Title
Mandatory Reporting of Notifiable Diseases Act
Law
Republic Act No. 11332
Decision Date
Apr 26, 2019
A Philippine law requires healthcare providers to report notifiable diseases and health events to the Department of Health, empowering them to conduct investigations and implement response activities to protect public health.

Law Summary

Key Definitions Under the Act

  • Disease: Illness due to toxic substances, occupational exposure, infectious agents affecting individuals directly or indirectly.
  • Disease control: Reducing disease incidence/morbidity/mortality to acceptable local levels through intervention.
  • Disease surveillance: Systematic data collection, analysis, interpretation, and dissemination for public health purposes.
  • Emerging/re-emerging infections: Diseases new to humans, previously obscure, or resurging after control.
  • Epidemic/outbreak: Higher than expected disease cases in a place or group during a given time.
  • Health event of public health concern: Public health emergencies or threats due to biological, chemical, radiological, environmental agents.
  • Mandatory reporting: Obligatory notification to health authorities regarding notifiable diseases and public health events.
  • Public health authority: DOH bureaus, local health offices, or authorized representatives.
  • Public health emergency: Occurrence or imminent threat causing large scale death/injuries, widespread exposure, or affecting international health or trade.
  • Response: Activities to control disease spread, including investigations, treatment, risk communication, and prevention.

Objectives of the Act

  • Continuously update list of notifiable diseases and case definitions.
  • Establish and maintain efficient disease surveillance and response at national and local levels.
  • Expand collaboration beyond traditional health sectors (e.g., agriculture, law enforcement).
  • Provide timely health information for public awareness and emergency response.
  • Ensure collaboration among government health agencies for prompt investigation and containment.
  • Grant statutory powers for mandatory reporting, investigations, quarantine, and rapid containment.
  • Provide funding for epidemiology and surveillance units across government levels and health facilities.
  • Require active participation from a broad range of stakeholders including medical professionals, institutions, and NGOs.
  • Respect individuals' rights to liberty, bodily integrity, and privacy while preserving public health.

Notifiable Diseases and Health Events

  • The DOH Epidemiology Bureau regularly updates a list of notifiable diseases and health events with defined case criteria.
  • Selection and removal are based on criteria established by the DOH.

Mandatory Reporting and Surveillance Systems

  • DOH and local counterparts mandated to implement mandatory reporting and maintain disease surveillance systems.
  • Institutionalized systems include FHSIS and PIDSR with case-based and event-based surveillance.
  • Wide range of entities including private and public health workers, institutions, workplaces, schools, ports, NGOs must immediately report notifiable diseases.
  • Data privacy is ensured but authorized personnel may collect and disseminate data for public health uses exempted from Data Privacy Act accessibility rules.
  • Authorized DOH personnel empowered to conduct investigations, specimen collection, containment, quarantine, and response.
  • Surveillance and response officers must be adequately trained and protected.
  • Rights of individuals must be respected during surveillance activities.

Declaration of Epidemic or Public Health Emergency

  • The DOH Secretary can declare national or international epidemics unless national security is at risk, then the President can declare.
  • Local health offices may declare outbreaks within their jurisdiction based on sufficient scientific evidence, including epidemiologic and laboratory investigations.

Establishment of Epidemiology and Surveillance Units (ESUs)

  • ESUs shall be functional across DOH levels, local governments, health facilities, laboratories, ports, and airports nationwide.
  • Responsibilities include verifying reports, epidemiologic information dissemination, coordinating responses, and capacity building.
  • ESUs must have trained personnel and adequate resources including PPE, logistics, and health insurance.

Prohibited Acts

  • Unauthorized disclosure of confidential patient medical information.
  • Tampering with or providing misinformation in records.
  • Non-operation of disease surveillance systems.
  • Non-cooperation by persons or entities required to report or respond.
  • Exceptions to confidentiality rules apply only to legal court orders.

Penalties for Violations

  • Fines ranging from P20,000 to P50,000 or imprisonment from one to six months, or both.
  • Suspension or revocation of medical licenses by the Professional Regulation Commission for medical professionals.
  • Suspension or revocation of civil service eligibility for public servants.
  • For institutions, responsible officers held liable and business permits/licenses to operate may be cancelled.

Appropriations

  • Initial implementation costs charged to DOH's current appropriations.
  • Continued funding to be included in the annual General Appropriations Act.

Implementing Rules and Regulations

  • DOH tasked to issue implementing rules within 120 days after the Act's approval.

Separability Clause

  • Invalid provisions of the Act do not affect the validity and effectivity of the remaining provisions.

Repealing Clause

  • Repeals Act No. 3573 (Law on Reporting of Communicable Diseases) and other inconsistent laws or regulations.

Effectivity

  • The Act takes effect 15 days after publication in the Official Gazette or a general circulation newspaper.

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