DOH - Philippine National Environmental Health Action Plan (NEHAP) 2010-2013

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PHILIPPINE NATIONAL ENVIRONMENTAL HEALTH ACTION PLAN

(NEHAP)

2010-2013

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TABLE OF CONTENTS

Foreword............................................................................................................................................................................... 2

Acronym and Abbreviations ........................................................................................................................................ 3

I. Background................................................................................................................................................................. 6

A. Introduction.......................................................................................................................................................6

B. The Philippine National Environmental Health Action Plan............................................................6

C. The NEHAP Framework..............................................................................................................................7

D. Objectives of NEHAP....................................................................................................................................7

E. Principles in the Formulation of the NEHAP.........................................................................................7

F. Regional Forums on Environmental Health...........................................................................................8

G. The 2007 NEHAP...........................................................................................................................................9

H. The 2009 NEHAP........................................................................................................................................11

I. The Philippine NEHAP 2010 Updating Process...............................................................................12

II. Sector Situation, Accomplishment Report and Plans, 2010-2013 ....................................................... 13

A. Toxic and Hazardous Substances............................................................................................................13

B. Air .....................................................................................................................................................................16

C. Water Sector..................................................................................................................................................19

D. Sanitation Sector...........................................................................................................................................21

E. Food Safety....................................................................................................................................................24

F. Occupational Health....................................................................................................................................26

G. Solid Waste....................................................................................................................................................28

III. Next Steps: Conclusions, Cross Cutting Issues And Recommendations........................................ 32

Annex 1. Framework for the Drafting of the NEHAP........................................................................................ 33

Annex 2: Action Plan 2010-2013 by Sector ........................................................................................................ 34

Annex 3. Proposed Reorganization of the Sectoral Task Force Composition............................................ 54

Annex 3. Report to the 5th High Level Meeting..................................................................................................... 58

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FOREWORD

The threat of environmental hazards to man has not been more emphasized than at present times. Despite notable achievements in the health indicators (e.g. increasing life expectancy at birth, de-creasing infant death rates, etc.), these are now being threatened by changing environmental scenar-ios such as industrialization and rapid urbanization. With the emergence of modern environmental hazards (e.g. improper disposal of hazardous substances from industries and households; vehicular and industrial emissions) and the persistence of traditional hazards (e.g. lack of access to fundamen-tal resources such as safe water, sanitation, housing, among others), the Filipinos are now faced with the burden of both communicable diseases closely linked with traditional hazards and non-communicable diseases associated with modern hazards.

In terms of urbanization and population growth, the country ranks among the highest in Southeast Asian countries. An expanding population can have serious environmental and health implications and is a major threat to the remaining resources of the country since our limited resources may not be able to cope with the growing needs of the population. This may render greater difficulty, especially to the impoverished sectors of society, in acquiring basic needs essential for healthy living – water, food, shelter, and sanitation.

The development of a comprehensive and integrated approach to address environmental health issues warrant the participation and commitment of all stakeholders, from the national agencies, non-government organizations, the academe, the business group, the local government units and the communities. The National Environmental Health Action Plan (NEHAP) will direct the provision of environmental health services in the Philippines for the next three years through strategic approaches by various partnerships in the following key areas:

• Sanitation

• Water

• Air

• Toxic Chemicals and Hazardous Waste

• Occupational Health

• Food Safety

• Solid Waste

• Climate Change

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ACRONYM AND ABBREVIATIONS

AFP Armed Forces of the Philippines ATO Air Transportation Office BAFPS Bureau of Agriculture and Fisheries Product Standards BAI Bureau of Animal Industry BAR Bureau of Agricultural research BFAR Bureau of Fisheries and Aquatic Resources BFP Bureau of Fire Protection BHDT-DOH Bureau of Health Devices and Technology BLGS-DILG Bureau of Local Government Supervision BOC Bureau of Customs BOI-DTI Bureau of Investments BPI Bureau of Plant Industry BPS Bureau of Public Standards BWC Bureau of Working Conditions BWC-DOLE Bureau of Worker's Conditions CAA Civil Aviation Authority CC Climate Change CCO Chemical Control Order CENRO City Environment and Natural Resources Office CLUP Comprehensive Land Use Plan CLTS Community Led Total Sanitation CSC Civil Service Commission DA Department of Agriculture DBM Department of Budget and Management DBM Department of Budget and Management DENR Department of Environment and Natural Resources DepED Department of Education DEWATS Decentralized Wastewater treatment DILG Interior and Local Government DOE Department of Energy DOF Department of Finance DOH Department of Health DOH-BOQ Bureau of Quarantine DOH-HEMS Health Emergency Management Staff DOH-NCHP National Center for Health Promotion DOH-NEC National Epidemiology Center DOH-NNC National Nutrition Council DOLE Department of Labor and Employment DOLE-BWC Bureau of Working Conditions DOST Department of Science and Technology DOST-PCHRD DOST -Philippe Council for Health Research and Development

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DOTC Department of Transportation and Communication DOTC-PPA DOTC- Philippine Ports Authority DPWH Departments of Public Works and Highways DTI Department of Trade and Industry DTI-BPS DTI Bureau of Product Standards EASAN2 2nd East Asia Ministerial Conference on Sanitation and Hygiene ECOP Employers Confederation of the Philippines EMB Environmental Management Bureau EOHO-DOH Environmental and Occupational Health Office ETS Educational Testing Service FAO Food and Agriculture Organization FDA Food and Drug Administration FDA-DOH Food and Drug Authority-Department of Health FDC Food Development Center FNRI Food and Nutrition Research Institute FPA Fertilizer and Pesticide Authority FPA Fertilizer and Pesticide Authority GSIS Government Service Insurance System HCW Health Care Wastes IACEH Inter-Agency Committee on Environmental Health ICAO International Civil Aviation Organization IEC Information, Education and Communication IHP Industrial Hygienists Association of the Philippines IRR Implementing Rules and Regulations ITDI-DOST Industrial Technology Development Institute IWRM Integrated Water Resources Management LDWQMC Local Drinking Water Quality Monitoring Committee LGPMS Local Governance Performance Management System LGU Local Government Unit LGU Local Government Unit LLDA Laguna Lake Development Authority LMP League of Municipalities LTO Land Transportation Office MOA/U Memorandum of Agreement/Understanding MSDS Material Safety Data Sheets MMDA Metropolitan Manila Development Authority MWSS Metro Manila Water and Sewerage System NAWASA National Water and sanitation Association of the Philippines NCDPC National Center for Disease Prevention and Control NCHP National Center for Health Promotion NDA National Dairy Authority NDCC – WASH National Disaster Coordinating Council - Water, Sanitation and Hygiene NEDA National Economic Development Authority NEHAP National Environmental Health Action Plan NFA National Food Authority NFSCC National Food Safety Coordinating Council NGO Non- Government Organizations

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NIA National Irrigation Authority NMIS National Meat Inspection Service NPMCC National Poison Management Control Centre NSBBSP National Search for Barangay with Best Sanitation Practices NSSMP National Sewerage and Septage Management Plan NSWMCS National Solid Waste Management Commission NWRB National Water Resources Board OHNAP Occupational Health Nurses Association of the Philippines OH/EH Occupational Health / Environmental Health OSCH Occupational Safety and Health Center PATAMABA Pambansang Tagapag-ugnay ng mga Manggagawa sa Bahay PCA Philippine Coconut Authority PCL Priority Chemical List PCOM Philippine College of Occupational Medicine PCUP Presidential Commission for the Urban Poor PHA Philippine Hospital Association PIA Philippine Information Agency PIA Philippine Information Agency PNSDW Philippine National Standards for Drinking Water PNP Philippine National Police PNRI-DOST Philippine Nuclear Research Institute PPA Philippine Ports Authority PSSR Philippine Sustainable Sanitation Roadmap PWAD Philippine Association of Water Districts PWP Philippine Water Partnership PWSSR Philippine Water Supply Sector Roadmap PWWA Philippine Water Works Association RITM Research Institute for Tropical medicine SAICM Strategic Approach to International Chemicals Management SOPI Safety Organization of the Philippines, Inc. SRA Sugar Regulatory Administration SSS Social Security System

SWATOFS Solid Waste, Water, Air, Toxic and Hazardous Wastes, Occupational Health, Food Safety, and Sanitation

SWM Solid Waste Management TSP Total Suspended Particulates ULAP Union of Local Authorities of the Philippines UNDP-GEF UNDP - Global Environment Facility UNEP United Nations Environment Programme US-EPA US - Environmental Protection Agency WATSAN Water and Sanitation WHO World Health Organization WSP Water and Sanitation Program

VOC Volatile Organic Compound

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I. BACKGROUND

A. I NTRODUCTION

The World Health Organization(WHO) Commission on Health and Environment has concluded that “if the future of the human race is to be safeguarded, its manner of dealing with the environment must change drastically and if the human race continuers to ignore this fact, its improved health and well-being will not be an attainable goal.” The inherent link between the environment, health and development cannot be overemphasized. Recognition of the need to preserve the environment in order to prevent threats to human health while at the same time ensuring that development goals are met is paramount. One need not look at the health profile of our country to see that the top leading causes of illnesses continue to be communicable diseases like diarrhea, malaria, typhoid fever, etc. which are wrought by traditional environmental key risks like inadequacy of safe water, poor waste management, non-practice of food safety, etc. Furthermore, the country is now experiencing growing environmental challenges that impact not only in health but also in terms of livelihood and well being of the citi-zens. This would include population growing in exponential terms and the impacts of climate change that has caused several cases of extreme emergency. Environmental Health, being defined here as referring to the practice of assessing, correcting, con-trolling and preventing factors in the environment that can potentially adversely affect the health of present and future generations (WHO, 1993), needs to be given more emphasis in governance. If the priority of this government is poverty alleviation then, environmental health should be recognized as a tool to achieve this. Any intervention that will reduce the environmental health risks to the poor is a must to reduce poverty. A mechanism to give purpose and direction to Environmental Health activi-ties is the collective formulation of a National Environmental Health Action Plan or NEHAP.

B. THE PHILIPPINE NATIONAL ENVIRONMENTAL HEALTH ACTION PLAN Environmental Health concerns itself with the prevention of illness, either through management of the environment or through changing behaviors. The approach to prevention consists of interventions that prevent the generation of agents, vectors or risk factors; interrupt the transmission of the disease agents and reduce the contact between man and these agents. The National Environmental Health Action Plan or NEHAP is seen as an inter-agency plan to achieve long-term policy objectives. It is the framework for actions on priority Environmental Health issues. It recognizes the need to coordinate the Environmental Health activities of all stakeholders to give it direction, support its implementation and avoid duplication of efforts. The list of actions iden-tified to address these issues will form a checklist to assess the country’s progress in its efforts. The formulation of the NEHAP adhered to the interdependence of health, development and the envi-ronment. Efforts to protect health should always include efforts to preserve the environment and all activities wrought by development should be aligned along the line of preservation and restoration of

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both. Thus, the need to require that health and environment protection be integrated in the policies and plans of the other sectors.

C. THE NEHAP FRAMEWORK

The Philippines is party to different international agreements. The NEHAP plan is seen as a

convergence of all these international commitments: the UN Millennium Development Goals,

international agreements such as those embodied in the Philippines Agenda 21 and the

,Johannesburg Plan of Implementation of 2002. The NEHAP Plans are also informed by the En-

vironmental Health National Laws, Philippine Medium Term Plan and Development Program

and the National Objectives for Health. A diagram of the NEHAP Framework is included in An-

nex 1.

D. OBJECTIVES OF NEHAP 1. To foster better collaboration at all levels between those responsible for health and those respon-

sible for the environment and between these two and the other players;

2. To foster better collaboration between the national, regional and local authorities to ensure that efforts are coordinated and synergistic;

3. To allow the participation of the public in the decision-making process whenever possible and at all appropriate levels.

E. PRINCIPLES IN THE FORMULATION OF THE NEHAP

1. The NEHAP subscribes to the definition of Sustainable Development, which is development that meets the needs of the present without compromising the ability of future generations to meet their own needs.

2. Environmental Health issues will be seen from the health and environment perspective taking

into account all relevant national and local interests and priorities using an integrated and multi-dimensional approach.

3. The tenet of “Prevention is better than cure” shall be the best approach. 4. There shall be recognition of the importance of economic valuation of health and environment

impact for more optimal use of scarce resources. Trade and economic policies affecting Envi-ronmental Health policy shall also be considered.

5. Environmental Health initiatives shall take into consideration the use of economic instruments to

finance its activities by way of taxes, user fees, etc. There shall likewise be subscription to the “Polluter Pays” principle.

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6. The plan shall recognize the value of having a more effective and systematic impact assessment

procedure to bridge evidence-based data with sound decision-making. 7. There should be recognition of the need to develop the capabilities at the local level for identify-

ing and assessing environmental health problems, planning for interventions and implementing and monitoring these. Appropriate institutional support structures should likewise be provided.

8. There shall be awareness raising on health and environment issues through communication strat-

egies for effective health and environment decision-making and effective social action. 9. There shall be recognition of the important role of the community in managing their environment

and health. In health, the Primary Health Care approach should be utilized. 10. Environmental Health being an inter- sectoral concern, initiatives such as the Inter-Local Health

Zones (IHZ) shall be utilized as avenues to mobilize the communities to act in concerted fashion.

F. REGIONAL FORUMS ON ENVIRONMENTAL HEALTH

The Philippines have been actively participating in the different regional initiatives on environment and health jointly organized by the World Health Organization (WHO) and the United National En-vironment Program (UNEP). The First High Level Officials meeting was held in Manila in Novem-ber 2004 where the Regional Initiative on Environment and Health was launched. The Second High Level Meeting on Health and Environment held in 12-13 of December 2005 in Bangkok, Thailand resulted in the adoption of the charter on Health and Environment and a decision to hold joint minis-terial meetings between the Health and Environment Ministers. The Third High level Officials Meet-ing was held in August, 2007 prior to the First Ministerial Meeting to review progress made in na-tional and regional actions since the Second High Level Officials meeting and to endorse the draft charter composition and work plans of the regional Thematic Working Groups ( TWGS) on six pri-orities for submission to the Ministerial meeting.

The 2nd Ministerial Regional Forum for Environmental Health was recently held in Korea on July 14-15, 2010 where the updated NEHAPs were discussed to determine progress, identify new issues and concerns in the light of current developments in environmental health at the global, regional and country levels. During this meeting some of the important highlights are as follows:

• Emergency concerns were incorporated in the 2010-2013 NEHAP • The Forum expects that the Philippine government would endorse/sign the NEHAP docu-

ment for uploading later to the Forum website • The contents of NEHAP should be acceptable to all partners • The DOH could decide a mechanism on how IACEH would endorse NEHAP • There was a new Thematic Working group created, i.e. Health Impact assessment, and the

Philippines should have a response on this, such as who would compose the corresponding TWG under IACEH, if there is a need.

• Climate change and emergency concerns are new initiatives for integration to NEHAP and the IACEH should decide on the leadership and composition of the TWG.

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G. THE 2007 NEHAP

The IACEH met in June 2007 to re-validate the goals and strategies of the Philippine NEHAP and to identify priority key actions per sector involving inter-agency collaboration. The following Sectoral Goals and Key Actions were agreed on:

Sector Goal Key Actions

Solid Waste To strengthen the institu-tional mechanism/linkages to ensure a healthy environment through sustained implemen-tation of the Ecological Solid Waste Management Program

Review of RA 9003

Stronger Advocacy to LGUs to implement RA 9003 e.g landfills and Materials Recovery Facility

Resource Mapping and Needs Assessments in the regions/LGUs

Establishment of Regional Ecology Centers

Water To reduce/eradicate the inci-dence of water-borne and other water-related diseases

Development of the Water Supply Roadmap

Develop drinking water technology options

Adoption of Integrated Water Resources Manage-ment

Develop innovative/acceptable financing mecha-nisms

Operationalization of the Knowledge Management Portal on Water and Sanitation

Stronger advocacy for the ff. at LGU level: imple-mentation of the PNSDW; establishment of LDWQMC and to establish more drinking water laboratories.

Air To achieve the quality of air that will protect the public health safety and welfare

Conduct of studies re LPG/CNG health risks

Strengthen monitoring of Bio Fuels Act

Advocacy for use of cleaner/alternative technology

Toxic Substances and Hazardous Wastes

To reduce the incidence of diseases and injuries brought about by exposure to toxic and hazardous substances

Implement the globally harmonized system ( GHS) for classification and labeling of chemicals;

Harmonize risk assessment and risk management methodologies

Establish poison control centers at the regional level

Harmonize and update information databases

Capacity/capability building on toxicology

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Strengthen enforcement strategies at the local level.

Occupational Health To reduce the incidence of environmental and occupa-tional health-related diseases and injuries.

Capability building of industries for self-regulation

Enforcement of OH/EH laws by LGUs

Involvement of employers and workers group in the conduct of EH/OH activities

Establishment of OH/EH laboratories

Food Safety To ensure supply of safe food from farm to plate and be globally competitive.

Development of Food Safety legislation

Strengthen Food safety system

Develop rapid alert system

Sanitation To accelerate the develop-ment and implementation of effectual programs of sus-tainable sanitation and wastewater management.

Develop national sanitation master plan

Stronger advocacy for the clean water act imple-mentation by the LGUs and increased LGU invest-ment /enhance involvement of private sector ( pub-lic-private partnership)

Dissemination of sanitation technology options.

A few cross -cutting issues have been identified:

Policy

Policy review and strengthening of regulation and enforcement ( specifically on the Clean Water Act, RA 9003, the Sanitation Code); review of existing penalties and sanctions; review of bilateral agreements in the entry of e-wastes and the development of incentive schemes to attract investors in solid and liquid waste treatment facility.

Information System

The need to establish a comprehensive EOH information system/databank and to harmonize all data on EOH from different sources ( FHSIS,NSCB, NDHS, NSO)

Logistics

The need to establish food laboratories that are compliant to international standards; development of financing, investment and incentive schemes for EOH initiative.

Enforcement, Monitoring and Evaluation

The need to capacitate the LGUs to enforce laws/policies on EOH. The need to reiterate the CHD’s mandate to monitor EOH programs and projects at LGU levels through mutual cooperation.

Standards

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The need to harmonize international and local standards (such as in food trade) and the development of health standards for chemical exposure.

H. THE 2009 NEHAP

In the NEHAP 2009 report on accomplishments and plans, the DOH, through its Undersecretary re-ported to the Fourth High level meeting on Environment and Health last March 2009 in Beijing, Chi-na. The report was essentially an update of the progress made on the 2007 priority areas and next steps. It provided an overview of the programs and projects implemented per sector to address the different EH hazards:

EH Hazards Programs and Project Implemented Solid Waste • Advocacy campaigns on Republic Act 9003-Solid Waste Man-

agement Act • Technical guidelines on closure of controlled dump facilities

and establishment of sanitary landfills • Preparation of Citizen’s Suits against non-complying local

government units (LGUs) for cases in Environmental Om-budsman

Water • Implementation of President’s Priority Water Supply Project for Waterless Municipalities

• Provision of community-managed water supply and sanitation services in 910 barangays ( 6 provinces)

• Adoption of low-cost water treatment facilities for public mar-ket and residential areas in five LGUs

• Harmonization of water and sanitation indicators (ongoing) • Development of Water Supply Roadmap

Air • Review and updating of air emissions standards • Conduct of regular ambient air emissions in different airsheds • Enactment of Bio-Fuels Act (2006)

Toxic and

Hazardous

Waste

• Approval of Policy on Gradual Phase-Out of Mercury in all Philippine Health Care Facilities and Institutions

• Small-Scale Grant for the Quick Start Program under the Stra-tegic Assessment for International Chemicals Management (SAICM -$250,000)

• Establishment of Poison Control Center at Davao Regional Health Office and East Avenue Medical Center

Occupational

Health

• Implementation of Comprehensive and Integrated National Occupational Safety and Health Plan 2006-2010

• Established mechanism for industries’ self-regulation • Implementation of the Work Improvement for Small Estab-

lishment (WISE) • National Annual Awarding for Establishments and Individuals

(“Gawad Kalusugan at Kaligtasan sa Industriya”) Food • Review and updating of Implementing Rules and Regulations

on Food Establishments • Updating of laboratory capacity of Bureau of Food and Drugs

Sanitation

• Program for Sustainable Sanitation for East Asia Philippine Component, SIDA/WB Project

• Development of Sustainable Sanitation Roadmap (ongoing) • Conduct of National Sanitation Summit (every 2 years) • Construction of sewerage facilities in Metro Manila (urban)

and Saranggani Province (rural) Climate Change • Creation of the Presidential Task Force on Climate Change

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(2007) • Multi-sectoral Forum on Climate Change (June 2008) • Preparation for 2nd National Communication /Report to UN

Framework Convention on Climate Change ( for submission in 2010)

• Secured Spanish MDG-F support for Strengthening the Philip-pines’ Institutional Capacity to Adapt Climate Change with the following objectives:

1. Determine vulnerability of critical sectors to climate change;

2. Strengthen country’s adaptive capacity by enhancing the planning, programming, and implementation ca-pacities of key stakeholders;

3. Undertake the adaptation demonstration projects for potential up scaling /replication

I. THE PHILIPPINE NEHAP 2010 UPDATING PROCESS

The NEHAP is considered a very important document in the Philippine environmental health sector. It is an integrated plan to guide the policy and program development and implementation for improv-ing environmental health of the country. As such, a multi stakeholder and participatory approach was adopted in the updating of the said plan. The multi-stakeholder approach is anchored on the rec-ognition of the different roles and participation of concerned stakeholders in developing and imple-menting the NEHAP.

These meant the active involvement and participation of various stakeholders ranging from national government agencies with mandates pertinent to the different thematic areas covered under NEHAP, the academe, the NGOs and civil society group, and more importantly the local government units represented by the different leagues.

The DOH, with technical and financial support from WHO have engaged the services of consultants to facilitate the updating of the plan.

The updating process consist of the following activities:

• Review of the current NEHAP including a rapid scan and desk review of related literatures • Interview with key informants from the sector including conduct of meeting with key stake-

holders • Conduct of the first multi-stakeholder NEHAP writeshop/workshop the main agenda of

which was to review past accomplishment and the updates that need to be reflected in NE-HAP 2010-1013.

• Preparation of the Draft NEHAP 2010 to 2013 plan. • Conduct of the final multi stakeholder workshop/writeshop for the consolidated review, as-

sessment and updating of the NEHAP • Refinement and packaging of the updated NEHAP for presentation to concerned agencies

and 2nd Ministerial Forum to be held in July, 2010 in the Republic of Korea. • Finalization of the NEHAP taking into account agreements reached during the 2nd Ministerial

Forum

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II. SECTOR SITUATION , ACCOMPLISHMENT REPORT AND

2010-2013 PLANS

In preparing for the update of the NEHAP plan, the IACEH Sectoral Task Force met to report on their progress and to prepare their sectoral priorities for the 2010-2013 NEHAP plan. It was also an opportunity to redefine the composition of their Sectoral Task Force. The following section is an overview of each sector’s situation and major accomplishments from 2005 to 2010 and an overview of their proposed plans for 2010-2013. The proposed composition of each sectoral task force is at-tached in Annex 3 for final approval by the IACEH.

A. TOXIC AND HAZARDOUS SUBSTANCES

1) Sector Situationer and Accomplishments, 2005-2010

The Philippine Inventory of Chemicals and Chemical substances (PICCS) count 44,600 chemicals that it needs to monitor. Out of these, there is a priority list of 48 regulated chemicals. (called PCL or Priority Chemical List). There are also 5 controlled chemicals under the Chemical Control Order ( CCO). This includes asbestos, cyanide, mercury, PCBs and Ozone Depleting Substances.

The country has only 7 poison control centers nationwide. This is already an improvement from 2005 when there was only one poison control center. The centers report a total of 1,286 poisoning cases in 2009. Top causes of poisons are the following

• Jewelry cleaners

• Mixed pesticides

• Button batteries

• Watusi firecracker

• Jathropha seeds

• Multi-vitamins

• Malathion and xylene

• Camphor with Methyl ASA and turpentine

In terms of hazardous waste, the DENR has recognized 108 privately owned hazardous waste treat-ment facilities. It has also accredited a total of 265 hazardous waste transporters. They cater to about 11,162 hazardous waste generators.

Current issues that the sector are concerned with are as follows:

a. The need to harmonize approaches on risk management methodologies;

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b. Insufficient number of technical experts on toxicology at different levels ( national, regional and local)

c. Lack of proper labeling for household chemicals except for pesticides;

d. Weak/inappropriate legislation on penal provisions and prohibited acts

e. Overlapping of legislation on chemical safety;

f. Lack of infrastructure support for laboratory/disposal facilities

g. Inadequate capacity to detect hazardous waste and transboundary smuggling

h. Inadequate capacity and insufficient technology in the treatment and disposal of hazardous health care wastes (HCW).

2) Issues and Concerns

The issues and concerns identified under this thematic areas were divided into different areas as fol-lows:

On the expansion and acceleration of chemical risks, two issues were identified: inadequate harmo-nized approach for risk management methodologies and insufficient technical experts on toxicology at different levels.

Under harmonization and labeling of chemicals, there is the issue on the absence of proper labeling for household chemicals except for pesticides.

With respect to strengthening national capabilities and capacities to manage chemicals, identified issues were: inappropriate action plans/legislations on penal provisions and prohibited acts; overlap-ping of legislation on chemical safety; and the lack of infrastructure support.

Furthermore, there was the issue on the inadequacy to detect hazardous waste/transboundary smug-gling with regards to the prevention of international traffic of toxic and dangerous products. There was also the issue of limited awareness and concern on chemicals and HCW.

Under technology update, issues identified were: insufficient technology in the treatment and dis-posal of hazardous HCW and the limitation set forth under the Clean Air Act.

3) Developing the Action Plan The Toxic and Hazardous Waste Sector has developed their action plan based on six (6) programmed areas:

a. Expanding and accelerating assessment of chemical risks b. Harmonization of Chemicals and Labeling of Chemicals c. Strengthening national capabilities and capacities for management of chemicals

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d. Prevention of illegal international traffic in toxic and dangerous products e. Information Exchange f. Technology Update

Plan implementation is to be carried with the active participation of national government agencies, the academe and the non government organization. Lead agencies include DOH. DENR, DA and DILG. Detailed Sector Action Plan is in Annex 2.

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B. AIR

1) Sector Situationer and Accomplishments

The Air Quality Management Section Environmental Management Bureau of the DENR is monitoring ambient air through 42 monitoring stations nationwide. However, these monitoring equipments only monitor the TSPs (Total Suspended Particulates) which should not exceed 90 micro-grams/cubic meter.

Air pollution in the country is currently being caused primarily by mobile sources, followed by area sources then stationary sources. The increasing number of motor vehicles is the main culprit accounting for 65% of air pollution.

It is important that monitoring stations be established in highly urbanizing cities and that the country should build its technical capacity to monitor PM 10 and PM 2.5 ( Particulate matter with 10 diamicrons and 2.5 diamicrons affect the lungs and is a concern of the DOH and the DENR.)

The DENR has designated air sheds to better monitor the compliance to the National Air Quality Guideline Values.

DESIGNATION OF AIRSHEDS

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It has also initiated several programs to address air pollution:

A. BANTAY TSIMENEYA PROGRAM (Monitoring of Chimneys) Under this program, total monitored industries is 6,643 ( 2009). Out of these, 334 were found to be non-compliant and have been issued notices of violation.

B. BANTAY TAMBUTSO PROGRAM ( Vehicle Emission Monitoring) Of the 4,867 vehicles e flagged down in 2009, 46% found passing the emission standards. Those who failed were penalized.

C. IMPROVED FUEL QUALITY PROGRAM

Industrial Fuel :

• 0.3% sulfur content for Industrial diesel • Regulated sulfur content of bunker fuel: Regular BFO, 3%; Special BFO,

1% & 2% or upon industry order Automotive Fuel:

• Phased-out leaded gasoline nationwide in December 2000 • Regulated the 2% benzene and 35% aromatics content in gasoline • Implemented the limit of .05% sulfur content in auto-diesel “Biofuels Act

of 2006” (RA 9367) • Promoted the use of 2% bio-diesel blend; and ethanol-gasoline blend

(E10)

D. STANDARD SETTINGS

� Adoption of Euro II Emission Standards for Motor Vehicles per DENR Administrative Order No. 2007-27 (Emission Limits for CO,HC+NOx & PM per category and type of Engine) Adoption of Euro 4 (In progress)

E. PUBLIC AWARENESS BUILDING

• Through the regular reporting of the National Air Quality Status Report that is disseminated to the public

• Mass media have also assisted in raising public awareness on the need to keep motored vehicles in good condition and should always pass the vehi-cle emission test which is now mandatory for the renewal of motor vehicle registration.

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Based on the type or source of air pollution, issues and concerns besetting the sector were identified.

Under the category mobile/transport emission of gaseous pollutants, the issues included were: lack of emission standards for airline and sea going vessel who were emitting gaseous pollutants; poor compliance to emission standards ; excessive noise emission; enforcement of noise ambient standards; inadequate capacity to monitor fuel quality; lack of national inspection and maintenance program for motor vehicles.

With regards to stationary sources, concerns identified were: inefficient operation of fa-cilities; outdated technology for control of emissions; and insufficient monitoring sta-tion and its location.

Under area source, problems identified were: implementation and enforcement on the ban for open burning; uncontrolled agricultural and forest fires; non- compliance to poli-cies on smoking in public places and indoor air pollution; uncontrolled emission of VOC; and increase in road dust.

On systems development aspect, the problems included were: the need for a harmonized health information for air pollution and research gaps on health impact/evaluation of mi-tigating measures in term of health costs.

3) Developing the Action Plan

The Action Plan for the air sector was developed with the goal to achieve quality of air that will protect the public health, safety and welfare. The plan calls for the implementation of strategic activities and the active involvement of agencies such as Department of Environment and Natural Resources (DENR) through the EMB; the Department of Transportation and Communication (DOTC) specifically the LTO, PPA, and ATO; the Department of Interior and Local Government (DILG); the Department of Trade and Industry (DTI) particularly BPS; the Department of Energy (DOE); the Department of Finance (DOF); the Public Information Agency (PIA); the Metro Manila Development Authority (MMDA); as well as the LGUs and Non-Government Organizations. With the strategies formulated to address issues identified, the expected outputs include: integration of the RA 9003 into the com-prehensive land use plan (CLUP) and the physical framework plan of LGUs; building the capacity of LGU staff in the area of solid waste management; and the mainstreaming of the informal waste sector in the national and local government plans and programs. Detailed Sector Action Plan is in Annex 2.

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C. WATER SECTOR


The Office of the President allocated PhP500 Million per year from 2005 to 2008 for the President’s Priority Program on Water (P3W). In late 2009, the fund was even increased to Php1.5 Billion. The fund was primarily for grants to serve “waterless municipalities” defined as those whose households have less than 50% access coverage. 331 municipalities have been served out of the target of 432 waterless municipali-ties. As of December 2009 it is reported that 118 of these municipalities have now graduated- mean-ing they have more than 50% access coverage or total households with access to potable water.

In August 2007, the Philippine Water Supply Sector Roadmap (PWSSR) was completed and ap-proved by the National Economic and Development Authority Infrastructure Committee and this has now become the basis for coordination of the country’s projects and programs on water supply. NEDA is leading the updating of the PWSSR and the second edition is now undergoing discussion for approval. Task Forces on the three key result areas of the PWSSR are regularly meeting to moni-tor plan implementation. These are in the areas of institution building, strategic alliances and capac-ity development.

Five major projects are now on-going nationwide that are aligned with the PWSSR targets:

a. Enhancing Access to and Provision of Water Services with the Active participation of the Poor ( MDG 1919 Funded by the Spanish Achievement Fund, Project duration: 2009-2012 ) tar-geting 36 “waterless municipalities” in 5 regions all over the country. b. Philippine Water Supply and Sanitation Sector Assessment and Monitoring Project c. Development of the Capacity Building Framework for Water and Sanitation d. Ring-Fencing of Water Utility accounts of Local Government Units and water cooperatives e. The Philippine Portal for the Water Supply & Sanitation Sector (http://philwatsan.org.ph) was created in 2008 containing the policies, projects/programs, research/publications and statis-tics on WATSAN. It is maintained and operated by the National Water Resources Board.

Increased access to safe drinking water increased through these projects. These definitely contributed to the improvement of water quality in priority areas and reduced the incidence of water borne dis-eases.


The issues and concerns affecting the water sector were identified based on source, supply, invest-ment and regulations aspects.

Under source, the following issues were identified: fragmented water source development; pollution of water sources from agricultural and industrial sources; over extraction of groundwater leading to saltwater intrusion;

20

Supply related issues identified included disparity in the provision of safe water supply ( urban vs. rural, rich vs. poor) and the significant increase in the population with no access to safe water sup-ply.

In terms of investment, the main issue was the low level of investment, both for capital and operating investments.

With respect to regulations, the issues pointed out were: weak enforcement of water-related policies and laws; inadequate mechanism for preparedness and response during emergencies and climate change such as drought, floods and spills.

The issue of uncoordinated/scattered information about the sector and the need for updated sector data including partial implementation of the water supply roadmap were also part of the issues iden-tified affecting the sector.


The action plan was developed with the outcome goal “To provide adequate water supply and re-duce/eradicate waterborne and water-related diseases.” Specific goals, strategies and outputs were subsequently identified together with the lead and partner agencies who are expected to facilitate the implementation of the Plan. Some of the major outputs identified include: formulation of a national framework for water source development; implementation of the Clean Water Act, particularly the water safety plans; mapping of high risk areas and preparation of groundwater vulnerability map; local ordinances for water supply management; and robust private sector participation to increase sector investments.

Multi agency participation approach including the LGUs, the academe and the civil society is crucial to plan implementation.

Detailed Sector Action Plan is in Annex 2.

21

D. SANITATION SECTOR


The latest data on Philippine Sanitation reveals that in 2008, about one quarter of the population is still not served with individual sanitary types of sanitation facilities. Open defecation is still prac-ticed by 14% of the rural population and 4% of the urban population respectively. This means that every single day probably 10 million Philippine citizens defecate in the open, with serious con-sequences to the health, dignity and human development of this equally important part of the na-tional population.

While the country is said to be on track in meeting its MDGs on sanitation it still means 1 in every 5 people in the Philippines will be unserved and that achieving universal coverage figures (100% of households with sanitary toilets) is highly uncertain. The uncertainty is aggravated by the re-cent disasters that hit the country and probably damaged substantively existing sanitation facili-ties.

While sanitation has traditionally lagged behind water supply, it has recently been energized by the high priority accorded to it internationally. The Philippines supported the global community by organizing a number of milestone events to raise the profile of sanitation in the country and to recognize the best practices being done at local level. These special events include the following:

a) The First Sanitation Summit - July 31, 2006 in Heritage Hotel with the theme “A Call for Improved Access to Sustainable Sanitation”.

b) The Second Sanitation Summit - July 9-10, 2008 in ADB with the theme “Better Water Quality and Safety through Improved Sanitation”.

c) International Year of Sanitation (2008) launching in Mandaluyong City on February 18, 2008.

d) The DOH launched the National Search for Barangay with Best Sanitation Practices (NSBBSP) in 2008.

e) The First Philippine Symposium on Sustainable Sanitation and Global Handwashing Day Celebration held in Mandarin Hotel, Makati City last October 15-16, 2009

f) Hosting of the 2nd East Asia Ministerial Conference on Sanitation and Hygiene (EASAN2) on January 26-28, 2010 at Sofitel Philippine Plaza Hotel, Manila

g) The awarding of the 2nd NSBBSP was held at Sofitel Philippine Plaza Hotel, Manila last January 29, 2010 with 3 Barangays as the Grand National Winners (1st, 2nd & 3rd)

The most important milestone for the sanitation sector is the preparation of the Philippine Sustainable Sanitation Roadmap (PSSR) led by the Department of Health. The PSSR is the basic framework document that will serve as the guide for the development of sustainable sanitation in the country. It has recently been approved by the NEDA inter-agency Sub-committee on Water Resources and is now being disseminated so that national and local agencies can develop their plans and programs aligned with the roadmap framework.

22

The recent preparation of the National Sewerage and Septage Management Plan ( NSSMP) under the Department of Public Works and Highways is consistent with the Roadmap and has also been recently approved by the NEDA.

Furthermore, the Philippines is also one of the countries participating in the program for Sustain-able Sanitation in East Asia where the following were developed:

a) National Sustainable Sanitation Plan of the Department of Health b) National sustainable sanitation health promotion plan c) Sanitation program packages for different types of sanitation challenges d) Sustainable Sanitation Education Program

Many Local Government Units (LGUs) are now embarking on wastewater treatment projects for public markets, slaughterhouses and hospitals. A few have also piloted the Community Led Total Sanitation approach ( CLTS) , the Decentralized Wastewater Treatment ( DEWATS) facilities and Ecological Sanitation (ECOSAN) approaches using urine diverting and composting toilets. But these are still in the pilot stage and there is still a need to scale up and replicate best practices.


There were 3 major category of issues affecting the sanitation sector namely: a) governance, regu-lation and enforcement, b) service delivery, and c) financing. Under the first category, the issues identified were: the need to update the Sanitation Code; weak and fragmented institutional framework and policies and low LGU awareness and political will to improve sanitation.

With regards to service delivery aspect, the issues included: inadequate capacity to facilitate sus-tainable sanitation; lack of sanitation-focused skilled human resources; absence of guidelines to develop/strengthen LGU initiatives on policy formulation, planning and managing sanitation pro-grams; front liners such as sanitary inspectors and some sanitation service providers lack adequate sanitation education, knowledge and skills and; low level of knowledge and know how on plan-ning and implementation of sustainable sanitation programs/projects,

In the area of financing, the issues were very low level of investment for sanitation, investment was more focused on large scale infrastructure, clear absence of policy and program on pro –poor sanitation and private and public utilities such as water districts hesitate to invest in sanitation due to insufficient incentives and efficiency issues.

Other issues identified affecting the sector included: low public awareness and demand for sanita-tion services and low multi stakeholder involvement in sanitation.

3. Developing the Action Plan

The overall goal of the Sanitation Action Plan is to accelerate the development and implementa-tion of effectual programs for sustainable sanitation. The plans envisions to improve institutional and regulatory framework, improve the capacity of sanitation service providers, increase sector investments and increase level of awareness and involvement of different stakeholders on sus-tainable sanitation. Strategies were developed to address the goal and outputs identified. Major outputs identified include: a national sustainable sanitation program for the Department of Health including the development of programs for those agencies with sanitation mandates; capacity

23

building of different stakeholders; increased in level of sanitation sector investment including de-velopment of sanitation as an enterprise with an enhanced PPP as one of the approaches and building a strong sector coordination mechanism that promotes sustainable sanitation.

With DOH as the lead agency, a multi agency approach to plan implementation is being adopted with the active participation of the LGUs, the academe, the civil society and the private sector.


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E. FOOD SAFETY


Ensuring food safety is the assurance that food will not cause harm to the consumer when it is pre-pared and eaten according to its intended use. Assurance of food safety requires concerted cooperation at all levels in the continuum in order to achieve maximum consumer protection. This would include government, food manufacturers/producers, academia, research institution and the consumers.

The Department of Health formed an inter-agency food safety committee led by the Food and Drug Administration (FDA) that is geared towards the guarantee of adequate, safe, quality and affordable food for public health protection as well trade development through the following:

� Provide directions to the TWGs in coordinating and communicating food safety issues

� Facilitate the coordination of all agencies involve in food safety and build strong linkage with other agencies especially in time of emergencies

� Takes the lead within the Department on food safety issues and recommends solution

Very recently, the Food and Drug Administration Act of 2009 ( Republic Act 9711) was enacted that paved the way for strengthening the Food and Drug Administration in ensuring the safety, efficacy, purity and quality of processed foods, drugs, diagnostic reagents, medical devices, cosmetics, house-hold hazardous substances thru state of the art technologies as well as the scientific soundness and truthfulness of product information for the protection of public health.


The major issue identified besetting the food safety sector was the lack of an integrated system for food safety. The challenge of keeping the public informed to prevent and reduce the incidence of food-borne diseases and strengthening the integrated system for food safety and quality in the Philip-pines remain to be the priority of the food safety sector.


The development of the Food Safety Plan was anchored on 3 goals namely: 1)To establish an inte-grated system for food safety and quality in the Philippines aligned with international standards; 2) to prevent and reduce the incidence of food-borne disease and 3) to update existing rules and regulations on food safety responsive to the current situation.

With the strategies developed, the Plan identified the following major outputs: establishment of an inter-agency national body, the National Food Safety Coordinating Council through a joint adminis-

25

trative order; adoption of Codex Standards; updating of food safety standards and regulations and; enactment of the Food Safety Bill into a law.

A multi agency approach to plan implementation is envisioned including the participation of the aca-deme, the civil society and the private sector.


26

F. OCCUPATIONAL HEALTH


One of the biggest asset of the Philippines is its labor force. The Department of Labor and Employ-ment estimates that there is about 35.95 million labor force. Total employed is 31.623 Million. To gender disaggregate, there is an estimate of 19. 551 million males and 12.072 million female in the labor force. This would include the 8.2 Million Filipinos working overseas and 3.8Million contract workers.

The Occupational Health and Safety Office is the DOLE unit responsible in ensuring safety standards for Filipino workers. Based on the latest OHS data, highest distribution of work accidents by industry is topped by the manufacturing industry and followed closely by the agriculture industry.

Agriculture, 40.69

Manufacturing, 42.07

Wholesale/Retail, 5.27

Construction, 2.72 Others, 9.27

Figure 1 Distribution of Work Accidents by Industry, 2005

The top three occupational illnesses include musculo-skeletal disorders infections and bronchial asth-ma. The top three work-related Employees Compensation Claim( EC Claim) are renal disorders eye disorders and cardio-vascular disease.

While OSH standards have been established, there remains to be low compliance due to the limited scope of OSH, absence of strict penalties fragmented OSH administration and outdated OSH stan-dards. There is still public apathy on OSH concerns compounded by inadequate number of OSH per-sonnel and facilities to fully enforce occupational safety and health standards.

Relative to the maintenance of safety and health conditions at the workplace, the top 5 pro-grams/services implemented in establishments were the following:

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a. Availability of first aid kits b. Regular conduct of inspection and maintenance of equipment c. Regular monitoring of hazards such as fumes dust, noise and heat level in work areas d. Accident prevention program e. Drug-free workplace policy/program


Under the Occupational Health, the major issues identified affecting the sector were: non-compliance of small and medium scale industries to existing occupational health (OH) standards; limited gov-ernment resources resulting in weak enforcement of OH services; lack of awareness among the in-formal sectors of OH services and programs; lack of common OH standards ; lack of coordinated re-sponse on public health issues to be to be implemented in the workplace and limited response to emerging OH issues such as AIDs, asbestos, AH1N1.


The over aching goal for Occupational Health sector is to reduce the incidence of occupational-health related diseases and injuries. Related goals are: to capacitate small and medium scale industries com-ply with OH standards; to optimize the presence of current resources and networks on OH services; to advocate for OH service provision to informal sector/health workers; to harmonize OH standards among DOLE, CSC, DOH and other concerned agencies and; to unify approach in case of public health issues.

Several strategies were developed with the following as expected outputs: at least 10% annual in-crease in the number of small and medium industries complying with OH standards; a MOA or MOU among network partners in support of OH services implementation; a strong OH advocacy program that promotes OH services within the informal sector; an OHS database developed that can be read-ily accessed by stakeholders and; development of protocol in public health/emergency response teams.

DOLE, DOH and DILG were identified as lead agencies with DPWH, NEDA, PIA, SSS, GSIS , PhlHealth, LGUs and workers’ unions as partners or support agencies.


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G. SOLID WASTE


The Solid Waste sector is one of the most active sectors that has managed to get the national policies on the following: a) guidelines on the closure and rehabilitation of Open and Controlled Dump Facilities ( DAO 2006-09); b) guidelines on the categorized final disposal facility ( DAO 2006-10); the National Government-Local Government Cost Sharing Framework and the National Framework Plan on the In-formal Sector in Solid Waste Management.

Some of the accomplishments reported by the National Commission on Solid Waste are the following:

Strategies Output Lead Agency Part-ners

Increase awareness of LGUs on need to formulate the SWMP (orientation/training on the formulation, apprecia-tion and replication of good practices)

Simplified annotated out-line and technical assis-tance provided to LGU

NSWMCS SWM Sector, LGUs League

Dissemination of success sto-ries on SWM - information exchange among LGUs

Good Practices were rep-licated (through REC)

NSWMC SWM Sector, LGUs League

Technical training on the components of SWM (include info on conversion of OD to CD to sanitary landfill &/or residual containment area)

Documented and dis-seminated success stories on SWM

NSWMC SWM Sector

Technical information on Safe closure of disposal sites

Published guidelines NSWMC SWM Sector, DILG, Leagues

Information dissemination to LGUs re. staged compliance for SLF

Policy issuance NSWMC SWM Sector, DILG, Leagues

Mobilization of Nat’l Ecology center under RA 9003

EMB Regional Offices established the Regional Ecology Centers

NSWMC SWM Sector

The National Solid Waste Commission reports that 30,000 tons of waste are generated daily. 675 tons per day of methane is produced (which is more potent than carbon dioxide). While the Sector has cam-paigned for reduction of wastes, to date, there are only 6750 materials recovery facility serving 7,680 barangays or only 18.22% of the 42,142 barangays in the country. For residual waste, there are only 30 sanitary landfills which is slowly replacing the open and controlled dumpsites that is considered unsanitary.

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The country has a long way to go in the promotion of waste avoidance and in the promotion of the 3 Rs Reduce Re-use and Recycle. There is still a need for raising public awareness, citizen’s par-ticipation and behaviour change. Everybody must be involved and it is necessary to build partnerships through alliance building.


The issues identified affecting the solid waste management sector were as follows: low level of LGU compliance to RA 9003, in particular on solid waste disposal; lack of technical capability to develop and operate disposal facility and the lack of harmonized plans and programs for the informal sector in solid waste management.


The overall goal of the solid waste management sector is to effectively enforce the provisions of RA 9003 at the national and local levels. Strategies developed were directed towards the achievement of high LGU compliance to RA 9003, in particular on waste disposal. Major outputs identified include: integration of RA 9003 to the Comprehensive Land Use Plan (CLUP) and the Physical Framework Plan implementation of the national government-LGU cost sharing framework in selected LGUs; ca-pacity building of LGU staff in the area of solid waste management and; mainstreaming of the infor-mal waste sector in the national and local government plans and programs.

Plan implementation is envisioned with DENR as lead agency supported multi-government agencies with mandate related to solid waste management including the LGUs, the academe, NGOs and the civil society. Detailed Sector Plan is in Annex 2.

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G. Climate Change and Health


The growing international concern over climate change and the country’s current experience on the im-pacts of extreme weather changes, heat waves, changes in temperature and precipitation have caused serious health concerns such as the growing number of temperature-related illness and death air pollu-tion-related health effects, water and food borne diseases, vector-borne and rodent-borne diseases food and water shortages and other mental, nutritional and infectious diseases.

Previous health plans such as the National Objectives for Health (NOH -2005-2010) does not specifi-cally mention climate change as the NOH tend to look at diseases more from the perspective of an in-fectious nature and does not consider the climate sensitivity of the disease. However, each year, the un-abated number of under-nutrition, diarrhea and malaria related morbidity reflect the silent but growing impacts of climate on health. On the other hand, when deaths and illnesses are caused by flooding, heat waves and other calamities, then the direct impact of climate change is realized.

The health sector have identified a number of efforts to facilitate adaptation to climate change. This would include disease surveillance and early warning systems, integrated vector management, healthy policy development, environmental health capacity building, increasing access to safe drinking water and sanitation and the health action in emergencies.

However, it must be noted that climate change adaptation strategies are not yet developed and inte-grated in the DOH strategy framework and to date, there is still no climate change plans in health. The country have not yet fully appreciated the strategies to mitigate climate change related health impacts. Roles and responsibilities need to be further defined and resources have to be allocated to support cli-mate change related initiatives. More studies have to be made specially on emerging diseases and to provide evidence based policy advocacy on the burden of health impacts of climate change. The disease surveillance mechanisms and data collection systems need to be enhanced to factor in the correlation between climate change and health.

Capacity building for disease surveillance training, vulnerability assessments (personnel and infrastruc-ture) and project management have to be in place.

The climate change sector have recently developed the National Framework of Action to support the Health Sector Reform Agenda. It has aligned the framework to DOH’s Formula 1 strategy: Service De-livery, Governance Financing and Regulation. It has formed strategy clusters to coordinate efforts to raise the profile of climate change and health linkages. It is developing partnerships among private sec-tor, academe, NGOs and LGUs. A current project funded under the Spanish-Philippines MDG project is underway and through this project pilot initiatives such as the Early Warning and Surveillance Systems for Climate Change diseases in Metro Manila and Albay, hospital preparedness and response, aware-ness building and advocacy work, and capacity building are supported.

31


There were a number of issues identified affecting the newest sector, climate change and health, in NEHAP. These included the following: health is not a priority in climate change efforts; inadequate internal and external coordination and clarity on climate change adaptation functional roles; need to enhance disease surveillance mechanism and data collection system related to climate change; inade-quate preparedness and vulnerability of health facilities on the impacts of climate change; limited IEC and advocacy materials on climate change; absence of public-private partnership for climate change and health activities and the lack of local studies on climate change and health, its impacts to human population and other sector.

3) Developing the Plan

The overall goal under the sector Climate Change and Health is to adapt to the possible health conse-quences brought about by climate change. Related goals include integration of health issues in climate change policies and programs; strengthened coordination among related agencies on climate change initiatives; a strong IEC and advocacy program on climate change and health; encourage research and development on climate change and health and; promotion of public-private partnerships in support of climate change and health programs. Outputs include: IRR on climate change and health; strategic plans and programs for climate change and health including a competency development plan; health surveillance mechanism and data collection system in place to help establish baseline data; IEC and advocacy materials available including a web portal and ; a compendium of researches and best prac-tices on climate change and health.

A multi agency approach is to be adopted in the implementation of the plan of action involving differ-ent government agencies, the academe and NGOs with DOH taking the lead role.

Detailed Sector Plan is in Annex 2.

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III. NEXT STEPS: CONCLUSIONS, CROSS CUTTING ISSUES

AND RECOMMENDATIONS

The health and environment-linked institutions in the Philippines have successfully implemented a number of noteworthy projects and programs and have recently instituted important milestone policy and framework documents to serve as guide for the concerned sectors.

The challenge, however, remains on how to strengthen policy implementation at the local level and how best to engage local governments and the general public in the process. Given recent develop-ments, the proposal is for local governments to legislate local policies and appropriate ordinances re-lated to the safeguarding of public health through the environmental health concerns and to incorpo-rate the EH plans and budgets in their investment plans for health. The public has to be involved through awareness building and empowerment strategies so that they themselves can be active par-ticipants in promoting public health.

The Inter-Agency Committee on Environmental Health (IACEH) is a strategic platform for coordina-tion and stronger collaboration has not been fully utilized. The Department Personnel Order of the DOH in 2005 identifying the members of the Sectoral Working Groups have to be updated and re-vised based on the recommended re-organization from each of the sectors. This now have to include the new sectors of climate change and contingency planning. A new sectoral concern has been added in the Jeju meeting which is on Health Impact Assessments.

The IACEH’s mandate of providing oversight over the plans and programs should be supported fur-ther by a regular secretariat. However, with the increasing demands on the limited staff of the DOH, particularly its EOHO team, it might be necessary and practical to increase the number of personnel with the needed capacity to support the IACEH in the performance of its oversight function. An idea being proposed that may necessitate legislation is the creation of the Bureau of Environmental Health under the Department of Health.

The Philippines continue to support the Regional Thematic Groups in Environmental Health and is strongly committed to finalize and implement its plans to support and contribute to the identified regional priorities and action plans.

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ANNEX 1. FRAMEWORK FOR THE DRAFTING OF THE NEHAP

FRAMEWORK FOR THE DRAFTING OF THE PHILIPPINE

NATIONAL ENVIRONMENTAL HEALTH ACTION PLAN (NEHAP)

PHILIPPINE

NATIONAL

ENVIRONMENTAL

HEALTH ACTION

PLAN

(NEHAP)

ENVIRONMENTAL

HEALTH COUNTRY

PROFILE (EHCP)

ENVIRONMENTAL

HEALTH DATA

SHEET (EHDS)

CONVERGENCE

UN MILLENIUM DEVELOPMENT GOALS

International agreements – Stockholm, Kyoto , Basel ,Rotterdam

Agenda 21 ,Johannesburg Plan of Implementation of 2002

EH National Laws, Philippine MTDP, National Objectives for Health

SWATOFS

ISSUES

CHALLENGES

And

STRATEGIES

STAKEHOLDERS

(DOH, DENR, DA, DILG, DOST, DTI, DILG, DPWH, DOLE, DOE,

DepED,NEDA, PIA, MWSS, LWUA, Academe, NGOs, POs,etc)

(WHO,UNEP, ADB, WB,UNDP, GTZ)

34

ANNEX 2: ACTION PLAN 2010-2013 BY SECTOR

Toxic and Hazardous Wastes Action Plan, 2010-2013 PROGRAM FOR ACTION /

ISSUES GOAL STRATEGIES/ACTIVITIES Output Lead Agen-

cy Partner Agen-

cies

Programme Area A: Expanding and accelerating assessment of chemical risks 1. Inadequate harmonized ap-proach for risk management methodologies

To develop harmonized approaches on risk management;

(Review/consult International Or-ganizations – International Agency Research Council, WHO, FAO, US-EPA, etc)

Guidelines on harmonized approaches Technical guidelines on aerial spraying

DENR/DA/ DOH

DTI/DOLE/DOST/ UP

2. Insufficient technical experts on toxicology at different levels

To develop/strengthen training pro-grams for capacity building (regula-tory/clinical toxicology, prepared-ness, risk mapping-GIS, etc) - national, regional, local, etc. Strengthen poison control centers

Inventory of existing technical ex-perts Create a pool of experts Conduct relevant training pro-grammes Establish/upgrade PCCs Submit SAICM proposal to UNEP

List of technical experts Curriculum/training pro-gram Functional Poison con-trol and information cen-ters Approved SAICM pro-posal for the strengthen-ing of PCCs

DOH/ Academe

DENR/DA/DOST/

35

Programme Area B: Harmonization and labeling of chemicals 1. No proper labeling for house-hold chemicals except for pesti-cides

To adopt the harmonized standards for labeling of household chemicals

Adopt GHS/ international harmo-nized standards for labeling, symbols and markings/ MSDS

Legislation/ guidelines adopting GHS

FDA-DOH/DTI

DTI, DA

Programme Area C: Strengthening national capabilities and capacities for management of chemicals

1. Inappropriate action plans/ legislation on penal provisions and prohibited acts

To provide/propose to Congress pro-posed legislation on amendments and revisions on penal provisions and pro-hibited acts.

Provide amendments/revisions to Congress Issuance of Department Circulars from DILG Formulate counterpart local ordi-nance for implementation

Revised/amended leg-islation Circular issued and disseminated Local ordinance de-veloped Collaborate with other organizations e.g. LMP

DA/ DENR DILG/DA/ DENR

DOH/ DOLE DOH/DOLE

2. Overlapping of legislation on chemical safety

To harmonize legislation on chemical safety

Inventory of existing legislation on chemical safety Propose comprehensive/integrated legislation on chemical safety

Legislation on chemical safety

DENR/DA DENR/DA/ DOH/DTI/ DOLE

3. Lack of infrastructure support

To improve chemical safety manage-ment programmes

Provide funding for the establishment of laboratory/disposal facilities (ob-solete agricultural, health care waste and industrial chemicals)

Technical proposals submitted to SAICM-UNEP

DENR/DA/ DOH

DOLE, DTI, Bureau of Customs

36

Programme Area F: Technology update Health Care Waste Management Insufficient technology in the treatment and disposal of haz-ardous HCW

To ensure proper treatment and dis-posal of HCW

Provide appropriate and acceptable technology Submit technical proposal for fund-ing support

Environment-friendly technology Approved proposal for HCWM alternatives using non-burn technology (UNDP-GEF)

DOH/DENR/DOST

PHA/PMA/Private service provider

Limitation set forth under CAA To clarify pertinent provision on the use of incinerator

Review provision under CAA re-garding treatment and disposal of HCW

Policy statement on the disposal of HCW

DENR DOH

Program Area D: Prevention of illegal international traffic in toxic and dangerous products

1. Inadequate capacity to detect hazardous waste/transboundary smuggling

To improve enforcement of laws on the prevention of illegal international traffic of toxic chemicals and hazard-ous waste

Upgrade capability of the Bureau of Customs to detect/monitor toxic chemicals and hazardous wastes

Trained and equipped manpower

Bureau of Cus-toms/DENR

DA/ NBI/ Interpol

Programme Area E:Information exchange

Limited awareness and concern on chemicals and HCW.

To improve dissemination of informa-tion on chemicals and HCW at the local level

Increase awareness among LGUs thru dia-logues/meetings/collaboration IEC campaign on chemicals and HCW

Information on chemi-cals and HCW dis-seminated to LGUs Tri-media/information materials devel-oped/distributed

DENR/DILG DOH,

37

Action Plan for Air, 2010-2013 Issues Goal

Strategies/ Activi-ties

Output Lead Partner Remarks

I. Mobile / Transport Emission of gaseous pollutants 1. LACK OF LOCAL EMISSION standards »Airlines »Sea Going Vessel

To achieve quality of air that will protect the public health, safe-ty and wel-fare

• Adaptation of Individual Standards. emission stan-dards for air/sea if avail-able.

• Formulate Rules & Regulations guidelines

• Strengthening and en-hancement of monitoring through creation of an independent body to monitor activities of. concerned enforcement agencies

• Establish emission standards for air/sea

ATO DOTC/DENR

DOTC PPA,

For LTO Comments. Enforceability of emission licensing Long-term

2. POOR COMPLI-ANCE TO Emission STANDARDS »Land Transport

- deputation of enforcers

- Impose higher penalties (Ceiling within the Clean Air Act

� encourage and promotion

of alternative fu-els/additives

� Promotion of non-motorized mode of trans-port/mass transport sys-tem

� Strengthen roadside ap-prehension on polluting & non-roadworthy vehi-cles (intensify organiza-tion of Anti Smoke Belching Units under CENRO office

� Enhancement of LGU capability/enact local or-

• Independent body created

• Strengthened system for deputization

• increased the no. of vehicles using of al-ternative fuels

• increased no. of people using bikes/mass transport

• fuel efficiency standards

for public transport

• Number of opera-

tional LGU Anti Smoke Belching Units

DOTC/LTO DENR/LGU/MMDA/etc.

38

dinances on ASBU (in-cluding ambient and source.

� Establish motor vehicles standards on

• No. of LGU with local Ordinance

3. Excessive Noise Emis-sion –Airlines –Land Transport


Strict implementation of ICAO-Annex 16) –ATO std Establish / Formulate NOISE emission standards, Or strict enforcement of MV noise regulation

� Noise emission stan-dards for land trans-port

LTO DILG

LGUs, MMDA

4. Enforcement of Noise Ambient Standards

� strengthen LGU capability through:

–zoning –traffic management –non-motorized vehicle

� LGU capability rela-tive to zoning, traffic mgt strengthened

� LGU advocat-ing/providing sup-port to non-motorized modes of transport

LGUs DENR

All agencies

5. Inadequate capability to monitor fuel quality


� Capacity building through:

–Deputization of additional inspectors � Strengthening/enhancing

the capacity of DOE

� DOE

DTI-BPS, LGUs

All agencies

6. Lack of National In-spection and Mainte-nance program for MO-TOR VEHICLE

To achieve quality of air that will protect the public

� intensify information campaign by all CON-CERNED agencies:

–maintenance of vehicles –Driving habits

� development of a comprehensive IEC program addressing such issues and con-cerns

PIA, DOH, DENR, DTI/DOE DTI

LGU/MMDA DOTC & DENR

39

health, safe-ty and wel-fare

–Quality of fuels used/appropriate fuels –Penalties for violation of applied rules –Health effects of air pollution –licensing/permitting/ registra-tion procedures –Establish MVIM program pursuant to Sec 21

� MVIM program establish/ formulated

II. Stationary Sources 1.Inefficient operation of facilities

–-do-

� Promotion on the use of cleaner product technol-ogy.

� Increase no. of in-dustries with cleaner production technol-ogy implemented.

DTI DENR

DOST DTI

2.Outdated technology for the control of emis-sion

� Provide incentives for

new technologies

� strengthened system

for incentives

DTI DOF

All agencies

3. Insuficient monitoring station located at strate-gic place

� Expand monitoring station

of PM 10/2.5 � Formulation of 2.5 guide-

lines values

� INCREASE NO. OF

MONITORING STATION IN PLACE

� EMISSION STAN-DARDSS FOR P.M. 2.5

DENR

LGU PB NGO OTHER AGECIES

III. Area sources 1. Law enforcement on the ban of open burning

-do-

Strict enforcement on the: –Prohibition of open burning –Enhance advocacy and in-

formation campaign –Strict implementation of re-

lated regulations by the LGUs

strict prohibition of open

burning � massive Info cam-

paign on health im-pact

� tech assistance to LGU provided to en-force regulations

LGU/Pos PIA/DOH/DENR/MMDA

All agencies

40

C. AREA SOURCES �Agricultural and forest fires (uncontrolled)

-do-

� Strict monitoring of forest

for uncontrolled fires/slash and burn farm-ers (kaingin)

� encourage agricultural farmers to practice eco-logical solid waste mgt practices

� Regular/strict moni-

toring of forest � advocacy programs

developed for ESM � LGU ordi-

nances/policies for-mulated relative to burning of waste

LGU/DILG/PIA

All agencies

Non compliance to poli-cies prohibiting Smoking in Public Places and In-door air pollution

-do-

� strict implementation of

the policies relative to smoking in public places

� assist LGUs in establish-ing ordinances relative to smoking policies

� strengthen IEC campaign relative to the health ef-fects of smoking and ETS

� public places strictly

monitored � prototype ordinances

developed � IEC program � devel-

oped/implemented

DOH/PIA/LGUs/MMDA

All agencies

C. AREA SOURCES �Uncontrolled emission of Volatile Organic Conpounds ( VOC)

-do- � strict enforcement of VOC

emission standards � encourage self regulation � IEC/advocacy programs

relative to health effects of VOCs

Standards strictly en-forced

Increase in the number of in adopting self regulations

Increase in awareness relative to VOC and it’s effect

DENR/LGUs DENR DOH/ DENR/DOE

DENR DOE All agencies

increase� road dust

-do- � road and drainage im-

provement

Road system /traffic flow improved

DPWH/LGUs/MMDA

All agencies

D. SYSTEMS DEVEL-OPMENT �harmonize health in-formation generated for

-do- � strengthen existing health

information system for air pollution

Relevant health informa-tion generated

DOH/LGUs, MMDA

All agencies

41

air pollution

� enhance capability of LGUs to monitor health information for air pollu-tion related illnesses

research� gaps on the health impact/evaluation of mitigating measures in terms of health costs

-do- � establishment of health

research agenda focusing on health impact/valuation of mitigating measures as to health costs (health economics)

� encourage research indi-viduals/organization to conduct related research activities through funding and technical support

Health research agenda formulated

Systems devel-oped/streamlined to facilitate access to financial, technical and relevant support

DOH/DOST/DENR

All agencies

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Water Supply Action Plan for 2010-2013

Sector Outcome Goal: To provide adequate water supply and reduce/eradicate waterborne and water-related diseases

Issues Specific Goals Strategies Outputs Lead Agency Partners/Support Agencies

Source: -Fragmented water source devel-opment for water supply

- Develop an integrated framework for water source development

-Use IWRM framework -Amendments of the Water Code -Issuance of NEDA resolution/ policy, etc.

National framework on water source development

-NWRB -DENR -LWUA -MWSS -LLDA -DOH -NEDA

-Pollution of water sources from agricultural and industrial estab-lishments

-Protect water resources from all types of pollutions

-Implementation of Clean Water Act -implement water safe-ty plan

All required permits com-plied (e.g. dis-charge per-mits) -Penalties for violators -Water safety plan per water utilities

DENR/ LLDA/ NWRB LWUA NAWASA

DA DOH LWUA

-Over extraction of groundwater leading to saltwater intrusion

-Protection of groundwater Regulate groundwater extraction Preparation of vulner-ability map

Vulnerability Map on the entire country

NWRB, MWSS, LWUA

DA, DILG

Supply: Disparity (urban/rural, rich and poor) in the provision of safe wa-ter supply

Ensure equitable water supply provision among population

Significant population with no access to safe water supply

Increase access to safe water supply

-Prioritize provision of water supply to high risk population groups - Sector assessment and monitoring - formulation of water safety plans

-Map of high risk areas

- DILG - DOH

-LWUA -MWSS -NEDA -LLDA -DENR LGU WSPs

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Investment: Low investment for Capex/Opex

Increase investment -Financing mechanisms -Private sector partici-pation

-Investors par-ticipating in water projects

DOF DBM

NEDA, MWSS

Regulation: Weak enforcement of water re-lated policies and laws

Strengthen policy enforcement at LGU levels

-Localizing the national policies to adopt to LGU conditions -Amendment of out-dated laws and IRRs (e.g. Water Code, Sani-tation Code)

-Local ordi-nances for water supply management -Amended water code and sanitation code

DILG DOH NWRB

DOH EMB LLDA

Water supply during emergencies and climate change: Inadequate mechanism for preparedness and response (drought, floods, spills):

Minimize adverse impacts from water related emergencies

Development of tools and mechanisms for emergency prepared-ness and response ad-dressing water concerns

-Guidelines for preparedness on response mechanisms

NDCC – WASH CLUSTER

DOH LWUA MWSS CCC

Information system: - Uncoordinated/scattered, not updated sector data

- Consolidate and coordinate availability of sector data.

-Scale up sector as-sessment and monitor-ing

-Sector as-sessment and monitoring system

DILG DOH EMB LWUA MWSS NAWASA

Partial implementation of water supply roadmap

Full implementation of roadmap Updating and wide Dissemination

LGU adapta-tion

NEDA, DILG LGU, WSPs OTHER AGENCIES

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Sustainable Sanitation Action Plan 2010-2013 Overall Goal: To accelerate the development and implementation of effectual programs of sustainable sanitation

ISSUES GOALS STRATEGIES OUTPUT LEAD PARTNER Governance, Regulation and Enforcement

Sanitation Code of 1976 needs to be updated (advocacy towards a National Sanitation Act)

Weak and fragmented institutional framework and policies

Weak, fragmented and inadequate regulatory arrangements on sanitation

Low LGU awareness and political will to improve sanitation

To improve institutional and regulatory framework on sanitation

Review and updating of existing sanitation laws, rules and regulations. Strengthening of DOH as lead sector driver provid-ing policy and technical assistance at national and local levels. Strengthening of LGUs’ awareness on sustainable sanitation

National Sustainable Sanitation Program of DOH NGAs with sanitation related mandates de-velop their own sani-tation strategy, plans and programs A clear and sustain-able implementation of sanitation policies. LGUs develop and implementing their policies, plans and programs on sustain-able sanitation

DOH DILG, DENR, DPWH, NEDA, LWUA, LLDA,MWSS, DepEd, DOT, LGU, Congress, MMDA PIA LEAGUE OF CITIES AND MUNICIPALI-TIES, PROV-INCES, BA-RANGAYS

Service Delivery

� Inadequate capacity to facilitate sustainable sanitation

� Lack of sanitation focused skilled human resources

� No guidelines to develop/strengthen LGU initiatives on policy formulation, planning and managing sanitation programs

To improve capacity of sanitation service providers

Development of integrated and decentralized capacity development system for different service providers

Empowerment of different stakeholders towards active in-volvement for capac-ity development in sustainable sanitation

Training programs on sustainable sanitation

Functional training

DOH, DILG Academe, DPWH, NEDA, LWUA, LLDA,MWSS, DepED, DOT, DENR, LGU, MMDA

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� Front liners such as sanitary inspectors and some sanitation service providers lack adequate sanitation education, knowledge and skills � Low level of knowledge and know-how on planning and implementing sustainable sanita-tion programs/projects

/resource centers at all regions

Financing

Very low investments for sanitation

More focus on large scale infrastructure

Clear absence of policy and program for pro-poor sanitation

Private sector/water districts hesitate to invest in sanitation due to insufficient incen-tives and efficiency issues

To increase investments for sustainable sanitation programs and projects

Development of financing strategies and incentive schemes for sustainable infrastructure development.

Investment require-ments to MDG and MTPDP targets iden-tified and secured Established/Enhanced PPPs and sanitation entrepreneurship

DOH, DOF, NEDA,

DBM, MWSS, Development Partners, DPWH, LLDA GFIs, LGUs, MMDA

Other Issues

Low public awareness and demand for sanitation services

Low multi stakeholder involvement in sanitation

To increase level of aware-ness and involvement of different stakeholders on sustainable sanitation

Establishment of broad based alliance of multi sec-toral and multi-level stake-holders geared towards in-creased support for the promotion of sustainable sanitation and strengthen-ing of the sanitation sector”

Inventory of cham-pions and stakeholder groups in sanitation Rationalized/ streng-thened sector coordi-nation mechanism.

DOH Academe. LGU, DILG, Civil so-ciety, MMDA

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Food Safety Action Plan 2010-2013

ISSUES GOAL/S STRATEGIES OUTPUT/S LEAD AGENCY SUPPORT

AGENCY

Lack of an inte-grated system for food safety.

Goal No. 1

To establish an integrated sys-tem for food safety and quality in the Philippines aligned with international standards

Goal No. 2

To prevent and reduce the inci-dence of food-borne diseases

� Organize an inter-agency na-tional Food Safety Body

� Upgrade, strengthen and estab-lish support systems, infrastruc-ture and logistics on food safety

� Collaborate and establish link-ages with international

organizations i.e. INFOSAN

� Participate actively in the CAC’s standard setting process and to adopt Codex standards, when-

National Food Safe-ty Coordinating Council

(NFSCC) estab-lished through Joint AO

Effective food safe-ty mechanism

Closer coordination with international organization

Adoption of Codex standards

DOH -

FDA

DOH Agencies (NCDPC- EOHO, HEMS, BOQ, NCHP, NEC, RITM)

DA Attached Agencies

(BFAR,BPI, BAI, NMIS, PCA, SRA, NDA, BAFPS, NFA, FDC, FPA)

DTI

DILG - LGUs

DOST

DepEd

BOC

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Goal No. 3

To update existing rules and regulations on food safety re-sponsive to the current situation

ever appropriate

� Continue to develop and main-tain sustainable preventive measures, including food safety education programs aimed at re-ducing the burden of food-borne diseases through a systems ap-proach encompassing the com-plete food production chain from farm to consumption

� Strengthen and enhance the ca-pability of food safety key play-ers to properly address new and emerging issues

� Review and update all food safety standards and regulations including the proper disposal of “condemned” food products without affecting the human health and environment

� Collegial review of the food safety bill to harmonize all exist-ing food safety rules and regula-tions

Decreased inci-dence of food-borne diseases

IEC materials de-veloped

Efficient response to food safety prob-lems

Food safety stan-dards and regula-tions updated

Passage of the Food Safety bill into a law

BAFPS

NCHP

FDA and BAFPS

FDA and BAFPS

NCDPC. NEC, HEMS, BFAR,BPI, BAI, NMIS, PCA, SRA, NDA, FPA,

All DOH and DA Agen-cies, LGUs,

Dep Ed,

All DOH and DA Agen-cies, LGUs,

Dep Ed

DOST, DTI, BOC

Academe, DENR - EMB

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Occupational Health Action Plan, 2010-2013 Sector Goal: To reduce incidence of occupational health-related diseases and injuries.

Issues Goals Strategies Outputs Lead Agency Part-ners/support

agencies

Small and medium scale Industries non-compliance to existing OH stan-dards

Goal 1: To capacitate small and medium scale industries to comply with OH standards

a. Encourage self-regulation and volun-tary compliance

b. Advocacy, IEC and training c. Adopts small brother-big brother

partnership d. Provide technical assistance for in-

dustry regulation e. Encourage LGU’s to passed Ordi-

nances regarding compliance with OH standards

f. Provide incentives to compliant in-dustries and prescribed penalties for non-compliance

a. Increased number of small and medium in-dustries complying with OH standards (at least 10% increase an-nually based on data to be established)

DOLE including its regional offices, DOH and DILG

DPWH, PIA, NEDA, SSS, GSIS, PhilHealth, Industry Associations, Employers Group, La-bor/Trade Unions, LGU’s, NGO’s ex. PATAMABA….. etc, developmental partners

Limited govern-ment resources resulting in weak enforcement of OH services

Goal 2: To optimize the presence of existing re-sources/networks on OH services

a. Identify or map-out resources (i.e. funds, experts for research and infra-structures for technical services such as OH laboratories) in existing net-works

b. Establish coordination and coalition among stakeholders.

Forged Memorandum of Agree-ment/Understanding (MOA/U) among network partners to support in the im-plementation of OH programs and Ser-vices

DOLE, DOH, DILG DPWH, PIA, NEDA, SSS, GSIS, PhilHealth, Industry Associations, Employers Group, La-bor/Trade Unions, LGU’s, NGO’s ex. PATAMABA….. etc, developmental partners

49

Lack of awareness among informal sectors of OH ser-vices and programs

Goal 3: To advocate OH service provision to in-formal sector/health workers

a. Advocacy -IEC

-BCC

- universal health insurance coverage awareness

b. Identify and involve informal sector associations (ex. Representation an-ti-poverty program, BMBE etc…)

c. Work Improvement in Small Enter-prises (WISE)

d. Establish OH services in Rural Health Units (RHU)

e. Lobby for the passage of OH bill for health workers

f. Ensure the implementation of the Magna Carta for health workers

a. Number of IEC materials devel-oped and distrib-uted

b. Organize coop-era-tives/associations

c. RHU units with OH service package

d. Number of in-formal sector uti-lizing OH ser-vices of the RHUs

DOLE, DOH, DILG DPWH, PIA, NEDA, SSS, GSIS, PhilHealth, Industry Associations, Employers Group, La-bor/Trade Unions, LGU’s, NGO’s ex. PATAMABA….. etc, developmental partners

Lack of common OHS standards

Goal 4:

Harmonize OHS stan-dards between DOLE, CSC, DOH and other concerned agencies

a. Ensure MIS linkage on standards

a. Data base that can be accessed by the stake-holders

DOLE-BWC, DOH PCOM, OHNAP, IA-CEH-OH sector

Lack of coordi-nated response on public health issue to be implemented in the workplace/

Goal 5:

Unified approach in case of public health issues

a. Establish alert system on public health and OSH issues

b. Identify focal agency during public health and OSH issue

a. Establish proto-col in public health/ emer-gency response team

DOH, HEMS, DILG, DOLE, PIA, PNP,AFP, BFP, OCD, NDCC

50

Solid Waste Action Plan, 2010-2013

2. Lack of technical capability to develop and operate disposal facility

Enhanced capability of LGUs Provide technical assistance to LGUs

LGU personnel trained DENR/ NSWMC

DILG LGU

PROGRAM FOR ACTION /

ISSUES

GOAL STRATEGIES/ ACTIVITIES Output Lead Agency Partner Agen-

cies

1. Low level of LGU com-pliance to RA 9003 particu-larly on waste disposal

LGUs complying with the provi-sions of the RA 9003.

Maximum utilization of LGPMS results to solid waste planning and budgeting among LGUs.

Stronger advocacy to LGU to im-plement RA 9003 Resource mapping and needs as-sessment in the regions/LGUs Need to implement the revised NG-LGU Cost Sharing Framework Review gray area of RA 9003

RA 9003 integrated to LGU Comprehensive Development Plan /Physical Framework Plan Implementation of the NG-LGU Cost Sharing Framework in selected LGUs

DENR/ NSWMC

LGU

51

3. Lack of harmonized plans and programs for the in-formal sector in solid waste management

Empowered informal waste sector that is recognized as a partner of the public and private institutions, organizations and corporations in the promotion and implementation of the 3Rs (reduce, reuse and recy-cle) of solid waste management in the Philippines with the end in view of alleviating poverty.

Implementation of the National Framework Plan for the Informal Waste Sector in Solid Waste Man-agement

Mainstreaming of the informal waste sector in the National and local government plans and programs

NSWMC/ DSWD/ PCUP/ DOLE

LGU

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Climate Change Action Plan 2010-2013

SECTOR GOAL: To adapt to the possible health consequences brought about by climate change

ISSUES GOALS STRATEGY` OUTPUTS LEAD AGENCY PARTNERS • Health is not a

priority

• To integrate health issues in all mitiga-tion and adaptation measures and policies of government of-fices and concerned sectors.

• Develop IRR for Health (CCA 2009)

• Develop Strategic Plan for CC and Health

• Forging of alliance/ link-ages to government offices and concerned sectors

• IRR (CCA) for health developed

• Strategic Plan for CC and Health developed and implemented

• Health issues integrated to all Climate change program/projects of gov-ernment offices and other concerned sectors

CCC and DOH

DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE, NEDA , MMDA, Other government agen-cies/offices, LPP, NGOs and Academe

• Inadequate inter-nal and external coordination and clarity on CC Adaptation func-tional roles

• To strengthen internal and external coordination and clarity on CC adapta-tion functional roles.

• Roles ID and clarification • Forging of alliance/ link-

ages to government offices and concerned sectors

• Competency assessment for health developed

• System developed • Competency Develop-

ment Plan

CCC and DOH

DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE, NEDA, MMDA, Other government agen-cies/offices, LPP,NGOs and Academe

• Disease Surveil-lance Mecha-nism and Data Collection Sys-tem related to CC still to be enhanced (NEISS and FHSIS)

• Inadequate pre-

• To develop and strengthen early sur-veillance and prepar-edness system for ex-treme weather events and disease outbreaks

• To establish

safe hospital to ad-

• Systems Development

• Health Surveillance Me-chanism and Data Collec-tion System of DOH en-hanced and integrated with other sectors

• V and A Tools for CC Diseases developed

• Safe hospitals capable of

providing quality health

CCC and DOH NEDA/UP-NIH

DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE, NEDA, MMDA, Other government agen-cies/offices, LPP, NGOs and Academe

53

paredness and vulnerability of health facilities on the effects of CC. e.g., hospital infrastructure, emerging dis-eases

• Limited IEC ma-

terials and advo-cacy on CC

• Absence of pri-

vate-public part-nerships for cli-mate change and health activities

• Lack of local stud-ies on climate change and health, its impacts to hu-man pop. and other sectors i.e. agricul-ture, environment,

energy, housing, etc.

dress the health needs and medical care of possible vic-tims brought about by climate change

• To develop IEC ma-

terials on CC and conduct of advocacy activities on the health consequences of CC

• To encourage

private-public part-nerships for climate change and health ac-tivities

.To encourage research

and development on CC and Health

• Conduct of vulnerability assessment of DOH hospi-tals in Metro Manila

• Provision of capital outlay for building infrastructure and procurement of equip-ment and other medical supplies and training of qualified hospital staff

• IEC development • Conduct advocacy activi-

ties CC • Forge alliance and Partner-

ships to private entities � Conduct of Integrated

Research

services • Advocacy tools/IEC ma-

terials developed and in-tegrated with other sec-tors

• Web portal (MDGF pro-ject)

• Technical Assistance • Capability Building • Funding Support • Compendium of Re-

searches and Best Prac-tices

• Established Baseline Da-ta

CCC and DOH CCC and DOH DENR CCC and DOH CCC, DOH, and DOST

DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE, NEDA, MMDA, LPP, Other government agen-cies/offices, NGOs and Academe DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE,, Other government agen-cies/offices, NGOs and Academe DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE,, Other government agen-cies/offices, NGOs and Academe DA, DOST, DENR, DILG, DOLE, DND-OCD, DOE,, Other government agen-cies/offices, NGOs and Academe

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ANNEX 3. PROPOSED REORGANIZATION OF THE SECTORAL TASK FORCE

COMPOSITION

A. Sectoral Task Force for Toxic and Hazardous Substances

Chairperson : Environmental Management Bureau (EMB), DENR

Chairperson : Department of Agriculture (DA)

Members:

Bureau of Plant Industry (BPI) Fertilizers and Pesticides Authority (FDA) Industrial Technology Development Institute (ITDI-DOST)

Occupational Safety and Health Center ( OSCH-DOLE)

Bureau of Local Government Supervision (BLGS-DILG)

Bureau of Worker’s Conditions (BWC-DOLE)

Laguna Lake Development Authority ( LLDA) Philippine Nuclear Research Institute-DOST Environmental and Occupational Health Office (EOHO-DOH)

Bureau of Health Devices and Technology-(BHDT-DOH)

Food and Drug Authority ( FDA- DOH) Bureau of Investments ( BOI -DTI

League of Municipalities (LMP) Bureau of Customs (BoC)

UP National Poison Management Control Center (UP-NPMCC)

Non-government Organizations (NGOs)

B. Sectoral Task Force for Air

Chairperson : EMB- DENR

Vice Chairperson : Department of Transportation and Communication (DOTC)

Members:

Department of Energy (DOE) ( for fuel quality) DILG-BLGS ( for airsheds) Department of Education (DepEd) Department of Health (DOH) Department of Science and Technology (DOST)

55

C. Sectoral Task Force for Water Supply

Chairperson : Department of Interior and Local Government

Vice Chairperson : Department of Agriculture

Members:

Bureau of Local Government Supervision (BLGS_DILG)

Environmental and Occupational Health Office (EOHODOH)

Laguna Lake Development Authority (LLDA) League of Municipalities (LMP) Metro Manila Water and Sewerage System (MWSS)

Non-government Organizations (NGOs)

National Economic and Development Authority (NEDA)

National Water Resources Board ( NWRB)

Bureau of Fisheries and Aquatic Resources (BFAR)

Environmental Management Bureau (EMB-DENR)

National Irrigation Authority ( NIA)

Proposed Additional Members:

Philippine Association of Water Districts (PWAD)

Leagues of Province, League of Municipalities League of Cities

Philippine Water Works Association ( PWWA) National Water and Sanitation Association of the Philippines (NAWASA)

Philippine Water Partnership (PWP)

D. Sectoral Task Force for Sanitation

Chairperson : Department of Health (DOH)

Vice Chairperson : DILG

Members:

Metropolitan Waterworks and Sewerage Sys-tem (MWSS)

Department of Education (DepEd)

Laguna Lake Development Authority (LLDA) National Economic and Development Author-ity (NEDA)

Department of Tourism (DOT) Local Water Utilities Administration (LWUA) Department of Public Highways (DPWH) Metro Manila Development Authority

(MMDA) Department of Agrarian Reform (DAR) Streams of Knowledge (NGO) Environmental Management Bureau (EMB-DENR)

Philippine Ecosan Network (PEN)

56

E. Sectoral Task Force for Food and Safety

Chairperson : Department of Health

Vice Chairperson : Department of Agriculture

Members:

Attached Agencies under the Department of Health (DOH) such as: EOHO, HEMS, BOQ, NCHP, NEC, NNC, RITM

Department of Education (DepEd)

Attached agencies under the Department of Agriculture such as BFAR, BPI, BAI, NMIS, PCA, SRA, NDA, BAFPS, NFA, FDC, BAR, FPA

BLGS- DILG

Bureau of Product Standards, Department of Trade and Industry (DTI)

PCHRD and NFRI , DOST

Bureau of Customs Academe

LGUs through the different Leagues

F. Sectoral Task Force on Occupational Health

Chairperson : Department of Labor and Employment

Vice Chairperson : Department of Health

Members:

DPWH SOPI

PIA ECC

DILG Regional Offices SSS

PCOM GSIS

OHNAP PhilHealth

NEDA ULAP

IHAP ECOP

BWC LGUs

CSC

57

G. Sectoral Task Force on Solid Waste

Chair :Bureau of Local Government Services, DILG

Vice Chair :Environmental Management Bureau –DENR

Members:

Industrial Technology Development Institute (ITDI-DOST)

Metro Manila Development Authority (MMDA)

Board of Investments (BOI-DTI) Philippine Information Authority (PIA)

Environment and Occupational Health Office (EOHO-DOH)

Academe

Department of Public Highways (DPWH) NGOs

National Economic and Development Authority (NEDA)

H. Task Force on Climate Change and Health

Chairperson : Climate Change Commission (CCC)

Vice Chair : Department of Health (DOH)

Members:

Department of Environment and Natural Resources (DENR)

National Economic and Development Authority (NE-DA)

Department of Agriculture (DA) Metro Manila Development Authority (MMDA)

Department of Interior and Local Government (DILG) League of Provinces

Department of Energy (DOE) Other government agencies

Department of Labor and Employment (DOLE) Academe

Department of Science and Technology (DOST) NGOs

Office of the Civil Defense (OCD-DND)

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ANNEX 3. REPORT TO THE 5TH HIGH LEVEL MEETING

PowerPoint Presentation of the Philippines to the 5th High Level Meeting of the Regional Forum on Environment and Health in South-East and East Asian Countries in Jeju, Republic of Korea, July 14, 2010 by Director Myrna C. Cabotaje, MD, MPH of the Department of Health.

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Documents

DOH - Philippine National Environmental Health Action Plan (NEHAP) 2010-2013