National TB Program (NTP) Manager Dr. Rosalind G. Vianzon shows the country's TB program development using the DOTS strategy

“The increase in prevalence of tuberculosis has been due to the low priority accorded to anti-tuberculosis activities by many countries. The unavailability of anti-TB drugs, insufficient laboratory networking, poor health infrastructures, as well as a lack of trained health personnel, have also contributed to the rise in the incidence of the diseases,” according to Dr. Rosalind G. Vianzon, National TB Program (NTP) Manager from the National Center for Disease Prevention and Control (NCDPC) of the Department of Health (DOH).

The NTP is the government’s commitment to address the TB problem in the country and its main strategy is to use the Directly-Observed Treatment Short-course (DOTS) to detect and cure TB patients.

Significant progress was recorded since the Philippines adopted the DOTS strategy in 1996. At the end of 2002-2003, all public health centers were able to deliver DOTS services.

In 2007, the treatment success of TB was able to reach above 85% and is expected to be sustained in the next years. The cure rate was posted at 82% in 2007 but it is likely to increase at 85% by 2015.

The case detection rate for new smear positives has reached the international target of 70% as early as 2004 and has been sustained up to the present.

Dr. Vianzon reported that the case detection rate of all forms of TB seemed to be weak and mostly reaching below 70%. That is why the call to increase case detection to 70% or at least 85% is deemed necessary.

“We are not just looking on all new forms of TB but merely considering all forms because epidemiologically, you cannot control a program if you will focus only on the highly infectious,” she said.

Dr. Vianzon mentioned that there are two key documents on TB research. One is the Philippine Plan of Action to Control TB (PhilPACT) 2012-2016 and the other is 2010 Tuberculosis Research Priority Agenda Setting.

The PhilPACT is the roadmap of the NTP and attuned with the health sector reform “Kalusugan Pangkalahatan” or KP. It is in line with TB global plans such as The Global Plan to Stop TB 2011-2015, Stop TB Partnership (technical arm of the international communities on TB control) and Regional Strategic Plan of Western Pacific.

The 2010 Tuberculosis Research Priority Agenda Setting meanwhile, is the research monograph of the NTP and was developed to support the R&D of NTP. This monograph was based on the 8-point strategy of NTP plan, with perspectives coming from both public and private sectors. The document was intended for doers, funders and implementers of research.

The 2010 Tuberculosis Research Priority Agenda Setting is published through a funding from the Philippine Council for Health Research and Development of the Department of Science and Technology (PCHRD-DOST).

The Grand Challenges Canada is now accepting applications for three funding opportunities that are currently open. They are looking for bold ideas with big impact. The current funding opportunities are as follows:

1.  Canada’s Rising Stars in Global Health

 

 

This funding program aims to tap into the creativity, knowledge and skills of Canada’s early-career innovators to solve some of the most persistent health challenges in the developing world. We are looking for innovative ideas to address complex real-world challenges that involve a scientific/technological solution (new or existing) alone or in combination with social and/or business innovations.

 

 

2.  Rising Stars in Global Health

 

 

Similar to the Canada’s Rising Stars in Global Health program, this funding program aims to tap into the creativity, knowledge and skills of early-career innovators. However, this program is specifically seeking bold ideas from innovators from low- and lower-middle income countries.

 

 

3.  Saving Lives at Birth

 

 

Grand Challenges Canada in partnership with the U.S. Agency for International Development, the Government of Norway, the Bill & Melinda Gates Foundation, and the United Kingdom's Department for International Development are calling on the brightest minds across the globe to identify and scale up transformative prevention and treatment approaches at the time of birth for pregnant women and newborns in underserved, low-resource settings. Specifically, the Saving Lives at Birth partners are looking for applications for innovative approaches to address roadblocks to healthy pregnancies and births in three domains: science & technology, service delivery and “demand side” innovation.

 

 

Grand Challenges Canada is a unique and independent not-for-profit organization dedicated to improving the health and well-being of people in developing countries by integrating scientific, technological, business and social innovation. Grand Challenges Canada works with the International Development Research Centre (IDRC) and the Canadian Institutes of Health Research (CIHR) and other global health foundations and organizations to find sustainable long-term solutions to the most pressing health challenges. Grand Challenges Canada is hosted at the Sandra Rotman Centre.

 

 

For further information, please visit their website at www.grandchallenges.ca

PCHRD Executive Director Jaime C. Montoya emphasizes the need for TB research

“TB research can be a powerful advocacy tool,” said Dr. Jaime C. Montoya, Executive Director of the Philippine Council for Health Research and Development (PCHRD) in the recent national health research forum of the University of the Philippines Manila – National Institutes of Health (UPM-NIH) last February 23, 2012.

 

 

Tuberculosis (TB) is the sixth leading cause of mortality in the country with 33 deaths per 100,000 population (Philippine Health Statistics 2003). TB is also ranked sixth in terms of morbidity with 137 cases per 100,000 population (Field Health Service Information System 2005).

 

 

Philippines ranks ninth among the 22 high burden countries in the world in 2009, from a previous 8th in 2003 and 7th in 2000.  In the Western Pacific region, the country ranks third from a previous second in 2003 (WHO Report 2007 & 2009).

 

 

How does TB research help in advocacy?

 

 

“TB Research can encompass any gathering of data or information, or use of scientific or analytical tools to inform advocacy efforts or inform policy deliberations,” said Dr. Montoya.

 

 

Two of the global TB research gaps identified include the need for new and effective drugs, diagnostics and vaccines to improve case detection and treatment of TB and the need to arm TB-affected individuals with appropriate knowledge on TB to reduce stigma and discrimination.

 

 

“In the Philippine National Health Research System (PNHRS), we make sure that TB control is integrated in the priorities of the National Unified Health Research Agenda (NUHRA),” Dr. Montoya stressed.

 

 

NUHRA specifies the areas and topics that need to be addressed in the next five years in line with global and national initiatives influencing the health sector. It serves as a guide for the health research community on the research studies that should be undertaken to address the health needs of the Filipinos.

 

 

Dr. Montoya shared that in the area of TB research, there are consultative meetings spearheaded by the Philippine Coalition Against Tuberculosis (PhilCAT) in 2008 and they came up with a list of priorities for TB prevention and control. Areas of TB research covers the whole continuum from fundamental or basic research to operational research.

 

 

From the gaps identified, Dr. Montoya proposed action points to advocate for TB research: 1) develop a coherent and comprehensive research roadmap towards TB elimination; 2) engage in more research collaborations on TB to accelerate the generation of new knowledge and new tools for TB prevention and control; and 3) mobilize resources and support for TB research.

Department of Agriculture Secretary Proceso J. Alcala promised PhP50 million additional funds for virgin coconut oil research after the former Department of Health (DOH) Secretary, Dr. Jaime Galvez-Tan, called for increase in budget for research on VCO.

“It is the key product why we were the second largest economy in Asia in the 40’s, 50’s, and 60’s, second only to Japan,” Dr. Galvez-Tan said last February 29, 2012 at the presentation of the research findings on the research done by a team of scientists from the University of Santo Tomas (UST) entitled “Study on the Effect of VCO in Human with Emphasis in Cholesterol” at the Philippine Coconut Authority (PCA). He added, “If we want to make a change in our country in the next five years, this is where we can make a mark in the world!”

In his message, Dr. Galvez-Tan, the consultant for the said VCO research, described how the coconut industry used to support the Philippine economy in the past and how the untruthful accusation of health risks from coconut oil has led to the downfall of the industry. He  explained that the popularity of competing vegetable oils such as soy bean and corn oils has severely affected the otherwise growing need for coconut oil in the world market and have resulted to the industry’s eventual defeat. He said, “The Americans bad-mouthed the coconut and replaced it with soy bean oil and corn oil, which were actually found out to be worse because they are trans fats and hydrogenized oils.”

Dr. Galvez-Tan lamented, “The research on coconut oil went nowhere in the last ten years, maybe because there was no money.” By increasing the budget for researches that prove the health benefits and safety of coconut oil, PCA can encourage the rise of coconut industry again. He added, “What we need here is bring back the coconut to its glory.”

Sec. Alcala immediately answered Dr. Galvez-Tan’s call for an increase in budget at the said event, promising not less than PhP 50 million for research. He said, “Makakaasa po kayo na kung sakaling kukulangin po yung pondo ng PCA on research, ihahanda ang pondo that will be coming from the Bureau of Agrucultural Research (BAR) para madagdagan. Maybe not less than PhP50 million will be allocated for research. (You can expect in case the PCA’s fund for research is insufficient, an additional amount is ready coming from the BAR. Maybe not less than PhP 50 million will be allocated for research.)”

Dr. Jaime C. Montoya, Executive Director of the Philippine Council for Health Research and Development of the Department of Science and Technology (PCHRD-DOST) acknowledged the need to step up and intensify collaborations and partnerships to combat cancer during the symposium “Global Call to Action: Public-Private Partnership of Cancer Care and Control” at the Diamond Hotel, Manila last February 3, 2012.

“Like any health problem, I believe solutions to the Big C will come from multisectoral cooperation – from prevention, detection, diagnosis, treatment, research to policymaking. The Global Call to Action is precisely what we need to accelerate research efforts so that Filipinos will have access to the best quality health care for the diagnosis, prevention and control of cancer,” Dr. Montoya said.

 

The Philippine Council for Health Research and Development (PCHRD) is a forward-looking, partnership-based national body responsible for coordinating all health research activities in the country. The core strategy of the Council is public-private partnership.

For instance, “In the area of research, we take cues from the ongoing work of the Union for International Cancer Control (UICC) and its member organizations. The group’s work has contributed substantially to what we now know in detection, prevention and treatment measures. We can tap from this reservoir of knowledge through collaboration and twinning arrangements. If we can organize our institutions in like manner and undertake joint research, we can certainly find solutions to stop the rise in new cancer cases in the country,” said Dr. Montoya.

 

Over the years, PCHRD has funded a number of research projects focused on identification of genetic predisposition to the leading forms of cancer in the country. It supported the University of the Philippines Manila - National Institutes of Health (UPM-NIH) on its researches on identification and analysis of genetic polymorphisms associated with certain forms of cancer like breast, lung and cervical cancer in high risk populations in the Philippines.  PCHRD also funds the ongoing Antibody Biotechnology and Molecular Oncology Research Program or AMOR 2 of the University of the Philippines Diliman (UP Diliman), a continuation research which aims to improve the low yields of antibody produced in AMOR 1 through the use of better culture vessels.

The Council recognized that availability of equipment and facilities is critical to encourage research and development in this field. Thus, support for the provision of equipment was given to research institutions like the UPM-NIH and UP Diliman.

“We have already installed a microarray facility at the National Institutes of Health which will enable us to screen populations or samples for specific genetic identifiers using microchip technology in record time.  We have also equipped the Science complex in UP Diliman with a Nuclear Magnet Resonance (NMR) which is critical in the study of arrangement and composition of protein molecules which may be targets for cancer diagnosis or therapy,” reported Dr. Montoya.

Dr. Montoya hopes to achieve more in the fight against cancer by intensifying public-private partnership.

“I believe we can do a whole lot more, if we have more partners and collaborators who will work with us. By working together, we can defeat cancer,” Dr. Montoya concluded.

The forum is a prelude to the nation’s observance of the World Cancer Day and a venue for the signing of the World Cancer Declaration. It was organized by the University of the Philippines Manila-Philippine General Hospital, Chevron Geothermal Philippines Holdings, Inc. and the Cancer Institute Foundation.