-

of the Philippines
Republic
Department of Health
OFFICE OF THE SECRETARY

January 20, 2020

MEMORANDUM CIRCULAR
No. 2020 - 0007

TO : ALL UNDERSECRETARIES, ASSISTANT SECRETARIES,

DIRECTORS OF BUREAUS, REGIONAL OFFICES AND
SERVICES; 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 OTHERS
CONCERNED

SUBJECT
: Department of Health — Department of Agriculture (DOH-DA)
Joint Administrative Order No. 2019-0001 entitled “Amendment
to_Joint Administrative Order No. 01 series of 2008 entitled
“Guidelines for Declaring Areas as Rabies Free Zones” dated
March 10, 2008

Attached for your information and guidance is a copy of Department of Health —

Department of Agriculture (DOH-DA) Joint Administrative Order No. 2019-0001 entitled
“Amendment to Joint Administrative Order No. 01 series of 2008 entitled “Guidelines for
Declaring Areas as Rabies Free Zones” dated March 10, 2008

Dissemination of the information to all concerned is requested.

By Authority of the

LILIBETH C. avi
won
hi
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of Health
.

MPH, MPM, CESO II

Undersecretary
Health Facilities and Infrastructure Development Team

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila @ Trunk Line 651-7800 local 1113, 1108, 1135
Direct Line: 711-9502; 711-9503 Fax: 743-1829; 743-1786 URL: http://www.doh.gov.ph; e-mail: fiduque@doh.gov.ph
@
 Department of Health -
Department of
Agriculture
DEC 19 2019

JOINT ADMINISTRATIVE ORDER

No. 2019-000]

SUBJECT: Amendment to Joint Department Administrative Order No. 01 Series

of 2008 entitled “Guidelines for Declaring Areas as Rabies Free
Zones” dated March 10, 2008

Pursuant to Joint Department Administrative Order No. 01 Series of 2008 entitled “Guidelines for
Declaring Areas as Rabies Free Zones dated March 10, 2008, the following provision is hereby
amended:

III. GOALS AND OBJECTIVES

-XXX-

Under Section B. General Objectives:

B. General Objectives:
1. To declare provinces, cities, municipalities and islands
.

as rabies-free zones.
2. To maintain and sustain the rabies-free status of the provinces, cities, municipalities
and islands declared as rabies-free zones.

The aforementioned
B.
is hereby
General Objectives:
amended to be read as follows:
1. To declare provinces as rabies-free zones; and cities, municipalities and islands
as rabies-free areas.
2. To maintain and sustain the rabies-free status of the provinces, cities,
municipalities and islands.

Under Section C. Specific Objectives:

C. Specific Objectives:
1. To identify provinces, cities, municipalities and islands
eligible for declaration as
rabies-free zones.

The aforementioned is hereby amended

C. Specific Objectives:
to be read as follows:
1. To identify provinces, cities, municipalities and islands eligible for
declaration as rabies-free zones and areas. \
\

Building |, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, [11 1, UE2,
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Direct Line: 711-9502; 711-9503 Fax: 743-1829 @ URL: http:/Avww.doh.gov.ph; e-mail: ftduque@doh.gov.ph
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|
V. DEFINITION OF TERMS

-XXX-

Under Item D:
D. Rabies-Free Zone/Area- refers to area with no confirmed human or animal rabies
case, including bats, or indigenously acquired infection by a lyssavirus at any time
during the previous two years, in the presence of an adequate surveillance system and
import policy and have satisfied all criteria for a rabies-free zone/area declaration.

The aforementioned is hereby amended

D. Rabies-free Zone and Area:
to
be read as follows:

D.1. Rabies-free Zone — refers to Provinces with no confirmed human or animal

rabies case, or indigenously acquired infection by a lyssavirus at any time during
the previous two years, in the presence of an adequate surveillance system and
import policy and has satisfied all criteria for a rabies-free zone/area declaration.
D.2. Rabies-free area- refers to cities, municipalities and islands with no confirmed
human or animal rabies case, or indigenously acquired infection by a lyssavirus
at any time during the previous two years, in the presence of an adequate
surveillance system and import policy and have satisfied all criteria for a rabies-
free zone/area declaration

To add item J, to be read as follows:

J. Negative monitoring reports - a monthly report declaring that there are no
confirmed animal rabies cases as supported by comprehensive surveillance and
monitoring of healthy and sick animals, and/or by laboratory test, on a certain
area or zone, duly authenticated by each Punong Barangay and signed by their
corresponding Municipal Veterinarian/Agriculturist or City Veterinarian and
attested by the Provincial Veterinarian.

VI. IMPLEMENTING GUIDELINES ON DECLARING AREAS/ZONES AS RABIES-

FREE

Under Section A. General Guidelines:

Item No. 2:
2. The Office International de Epizooties (OIE) (World Organization for Animal Health)
and the World Health Organization requires that no indigenous acquired rabies
-infection has been confirmed in man and any animal species during the past two (2)
“years.
The aforementioned is hereby amendedto be read as follows:
human rabies infection has been confirmed by
2. No indigenous acquired
laboratory or validated through investigation by a surveillance officer; and no
indigenous acquired animal rabies has been confirmed by laboratory testing or
supported by negative monitoring for recent two (2) consecutive years.

SG
OC
|
Item No. 7:
7. Regular health education and advocacy activities on Rabies Prevention and Control to
include Elementary School Curriculum Integration and Instruction on the prevention
and control of rabies.

The aforementioned is hereby amended to

be read as
follows: |

7. Regular health education and advocacy activities on Rabies Prevention and

Control to include communities and schools.
__

8
To add Item No. to be read as follows:
8. Rabies-free zones shall be evaluated by the national team from DOH, and DA-
BAI, and declared by National Rabies Prevention and Control Committee; and
rabies-free areas shall be evaluated by the regional team from DOH-CHD and
DA-RFO, and declared by the Regional Rabies Prevention and Control
Committee.

GENERAL REQUIRMENT FOR DECLARATION OF RABIES-FREE ZONE/AREA

-XXX-

Under Item No. 3. Animal Rabies:

3. Animal Rabies:
a. No case of indigenously acquired infection by a type Lyssavirus confirmed
1

in any animal species including bats at any time during the past two (2) years
through Monthly zero-case reporting from the Municipal Agriculture Office/
Veterinary Office and monthly reporting of laboratory confirmed cases by all
veterinary rabies laboratories — Philippine Animal Health Center (PAHC),
Research Institute for Tropical Medicine (RITM), 10 Regional Animal
Disease Diagnostic Laboratories (RADDLs), and 2 accredited provincial
rabies labs.
b. —xxx-
C. —XXX-
i. Functional Rabies Laboratories performing Fluorescent Antibody Test
(FAT) for rabies diagnosis in Sampling a minimum of 0.02% of the
estimated dog population in their designated catchment areas/zones per
year;

The aforementioned is hereby amended

3. Animal Rabies:
to be read as follows:
a. No case of indigenously acquired infection by a type 1 Lyssavirus confirmed
in any animal species including bats at any time during the past two (2) years
through monthly negative monitoring reports from the Barangay,
Municipal Agriculture Office/Veterinary Office and monthly reporting
of laboratory samples submitted by all veterinary rabies laboratories —
Philippine Animal Health Center. (PAHC), Research Institute for

WZ 3
 ‘ Tropical Medicine (RITM), 10 Regional Animal Disease Diagnostic
Laboratories (RADDLs), and 2 accredited provincial rabies laboratories.
b. —xxx-
C. ~XXX-
i. Functional rabies laboratories performing Fluorescent Antibody Test
(FAT) for their Rabies Diagnosis of suspect animal cases in their
designated catchment areas/zones per year;

Under Item No. 4 Human Rabies:

4. Human Rabies:
a. No case of indigenously acquired infection by a lyssavirus confirmed in any
human at any time during the previous two (2) years through monthly zero-
case reporting from the Municipal Health Officer.

The aforementioned is hereby amended

4. Human Rabies:
to
be read as follows:

a. No indigenous acquired human rabies infection has been confirmed by

laboratory or validated through investigation by surveillance officer.

-XXX-

Under Section C. Recovery Process, Item No. 3:

3. Re-evaluation of status shall be conducted 6 months after the last vaccination date by
the National Rabies Prevention and Control Committee.

The aforementioned is hereby amended be readto as

follows:
3. Re-evaluation of the rabies-free zone/area shall be conducted 6 months after the last
mass dog vaccination date by the National/Regional Rabies Prevention and
Control Committee.

All other provisions of the Joint Department Administrative Order No. 01 Series of 2008 entitled
“Guidelines for Declaring Areas as Rabies Free Zones dated March 10, 2008 shall remain in
effect and provisions/issuances inconsistent or contrary to this Order are hereby rescinded or
modified accordingly.

This order shall take effect immediately.

FRANCASCO T DUQUE TH, MD, MSc

C22
WILLIAM
G@.
Go
D.
DAR, PhD
Secrefary of Health Acting Secretary of Agriculture

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DEPARTMENT

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replying pls cite this code
For Signature: S-12-19-0391
Received ©
12/17/2019 12:24 PM
: