UH Clinic— Usapang leptospirosis | Unang Hirit
Nalubog sa baha ang ilang parte ng Metro Manila matapos hagupitin ng bagyong Carina at habagat. Kaya ang DOH nagbabala laban sa sakit na LEPTOSPIROSIS! Alamin ang mga sintomas na dapat bantayan sa video na ito.
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00:00This past week, there has been heavy flooding in Baguio, Carina, and Habagat.
00:06Until now, the flood still continues in some places.
00:10Most of us have not been able to avoid flooding.
00:15So the next thing we should be aware of is the risk of leptospirosis.
00:20We always hear that there is flood, but what is that?
00:24This morning, the doctor is in here at UH Clinic to talk about that.
00:28We have here with us Assistant Secretary Albert Domingo of the Department of Health.
00:34Good morning!
00:35Good morning!
00:36Those of you who like to swim in the flood, Doc is mad at you.
00:40Doc is mad at those who chose to swim, but there is no choice.
00:46Did Doc understand you?
00:47Yes.
00:48We understand you.
00:49Yes, but don't swim.
00:51Doc, when there is flood, we often hear about leptospirosis.
00:56Can you explain what this disease is and how dangerous it is?
01:00Yes, Ivan and Ate Susan.
01:02Leptospirosis comes from microbes, leptospira, that are in the intestines of fish and other animals.
01:08But most of the time, the fish is in the trash.
01:12When there is flood, it's like, sorry to those who eat, it's like you mashed the surroundings.
01:17Yes, that's true.
01:18So when there is flood, all the intestines are collected there.
01:21When you are there, whether it's intentional or not, and you still have a wound,
01:26the microbes will enter your body.
01:30Doc, aside from the wounds, there are other entry points for microbes.
01:34Yes, it can be in the eyes, nose, or mouth.
01:38That's why those who swim, even if they don't have a wound,
01:41as you can see, it's like, as soon as I get wet, the leptospirosis enters.
01:44Yes, it's like, eh, eh, eh, eh.
01:47See?
01:49What are the symptoms of leptospirosis, Doc?
01:51By this time, can people feel it?
01:54Yes, the incubation period of leptospirosis is about 1 to 2 weeks.
01:58Sometimes, it can last up to a month.
02:00Usually, there are headaches, headaches, and itchiness.
02:04There is pain in the back of the shins, here in the back of the eye, in that part.
02:10Then, we also have redness in the eyes.
02:13Our skin changes color.
02:15It becomes chalky, it becomes white.
02:17Itchiness can turn into itchiness, but those are the advanced stages.
02:21Here, Doc, we experienced flooding Wednesday last week.
02:24That's what happened.
02:25Yes.
02:26So, if you were hit by a flood today or tomorrow, don't let it go.
02:30Don't say, maybe it's just a flood, maybe it's just a scratch.
02:33Don't do that.
02:34That's true.
02:35If we were hit by a flood one week ago and then it rained,
02:39we call it a high index of suspicion.
02:41It's like you're a suspect that you might have leptospirosis.
02:44So, please consult us so that we can be sure.
02:46If it's not leptospirosis, then it's good.
02:48It's good.
02:49It's different.
02:50It can also be treated.
02:51But it's better to be sure.
02:53What they said, Doc, is that you shouldn't get hit by a flood if you have an open wound.
02:57But they also said that even if you don't have a wound, it can get into your eyes, nose, and mouth.
03:03Isn't it in our pores?
03:05Well, it's not in our pores.
03:07But sometimes, there are so-called microabrasions.
03:10So, it means that you can't see the wound, but there's a small scratch.
03:14It can still get in there because it's a microbe.
03:16Oh, no.
03:18How do you treat leptospirosis, Doc?
03:20They said that you can buy it, but you need to have a prescription, right?
03:24Yes, you need a prescription.
03:26You can't just get it from the pharmacy.
03:29You need a prescription.
03:31If you have a prescription, there are different risks.
03:34The high risk…
03:35So, the dosage is different?
03:36It's different.
03:37If you're at high risk, it means that you get hit often.
03:40Maybe your area isn't dry yet.
03:42There are places like that right now.
03:44Or if you're covered by the media, there's a protocol for that.
03:48It's different from the medium risk where you only get hit once and you have a wound.
03:52It's also different from the low risk where you don't have a wound and you only get hit once.
03:56Doc, they also talked about preventives.
03:59For example, if you want to be extra careful, can you drink before you get hit?
04:05I know that I have no choice, so I'll drink first.
04:07Yes.
04:08That's where our doctor is important.
04:10Based on the evaluation, the doctor saw that field reporters really get hit.
04:16So, if the doctor saw that, and how is your body,
04:19you're not pregnant.
04:20By the way, doxycycline is prohibited for pregnant women.
04:23That's why it's really important to consult because there are things like that.
04:26You can give it, but it will depend on the evaluation of the doctor.
04:30The doctor will determine if you're going to give it or not.
04:32Let's clarify this.
04:33So, for those of us who will get hit, it's okay, but ask the doctor first.
04:39Yes.
04:40But after you get hit, can you drink right away?
04:43After, you still need to be evaluated because there are three risk levels.
04:48The dosing is also different.
04:50For example, we know that it's high risk.
04:52Someone else will give you a prescription.
04:54Because you might overdose, right?
04:57Correct.
04:58Actually, Ate Susan, it's not the overdose that's more scary here.
05:01What we're more afraid of is antimicrobial resistance.
05:04What do you mean?
05:05Just like what's happening in the Olympics right now.
05:07The microbial…
05:08They're fighting.
05:09Yes, they're fighting.
05:10They're training.
05:11Because if you give them an antibiotic with the wrong dose…
05:14They're resisting.
05:15They're resisting.
05:16They're getting stronger.
05:17So, there's nothing they can't swallow.
05:19Exactly.
05:20So, don't self-medicate.
05:22Doc, we have questions for our online listeners.
05:26This is a question from F.J. Lavena, Dacoron Valdez, Moralia.
05:33If there's leftover food that was eaten by a lizard,
05:36can it also cause leptospirosis because of this?
05:39Can it, Doc?
05:40Yes, it can.
05:41Because lizards don't wash their feet, right?
05:44If you see a lizard, they wash their feet before they step on it.
05:48They wash their feet?
05:49Did you wash your feet?
05:51Did you wash your paws?
05:52Lizards are kind.
05:53They also sing happy birthday.
05:55Who's the kind lizard?
05:57Is it Ratatouille?
05:58Ratatouille.
05:59Lizards are not like that.
06:01So, if that happens,
06:02their teeth, because they stick to their teeth,
06:05when they eat, they get leptospirosis.
06:07I have a question, Doc.
06:09For example,
06:10in the next question,
06:11for example,
06:13drinks that are in a can,
06:15sometimes, you drink it straight, right?
06:17Yes.
06:18Do you have to wash it first?
06:20Yes.
06:21It's a good practice.
06:22If we're in a can,
06:25everything that goes into our mouth,
06:27we have to wash and wipe it first
06:28because you don't know if it was stepped on by a lizard.
06:31Lizards don't wash their feet, right?
06:33Ratatouille.
06:34Wow, Ratatouille.
06:35I have a question for Elvis John Valderrama.
06:37Is it okay to use soap to clean your feet against leptospirosis?
06:43For example, after exposure,
06:44you use soap.
06:45That's right.
06:46Actually, it's a first aid, right?
06:47Because when we wash our feet,
06:49the amount of leptospirin that's in our feet is reduced.
06:52But the consultation is still important
06:54because even if you reduce it,
06:56there might still be some that got left behind.
06:58What's that?
06:59This is protection, Doc.
07:00Is it okay?
07:01Yes.
07:02If it can't be avoided,
07:03if you get into a flood,
07:04protect yourself.
07:05You have this.
07:06This is called waders.
07:08Waders, yes.
07:09And the boots,
07:10the important thing is that it's high.
07:11That's right.
07:12Because your boots,
07:13if it's here,
07:14they put water inside.
07:15Maybe you're fashionable,
07:16but they put water inside.
07:17It's not like that.
07:18I can see that.
07:19You're wearing boots.
07:20It's fashion.
07:21In the news,
07:22before we go,
07:23we really wear this.
07:24Yes.
07:25When I wear that,
07:26it's up to my head.
07:28At least,
07:29even if it's a flood,
07:30it's protected, right?
07:31Let's see.
07:32Look.
07:33I told you,
07:34it's up to here.
07:37At least,
07:38no matter how deep it is,
07:39you're okay.
07:40It's protected.
07:41Mark safe, Susan.
07:42Mark safe.
07:43It's safe.
07:44Doc Albert,
07:45thank you very much.
07:46Thank you.
07:47Be careful, everyone.
07:48During a flood,
07:49you need to be twice as careful
07:51so that you can take care of yourself.