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CODE OF SANITATION INSIGHTS

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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
INTRODUCTION
Dagupan City is the only independent component city of Pangasinan’s four cities.
Crisscrossed by seven rivers and 14 creeks, Dagupan is known for its pond-raised bangus
(milkfish), which is said to be the world’s tastiest and juiciest, making it the “World’s Bangus
Capital.”
To date, the city remains the commercial, educational and health center of the
province because of its malls and other business establishments, universities and hospitals
that continue to attract people from other parts of the province.
Dagupan City covers a total land area of 40,079,278.93 square meters or about 4,008
hectares (as per City Assessor’s Record). However, the digitized cadastral maps reveal that
the sum of the lands within Dagupan’s boundaries is 4,447.10 hectares. It is bounded by the
Lingayen Gulf in the north, San Fabian in the northeast, Mangaldan in the east, Calasiao in
the south and Binmaley in the west. The city falls with latitude 160 01’ to 160 07’ north and
longitude 1200 18’ to 1200 23’ east.
The city belongs to climate Type I characterized by two seasons: the dry and the wet.
Dry season starts in November and ends in May while wet season starts in June and ends in
October. Heavy rainfall is usually experienced during the months of July and August. The
coldest month is January.
Dagupan City covers a total land area of 40,079,278.93 square meters or about 4,008
hectares (as per City Assessor’s Record). However, the
digitized cadastral maps reveal that
the sum of the lands within Dagupan’s boundaries is 4,447.10 hectares. It is bounded by the
Lingayen Gulf in the north, San Fabian in the northeast, Mangaldan in the east, Calasiao in
the south and Binmaley in the west. The city falls with latitude 160 01’ to 160 07’ north and
longitude 1200 18’ to 1200 23’ east.
Based on the 2015 Population Census, the city had a total population of 171,271. The
city’s population accounted for 5.79% of the Pangasinan’s total population of 2,956,726 for
the same census period. The average annual growth rate from (2010 to 2015) of the city was
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Maria Hazel C. Fabia, RND
Lyceum Northwestern University
Master in Public Health
0.87% and having a population density of 3,851 person/square kilometer. As of 2017,
Dagupan had a projected population of 174,264.
Dagupan City has the highest population density in the Ilocos Region. Based on the 2015
Census of Population, Dagupan City has 4,600 persons per square kilometer. It is followed by
neighboring Mangaldan with a population density of 2,207 and Vigan City in Ilocos Sur,
which had 2,145 persons per square kilometer.
Of the 3,265 barangays in the Ilocos Region, the largest in terms of population is Barangay
Bonuan Gueset in Dagupan City, with its population of 23,373 in 2015. It was followed by
Barangay Pantal (17,841) and Barangay Bonuan Boquig (14,354). Also in the top ten most
populous barangays in the region is Barangay Lucao (10,252), which landed in the 8th place.
Official Seal
The current Dagupan seal was derived from a 2011 logo design competition, which
was participated in by eligible residents of the city. The winning seal design, which was
unveiled on May 2011, was conceptualized by Carmelo John E. Vidal.
The four previous elements (a horseshoe magnet, a railway, a road, and a ribbon
bearing the words “Sigue Dagupan”) of the 1948 seal was added upon. Among the new
symbols integrated in the seal are: a milkfish, 31 stars which signifies the constituent
barangays of the city; seven wave crests which represents the city’s rivers, a torch which
signifies education, and a gear which represents commerce.
On December 9, 2012, former Mayor Benjamin S. Lim received the certificate of
registration for this city’s new corporate seal (Republic Act 7160).
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Maria Hazel C. Fabia, RND
Lyceum Northwestern University
Master in Public Health
VISION:
Dagupan City as the premier center for commerce and aquaculture in North Luzon
supported by a viable solid waste management system and a disaster resilient environment.
A city that every Dagupeño can be proud of.
MISSION:
To improve the life of every Dagupeño by living the value of ‘our city, our shared
responsibility’.
VALUES:
D isplina
A ngat na Serbisyo
G aling at Talino
U galing Matapat
P ananagutan sa Lahat ng Gawi
A tensyong Makabayan
N agkakaisa sa Iisang Pangarap
INFRASTRUCTURE / FACILITIES
A. Road Line Network
Transportation: (CY 2018)
Number of Registered Motor Vehicles 49,971
Number of Bus Companies 7
1. Victory Liner
2. Dagupan Bus
3. Five Star
4. Solid North Transit Inc.
5. Mhelbhen Group of Operators
6. First North Luzon
7. Boltex Express
B. Telecommunications: (CY 2018)
Telegraph/Money Express Padala Stations: 25
Number of Internet Service Providers: 6
Number of Telephone/Cellular Companies: 4
Number of Internet Café: 67
Number of Cable Service Providers: 4
Number of TV Broadcasting Stations: 3
Number of Radio Broadcasting Stations: 13
Number of Local Periodicals :10
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Maria Hazel C. Fabia, RND
Lyceum Northwestern University
Master in Public Health
C.
Postal Communications:
Post Office (main): 1
Satellite Post Office: 3
Municipalities Served (%): 100%
Number of Letter Carriers: 14
Number of Barangays served by letter carriers: 2-3 barangays/letter carrier
D.
Water Supply:
The Dagupan City Water District (DCWD) supplies the water needs of city populace
except in Barangay Carael where the water system is managed by a locally formed
association, the Carael Water Works Association (CAWA).
Household served by potable water (%): 97%
No. of pumping station: 20
Number of Water Refilling Station: 84
E.
Power/Electrification:
The power requirement of Dagupan City is provided mainly by the Dagupan Electric
Corporation (DECORP).
Barangays Served (%): 100.00%
Household Served (%): 95.63%
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
HISTORY
A BIT OF HISTORY
The early settlers of Dagupan City are believed to have come from Flores Islands in
Indonesia because of their dialect which has a strong similarity to the Pangasinan dialect.
Their main occupation is fishing and salt making, a major source of income among coastal
residents of today.
Originally named Bacnotan by the Augustinian missionaries a few years after the
establishment of the Spanish encomienda in Pangasinan in 1583, Dagupan was already
known to be the biggest entreport (marketplace) not only in the province of Pangasinan but
the whole of Region I.
In 1660, Andres Malong, a local chieftain, led a revolt against the Spaniards for
imposing forced labor. After the revolt, the people rebuilt the town. To commemorate the
gathering forces under Malong, the place was renamed to “Nandaragupan,” which means,
“Where people meet.”
In 1780, the name of the town was simplified to Dagupan, followed by the end of
Spanish rule on July 23, 1898, when the Spanish troops surrendered to the Katipunan leader,
General Francisco Makabulos.
The 45th Infantry Batallion under Gen. Douglas MacArthur landed at the shores of
Bonuan, then later totally liberated Dagupan from the Spanish rule. The first civil
government was established on February 16, 1901 with the holding of the first elections
through “viva voce.”
Early on, Dagupan was already the seat of education in the region.
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
Following the fall of Bataan, the Japanese Army invaded Dagupan. Japanese rule
lasted until 1945.
On June 20, 1947, two years after the liberation, Dagupan became a city by virtue of
Republic Act 170, a law known as the City Charter of Dagupan. This charter governs the
operations of the city as an independent political entity with its own distinct zeal.
SOCIAL SERVICES (EDUCATION, HEALTH & NUTRITION)
1. EDUCATION
Number of Schools: SY 2018-2019
Schools
Public
Kindergarten
34
Elementary
34
Junior H.S.
8
Senior H.S.
8
Tertiary
Universities
Colleges
Vocational Schools
Private
27
28
23
24
Total
61
62
31
32
12
3
9
24
Enrollment SY 2018 – 2019:
Kindergarten
Elementary
Junior H.S.
Senior H.S.
Male
(Public)
Female
(Public)
Both
Sexes
(Public)
Male
(Private)
Female
(Private)
Both Sexes
(Private)
1,614
9,865
6,136
1,578
1,481
8,831
6,177
1,630
3,095
18,696
12,313
3,208
446
2,260
2,153
3,559
424
2,047
2,217
4,381
870
4,307
4,370
7,940
Education Indicators SY 2017-2018:
INDICATOR
Participation Rate
Cohort-survival Rate
Promotion Rate
Transition Rate
Retention Rate
Repetition Rate
Drop Out Rate
Gross Enrolment Rate
School Leaver Rate
ELEMENTARY
93.53%
98.41%
96.66%
98.90%
99.03%
2.89%
0.29%
101.66%
0.38%
SECONDARY
94.55%
89.05%
92.50%
100.54%
96.09%
20.02%
0.75%
114.20%
2.79%
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
2. HEALTH
Health Statistics: (CY – 2018)
Total Number of Live Birth: 2,670
Crude Birth Rate: 15.06 live births /1000 population
Total Number of Death: 1,122
Crude Death Rate: 6.33 deaths/1000 population
Total Infant Death: 40
Infant Mortality Rate :14.98/1000 live births
Total Maternal Death :1
Maternal Mortality Rate: 37.45/1000 live births (60/100,000live births)
Under Five Deaths: 56
Under 5 Mortality Rate: 20.97/1000 live births
Ten Leading Causes of Morbidity
CAUSES OF MORBIDITY
Acute Respiratory Infection
Skin Diseases
Animal Bite
Hypertension
Bronchial Asthma/Bronchitis
Urinary Tract Infection
Punctured/Lacerated Wound
Diarrheal Diseases/ Acute
Gastroenteritis
Arthritis
Diabetes Mellitus
Leading Causes of Mortality
CAUSES OF MORTALITY
Hypertension
Cancer All Forms
Pneumonia
Diabetes Mellitus
Myocardial Infarction
Accident All Forms
Degenerative Disease of
Elderly/ Senility
Cerebrovascular Diseases/
Accident
Kidney/ Renal Diseases
Bronchial Asthma
MALE
7,380
1,884
1,922
1,389
801
388
826
513
FEMALE
9,151
2,310
1,995
2,441
774
1,011
549
531
267
303
TOTAL
16,531
3,917
3,917
3,830
1,575
1,399
1,375
1,044
632
545
RATE
93.27%
23.66%
22.10%
21.61%
88.86%
78.93%
77.58%
59.00%
899
848
50.72%
47.84%
MALE
89
65
66
52
53
51
29
FEMALE
58
72
47
57
33
13
30
TOTAL
147
137
113
109
86
64
59
RATE
82.94%
77.30%
63.75%
61.50%
48.52%
36.11%
33.28%
31
26
57
32.16%
26
20
18
16
44
36
24.82%
20.31%
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
Leading Causes of Infant Mortality
INFANT MORTALITY
Aspiration Pneumonia
Prematurity
Pneumonia
Sepsis Neonatrum
Severe Dehydration
Leading Causes of Under 5 Mortality
CAUSES OF UNDER 5 MORTALITY
Pneumonia
Aspiration Pneumonia
Prematurity
Sepsis Neonatrum
Congenital Heart Diseases
Health Facilities (CY 2018)
HEALTH FACILITIES
Number of Hospitals
Bed Capacity
8
6
6
4
2
(29.96)
(22.47)
(22.47)
(14.98)
(14.90)
TOTAL
9
8
6
4
4
PUBLIC
1
600
PRIVATE
11
549
Environmental
Household with access to improve or safe water supply



PERCENT
33.70%
29.96%
22.47%
14.98%
14.98%
TOTAL
12
1,149
34,413
96.96%
32,661
33,560
32,208
92.03%
94.56%
90.75%
Level I
Level II
Level III
Household with sanitary toilet facilities
Household with satisfactory disposal or solid waste
Household with sanitary facilities
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
3. NUTRITION
Nutrition Status:
Pre-School Children (OPT 2018)
NUTRITION
MALE
Normal
11,101
Underweight
226
Severely Underweight
127
Overweight
74
Total Pre-School Weighed
21,642
FEMALE
10,541
185
127
70
10,923
NUMBER
21,642
411
254
144
22,451
Nutritional Status Report of Elementary School Children
BASELINE July (SY 2018-2019)
NUTRITION
MALE
FEMALE NUMBER
Severely Wasted
655
506
1,161
Wasted
1,266
1,073
2,339
Overweight
545
340
885
Obese
197
61
258
Normal
8,744
8,253
16,997
Total Pupil Weighed
11,407
10,233
21,640
Public Secondary Students
BASELINE July (SY 2017-2018)
NUTRITION
MALE
Severely Wasted
284
Wasted
795
Overweight
218
Obese
29
Normal
5,794
Total Pupil Weighed
7,120
FEMALE
147
522
157
22
6,387
7,235
NUMBER
431
1,317
375
51
12,181
14,355
PERCENT
96.40%
1.83%
1.13%
0.64%
100.00%
PERCENT
5.37%
10.81%
4.09%
0.60%
78.54%
100.00%
PERCENT
3.00%
9.17%
2.61%
0.36%
84.86%
100.00%
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Maria Hazel C. Fabia, RND
Lyceum Northwestern University
Master in Public Health
4. FAMILY PLANNING (CY 2018)
A. Pre-Marriage Counseling:
• Regular: 713 couples
• Special: 107 couples
B. No. of Inter-racial Wedding: 5 couples
Mother’s Class and KATROPA: 3,856 participants
Adolescent Health & Youth: 10 schools
(2,866 participants)
5. SOCIAL WELFARE (CY 2018)
Number of Staff: 41
Social Worker: 6
Non-Social Worker: 35
CSWDO Plantilla/Detailed: 11
Job Order Employees: 24
Number of Day Care Workers: 46
Number of Day Care Centers: 46
Number of Pre-School Served: 2,589
Number of Clientele Served: 28,269
• CICL: 48
• CNSP: 37
• Other Children In Need: 57
• Youth: 1,915
• Women: 2,135
• Families: 14,700
• Solo Parents: 237
• 4Ps: 4,192
• Persons with Disability: 979
• Senior Citizens: 3,969
10 | P a g e
Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
OBJECTIVES
1.
To assess and evaluate if the said City meets the standard provisions of the Sanitation
Code of the Philippines and observe the environmental factors that affect health.
2.
Assess health impacts of various elements of environmental sanitation;
3.
Assess effectiveness of existing environmental sanitation programmes;
4.
Assess the health and socioeconomic benefits of environmental sanitation interventions
on the basis of preventable burden of disease and their cost-effectiveness;
5.
Identify efficient interventions;
6.
Identify research and development needs;
7.
Identify high risk groups;
8.
Direct interventions to groups most in need.
METHODOLOGY
The visit was conducted for data collection at the Sanitation Office, City Health
Office, Dagupan City which involves direct interview with the center head, Ms. Marcelina C.
Gorospe. Limited amount of time was given due to the current situation we are facing
nowadays.
CONCLUSION
Environmental sanitation strongly depends on social and cultural practices and
beliefs and these have to be considered when planning interventions. To allow for
transmission of infectious agents they have to be present in the immediate human
environment, exposure has to take place, and transmission has to occur by uptake of the
agents through unsafe practices. To interrupt the transmission, environmental sanitation can
act on reducing exposure to infectious agents by limiting contact to wastes or polluted
media, and by changing hygiene and socio-cultural practices.
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Maria Hazel C. Fabia, RND
Lyceum Northwestern University
Master in Public Health
The main problems seem to be related to the insufficient awareness of people living
in unsanitary conditions and of their national and local authorities, and the costs of
implementation, operation and maintenance of the systems.
The costs of environmental sanitation, if considered as the investment and
operational costs of sanitary installations and the costs of hygiene education may seem high.
There are, however, benefits that may not seem evident at first sight. The costs of
inadequate sanitation may lead to direct economic loss due to disablement of ill people that
cannot perform their work, the loss of education of disabled school children, and the
creation of a polluted environment impacting on economic activities (e.g. fisheries, tourism).
In addition it increases health care costs. As this problem is relatively far reaching, involving
numerous social and economic factors, it is difficult to assess at a global scale.
HAZARD AND VULNERABILITY PROFILE OF DAGUPAN CITY
1. Earthquake - There are two factors why Dagupan City is very vulnerable to geological
hazards particularly on earthquakes. One is due to the regional setting where large areas
are bound to be affected by high-magnitude earthquakes. The other reason is due to the
local setting where shaking forces may be amplified. The major earthquake that hit the
City was on July 16, 1990. The earthquake caused a decrease in the elevation of the city
and several areas were flooded. The city suffered 64 casualties of which 47 survived and
17 died. Most injuries were sustained during stampedes at a university building and a
theater.
2. Flooding- The poor elevation of the City makes it more vulnerable to flooding. Moreover,
this geological characteristic of Dagupan is the reason why the City is the catch basin of
flood waters from the neighboring towns.
12 | P a g e
Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
3. Cyclone- In the vicinity of Dagupan City, the typhoon passage frequency is about 5
cyclones each year. One of the recent most noted typhoons that hit the City was typhoon
Pepeng which brought massive flooding and infrastructure damages in the City.
4. Tsunami and Storm Surge- Although there is no reported tsunami or storm surge that
devastated the City, these hazards must be considered as well because Dagupan is a
coastal city which makes it very vulnerable to such calamities.
RECOMMENDATION
1. Sanitation needs to be addressed as a whole, including improvement of facilities,
environmental conditions and behavioral change.
2. Sanitation programs should be demand-based and the community should be fully
involved in the process.
3. Sanitation should be a component of other health-promoting or disease control
programs.
4. Awareness needs to be raised and sanitation set as a priority in national and local
governments, and also in the population at large
5. Systems have to be sustainable; cost-sharing and cost-recovery need to be addressed
carefully;
13 | P a g e
Maria Hazel C. Fabia, RND
Lyceum Northwestern University
Master in Public Health
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
PROTOCOL L ETTER
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Lyceum Northwestern University
Master in Public Health
Maria Hazel C. Fabia, RND
DAGUPAN CITY HEALTH OFFICE
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