Republic of the Philippines
HOUSE OF REPRESENTATIVES
Constitution Hills, Quezon City

TWENTIETH CONGRESS
First Regular Session

House Bill No. 147

Introduced by: REPRESENTATIVE ERIC L. OLIVAREZ

AN ACT CREATING THE CENTER FOR DISEASE PREVENTION AND
CONTROL, PROVIDING MECHANISMS FOR EPIDEMIC CONTROL, AND
FOR OTHER PURPOSES

Health emergency and sudden emergency health outbreaks have
occurred across history and societies. Whenever such an outbreak or
epidemic more so a pandemic, the whole country and even the whole world is
negatively impacted.

COVID-19 has caused a worldwide social and economic disruption. It
has been said that this is the time the World stopped, literally and figuratively.
Millions have lost their jobs and sources of income; livelihood were affected
and many businesses have closed shops.

To address these economic hardships and negative impact of the present
COVID-19 pandemic, governments have issued and provided social
amelioration packages and programs to avert the socio-economic impact of
the lockdowns.

Aside from the economic impact of the lockdowns, quarantines and
isolations has brought about an atmosphere of uncertainty and anxiety to a
large of segment of the population, especially the vulnerable sectors and
economically affected sectors.

This recent pandemic has taught us the need to prioritize public health
and in so doing to upgrade our health care system, most especially our
emergency health system to be able to respond to future health event.

In view of the foregoing, the approval of this bill is most earnestly

sought.

Geec oD

ERIC L. OLIVAREZ


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Constitution Hills, Quezon City

TWENTIETH CONGRESS
First Regular Session

House Bill No. 147

Introduced by: REPRESENTATIVE ERIC L. OLIVAREZ

AN ACT CREATING THE CENTER FOR DISEASE PREVENTION AND
CONTROL, PROVIDING MECHANISMS FOR EPIDEMIC CONTROL, AND
FOR OTHER PURPOSES

Be enacted by the Senate and the House of Representatives of the
Philippines in Congress assembled:

CHAPTER I
GENERAL PROVISIONS

Section 1. Title — This Act shall be known as the "Center for Disease
Prevention and Control Act of 2020” or the "CDPC Act of 2020".

Sec. 2. Declaration of Policy - It shall be the policy of the State to ensure
the health and wellbeing of Filipinos, to protect them from communicable
diseases, and to proactively prevent the emergence and transmission of
serious diseases. Towards this end, the state shall devote significant material
and institutional resources to provide a framework for communicable disease
control and prevention in the country.

It is also hereby declared a policy of the State to adopt, support, establish,
institutionalize, improve and maintain structures, processes, mechanisms
and initiatives that are aimed, directed and designed to:

a) protect and promote the health of the Filipino people; and

b) help establish and maintain an effective health mechanism that
is responsive to the country's health needs, emergency and other
emerging problems.

Towards this end, and in view of the globalization of health risks, there
shall be a high level public institution imbued with the capacity, the
competencies, the ecosystem, and the authority to confront these risks
decisively and thus protect the public welfare development to proceed despite
these risks.


Sec. 3. Definition of Terms - As used in this Act, the term:

(a) Communicable disease, also known as transmissible disease or
infectious disease, shall mean an illness resulting from an infection,
or a disease which can be transmitted from an infected host
individual or group to a particular individual or group, regardless of
whether the other individual was previously infected.

(b)" Contagious disease’ is an infectious disease that can be
transmitted from person to person.

(c) "Disease" refers to an illness due to a specific toxic substance,
occupational exposure or infectious agent, which affects a
susceptible individual, either directly or indirectly, as from an
infected animal or person, or indirectly through an intermediate
host, vector, or the environment.

(d) "Disease control" refers to the reduction of disease incidence,
prevalence, morbidity or mortality to a locally acceptable level as a
result of deliberate efforts and continued intervention measures to
maintain the reduction.

(e) "Disease surveillance" refers to the ongoing systematic collection,
analysis, interpretation, and dissemination of outcome-specific data
for use in the planning, impiementation, and evaiuation of pubiic
health practice. A disease surveillance system includes the
functional capacity for data analysis as well as the timely
dissemination of these data to persons who can undertake effective
prevention and control activities.

() "Emerging or re-emerging infectious diseases" refer to diseases that:
(1) have not occurred in humans before; (2) have occurred previously
but affected only small numbers of people in isolated areas; (3) have
occurred throughout human history but have only recently been
recognized as a distant disease due to an infectious agent; (4) are
caused by previously undetected or unknown infectious agents; (5)
are due to mutant or resistant strains of a causative organism; and
(6) once were major health problems m the country, and then
declined dramatically, but are again becoming health problems for
a significant proportion of the population.

(g) " Epidemic/outbreak” refers to an occurrence of more cases of
disease than normally expected within a specific place or group of
people over a given period.

(h)" Health care facility" means any institution, building, or agency or
portion thereof, whether public or private (for-profit or nonprofit)
that is used, operated, or designed to provide health services,
medical treatment, or nursing, rehabilitative, or preventive care to
any person or persons. This includes, but is not limited to:
ambulatory surgical facilities, home health agencies, hospices,
hospitals, infirmaries, intermediate care facilities, kidney treatment
centers, long term care facilities, medical assistance facilities,


mental health centers, outpatient facilities, public health centers,
rehabilitation facilities, residential treatments facilities, skilled
nursing facilities, and adult day-care centers. This also includes,
but is not limited to, the following related property when used for or
in connection with the foregoing: laboratories; research facilities;
pharmacies; laundry facilities; health personnel training and
lodging facilities; patient, guest, and health personnel food service
facilities; and offices and office buildings for persons engaged in
health care professions or services.

(

“Health event of public health concern" refers to either a public
health emergency or a public health threat due to biological,
chemical, radio nuclear and environmental agents.

{j) "Infectious disease” is a disease caused by a living organism or other
pathogen, including a fungus, bacillus, parasite, protozoan, or
virus. An infectious disease may, or may not, be transmissible from
person to person, animal to person, or insect to person.

(kj “Infectious waste” refers to: (i) “biological waste”, which includes blood
and blood products, excretions, exudates, secretions, suctioning and
other body fluids, ad waste materials saturated with blood or body
fluids; (ii) “cultures and stocks” which includes etiologic agents and
associated biologicals including specimen cultures and dishes and
devices used to transfer, inoculate, and mix cultures, waste from
production of biologicals and serums, and discarded live and
attenuated vaccines; (iii) “pathological waste,” which includes biopsy
materials and all human tissues, anatomical parts that emanate from
surgery, obstetrical procedures, necropsy or autopsy and laboratory
procedures, and animal carcasses exposed to pathogens in research
and the bedding and other waste from such animal but docs not
include teeth or formaldehyde or other preventive agents; and. (iv)
“sharps” which includes needles, I.V. tubing with needless attached,
scalpel blades, lancets, breakable glass tubes, and syringes that have
been removed from their original containers.

qy

“Notifiable disease” refers to a disease that, by legal requirements,
must be reported to the public health authorities.

(m) “Pre-communicable stage” refers to the stage beginning upon an
individual's earliest opportunity for exposure to an infectious agent
and ending upon the individual entering or reentering the
communicable stage of the disease or, if the individual does no enter
the communicable stage , the latest date at which the individual could
reasonably be expected to have the potential to enter or reenter the
communicable stage.

(n) “Quarantine” refers to the physical separation and confinement of an
individual or groups of individuals, who are or may have been exposed


to a contagious or possibly contagious disease, from non-quarantined
individuals, to prevent or limit the transmission of the disease to non-
quarantined individuals.

(0) “Sudden onset health outbreak”, or “sudden onset health events”
refers to diseases whose risks to public health and safety exponentially
increase over time absent intervention.

CHAPTER II
CREATION OF THE CENTER FOR DISEASE PREVENTION AND CONTROL

Sec. 4. Creation of the Center for Disease Prevention and Control —
‘There shall be created a Center for Disease Prevention and Control,
hereinafter referred to as " Center," a government agency attached to the
Department of Health, which shall exercise administrative supervision over
the Center.

The Center shall be the principal agency tasked with developing and
applying communicable disease control and prevention initiatives.
Additionally, it shall be responsible for controlling the introduction and
spread of infectious diseases and shall provide consultation and assistance
to other nations and international agencies to assist in improving their
disease prevention and control. It shall also

Sec. 5. Reorganization of existing units. - Under this Center, the
following bureaus and agencies are hereby subsumed into the Center:

a} The Discase Prevention and Control Bureau of the Department of
Health

b) The Epidemiology Bureau of the Department of Health

c) The Research Institute for Tropical Medicine

d) The Disease Emergency Management Bureau

Sec. 6. Functions of the Center. - The Center shall perform the following

functions:

Maintain active surveillance of diseases through epidemiologic and
laboratory investigations, data collection, analysis, and distribution;

aj

b

Act as lead agency in developing and implementing operational
programs relating to communicable diseases;

c) Act as the lead disease surveillance agency of the country;

qd

Conduct operational research aimed at developing and testing effective
communicable disease prevention, control, and health promotion
programs;

Administers national programs to develop recommended health
standards to ensure readiness for the emergence of new communicable
diseases;

e)


f) Administer national programs for improving the performance of
clinical laboratories in identifying and classifying communicable
diseases;

Recommend the exercise of certain powers by the President in the case
of an epidemic;

g)

h) Set the parameters for the declaration of the existence of an epidemic;

i) Recommend such measures and policies as may be necessary to
prevent the transmission of communicable diseases;

j) Assess and support the capabilities of local government units (LGUs)
in preventing the emergence and transmission of communicable
diseases;

ky

Enhance and strengthen the administrative and technical capacity of
the Disease Prevention and Control Bureau and Epidemiology Bureau
to ensure the agencies’ monitoring coverage over establishments and
products under their jurisdiction;

1) Promote public health decisions guided by strategic information for
best possible health outcomes;

m) Provide coherence in the health monitoring to ensure equitable,
accessible, efficient and quality health services to communities,
through dynamic partnership and shared advocacy, responsibility,
and accountability;

n)

Set the standards and the process for the establishment of
Epidemiology and Surveillance Units (ESUs) as required by Section 8
of Republic Act. No. 11332, assist DOH-retained hospitals, local health
facilities especially district hospitals and private hospitals and
laboratories in establishing ESUs and assess their performance and
accredit them based on standards set by the CDPC;

0) Maintain a Registry of Notifiable Diseases and Biosecurity Hazards,

which shall be published and updated online;
p) Recommend to the Council inclusions and deletions from the registry;

q) Perform such other functions as may be mandated by Law, or as may
be duly delegated by relevant authorities.

Sec. 7. Center Executive Director. - The Center shall be headed by an

Executive Director who shall be appointed by the President upon the

effectivity of this Act, with the rank of Undersecretary, and who shall

perform the following functions and powers:

a) Manage and direct the activities of the Centers for Disease Prevention
and Control (CDPC)};

b) Provide leadership for the implementation of CDPC's responsibilities
related to disease prevention and control;


°)

d)

e

8)

hy

k)

Advise the Secretary of Health on policy matters concerning CDPC
activities;

Recommend to the President and the Secretary of Health the exercise
of special powers in the case of an epidemic;

Certify to the existence of an epidemic, which shall be treated as a
public health emergency;

Participate in the development of CDPC goals and objectives;

Provide overall direction and coordination to the epidemiologic
activities of CDPC;

Coordinate CDPC response to health emergencies;

Provide liaison with other governmental agencies, international
organizations including the World Health Organization, learning
institutions, and other outside groups;

Coordinate international health activities relating to disease
prevention and control;

In cooperation with DOH Regional Offices, provide or obtain technical
assistance for regional and local health departments and private and
official agencies as needed;

Provide overall direction to, and coordination of, the scientific/medical
programs of CDPC;

m) Oversee and provide leadership for laboratory science, safety, and

n)

0)

P)

1)

quality management;

Plan, promote, and coordinate an ongoing program to assure equal
employment opportunities in CDPC;

Provide leadership, coordination, and assessment of administrative
management activities;

Coordinate with appropriate DOH staff offices on administrative and
program matters;

Coordinate the consumer affairs activities for CDPC; and
Provide leadership, policy guidance, coordination, technical expertise,

and services to promote the development and implementation of the
agency's national programs.

Sec. 8. Communicable Disease Prevention and Control Bureau — There shall
be created the Communicable Disease Prevention and Control Bureau with
the following functions:

a

Develop plans, policies, programs, projects and strategies for disease
prevention and control and health protection; and,


b. Provide coordination, technical assistance, capability building,
consultancy and advisory services related to disease prevention and
control and health protection.

Sec 9. Division of the Disease Prevention and Control Bureau - There shall be
created the following divisions under Disease Prevention and Control Bureau
with the following functions:

a) The Infectious Diseases for Elimination Division (TDED) shall have the
following functions:

vii.

viii.

To develop policies, standards, and guidelines for the
elimination of infectious diseases;

To develop plans, programs, and projects to carry out preventive
and control strategies against elimination of infectious diseases;
To assist and strengthens capacity to measure and analyze the
burden of elimination of infectious diseases;

To provide monitoring and evaluation schemes to measure of
interventions in the prevention and coutrol of elimination
diseases;

To provide technical assistance and expert services to
collaborating and implementing agencies on matters pertaining
to the prevention and control of infectious diseases for
elimination;

‘To develop capability of health sector agencies and organizations
in the implementation of programs and projects related to the
prevention and control of infectious diseases for elimination;

To promote coordination and collaboration with partner
agencies and organizations on matters pertaining to elimination
of infectious diseases;

To mobilize resources to assist collaborating and implementing
agencies and organizations.

b) The Infectious Disease of Prevention and Control Division (IDPCD)
shall have the following functions:

ii.

iv.

vi.

To develop policies, standards and guidelines for the prevention
and control of infectious diseases;

To develop plans, programs, and projects to carry out preventive
and control strategies against infectious diseases;

To assist and strengthens capacity to measure and analyze the
burden of infectious diseases;

To provide monitoring and evaluation schemes to measure of
interventions in the prevention and control of infectious
diseases:
To provide technical assistance and expert services to
collaborating and implementing agencies on matters pertaining
to the prevention and control of infectious diseases;

To develop capability of health sector agencies and organizations
in the implementation of programs and projects related to the
prevention and control of infectious diseases;



vii. To promote coordination and collaboration with partner
agencies and organizations on matters pertaining to infectious
diseases;

viii. To mobilize resources to assist collaborating and implementing
agencies and organizations.

All other divisions currently under the Disease Prevention and Control
Bureau of the Department of Health shall remain within the bureau, which
shall hereafter be renamed the Non-Communicable Disease Prevention and
Control Bureau.

Sec. 10. Epidemiology Bureau. - There shall be create the
Epidemiology Bureau with the following functions:

a) To develop and evaluate surveillance systems and other health
information systems;

b) To collect, analyze and disseminate reliable and timely information on
the health status;

c) To Investigate disease outbreaks and other threats to public health;
and

d) To network public health laboratories in support of epidemiological
and surveillance activities

See. 11. Divisions of the Epidemiology Bureau. - There shall create the
divisions under the Epidemiology Bureau with the following functions:

a) Applied Epidemiology Health Management Division:

Investigate and respond to epidemics and other urgent public
health threats as the need arises

ii, Develop and maintain field epidemiology training programs for
public health workers

iii, Develop, capture, filter, verify, assess, respond, disseminate and
evaluate event- based surveillance systems

iv. Collect and maintain resource materials on epidemiology,
surveillance, management and monitoring and evaluation in
public health.

b) Public Health Surveillance Division:
i. Undertake notifiable disease surveillance through Philippine
Integrated Disease Surveillance and Response.

c) Survey, Monitoring & Evaluation Division
i. Provide statistical services to priority health programs of the DOH
ii, Monitoring non-behavioral risk factors priority non-
communicable diseases through globally standardized survey
iii, | Monitor HIV and AIDS Registry and Integrated HIV Behavioral and
Serologic Surveillance, size estimates and Most At-Risk Population
iv. Provide program health indicators information

Sec. 12. Disease Emergency Management Bureau. - There shall be
created the Disease Emergency Management Bureau with the following
functions:


a) Act as the DOH Coordinating unit and Operation Center for all
health emergencies and disasters, as well as incidents with the
potential of becoming an emergency, and coordinate the
mobilization and sharing of resources.

b) Provide the communication linkage among DOH Central Office

and other concerned agencies, including the hospitals and the

regions, during emergencies and disasters.

Maintain updated information of all health emergencies and

disasters (except epidemiological investigation reports) and

provide such information to other offices and agencies in
accordance with existing protocols.

d) Maintain a database of all health emergency personnel,

technical experts, and resource speakers. Together with the

National Center for Health Facilities

Development (NCHFD), the DEMB shall maintain a database of

capabilities of health facilities.

f) Lead in the development of Disaster Risk Reduction &
Management in Health (DRRMH) Plan and the development of
protocols, guidelines and standards fo: health emergency
management.

g) Provide technical assistance in the development of programs and
planning activities for HEM for other government and non-
government organizations.

h) Lead advocacy activities, including simulation exercis

i) Develop and implements an Integrated Human Resource

Training Agenda for the Health Sector for emergencies and

disasters.

Lead in the networking of hospitals and health sector

organizations responding to emergencies and disasters.

k) Monitor and evacuate the enforcement of compliance to policies,
and

1) Recommend the formulation or amendment of policies related to
health emergency management.

3)

e)

i

Sec. 13. Divisions of the Disease Emergency Management Bureau. -
There shall be create the divisions under the Disease Emergency
Management Bureau with the following functions:

a) Prevention, Mitigation & Preparedness Division
i. Develop, disseminates, and monitors the implementation of
policies for health emergency preparedness.
ii, Develop standardized training modules for various
stakeholders on health emergency
iii, Develop, disseminate and update emergency preparedness
programs
iv. Develop policy-related and operational researches and
documentation relevant to health emergency preparedness
that will serve as inputs for policy development and
program/systems improvement.
v. Develop well-performing managerial human resources for
health emergency management
vi. Provide technical assistance to ensure the availability of
functional health emergency preparedness systems


(including policies, planning and capability building

activities) at all levels of the health sector.

Provide technical assistance to ensure delivery of

appropriate services in time of emergencies.

viii. Develop and implement an overall Monitoring and
Evaluation System and Plan for health emergency
management

ix. Lead in public information and awareness-raising activities

4

b] Response, Recovery & Rehabilitation Division
Mobilize resource of technical experts, health response
teams and tangible logistics needed locally and
internationally.

ii. Manage information through rapid health assessment,
damage assessment and needs analysis in response,
recovery and rehabilitation phases.

iii, Plan and develop policies and guidelines essential in the
implementation and management of projects, programs
and activities relevant to emergency and response,
recovery and rehabilitation. Develop and capacitate
human resource of regional offices, opera60n centers and
local government units in responding to emergencies.

iv. Performance such other functions as may be necessary
in performing its functions as a health cmergency
response division.

Sec. 14. Research Institute of Tropical Medicine. - The Center shall
absorb all functions and divisions under the Research Institute of Tropical
Medicine pursuant to Executive Order NO. 674 as follows:

a) To undertake research in the prevention, diagnosis and treatment
of tropical diseases of public health importance and to produce
vaccines for the control of vaccine-preventable diseases.

b) To engage and help formulate national health policy and strategy,
conduct research efforts directed towards the development of new
diagnostic techniques as well as effective and efficient strategies
for the control of infectious and/or tropical diseases.

Generally, the Research Institute shall also:

a) Provide high quality tertiary care to both in-patients and out-
patients suffering from tropical diseases included within the scope
of the Institute's research activities.

Undertake research activities in the diagnosis, control and
prevention of tropical diseases that are major causes of mortality
and morbidity in the Philippines.

Develop cost effective strategies for the control of infectious/tropical
diseases.

Conduct clinical trials according to accepted Good Clinical Practice
(GCP) guidelines, aimed at better understanding and control of
tropical diseases.

b}

°)

d)


e

Conduct regular training courses for medical and paramedical
personnel in the control of common tropical diseases in the country.
f) Participate in the technical cooperation programs with foreign

government in research activities in the diagnosis, control and
prevention of tropical diseases.

CHAPTER III
REGULATIONS TO CONTROL COMMUNICABLE DISEASES

See. 18. Promulgation and Enforcement by the Secretary of Health. -
The Secretary of Health upon the recommendation of the Executive Director,
is authorized to make and enforce such regulations as in his/her judgment
are necessary to prevent the introduction, transmission, or spread of
communicable diseases from foreign countries into the Philippines or its
territory. For purposes of carrying out and enforcing such regulations, the
Secretary of Health, or the Executive Director upon delegation by the
Secretary of Health, may provide for such inspection, fumigation,
disinfection, sanitation, pest extermination, destruction of animals or
articles found to be so infected or contaminated as to be sources of
dangerous infection to human beings, and other measures, as in his/her
judgment may be necessary.

See. 16. Apprehension, Detention, or Conditional Release of Individuals.
— Regulations prescribed under this Chapter shall not provide for the
apprehension, detention, or conditional release of individuals except for the
purpose of preventing the introduction, transmission, or spread of such
communicable diseases as may be specified from time to time in Executive
orders of the President upon the recommendation of the Secretary of Health
and/or the Executive Director.

See. 17. Application of Regulations to Persons Entering from Foreign
Countries. - Except as specifically provided bylaw, regulation prescribed
under this section, insofar as they provide for the apprehension, detention,
examination, or conditional release of individuals, shall be applicable only
to individuals coming into Philippine territory from a foreign country or a
possession.

Sec. 18. Apprehension and Examination of Persons Reasonably
Believed to be Infected. — Regulations prescribed under this Chapter may
provide for the apprehension and examination of any individual reasonably
believed to be infected with a communicable disease in a qualifying stage and
{a) to be moving or about to move within the Philippines; or (b) to be a
probable source of infection to individuals who, while infected with such
disease in a qualifying stage, will be moving within the Philippines. Such
regulations may provide that if upon examination any such individual is
found to be infected, he may be detained for such time and in such manner
as may be reasonably necessary.

For purposes of this Section, the term "qualifying stage", with respect

to a communicable disease, means that such disease- (a) is in a
communicable stage; or (b) is in a pre-communicable stage, if the discase


would be likely to cause a public health emergency if transmitted to other
individuals

Sec. 19. Suspension of entries and imports from designated places to
prevent spread of communicable diseases. - Whenever the Executive Director
determines that by reason of the existence of any communicable disease in
a foreign country there is serious danger of the introduction of such disease
into the Philippines, and that this danger is so increased by the introduction
of persons or property from such country hat a suspension of the right to
introduce such persons and property is required in the interest of the public
health, the Secretary of health, upon the recommendation of the Executive
Director, in accordance with regulations approved by the President shall
have the power to prohibit, in whole or in part, the introduction of persons
and property from such countries or places as he shall designate in order to
avert such danger, and for such period of time as he may deem necessary
for such purpose.

Sec. 20. Special quarantine powers ill time of war. - To protect the
military and naval forces and war workers of the Philippines, in time of war,
against any communicable disease, the President, in consultation with the
Secretary of Health and the Executive Director, is authorized to provide by
regulations for the apprehension and examination, in time of war, of any
individual reasonably believed (a) to be infected with such disease and (b) to
be a probable source of infection to members of the armed forces of the
Philippines or to individuals engaged in the production or transportation of
arms, munitions, ships, food, clothing, or other supplies for the armed
forces. Such regulations may provide that if upon examination any such
individual is found to be so infected, he may be detained for such time and
in such manner as may be reasonably necessary.

See. 21. Quarantine regulations governing civil air navigation and civil
aircraft. - The Executive Director and the Secretary of Health are jointly
authorized to provide by regulations for the application to air navigation and
aircraft of any of the provisions of sections 17 and 18 of this Act and
regulations prescribed thereunder (including penalties and forfeitures for
violations of such sections and regulations), to such extent and upon such
conditions as they deem necessary for the safeguarding of the public health.

Sec. 22. Penalties. - Any person who violates any regulation
prescribed under this Chapter, or who enters or departs from the limits of
any quarantine station, ground, or anchorage in disregard of quarantine
rules and regulations or without permission of the quarantine officer in
charge, shall be punished by a fine of not more than Five Million Pesos
(Php5,000.000.00) or by imprisonment for not more than two years, or both.

Sec. 23. Administration of oaths by quarantine officers. - Medical
officers, when performing duties as quarantine officers at any port or place
within the Philippines, are authorized to take declarations and administer
oaths in matters pertaining to the administration of the quarantine Jaws
and regulations of the Philippines.

CHAPTE IV

MANAGEMENT OF SUDDEN ONSET HEALTH EMERGENCIES


Sec. 24. Health Emergency Coordination Council (HECC). - There shall be
created a Health Emergency Coordinating Council (HECC), hereinafter
referred to as the Council, composed of the following:

Secretary of Health as Chairperson;

The Executive Secretary as Co-Chairperson;

The Executive Director of the CDPCP as Secretary;

‘The Secretary of Foreign Affairs as Member;

The Secretary of National Defense as NDRRMC Chairman as

Member;

‘The Secretary of Interior and Local Government as Member;

. The Secretary of Justice as Member;

. The Secretary of Budget and Management as Member;

. The Secretary of Trade and Industry as Member;

The Secretary of Agriculture as Member;

. The Press Secretary as Member,
The National Security Adviser as Member.

. The Chairman of the Philippine Red Cross as Member;

. The Executive Director of the Philippine Council for Health
Research and Development as Member; and

o. The President of PhilHealth as Member.

eae se

PROFS sR

Other government agencies not under the authority or jurisdiction of
the standing members of the Council may be included should their inclusion
be determined by the Council, as necessary.

The Center shall act as Secretariat of the HECC.

The HECC shail meet at jeast once every quarter and shail meet as
often as recommended by the Executive Director. Upon the motion of the
Executive Director, it shall be the duty of the HECC to declare a state of
health emergency upon a vote of the majority of its members. Only the
council may declare a state of health emergency which may be national, or
local as defined.

Sec, 25. Authorization to use calamity funds. - The declaration of a
state of health emergency shall serve as an authorization for covered local
government units (LGUs) to use their calamity funds in a manner duly
consulted with the CDPC.

Sec. 26. Sudden Onset Health Emergency Management Plan. - A
Sudden Onset Health Emergency Management Plan (SOHEMP) shall be
formulated by the Council, as supported by the CDPC, within six (6) months
after the effectivity of this Act. The SOHEMP shall serve as the framework for
the government's response to any public health emergency. It shall set out
goals and specific objectives to detect, prevent the spread, contain and
manage public health emergencies resulting from an outbreak of highly
contagious and/or infectious diseases, and biological or biochemical
disaster.

Sec. 27. Emergency Powers During a Sudden Onset of Health Outbreak.
~ The Council may certify to the existence of a state of health emergency
during a sudden onset health outbreak. The basis for such a declaration


shall be made public by the Council through the mass and social media and
a written report shall be submitted to both Houses of Congress. The
declaration shall take effect for a period of sixty (60) days, unless extended
or terminated earlier by the President, upon recommendation by the
Secretary of Health.

Sec. 28. Health Care Facilities and Services During a Sudden Onset
Health Outbreak. - During the period of a Sudden Onset Health Outbreak,
the Council may, within reasonable and necessary grounds for emergency
response to a public health emergency, require privately- owned health care
facilities to provide services or the use of their facilities.

See. 29. Dangerous Facilities and Materials. - During the State of
Health Emergency, the Council may exercise, in coordination with national
government agencies, local governments, and other organizations
responsible for the implementation of the SOHEMP, the following powers
over facilities or materials that may be considered dangerous due to
contamination or exposure to chemical, nuclear or biological agents or
infectious disease pathogen,

To close, direct and compel the evacuation of, or to decontaminate or
cause to be decontaminated, any facility of which there is reasonable cause
to believe that it may endanger the public health; and

To decontaminate or cause to be decontaminated, any material of
which there is reasonable cause to believe that it may endanger the public
health.

See. 30. Control of Pharmaceutical Agents or Medical Supplies. - After
the declaration of a State of Public Health Emergency, the Council may
authorize concerned agencies to purchase, store or distribute anti-toxins,
serums, vaccine, immunizing agents, antibiotics, and other pharmaceutical
agents or medical supplies that it considers advisable in the interest of
preparing for or controlling a public health emergency, with the right to take
immediate possession thereof.

If a State of Public Health Emergency results in a nationwide or
regional shortage or threatened shortage of any product covered by the
preceding paragraph, the Council may control, restrict, and regulate by
rationing and using quotas, prohibitions on shipments, price fixing,
allocation or other means, the use, sale, trading, distribution, or
transportation of the relevant product necessary to protect the health,
safety, and welfare of the people.

Sec. 31. Sudden Onset Health Hazards and Emergencies Management
Service. — There shall be created, within the CDPC, a Sudden Onset Health
Hazards and Emergencies Management Service (SOHHEMS), under the
DEMB, which shall perform the following functions:
a. Oversee on-the-ground operations of the CDPC in the event of a
public health emergency;
b. Assess and improve the readiness of health facilities for a public
health emergency;


c. Develop a National Epidemic and Rapid Onset Emergency Response
plan, and assist local governments in fonnula6ng their local public
health emergency response plans;

d. Capacitate government instrumentalities and private organizations
in on-the-ground response to public health emergencies;

e. Coordinate the logistical requirements of delivering national
government assistance to local governments in case of a public
health emergency;

f. Operate a national health emergency hotline;

g. Serve as a central receiving center for relevant information during
a health emergency;

h. Oversee the National Health Emergency Response Unit (NHERU);

i. Perform such other functions as may be delegated by the Secretary
of Health, or as may be needed to perform its role as the
coordination body for ground operations during a public health
emergency.

Sec. 32. National Health Emergency Response Unit. ~ There shall be
created a National Health Emergency Response Unit to perform the following
functions:

a) Execute, in coordination with relevant law enforcement authorities,
orders for seizure, surveillance, search, and disposal issued by the
President, the Secretary of Health, the CDPC, or the HECC;

b) Act as the first-response unit of the SOHHEMS during a public
health emergency;

¢

Conduct investigative and intelligence gathering activities as
ordered by the CDPC or by the Secretary of Health;

dq)

Verify reports of cases of serious infectious diseases, the presence
of serious amounts of bichazards; and such other reports whose
verification is in the interest of protecting public health;

Perform such other functions as may be inherent in its role as the
first response unit of the SOHHEMS, or as may be assigned by the
Secretary of Health and/or the CDPC Executive Director.

Due to the nature of their duties, frontline personnel of the NHERU
shall be entitled to hazard pay. The Department of Budget and Management
shall formulate and promulgate the rules and regulations necessary for the
implementation of this paragraph.

Sec. 33. Right to Information During a Sudden Onset Health Outbreak
~ The Secretary of Health shall make publicly available information which
he/she deems essential to preserving the health and safety of the public.
During a sudden onset health outbreak, the right to vital information shall
take precedence over the right to privacy.

See. 34. Special Supervision Over the Bureau of Quarantine - During
a sudden onset health outbreak, or as may be mandated by the Secretary
of Health in the interest of preventing an outbreak, the Bureau of


Quarantine shall report directly to the Executive Director of the CDPC. The
Bureau of Quarantine shall at all times practice full transparency with the
Executive Director of the CDPC. The CDPC shall have full access to
information in the possession of the Bureau of Quarantine.

Sec. 35. Safe Disposal of Infectious Waste. - The CDPC may exercise,
for such period as the state of public health emergency exists, the following
powers regarding the safe disposal of infectious waste:

a) Adopt measures. To adopt and enforce measures to provide for the
safe disposal of infectious waste as may be reasonable and
necessary to respond to the public health emergency. Such
measures may include, but are not limited to, the collection,
storage, handling, destruction, treatment, transportation and
disposal of infectious waste.

1)

Control of facilities. To require any business or facility authorized
to collect, store, handle, destroy, treat, transport, and dispose of
infectious waste under the law, and any landfill business or other
such property, to accept infectious waste, or provide services or the
use of the business, facility, or property if such action is reasonable
and necessary to respond to the public health emergency as a
condition of licensure, authorization, or the ability to continue
doing business in the country as such a business or facility. The
use of the business, facility, or property may include transferring
the management and supervision of such business, facility, or
property to the CDPC for a limited or unlimited period of time, but
shall not exceed the termination of the declaration of a state of
public health emergency.

¢)

Use of facilities. To procure, by condemnation or otherwise, any
business or facility authorized to collect, store, handle, destroy,
treat, transport, and dispose of infectious waste under the laws of
the country and any landfill business or other such property as may
be reasonable and necessary to respond to the public health
emergency, with the right to take immediate possession thereof.

dq)

Identification. All bags, boxes, or other containers for infectious
waste shall be clearly identified as containing infectious waste, and
if known, the type of infectious waste.

See 36. Safe Disposal of Human Remains. - The CDPC may exercise,
for such period as the state of public health emergency exists, the following
powers regarding the safe disposal of human remains:

a) Adopt measures. To adopt and enforce measures to provide for the
safe disposal of human remains as may be reasonable and
necessary to respond to the public health emergency. Such
measures may include, but are not limited to, the embalming,
burial, cremation, interment, disinterment, transportation, and
disposal of human remains.

b) Possession. To take possession or control of any human remains.


©) Disposal. To order the disposal of any human remains of a person
who has died of a contagious disease through burial or cremation
within twenty-four (24) hours after death. To the extent possible,
religious, cultural, family, and individual beliefs of the deceased
person or his or her family shall be considered when disposing of
any human remains.

dq)

Control of facilities to require any business or facility authorized to
embalm, bury, cremate, inter, disinter, transport, and dispose of
human remains under the laws of the country to accept any human
remains or provide the use of its business or facility if such actions
are reasonable and necessary to respond to the public health
emergency as a condition licensure, authorization, or the ability to
continue doing business in the country as such a business or
facility. The use of the business or facility may include transferring
the management and supervision of such business or facility to the
CDPC for a limited or unlimited period of time, but shall not exceed
the termination of the declaration of a state of public health
emergency.

e)

Use of facilities. To procure, by condemnation or otherwise, any
business or facility authorized to embalm, bury, cremate, inter,
disinter, transport, and dispose of human remains under the laws
of the Philippines as may be reasonable and necessary to respond
to the public health emergency, with the right to take immediate
possession thereof.

f) Labeling. Every human remains prior to disposal shall be clearly
labeled with ail available information to identify the decedent and
the circumstances of death. Any human remains of a deceased
person with a contagious disease shall have an external, clearly
visible tag indicating that the human remains is infected and, if
known, the contagious disease.

g) Identification. Every person in charge of disposing of any human
remains shall maintain a written or electronic record of each
human remains and all available information to identify the
decedent and the circumstances of death and disposal. If human
remains cannot be identified prior to disposal, a qualified person
shall, to the extent possible, take fingerprints and photographs of
the human remains, obtain identifying dental in formation, and
collect a DNA specimen All information gathered under this
paragraph shall be promptly forwarded to the CDPC.

Sec. 37. Other Powers of Control of Health Care Supplies. -

a) Procurement. The CDPC may purchase and distribute antitoxins,
serums, vaccines, immunizing agents, antibiotics, and other
pharmaceutical agents or medical supplies that it deems advisable in
the interest of preparing for or controlling a public health emergency,
without any additional legislative authorization.

b) _ Rationing. Ifa state of public health emergency results in a
national or regional shortage or threatened shortage of any product


under, whether or not such product has been purchased by the
public health authority, the CDPC may control, restrict, and
regulate by rationing and using quotas, prohibitions on shipments,
allocation, or other means, the use, sale, dispensing, distribution, or
transportation of the relevant product necessary to protect the
public health, safety, and welfare of the people.

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Priority. In making rationing or other supply and distribution
decisions, the CDPC may give preference to health care providers,
disaster response personnel, and mortuary staff.

d

Distribution. During a state of public health emergency, the CDPC
may procure, store, or distribute any anti-toxins, serums, vaccines
immunizing agents, antibiotics, and other pharmaceutical agents or
medical supplies located within the country as may be reasonable
and necessary to respond to the public health emergency, with the
right to take immediate possession thereof If a public health
emergency simultaneously affects more than one state, nothing in
this Section shall be construed to allow the public health authority
to obtain anti-toxins, serums, vaccines, immunizing agents,
antibiotics, and other pharmaceutical agents or medical supplies for
the primary purpose of hoarding such items or preventing their fair
and equitable distribution among affected countries.

Sec. 38. Vaccination and Treatment. - During a state of public health
emergency, or a state of sudden onset health outbreak, the CDPC may
exercise the following emergency powers over persons as necessary to
address the public health emergency:

a) Vaccination. To vaccinate persons as protection against infectious
disease and to prevent the spread of contagious or possibly
contagious disease.

i. Vaccination may be performed by any qualified person authorized
to do so by the CDPC.

ii, A vaccine to be administered must not be such as is reasonably

likely to lead to serious harm to the affected individual.

To prevent the spread of contagious or possibly contagious

disease the CDPC may isolate or quarantine, pursuant to the

provisions of this Act, persons who are unable or unwilling for

reasons of health, religion, or conscience to undergo vaccination

pursuant to this Section.

b) Treatment. To treat persons exposed to or infected with disease.

i. Treatment may be administered by any qualified person
authorized to do so by the CDPC or DOH.

ii, Treatment must not be such as is reasonably likely to lead to
serious harm to the affected individual.

iii, To prevent the spread of contagious or possibly contagious
disease the public health authority may isolate or quarantine,
persons who are unable or unwilling for reasons of health,


religion, or conscience to undergo treatment pursuant to this
Section.

CHAPTER V
TRACKING OF PUBLIC HEALTH EMERGENCIES

Sec. 39. Reporting. - The following shall be reported to the CDPC:

a) Illness or health condition. A health care provider, medico-legal, or
medical examiner shall report all cases of persons who harbor any
illness or health condition that may be potential causes of a public
health emergency, including emerging and re-emerging infections.

b) Pharmacists. In addition to the foregoing requirements for health
care providers, a pharmacist shall report any unusual or increased
prescription rates, unusual types of prescriptions, or unusual trends
in pharmacy visits that may be potential causes of a public health
emergency. Prescription related events that require a report include,
but are not limited to:

i. An unusual increase in the number of prescriptions or over-
the-counter pharmaceuticals to treat conditions that the CDPC
identifies through regulations;

ii, An unusual increase in the number of prescriptions for
antibiotics; and

iii, Any prescription that treats a disease that is relatively
uncommon or may be associated with bioterrorism.

°C)

Manner of reporting. The report shall be made electronically or in
writing within twenty-four (24) to the Department of Health or
through the CDPC. The report shall include as much of the following
information as is available: the specific illness or health condition
that is the subject of the report; the patient's name, date of birth, sex,
race, occupation, and current home and work addresses (including
city and province); the name and address of the health care provider,
coroner, or medical examiner and of the reporting individual, if
different; and any other information needed to locate the patient for
follow-up. For cases related to animal or insect bites, the suspected
locating information of the biting animal or insect, and the name and
address of any known owner, shall be reported.

d) Animal diseases. Every veterinarian, livestock owner, veterinary
diagnostic laboratory director, or other person having the care of
animals shall report animals having or suspected of having any
diseases that may be potential causes of a public health emergency.
The report shall be made electronically or in writing within twenty-
four (24) hours to the DOH or the CDPC and shali include as much
of the following information as is available: the specific illness or
health condition that is the subject of the report; the suspected


locating information of the animal, the name and address of any
known owner, and the name and address of the reporting individual.

e)

Laboratories. For the purposes of this Section, the definition of
“health care provider" shall include medical laboratories, provided
that such laboratories have agreed to the reporting requirements of
the country. Results must be reported by the laboratory that
performs the test, but a local laboratory that sends specimens to a
laboratory abroad is also responsible for reporting results.

f) Enforcement. The CDPC may enforce the provisions of this Section
in accordance with existing enforcement rules and regulations.

Sec. 40. Tracking. - The CDPC shall ascertain the existence of cases of
an illness or health condition that may be potential causes of a public health
emergency; investigate all such cases for sources of infection and to ensure
that they are subject to proper control measures; and define the distribution
of the illness or health condition. To fulfill these duties, the CDPC shall
identify exposed individuals as follows:

a) Identification of individuals. Acting on information developed in
accordance with Section 34 of this Act, or other reliable information,
the CDPC shall identify all individuals thought to have been exposed
to an illness or health condition that may be a potential cause of a
public health emergency.

b)

Interviewing of individuals. The CDPC shall counsel and interview
such individuals where needed to assist in the positive identification
of exposed individuals and develop information relating to the source
and spread of the illness or health condition. Such information
includes the name and address (including city and province) of any
person from whom the illness or health condition may have been
contracted and to whom the illness or health condition may have
spread.

°)

Examination of facilities or materials. The CDPC shall, for
examination purposes, close, evacuate, or decontaminate any facility
or decontaminate or destroy any material when the authority
reasonably suspects that such facility or material may endanger the
public health.

d)

Enforcement. The CDPC may enforce the provisions of this Section in
accordance with existing enforcement rules and regulations. An order
of the CDPC given to effectuate the purposes of this Section shall be
enforceable immediately.

Sec. 41. Information sharing. -

a) Whenever the CDPC or other government agency learns of a case of
a reportable illness or health condition, an unusual cluster, or a
suspicious event that may be the cause of a public health emergency,
it shall immediately notify the HECC and its members.


b) Whenever the CDPC learns of a case of a reportable illness or health
condition, an unusual cluster, or a suspicious event that it
reasonably believes has the potential to be caused by bioterrorism, it
shall immediately notify public safety authoritics.

cS

Sharing of information on reportable illnesses, health conditions,
unusual clusters, or suspicious events between public health and
safety authorities shall be restricted to the information necessary for
the treatment, control, investigation, and prevention of a public
health emergency.

See. 42. Intergovernmental information sharing. - The Secretary of
Foreign Affairs and the Secretary of Health are jointly mandated to review
and recommend to the HECC multilateral and bilateral agreements which
the country may adopt to strengthen its information-sharing mechanisms
with other countries.

CHAPTER VI
OTHER PROVISIONS

Sec. 43. Congressional Oversight Committee on Communicable Disease
Control and Prevention - To monitor the implementation of this Act, there
shall be a Congressional Oversight Committee on Communicable Disease
Control and Prevention, composed of the Chair and four other members of
the House Committee on Health, and the Chair and four other members of
the Senate Committee on Health and Demography. No part of this Act shall
be construed as to limit the oversight powers inherently or actually
possessed by the same committees.

See. 44. Appropriations. - In addition to the appropriations for the
units subsumed in the Center under this Act, there shall be appropriated
a sum of Fifty Million Pesos (PhpS0, 000.000.00) for the implementation of
this Act, including the operations of the Center. Provided, that such
appropriation shall apply only when this Act is passed before the Center
could be given appropriations under the General Appropriations Act for the
nearest upcoming year.

Sec. 45. Staffing. - The Secretary of Health, in consultation with the
Department of Budget and Management (DBM), shall determine the
organizational structures including regional or field offices, qualification
standards, staffing pattcrn and compensation of the newly created Center
in accordance with existing laws, rules and regulations.

Sec. 46. Implementing Rules and Regulations. - The Secretary of

Health shall promulgate the necessary rules and regulations within ninety

(90) working days from the effectivity of this Act.

Sec.47. Separability Clause. — If any portion or provision of this Act is
subsequently declared invalid or unconstitutional, other provisions hereof
which are not affected thereby shall remain in full force and effect.

See. 48. Repealing Clause. - All other laws, acts, presidential decrees,
executive orders, presidential proclamations, issuances, rules and
regulations, or parts thereof which are contrary to or inconsistent with any


of the provisions of this Act are hereby repealed, amended, or modified
accordingly.

Sec. 49. Effectivity. - This Act shall take effect fifteen (15) days after
its publication in the Official Gazette or in a newspaper of general circulation.

Approved,