beresponsible for their own health. We need<strong>to</strong> educate them about the potential harmthat unhealthy lifestyles would bring. Thisis essentially what health promotion is allabout.Ona said, “While many see itsvalue in infusing more funds for the healthsec<strong>to</strong>r, the government also recognizes itspotential in deterring potential smokers,particularly the youth, <strong>to</strong> engage in thedeadly habit. A long battle lies ahead ofus <strong>to</strong> pass this law, but I believe that witheveryone’s support we can do it.”Meanwhile, the <strong>DOH</strong>, <strong>to</strong>getherwith the Departments of Social Welfareand Development and Education, started<strong>to</strong> mobilize the Community Health Teams<strong>No</strong>vember - <strong>December</strong> <strong>2011</strong> I HEALTHbeat 43