Santo Tomas LGU declares diarrhea outbreak in Barangay Tulalian

SANTO TOMAS, Davao del Norte (July 17, 2021)—Mayor Ernesto Evangelista declared a diarrhea outbreak on Saturday, July 17, in the wake of the death of two residents of Barangay Tulalian and 47 others, who were confined in public and private hospitals.

“Naay diarrhea outbreak sa Barangay Tulalian kay pipila ka residente nagsige og suka, ug kalibanga. Sukad na gipahibalo sa atoa ang maong sitwasyon, nagpadala dayon kita og Quick Reaction Team para maghatag og assistance sa mga residente ug para imbestigahan ang maong panghitabo,” Mayor Ernesto Evangelista said Saturday.

May be an image of one or more people and text that says '#BAGONGSANTOTOMAS THE EVANGELISTALEGACY PUBLIC BRIEFING OFFICE OF THE MUNICIPAL INFORMATION OFFICER JULY 17, 2021 9:30 AM MO9 MUNICIPA TRUTH urbias. SAMOTOHAS_DAVAODEINOE NEWS ALERT AKSYON SA KALUSUGAN 171 1CASES, 1DEATH: SANTO TOMAS LGU DECLARES DIARRHEA OUTBREAKIN BARANGAY TULALIAN AKSYON SOLUSYON Mayor Ernesto Evangelista declared a diarrhea outbreak on Saturday, July 17 in the wake of the death of two residents› Barangay Tulalian and 47 others, who were confined in public and pri- vate hospitals. #BagongSantoTomas #EvangelistaLegacy #DisiplinadongTomasino'

Evangelista said the Quick Reaction Team (QRT) was spearheaded by the Municipal Health Office headed by Dr. June P. Lim together with the medical health workers, and the MHO’s Sanitation Team.

The Santo Tomas LGU quickly dispatched two doctors and eight nurses in Barangay Tulalian to assist and provide health and sanitation services to the affected residents.

Evangelista added that the local government has provided potable water to affected areas to ensure the outbreak would not escalate.

171 diarrhea cases, one death

According to Municipal Health Officer Dr. June P. Lim, there were 171 residents of Barangay Tulalian who were diagnosed with Acute Diarrhea Secondary to Amoebiasis.

Of the 171 registered cases, 24 cases (1-5-year-old), 43 cases (6-15-year-old), 29 cases (16-25-year-old), 27 cases (26-40-year-old), and 48 cases (40-year-old and up).

As of Saturday, MHO reported one death so far —a 58-year-old male resident who experienced loose bowel movement, stomach pain and vomiting.

-seven residents were rushed to both private and public hospitals; some are still recovering while others were discharged. Puroks 1, 3, 4, 5, 7, 8, 12, 13, and 15A were identified by the MHO to be the affected areas with 128 households in Barangay Tulalian.

On Friday, the MHO’s health personnel provided medical care to several residents who suffered amoebiasis, a water-borne ailment.

The Barangay Tulalian’s covered court was turned into a makeshift medical facility where severely dehydrated patients—young children and adults— were immediately given first-aid treatment. Inside the covered court were plastics beds arranged in row with affected patients crunching in pain due to stomach pain and vomiting, the usual symptoms of diarrhea.

DIARRHEA OUTBREAK. Sto. Tomas Municipal Administrator Elisa Evangelista-Lapiña (left) checks the water reservoir of Tulalian Water Association (TUWASA) on Friday (July 16, 2021), after the reported diarrhea outbreak in Barangay Tulalian in the town. A resident died of diarrhea while 47 others were hospitalized. (Photo courtesy of Sto. Tomas Municipal Information Office

Ongoing probe

Charlemagne Fernandez, the MHO Administrator, said the Santo Tomas LGU and the MHO began its investigation to determine what caused the outbreak. But the Environment Sanitation Report from the MHO revealed that the water system source in the area was possibly contaminated because of the water’s poor quality due to poor chlorine disinfection.

Such finding was based on the ocular inspection conducted by the Sanitation Team and random interviews with the Tulalian Water Association (TUWASA) personnel.

Fernandez, however, said the result of the initial probe is not yet conclusive as the official result of the microbiological water analysis is expected to be released on Monday, July 19. Apart from this, Fernandez said the MHO was also waiting for the results of the 15 patients who were subjected to rectal swabbing that would help them determine the bacteria in the patients’ feces.


On Wednesday, July 14, three Barangay Tulalian residents sought medical help in the MHO after they complained of experiencing loose bowel movement, stomach pain and vomiting, the usual symptoms of diarrhea.From three, 16 others visited the MHO the following day Thursday; alarmed with the influx of patients, the MHO immediately visited the barangay and found out that other residents reportedly fell ill with suspected diarrhea believed to have been caused by contaminated drinking water.

As early as Thursday, the MHO had assisted the patients who fell ill as some were recommended for admissions in hospitals for treatment.

The MHO informed Municipal Administrator Atty. Elisa Evangelista-Lapiña about the developing case in Barangay Tulalian.

This prompted her to take immediate action to save lives and prevent the spread of the diarrhea in the community.

Lapiña said that the Punong Barangay Jeronimo Gumanid Jr. informed her of the situation only Thursday evening when cases were already surging.


Upon instruction of Mayor Ernesto Evangelista, Municipal Administrator Atty. Elisa Evangelista-Lapiña went immediately to the area early Friday, July 16 and brought the QRT personnel from the Municipal Health Office to assess the situation and provide the needed assistance to the affected community.

Lapiña said the Santo Tomas LGU provided potable water, installed a makeshift treatment facility in Barangay Tulalian covered court, meals, and other medical support to patients complaining of severe diarrhea.

The Santo Tomas LGU also provided new water containers and water-purification chemicals to the affected areas while residents have been briefed about cleaning their surroundings and maintaining proper sanitation to prevent another outbreak.

“Padayon ang atong pagmonitor sa sitwasyon para masigurado nato na walay na madugang na biktima,” Lapiña said.

To avoid future outbreaks, Lapiña urged the Barangay Tulalian to sit down with TUWASA to discuss on how to improve the water supply in the barangay. She added that the Santo Tomas LGU is readily available to guide and improve water services delivery in the area.

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