HISTORY OF PUBLIC HEALTH IN THE PHILIPPINES
Public Health
Ecological in perspective, multi- sectoral in scope and collaborative in strategy
It aims to improve the health of community through an organized community
effort
History of Public Health in the Philippines based on socio-political periods
1. Pre-American Occupation (up to 1898)
2. American Military Government (1898-1907)
3. Philippine Assembly (1907-1916)
4. The Jones Law (1916-1936)
5. The Commonwealth(1936-1941)
6. Japanese Occupation (1941-1945)
7. Post World War II (1945-1972)
8. Martial Law Years (1972-1986)
9. Post EDSA Revolution (1986 to present)
I. PRE-AMERICAN OCCUPATION
Public health works began at the old Franciscan Convent in Intramuros where Fr.
Juan Clemente put up a dispensary in 1577 for treating indigents in Manila. This
eventually became the San Juan de Dios Hospital
During Spanish time:
1. Creation of Board of Vaccinators to prevent smallpox
2. Creation of Board of Health
3. Construction of Carriedo Waterworks
4. First Medical School in the Philippines – UST
5. School of Midwifery
6. Public Health Laboratory
7. Forensic Medicine
Hospitals before the Americans came to Philippines:
1. General Hospitals
a. San Juan de Dios Hospital
b. Chinese General Hospital
c. Hospicio de San Jose in Cavite
d. Casa dela Caridad in Cebu
e. Enfermeria de Santa Cruz in Laguna
2. Contagious Hospitals
a. San Lazaro Hospital
b. Hospital de Palestina in Camarines Sur
c. Hospital delos Leprosos in Cebu
d. Hospital de Argencina in Manila for smallpox and cholera
3. Military Hospitals
a. Hospital Militar de Manila
b. Hospital Militar de Zamboanga
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4. Naval #mnHospitals
a. Hospital #mndela #mnMarie #mnin #mnCebu
b. Hospital #mnde #mnBasilan
5. Other #mnhospitals/Asylums
a. Hospicio #mnde #mnSan #mnPascual #mnBaylon #mnin #mnManila
b. Asylum #mnof #mnSt. #mnVincent #mnde #mnPaul #mnin #mnManila #mnfor #mnpoor #mngirls
c. Hospital #mnof #mnSan #mnJose #mnfor #mnorphaned #mnchildren #mnand #mnmentally #mnill
II. #mnAMERICAN #mnMILITARY #mnGOVERNMENT
Control #mnof #mnepidemics #mnsuch #mnas #mncholera, #mnsmallpox #mnand #mnplague
Fight # m n against #mncommunicable #mndiseases #mnsuch #mnas #mnleprosy,
#mndiarrhea, #mnmalaria, #mnberi-beri
Projects #mnand #mnactivities:
1. Established #mna #mngarbage #mncrematory
2. Approved #mnthe #mnfirst #mnsanitary #mnordinance #mnand #mnrat #mncontrol
3. Amoebic #mndysentery #mn– #mncaused #mnby #mncontaminated #mnwater #mnand #mnunclean
#mnvegetables, #mnand #mnmalaria #mn– #mnAnopheles #mnminismus #mnflavirotris #mnwas
#mnpointed #mnout #mnas #mnvector
4. Cholera #mnvaccine #mnwas #mnfirst #mntried
5. Confirmed #mnthat #mnplague #mnin #mnman #mncomes #mnfrom #mninfected #mnrat
6. Opened #mna #mnleper #mncolony #mnin #mnCulion
7. Founded #mnthe #mnManila #mnMedical #mnSociety #mnand #mnPhilippine
#mnIsland #mnMedical #mnAssociation
8. Opened #mnthe #mnUP #mnCollege #mnof #mnMedicine
9. Established #mnBureau #mnof #mnScience
III. #mn PHILIPPINE #mnASSEMBLY
New #mnwaterworks #mnin #mnManila #mnwas #mninaugurated #mnto #mncontrol #mncholera
Nursing #mnstudents #mnat #mnPhilippine #mnNormal #mnSchool
Hygiene #mnand #mnPhysiology #mnwere #mnincluded #mnin #mncurriculum #mnof #mnpublic #mnelementary
#mnschool
Anti-TB #mncampaign #mnwas #mnstarted
Philippine #mnTuberculosis #mnSociety #mnwas #mnorganized
Pasteur #mnprophylaxis #mntreatment #mnagainst #mnrabies #mnwas #mnoffered
Opening #mnof #mnthe #mnPhilippine #mnGeneral #mnHospital #mn(PGH)
Use #mnof #mnanti-typhoid #mnvaccine #mnwas #mninitiated
Hypochlorite #mnof #mnlime #mnwas #mnfirst #mnused #mnfor #mntreating #mnthe #mnwater #mnsupply #mnof #mnManila
Etiology #mnof #mnAmoebic #mndysentery #mnwas #mnmade #mnclear
Dry #mnvaccine #mnagainst #mnsmallpox #mnwas #mnfirst #mnused
IV. #mn JONES #mnLAW #mnYEARS
Retrogression #mnrather #mnthan #mnprogression #mnin #mnso #mnfar #mnas #mnthe #mnhealth #mnwas #mnconcern
1. Increase #mnCDR
2. Increase #mnIMR
3. Increase #mnMorbidity
Increased #mndeaths #mnfrom #mnsmallpox, #mncholera, #mntyphoid, #mnmalaria, #mnberiberi #mnand #mnTB
Re-organization #mnhappened #mn(re-organized #mnthe #mnhealth #mnservice #mnand
#mnencouraged #mneffective #mnsupervision
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1. Study #mnthe #mncause #mnand #mnprevalence #mnof #mntyphoid #mnfever
2. The # m n composition, # m n value # m n and # m n vitamin # m n distribution # m n of
# m n many # m n Philippine # m n foods #mnwere #mnstudied
3. Schick #mntest #mnwas #mnused #mnto #mndetermine #mnthe #mncases #mnof #mndiphtheria
4. Campaign #mnagainst #mnHookworm #mnwas #mnlaunched
5. Anti-dysentery #mnvaccine #mnwas #mnfirst #mntried
6. The #mnroles #mnof #mnseafood #mnin #mntransmission #mnof #mncholera #mnand #mnthe
#mnpollution #mnof #mnfishing # m n sector #mnto #mntyphoid #mnwere #mnstudied
7. First #mntraining #mncourse #mnfor #mnsanitary #mninspector #mnwas #mngiven
8. Women #mnand #mnchild #mnlabor #mnlaw #mnwas #mnpassed
9. The #mnmechanism #mnof #mntransmission #mnof #mndengue #mnfever #mnthrough #mnAedes
#mnaegypti #mnwas #mnstudied
10. Construction #mnof #mnNovaliches #mndam
11. Establishment #mnof #mnschool #mnof #mnHygiene #mnand #mnPublic #mnHealth
12. National #mnResearch #mnCouncil #mnof #mnthe #mnPhilippines #mnwas #mnorganized
13. BS #mnin #mnEducation #mnmajor #mnin #mnHealth #mnEducation #mnwas #mnopened #mnin #mnUP
14. Philippine #mnPublic #mnHealth #mnAssociation #mn(PPHA) #mnwas #mnorganized
V. #mnTHE #mnCOMMONWEALTH #mnPERIOD
Process #mnof #mngaining #mnand #mnmaintaining #mnaltitude #mn(because #mnthe #mnlater
#mnyears #mnunder #mnJones #mnLaw #mnwas #mnsuccessful)
The # m n epidemiology # m n of # m n life # m n threatening # m n diseases #mnwas # m n studied
# m n – # m n diphtheria, # m n yaws, #mndengue
Research #mnin #mnthe #mnfield #mnof #mnhealth #mnwas #mnpromoted
UP #mnSchool #mnof #mnPublic #mnHealth #mnwas #mnestablished #mnto #mntrain #mnpublic #mnhealth #mnleaders
Construction #mnof #mnadditional #mnleprosaria #mnand #mnprovincial #mnhospitals
Construction #mnof #mnQuezon #mnInstitute # m n for #mnPTB #mnpatients
Research #mnand #mncontrol #mnof #mnTB, #mnmalaria, #mnleprosy #mnand #mnyaws
Development #mnof #mnMaternal #mnand #mnChild #mnHealth #mn(MCH)
1939, #mncreation #mnof #mnDepartment #mnof #mnPublic #mnHealth #mnand #mnWelfare #mn– #mnDr.
#mnJose #mnFabella #mnas #mnthe #mnfirst #mnsecretary
1940, #mnBureau #mnof #mnCensus #mnand #mnStatistics #mnwas #mncreated #mnto #mngather #mnvital #mnstatistics
In #mnspite #mnof #mndevelopment #mn:
1. Inequitable #mndistribution #mnof #mnhealth #mnservices #mnremained #mna #mnproblem
2. 80% #mnof #mnthose #mnwho #mndied #mnwere #mnnever #mngiven #mnmedical #mnattention
VI. #mn JAPANESE #mnOCCUPATION
During #mnthis #mntime, #mnall #mnpublic #mnhealth #mnactivities #mnwere
#mn practically #mnparalyzed #mnTHE #mnWORLD #mnWAR #mnII
After #mn5 #mnyears #mnof #mnJapanese # m n occupation, #mnpublic # m n health
# m n tried #mnto #mnpick #mnup #mnthe #mndebris #mnand #mnrise #mnfrom #mnthe #mnruins
Survey: # m n increased # m n incidence # m n of # m n TB, # m n VD,
# m n malaria, # m n leprosy # m n and #mnmalnutrition
General #mnsanitation #mnhas #mnbeen #mnreduced #mnto #mnlevel #mnenough #mnto
#mnconstitute #mna #mnnational #mnhazard
US # m n congress # m n passed # m n an # m n emergency # m n measures # m n to
# m n control # m n diseases: #mnTB, #mnVD, #mnmalaria, #mnleprosy, #mnmalnutrition
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Immunization #mnprogram
VII. #mn POST #mnWORLD #mnWAR #mnII
THE #mnPHILIPPINE #mnINDEPENDENCE
1. Completion #mnof #mna #mnresearch #mnon #mnDichlorodiphenyltrichlorothanel
#mn(DDT) #mnsaw #mndust #mnas #mnlarvicide #mnand #mnDDT #mnresidual
#mnspraying #mnof #mnhouses #mnin #mnthe #mncontrol #mnof #mnmalaria
2. Construction #mnof #mnthe #mnNational #mnChest #mnCenter #mn– #mnfor #mncontrol
#mncase #mnregistry #mnfor #mnTB, #mnmass #mnimmunization #mnwith #mnBCG
3. Industrial #mnhygiene #mnlaboratory
4. Introduction #mnof #mnone-infection #mnmethod #mnfor #mngonorrhea #mnwith #mnpenicillin
5. Creation #mnof #mncentral #mnHealth #mnLaboratory #mnin #mnthe #mnPhilippines
6. Creation #mnof #mnInstitute #mnof #mnNutrition #mnunder #mnBRL, #mnthen #mnit #mnwas
#mntransferred #mnto #mnNational #mnInstitute #mnof #mnScience #mnand
#mnTechnology #mnand #mnwas #mnrenamed #mnas #mnFood #mnand #mnNutrition
#mnResearch #mnCenter, #mnit #mnwas #mnagain #mnrenamed #mnas #mnFNRI
Manila #mnwas #mnselected #mnas #mnHeadquarters #mnfor #mnthe #mnWHO #mnWestern #mnPacific #mnOffice
Strengthening #mnHealth #mnand #mnDental #mnservices #mnin #mnrural #mnareas
This #mnis #mnthru #mnRHU #mnprogram #mn(per #mnmunicipalities #mnwith #mn5,000-
10,000 #mnpopulation)
1 #mnMunicipal #mnHealth #mnOfficer
#mn(MHO) #mn1 #mnPublic #mnHealth
#mnNurse #mn(PHN)
1 #mnMidwife
1 #mnSanitary #mnInspector
Re-organization #mnof #mnDOH #mn– #mncreation #mnof #mnseveral #mnoffices
1. Dental #mnHealth #mnServices
2. Malaria #mnEducation #mnServices
3. Disease #mnIntelligence #mnCenter
4. Food #mnand #mnDrug #mnAdministration
5. National #mnSchistosomiasis #mnControl #mnCommission
6. National #mnNutrition #mnProgram
Initiation #mnof #mnprograms #mnwith #mnmultilateral #mnassistance
1. WHO #mnand #mnUNICEF #mnassisted #mnTB #mnand #mnBCG #mnprograms
2. TB #mncontrol #mnprogram #mnas #mnbasic #mnservice #mnof #mnRHU
3. TB #mnsputum #mncase #mnfinding #mnby #mnmicroscopy
4. Serum #mnand #mnvaccine #mnproduction #mnin #mnAlabang
5. Expanded #mnMCH #mnand #mnMental #mnHealth #mnProgram
6. Training #mnprograms #mnfor #mnMidwives
7. Strengthened #mngraduate #mnhealth #mnprograms #mnat #mnthe #mnUP-CPH
Development #mnof #mnFamily #mnPlanning #mnMovement
Launching # m n of # m n programs # m n in # m n cooperation # m n with # m n private
# m n sectors #mn– # m n top # m n provide #mnservices #mnto #mnperiphery #mn(indigents,
#mnminority #mngroups)
Rizal #mnDevelopment #mnProject
1. Restructuring #mnof #mnthe #mnDOH #mnRural #mnHealth #mnCare #mnDelivery #mnSystem
2. Each #mnbarrio #mnwas #mnprovided #mnwith #mnmidwife
3. For #mnthe #mnfirst #mntime, #mndengue #mnvirus #mnwas #mnisolated #mnfrom #mntypical #mnH #mnfever
#mncases
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