Palace: Escalation to Alert Level 4 possible if HCUR increases

MANILA – Malacañang said on Monday that the national government would not hesitate to raise the alert level status in the National Capital Region (NCR) and nearby districts if the healthcare utilization rate (HCUR) reaches the threshold for Alert Level 4.

According to Acting Presidential Spokesperson, Cabinet Secretary Karlo Nograles, this came after the Department of Health (DOH) announced that Metro Manila may be elevated to Alert Level 4 from the current Alert Level 3 due to the increasing number of Covid-19 cases.

“We are actively monitoring all of the metrics and parameters na dapat natin tignan (that we need to look at) and even over and above that. As of the moment, hindi pa po siya tumatama doon sa tatlong metrics natin (it is not meeting the metrics) enough for us to declare Alert Level 4. But immediately pag tumama po ‘yan (when it does), we will not hesitate to declare Alert Level 4 in any area or escalate any area to Alert Level 3,” he said in an interview over ABS-CBN News Channel’s Headstart.

Nograles noted that to qualify for a shift to a higher Alert Level 4, the country’s two-week growth rate, average daily attack rate (ADAR), and healthcare utilization rate must all be at “high” levels.

He stated that while the first two indicators are now high, the healthcare utilization rate remains “moderate”.

“As of the moment, ang Metro Manila nasa (is) moderate pa tayo sa (in terms of) total bed utilization natin so it’s not enough for us to declare Alert Level 4,” he added.

According to Nograles, the Inter-Agency Task Force (IATF) Sub-Technical Working Group (sTWG) on Data Analytics has recommended increasing the availability of bed capacity in hospitals and Temporary Treatment and Monitoring Facilities (TTMFs) in the NCR and surrounding areas (NCR Plus).

NCR Plus includes the NCR as well as the neighboring provinces of Cavite, Laguna, Bulacan, and Rizal.

He added that the availability of healthcare workers would be one of the qualifications for determining a “functional” healthcare capacity.

“We’re also looking at updating the available healthcare workers natin to be made part of functional bed capacities. So hindi lang siya dapat tignan ‘yung (So we should not only look at) physical beds available in hospitals, but also looking at how many healthcare workers are available. So that will now become our equivalent of a functional bed capacity,” he said.

He also stated that the National Task Force (NTF) Against Covid-19 Health Facilities Sub-Cluster and the DOH Knowledge Management and Information Technology Service have been directed to increase the capacity of telehealth and telemedicine outside the (NCR).

Reverse transcription-polymerase chain reaction (RT-PCR) testing and vaccination efforts will also be increased, he added.

Fewer hospitalizations

Meanwhile, Nograles expressed confidence that becoming completely vaccinated against Covid-19 and obtaining booster doses will keep the country’s healthcare utilization rate from rising to alarming levels.

“This is what we’re seeing right now, those who are fully vaccinated only get mild symptoms or are even asymptomatic or are resolved in two days, three days… This is where the effect of full vaccination comes into play. We’re seeing less hospitalization from fully vaccinated,” he said.

He urged the public to get fully vaccinated as well as booster shots to protect themselves and others from Covid-19.

“We got to get more people fully vaccinated and boosted,” he added.

On Sunday, the Philippines recorded the highest number of Covid-19 cases in a day since the pandemic started with 28,707 new cases bringing the total caseload to 2,965,447.

The positivity rate has now soared to 44 percent of the 77,479 tests performed, more than doubling from last week’s 19.60 percent and far exceeding the World Health Organization’s threshold of 5 percent, which indicates controlled transmission of the disease.

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