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Tuesday, February 28, 2023

Traditional Filipino medicine and the quest to cure the incurable


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Traditional Filipino medicine has endured centuries of colonization. Now, modern science is able to shed a different light on these ancient and oftentimes misunderstood practices, showing us that there are always new things to learn from the old ways.

Many plants common to the Philippines, such as the langka (Artocarpus heterophyllus Lam.), have long been staples of traditional Filipino medicine and are currently being investigated for their use in modern medicine. (Photo credit: jaikishan patel / Unsplash.com)

In the Philippines, there are over 1,500 known medicinal plants, with at least 120 that have been validated for safety and efficacy using modern scientific standards. However, despite the potential value of this pharmaceutical cornucopia, the country still has a long way to go before traditional medicines are openly accepted in a modern setting.

“There are plants that are being used historically but whose potential have been overlooked until now because of our biases, the way we favor or privilege particular forms of healing over others,” explains Felipe Jocano Jr., an assistant professor at the University of the Philippines - Diliman Department of Anthropology.



Spotlight on indigenous knowledge

“We should be looking at our own indigenous knowledge, giving it the value it deserves, seeking ways to build on it to make it fit into what our present [healthcare] systems [need], while giving due respect to the practitioners and perhaps giving them also the respect and the recognition that they deserve,” Jocano expounds.

In 2013 alone, the World Health Organization (WHO) estimated that around 60% of the world’s population relies on traditional medicine, with 80% of the population in the Philippines and other developing countries depending almost entirely on traditional medical practices—on plants, in particular—for primary health care.

“​​Teaching people how to appreciate indigenous medicine is more than just teaching them, ‘okay, ito maganda ang indigenous medicine, ‘wag niyo pagtawanan.’ Mababaw lang ito. You have to address people’s worldviews about other people as well. Not only that, but finding ways to make use of this knowledge to help our people,” Jocano explains.

Filipino scientists may be on the right track toward utilizing traditional medicinal plants used to treat diseases. At the University of the Philippines – Diliman College of Science (UPD-CS), researchers have discovered the potential of some medicinal plants as possible cures for cancer and neurodegenerative diseases.



Putak as a potential cancer cure

Cancer is the leading cause of illness and death worldwide. Recent statistics show 19.3 million new cases and 10 million cancer-related deaths in 2020 alone, accounting for nearly one in every six deaths worldwide. In the Philippines, 189 of every 100,000 Filipinos are affected by cancer, and four Filipinos die of cancer every hour, equivalent to 96 cancer patients every day.

UPD-CS Institute of Biology (IB) Science Research Specialist Regina Joyce Ferrer and her team discovered the potential of the Codiaeum luzonicum Merr. plant, known as putak in Filipino, in killing drug-resistant cancer cells without affecting healthy cells. Putak is commonly used by indigenous Filipino communities to treat stomach aches and binat.

Ferrer was inspired by our native biodiversity to research putak and its effect on cancer cells. “The Philippines is very biodiverse, ang dami nating endemic and native species. For example, itong putak, endemic siya sa Pilipinas. No one else in the world except us Filipinos will be likely to fully explore the bioactivity and the potentials of this plant,” she said.

She noted the plant’s capability under laboratory conditions to kill cancer cells, even normally drug-resistant ones, while leaving healthy cells alone. “Ang usual approach kasi is may pang-inhibit ng drug resistance tapos may kasabay na chemotherapeutic drug that can kill the cancer cells. But this plant [putak] can do both at the same time,” Ferrer explained, adding that cancer cells’ ability to develop drug resistance is one of the major hurdles to treating all kinds of cancers.



Philippine plants and neurodegenerative disease

Neurodegenerative diseases, such as Alzheimer’s Disease (AD), are becoming top public health concerns around the globe. In 2021 alone, the WHO listed 55 million cases of dementia worldwide, with AD comprising up to 70% of those cases. Scientists say that countries such as the Philippines need to implement premediated disease management to avoid the consequences of emerging dementia cases.

A group of scientists from the UPD-CS Institute of Chemistry (IC) led by Dr. Evangeline Amor identified ten plants from Northern Samar that could potentially be used as a treatment for Ad and other neurodegenerative diseases: leaves from the sinta (Andrographis paniculata (Burm. f.) Nees), atis (Annona squamosa Linn.), langka (Artocarpus heterophyllus Lam.), dollarweed (Hydrocotyle umbellata Linn.), and sampa-sampalukan (Phyllanthus niruri Linn.); stems from luya-luyahan (Curcuma zedoaria Rosc.) and dapdap (Erythrina variegata var orientalis Linn.); and bark from dapdap, balibago (Hibiscus tiliaceus Linn.), and santol (Sandoricum koetjape Merr).

Indigenous communities often use these plants to treat ailments such as fever, skin diseases such as boils and wounds, abscesses, dysentery, abdominal pain, cough, kidney stones, hepatic disorders, and ringworms.

Of the ten plants studied, luya-luyahan and dapdap showed the most medicinal potential, as extracts from their bark and stems were particularly effective at inhibiting an enzyme that breaks down acetylcholine (ACh), a brain chemical that plays a major role in memory, learning, attention, and involuntary muscle movement.

“The next step in the study is to establish the safety of the extracts and confirm their activity in a secondary or orthogonal assay,” Dr. Amor said. “After which, the non-toxic active extracts can then proceed to a drug-track wherein the active constituents are isolated and identified or an herbal-track wherein an herbal preparation or drug may be formulated.”



Combining traditional and modern medicine

Moreover, Jocano called for more public awareness, appreciation, and protection of endemic and native plants. “We should also be on guard about practices such as what has been called ‘biomining,’ in which corporations practically exploit or systematically harvest a particular territory ng mga plants nila, paying only a pittance to the indigenous peoples there, but depriving them of their resources.”

Exploring Philippine plants used in traditional medicine can help advance modern medicine. Treatments for various types of diseases may be just within people’s reach. But as always, we should take responsible advantage of the Philippines’ rich biodiversity.

“It has to be clear, it has to be ethical, and it has to be protective and promote and advance the indigenous peoples themselves. We have to work alongside the indigenous peoples and traditional healers to address what they feel they need,” reminded Jocano. Traditional and modern medicine are not separate entities; combining both practices might even be the answer to treating some of the world’s most notoriously incurable diseases.

Monday, February 27, 2023

DOH Healthy Pilipinas partners with FREE TO BE U as part of its efforts to End AIDS in the Philippines by 2030


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On February 25, 2023, the Festival of Luv — a unique event that celebrates love, acceptance, and education — commemorated the Department of Health’s partnership with the FREE TO BE U campaign which promotes healthy behaviors to protect Filipinos from HIV and AIDS. The event was held at The Pop Up, Katipunan, from 11 am to 9 pm.

“We are thankful to the DOH for showing their strong support for persons living with HIV (PLHIV) by partnering with the FREE TO BE U campaign during this event. This is such an exciting and empowering development for HIV/AIDS awareness advocates and persons living with HIV,” said Teresita Marie Bagasao, Project Director of EpiC Philippines. “The inclusion of Free to Be U in DOH’s comprehensive health education campaign Healthy Pilipinas is a major milestone that brings the country closer to the global goal of ending the HIV/AIDS epidemic by 2030.”

The FREE TO BE U campaign seeks to empower PLHIV to break free from labels and be free to enjoy life and love by: informing PLHIV, persons with increased vulnerability to HIV, and the general public about available HIV prevention and treatment services to facilitate better access; building up safe spaces and communities where their voices can be heard; and working with organizations and advocates from the PLHIV community, in order to promote free HIV services and destigmatize the public’s view regarding the virus and the journey of people living with HIV. The campaign was launched by EpiC Philippines in 2022.


 

“With this campaign partnership we call #FreeToBeU para sa isang #HealthyPilipinas, we hope to reach more members of the PLHIV community and those who may need protection from contracting the virus, and provide them with the necessary education and resources to lead healthy and full lives,” Bagasao shared. “The DOH is an essential partner in our efforts to strengthen HIV service delivery in the country, which includes distributing the U.S.-donated HIV preventive drugs PrEP and HIV viral load cartridges to the various government and community facilities throughout the country.”

The whole-day Festival of Luv aims to make health literacy sexy, and featured a mix of fun and informative activities, as well as concessionaires. There were also performances from the country’s contestants and winners from Drag Race Philippines and Drag Den. In addition, the local government of Quezon City provided HIV testing, as well as counseling for HIV and pre-exposure prophylaxis (PrEP) to all those who need it. The main evening forum was led by medical experts, advocates, and key resource persons who shared the latest updates regarding the efforts to maintain HIV epidemic control in the country as well as offered advice to PLHIV in their journey towards being U Equals U — Undetectable Equals Untrasmittable — adherents to their antiretroviral treatment who have maintained an undetectable viral load and no longer transmit the virus sexually.

According to Bagasao, “The Festival of Luv, one of EpiC Philippines’ many initiatives, was organized to help promote the FREE TO BE U para sa Healthy Pilipinas campaign and provide a safe space for the LGBTQIA+ community and allies where we can celebrate love in all its beauty and forms: be steadfast in the face of a positive HIV diagnosis; be advocates for PLHIV and the people who care for them; and keep on dreaming and fighting for a Philippines where we can turn to each other - whatever your gender, status, or sexuality - and say, ‘You are FREE TO BE U.’”

EpiC Philippines is part of a global project dedicated to achieving HIV epidemic control, and is supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) and the United States Agency for International Development. Certain challenges concerning HIV service delivery are currently being addressed, and PEPFAR and USAID’s support — through EpiC and the DOH — ensures that all Filipino PLHIV receive necessary HIV services, thus contributing to the global 95-95-95 HIV goals by 2030.

This is vital, as the Philippines still has one of the fastest rising numbers of HIV cases in the Asia Pacific region. As of November 2022, epidemiology data shows that there is an average of 42 HIV cases per day in the country. PLHIV need accessible and regular HIV treatment services to ensure they live a healthy life by being U Equals U.

Rodley Desmond Daniel Carza, OIC-Director IV of the DOH’s Health Promotion Bureau, shared, “FREE TO BE U is also part of the Healthy Pilipinas campaign which focuses on the seven priority areas of the Health Promotion Framework Strategy that includes sexual and reproductive health. Thanks to this partnership, we can encourage other by sharing the stories of people who have accessed free HIV services - services that empower them to live from fear, free from stigma, and free to be themselves. Sa kampanyang ito, sama sama nating sabihin sa lahat na ikaw ay ‘FREE TO BE U para sa isang Healthy Pilipinas!’”

More information about the Free TO BE U Campaign is available on Facebook, Instagram, and Twitter: @FreeToBeUPH.

PH government, KOICA and UN agencies launch joint progrsmmes to address national emergency of Adolescent Pregnancies


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Officials from the Philippine government, Korea International Cooperation Agency (KOICA), and the United Nations (UN) jointly launched on February 20, 2023 a programme that aims to address the high rates of adolescent pregnancies in the country.

Funded by the Republic of Korea, through the Korea International Cooperation Agency (KOICA), the joint programme “Accelerating the Reduction of Adolescent Pregnancy in Southern Leyte and Samar in the Philippines” aims to improve access of the adolescent population to sexual and reproductive health (SRH) services and information, to raise their self-awareness on sexual and reproductive health and rights, as well as to enhance leadership and governance on ASRH.

According to the World Bank, the Philippines has one of the highest adolescent birth rates among the major economies in the ASEAN region.

In November 2022, KOICA, the United Nations Population Fund (UNFPA), United Nations Children’s Funds (UNICEF), and the World Health Organization (WHO) inked the agreement on the joint programme, which is slated to last until 2026. Leading the Joint Programme steering committee is the Department of Health (DOH) with the UN Resident Coordinator, Gustavo Gonzalez, as its co-chair. Joining as members are the said UN agencies, KOICA, the Department of Education (DepEd), and the governors of Samar and Southern Leyte.





“Korea is committed to support the Philippines in its goals to achieve universal health for all. This is the first time that KOICA is working on a joint project on adolescent health in partnership with the three UN agencies in the Philippines. Hence, we look forward to working towards improving the comprehensive sexual and reproductive health and rights of Filipino adolescents in the Philippines,” said KOICA Country Director Kim Eunsub.

DOH Officer-In-Charge Dr. Maria Rosario Singh-Vergeire said that teenage pregnancy, which has been declared by the government as a national social emergency, deprives many young Filipinos of their future, she then highlights of addressing these concerns through solidarity in partnership

“Together, we, along with our partner agencies and stakeholders — must work in weaving our strategies to contribute to positive and long-lasting impacts for adolescents. As a key objective of the Universal Health Care Act, equitable access to health services for the youth, especially those in the vulnerable and marginalized sector, is central to the DOH’s priorities. To address these gaps, we will continue to seek the support of our partners, as we can only truly achieve the universality of health through a whole-of-government and whole-of-society approach,” said DOH OIC Singh-Vergeire.

“Adolescent pregnancy is not only a health and education problem but also an economic development issue,” said Gustavo Gonzalez, United Nations (UN) Philippines Resident Coordinator. “We are hoping that with this program with KOICA, we will be able to reduce adolescent pregnancy and support the Philippines in maximizing the ‘demographic dividend.’”

With the Philippines having one (1) out of three (3) people under the age of 18, it is expected to benefit from the change of its population structure towards a younger demographic structure. However, the window opportunity that the demographic dividend brings may be lost if Filipinos are not able to care for their sexual and reproductive health and their families.

Gonzalez said the group is eager to build on previous partnerships with the local governments of Samar and Southern Leyte and to accelerate the progress that they have reached in terms of development and humanitarian programs.

Besides being one of the Philippines’ poorest and most typhoon-battered regions, the 2021 Young Adult Fertility and Sexuality (YAFS5) Study also showed that Eastern Visayas has the highest rates of 15 to 19-year-old female youths that had begun childbearing.

The programme’s efforts are expected to provide additional training for health workers and non-health service providers such as social workers, teachers and peer educators; work on the expansion of the PhilHealth package for adolescent pregnancy; provide mobile medical facilities to benefit adolescents; and support the implementation of a Performance Accountability System for the local health and government units, as well as a Youth Leadership and Governance initiative.

The steering committee of this Joint Programme will be collaborating with other strategic government partners that will serve as advisory members: the Department of the Interior and Local Government (DILG), the Department of Social Welfare and Development (DSWD), and the National Youth Commission (NYC). Other government units will also be part of the regional and provincial committees of the program.

Coinciding with the joint programme launch is the ongoing congressional discussions on the proposed measures to address adolescent pregnancy.
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