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Where can I bet on games? Philippines HEALTH officials in the cities of Mandaue and Lapu-Lapu in Cebu have confirmed logging pertussis cases, including several suspected pertussis cases, especially among children and infants.Agnes Realiza, head of the Lapu-Lapu City Health Office (LCHO), and Debra Catulong, head of the Mandaue City Health Office (MCHO), said in an interview with SunStar Tuesday, March 26, 2024, that they have been increasing the administration of pentavalent vaccines to contain the spread of the disease, particularly among toddlers and infants.They have also been conducting catch-up vaccinations, or administering vaccines to those who missed out on a particular vaccine at the recommended age or missed a scheduled vaccination dose. The pentavalent vaccine, as defined by the World Health Organization, protects children and infants from potentially deadly diseases, which include diphtheria, tetanus, Hib, hepatitis B, and pertussis.Realiza reported on March 25 that there was only one confirmed case of pertussis in Lapu-Lapu, while 15 were suspected to be pertussis cases. These 15, however, were later identified to be not related to the respiratory illness.Catulong, for her part, did not give an exact number but confirmed that Mandaue City also has confirmed and suspected cases of the disease.Both Mandaue and Lapu-Lapu have had no outbreaks of pertussis, said the two officials.Early consultation Both Realiza and Catulong recommended that parents should seek immediate medical consultation, such as visiting the LCHO and MCHO, if they notice that their children have coughs and colds. Catulong also reminded parents to follow the instructions for medication intake and isolate the pertussis-infected child from other children to prevent contamination.According to the Centers for Disease Control and Prevention (CDC), pertussis, commonly known as "whooping cough," is a highly contagious respiratory tract infection that can affect people of all ages but is especially dangerous for babies. It is caused by the bacterium Bordetella pertussis.The bacteria spread easily from person to person through the air. The CDC said the whooping cough can only be contracted from other humans.The early symptoms of pertussis include a runny or stuffy nose, a mild and occasional cough (mostly common for adults), low-grade fever (less than 38 degrees Celsius), apnea (life-threatening pauses in breathing), and cyanosis (turning blue or purple) in babies and toddlers.If left untreated for two weeks, the infected person may start to develop whooping cough, which is later accompanied by paroxysms -- rapid, violent, uncontrollable coughing fits that can cause the infected person to struggle to breathe and vomit that last up to 10 weeks.The CDC said babies infected with pertussis are likely to suffer from difficulty in breathing, while teenagers and adults generally have milder symptoms.Hand washing Realiza and Catulong advised the public to practice proper handwashing and resume wearing face masks to prevent the spread of the disease.The two health officials emphasized the importance of vaccinating children against common diseases like pertussis and seeking regular check-ups at health centers.Realiza said they continue to conduct health education for parents in Lapu-Lapu to properly take care of their children and ensure they receive ample nutrition.Expected to riseIn the past week, three cities in the Philippines -- Quezon, Pasig, and Iloilo -- have declared an outbreak of pertussis.Quezon and Pasig recorded almost 50 cases and six deaths, while Iloilo reported 15 cases with eight suspected cases. Department of Health (DOH) Undersecretary Eric Tayag said many areas in the country are on high alert due to the spread of pertussis, especially among children. The DOH expects the number of cases to continue to rise. Within the first 10 weeks of 2024, 453 Filipinos across the country were diagnosed with pertussis.The National Capital Region reported the highest number of cases with 38, followed by Calabarzon and Central Visayas. So far, 35 people have died due to this infection, said the DOH. (HIC)

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HEALTH officials in the cities of Mandaue and Lapu-Lapu in Cebu have confirmed logging pertussis cases, including several suspected pertussis cases, especially among children and infants.Agnes Realiza, head of the Lapu-Lapu City Health Office (LCHO), and Debra Catulong, head of the Mandaue City Health Office (MCHO), said in an interview with SunStar Tuesday, March 26, 2024, that they have been increasing the administration of pentavalent vaccines to contain the spread of the disease, particularly among toddlers and infants.They have also been conducting catch-up vaccinations, or administering vaccines to those who missed out on a particular vaccine at the recommended age or missed a scheduled vaccination dose. The pentavalent vaccine, as defined by the World Health Organization, protects children and infants from potentially deadly diseases, which include diphtheria, tetanus, Hib, hepatitis B, and pertussis.Realiza reported on March 25 that there was only one confirmed case of pertussis in Lapu-Lapu, while 15 were suspected to be pertussis cases. These 15, however, were later identified to be not related to the respiratory illness.Catulong, for her part, did not give an exact number but confirmed that Mandaue City also has confirmed and suspected cases of the disease.Both Mandaue and Lapu-Lapu have had no outbreaks of pertussis, said the two officials.Early consultation Both Realiza and Catulong recommended that parents should seek immediate medical consultation, such as visiting the LCHO and MCHO, if they notice that their children have coughs and colds. Catulong also reminded parents to follow the instructions for medication intake and isolate the pertussis-infected child from other children to prevent contamination.According to the Centers for Disease Control and Prevention (CDC), pertussis, commonly known as "whooping cough," is a highly contagious respiratory tract infection that can affect people of all ages but is especially dangerous for babies. It is caused by the bacterium Bordetella pertussis.The bacteria spread easily from person to person through the air. The CDC said the whooping cough can only be contracted from other humans.The early symptoms of pertussis include a runny or stuffy nose, a mild and occasional cough (mostly common for adults), low-grade fever (less than 38 degrees Celsius), apnea (life-threatening pauses in breathing), and cyanosis (turning blue or purple) in babies and toddlers.If left untreated for two weeks, the infected person may start to develop whooping cough, which is later accompanied by paroxysms -- rapid, violent, uncontrollable coughing fits that can cause the infected person to struggle to breathe and vomit that last up to 10 weeks.The CDC said babies infected with pertussis are likely to suffer from difficulty in breathing, while teenagers and adults generally have milder symptoms.Hand washing Realiza and Catulong advised the public to practice proper handwashing and resume wearing face masks to prevent the spread of the disease.The two health officials emphasized the importance of vaccinating children against common diseases like pertussis and seeking regular check-ups at health centers.Realiza said they continue to conduct health education for parents in Lapu-Lapu to properly take care of their children and ensure they receive ample nutrition.Expected to riseIn the past week, three cities in the Philippines -- Quezon, Pasig, and Iloilo -- have declared an outbreak of pertussis.Quezon and Pasig recorded almost 50 cases and six deaths, while Iloilo reported 15 cases with eight suspected cases. Department of Health (DOH) Undersecretary Eric Tayag said many areas in the country are on high alert due to the spread of pertussis, especially among children. The DOH expects the number of cases to continue to rise. Within the first 10 weeks of 2024, 453 Filipinos across the country were diagnosed with pertussis.The National Capital Region reported the highest number of cases with 38, followed by Calabarzon and Central Visayas. So far, 35 people have died due to this infection, said the DOH. (HIC) What is needed to play online games? GOVERNOR Gwendolyn Garcia has told the contractor of the Cebu Bus Rapid Transit (CBRT) to cease all civil works within Capitol-owned lots due to the alleged lack of a documentary permit.In a now-deleted post on the Provincial Government’s social media arm on Tuesday night, February 27, 2024, Garcia issued Memorandum 16-2024 ordering Hunan Road and Bridge Construction Group Ltd. to immediately stop the construction of the bus station in front of the Capitol building along Osmeña Blvd. in Cebu City. SunStar Cebu was able to get a screenshot of the memorandum from the now-deleted post.In the memorandum, Garcia said the Capitol discovered that the project’s proponents lacked the necessary authorization from the National Historical Commission of the Philippines (NHCP) for the construction of the bus stations along Osmeña Blvd.On Tuesday, Jose Eleazar Bersales of the National Commission for Culture and the Arts (NCCA) Advisory Board informed the governor about the potential violation of the project against the Philippine Heritage Law.The project “appears to be located” within the buffer zones of the Capitol Building and the Fuente Osmeña Rotunda, both of which could easily qualify as heritage zones, according to the memorandum.Bersales is the Capitol consultant on museums and heritage.Garcia tasked the Philippine National Police to monitor the strict implementation of her memorandum. FindingsShe said the project violates the National Cultural Heritage Act of 2009, or Republic Act (RA) 10066, as the contractor has not secured the necessary authorization from the NHCP.RA 10066 mandates the protection of structures and edifices older than 50 years, and any construction within designated buffer zones requires the authorization of the NHCP, she said.The Capitol building was declared a National Historical Landmark and has a Grade 1 Level Heritage Structure Classification. Garcia said this entails a stricter implementation of RA 10066. Completed in 1938, the edifice features neoclassical and art deco style, with similarities to the US Capitol building.SunStar Cebu reached out to Norvin Imbong, the CBRT’s project manager, on Wednesday, February 28, for comment, but to no avail.In February 2023, Garcia told CBRT proponents that the project would traverse some lots owned by the Province and sought “just compensation” from the Department of Transportation (DOTr).Each bus station occupies an area of 160 square meters, with drainage systems on both sides of the sidewalk.The bus station along Osmeña Blvd. is part of Package 1 of the project, which stretches from the Cebu South Bus Terminal on N. Bacalso Ave. to the front of the Capitol building.The entire CBRT project will start in Barangay Bulacao and in the South Road Properties in the south and run through Barangay Talamban in the north. It has a total project cost of around P28.78 billion.In a privilege speech during the regular session of the Cebu City Council on Wednesday, Feb. 28, Vice Mayor Raymond Alvin Garcia requested the Office of the Building Official to issue a cease-and-desist order against the CBRT contractor.He said it should come up with a better design for the stations that can be submitted and proposed to the appropriate bodies, including but not limited to the NCCA, Cultural and Historical Affairs Commission (Chac) and the council.He also urged Chac to collaborate with counterparts in Cebu Province to explore alternative designs, ensuring that these are more complementary and in conformity with existing laws and policies.In his speech, the vice mayor said the infrastructure being introduced within the historical and cultural vista corridor is part of a project intended to benefit constituents in Cebu City.However, he argued that it poses a significant threat to the integrity of the city’s shared identity, heritage and culture as the people of Cebu.“One cannot be allowed to cancel the other, especially if the proposed design did not even pass through both the Cultural and Historical Affairs Commission and the Sangguniang Panlungsod,” he said.President Ferdinand Marcos Jr. led the groundbreaking of the CBRT at the Fuente Osmeña Circle on Feb. 27, 2023, where he announced that it was one of the National Government’s flagship infrastructure projects.The Department of Transportation is the lead implementing agency. Both the governor and the vice mayor did not provide an explanation on why they waited one year to voice their objection to the design and placement of the CBRT bus stations. (EHP/AML)

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GOVERNOR Gwendolyn Garcia has told the contractor of the Cebu Bus Rapid Transit (CBRT) to cease all civil works within Capitol-owned lots due to the alleged lack of a documentary permit.In a now-deleted post on the Provincial Government’s social media arm on Tuesday night, February 27, 2024, Garcia issued Memorandum 16-2024 ordering Hunan Road and Bridge Construction Group Ltd. to immediately stop the construction of the bus station in front of the Capitol building along Osmeña Blvd. in Cebu City. SunStar Cebu was able to get a screenshot of the memorandum from the now-deleted post.In the memorandum, Garcia said the Capitol discovered that the project’s proponents lacked the necessary authorization from the National Historical Commission of the Philippines (NHCP) for the construction of the bus stations along Osmeña Blvd.On Tuesday, Jose Eleazar Bersales of the National Commission for Culture and the Arts (NCCA) Advisory Board informed the governor about the potential violation of the project against the Philippine Heritage Law.The project “appears to be located” within the buffer zones of the Capitol Building and the Fuente Osmeña Rotunda, both of which could easily qualify as heritage zones, according to the memorandum.Bersales is the Capitol consultant on museums and heritage.Garcia tasked the Philippine National Police to monitor the strict implementation of her memorandum. FindingsShe said the project violates the National Cultural Heritage Act of 2009, or Republic Act (RA) 10066, as the contractor has not secured the necessary authorization from the NHCP.RA 10066 mandates the protection of structures and edifices older than 50 years, and any construction within designated buffer zones requires the authorization of the NHCP, she said.The Capitol building was declared a National Historical Landmark and has a Grade 1 Level Heritage Structure Classification. Garcia said this entails a stricter implementation of RA 10066. Completed in 1938, the edifice features neoclassical and art deco style, with similarities to the US Capitol building.SunStar Cebu reached out to Norvin Imbong, the CBRT’s project manager, on Wednesday, February 28, for comment, but to no avail.In February 2023, Garcia told CBRT proponents that the project would traverse some lots owned by the Province and sought “just compensation” from the Department of Transportation (DOTr).Each bus station occupies an area of 160 square meters, with drainage systems on both sides of the sidewalk.The bus station along Osmeña Blvd. is part of Package 1 of the project, which stretches from the Cebu South Bus Terminal on N. Bacalso Ave. to the front of the Capitol building.The entire CBRT project will start in Barangay Bulacao and in the South Road Properties in the south and run through Barangay Talamban in the north. It has a total project cost of around P28.78 billion.In a privilege speech during the regular session of the Cebu City Council on Wednesday, Feb. 28, Vice Mayor Raymond Alvin Garcia requested the Office of the Building Official to issue a cease-and-desist order against the CBRT contractor.He said it should come up with a better design for the stations that can be submitted and proposed to the appropriate bodies, including but not limited to the NCCA, Cultural and Historical Affairs Commission (Chac) and the council.He also urged Chac to collaborate with counterparts in Cebu Province to explore alternative designs, ensuring that these are more complementary and in conformity with existing laws and policies.In his speech, the vice mayor said the infrastructure being introduced within the historical and cultural vista corridor is part of a project intended to benefit constituents in Cebu City.However, he argued that it poses a significant threat to the integrity of the city’s shared identity, heritage and culture as the people of Cebu.“One cannot be allowed to cancel the other, especially if the proposed design did not even pass through both the Cultural and Historical Affairs Commission and the Sangguniang Panlungsod,” he said.President Ferdinand Marcos Jr. led the groundbreaking of the CBRT at the Fuente Osmeña Circle on Feb. 27, 2023, where he announced that it was one of the National Government’s flagship infrastructure projects.The Department of Transportation is the lead implementing agency. Both the governor and the vice mayor did not provide an explanation on why they waited one year to voice their objection to the design and placement of the CBRT bus stations. (EHP/AML) What is needed to play online games?

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HEALTH officials in the cities of Mandaue and Lapu-Lapu in Cebu have confirmed logging pertussis cases, including several suspected pertussis cases, especially among children and infants.Agnes Realiza, head of the Lapu-Lapu City Health Office (LCHO), and Debra Catulong, head of the Mandaue City Health Office (MCHO), said in an interview with SunStar Tuesday, March 26, 2024, that they have been increasing the administration of pentavalent vaccines to contain the spread of the disease, particularly among toddlers and infants.They have also been conducting catch-up vaccinations, or administering vaccines to those who missed out on a particular vaccine at the recommended age or missed a scheduled vaccination dose. The pentavalent vaccine, as defined by the World Health Organization, protects children and infants from potentially deadly diseases, which include diphtheria, tetanus, Hib, hepatitis B, and pertussis.Realiza reported on March 25 that there was only one confirmed case of pertussis in Lapu-Lapu, while 15 were suspected to be pertussis cases. These 15, however, were later identified to be not related to the respiratory illness.Catulong, for her part, did not give an exact number but confirmed that Mandaue City also has confirmed and suspected cases of the disease.Both Mandaue and Lapu-Lapu have had no outbreaks of pertussis, said the two officials.Early consultation Both Realiza and Catulong recommended that parents should seek immediate medical consultation, such as visiting the LCHO and MCHO, if they notice that their children have coughs and colds. Catulong also reminded parents to follow the instructions for medication intake and isolate the pertussis-infected child from other children to prevent contamination.According to the Centers for Disease Control and Prevention (CDC), pertussis, commonly known as "whooping cough," is a highly contagious respiratory tract infection that can affect people of all ages but is especially dangerous for babies. It is caused by the bacterium Bordetella pertussis.The bacteria spread easily from person to person through the air. The CDC said the whooping cough can only be contracted from other humans.The early symptoms of pertussis include a runny or stuffy nose, a mild and occasional cough (mostly common for adults), low-grade fever (less than 38 degrees Celsius), apnea (life-threatening pauses in breathing), and cyanosis (turning blue or purple) in babies and toddlers.If left untreated for two weeks, the infected person may start to develop whooping cough, which is later accompanied by paroxysms -- rapid, violent, uncontrollable coughing fits that can cause the infected person to struggle to breathe and vomit that last up to 10 weeks.The CDC said babies infected with pertussis are likely to suffer from difficulty in breathing, while teenagers and adults generally have milder symptoms.Hand washing Realiza and Catulong advised the public to practice proper handwashing and resume wearing face masks to prevent the spread of the disease.The two health officials emphasized the importance of vaccinating children against common diseases like pertussis and seeking regular check-ups at health centers.Realiza said they continue to conduct health education for parents in Lapu-Lapu to properly take care of their children and ensure they receive ample nutrition.Expected to riseIn the past week, three cities in the Philippines -- Quezon, Pasig, and Iloilo -- have declared an outbreak of pertussis.Quezon and Pasig recorded almost 50 cases and six deaths, while Iloilo reported 15 cases with eight suspected cases. Department of Health (DOH) Undersecretary Eric Tayag said many areas in the country are on high alert due to the spread of pertussis, especially among children. The DOH expects the number of cases to continue to rise. Within the first 10 weeks of 2024, 453 Filipinos across the country were diagnosed with pertussis.The National Capital Region reported the highest number of cases with 38, followed by Calabarzon and Central Visayas. So far, 35 people have died due to this infection, said the DOH. (HIC) Where can I bet on games? . How varied could the best PH online casino free spins bonuses be? While to claim free spins bonuses, you don't need that much, the difficult part comes when our jobs. here is how to register at an online casino site in the Philippines:

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HEALTH officials in the cities of Mandaue and Lapu-Lapu in Cebu have confirmed logging pertussis cases, including several suspected pertussis cases, especially among children and infants.Agnes Realiza, head of the Lapu-Lapu City Health Office (LCHO), and Debra Catulong, head of the Mandaue City Health Office (MCHO), said in an interview with SunStar Tuesday, March 26, 2024, that they have been increasing the administration of pentavalent vaccines to contain the spread of the disease, particularly among toddlers and infants.They have also been conducting catch-up vaccinations, or administering vaccines to those who missed out on a particular vaccine at the recommended age or missed a scheduled vaccination dose. The pentavalent vaccine, as defined by the World Health Organization, protects children and infants from potentially deadly diseases, which include diphtheria, tetanus, Hib, hepatitis B, and pertussis.Realiza reported on March 25 that there was only one confirmed case of pertussis in Lapu-Lapu, while 15 were suspected to be pertussis cases. These 15, however, were later identified to be not related to the respiratory illness.Catulong, for her part, did not give an exact number but confirmed that Mandaue City also has confirmed and suspected cases of the disease.Both Mandaue and Lapu-Lapu have had no outbreaks of pertussis, said the two officials.Early consultation Both Realiza and Catulong recommended that parents should seek immediate medical consultation, such as visiting the LCHO and MCHO, if they notice that their children have coughs and colds. Catulong also reminded parents to follow the instructions for medication intake and isolate the pertussis-infected child from other children to prevent contamination.According to the Centers for Disease Control and Prevention (CDC), pertussis, commonly known as "whooping cough," is a highly contagious respiratory tract infection that can affect people of all ages but is especially dangerous for babies. It is caused by the bacterium Bordetella pertussis.The bacteria spread easily from person to person through the air. The CDC said the whooping cough can only be contracted from other humans.The early symptoms of pertussis include a runny or stuffy nose, a mild and occasional cough (mostly common for adults), low-grade fever (less than 38 degrees Celsius), apnea (life-threatening pauses in breathing), and cyanosis (turning blue or purple) in babies and toddlers.If left untreated for two weeks, the infected person may start to develop whooping cough, which is later accompanied by paroxysms -- rapid, violent, uncontrollable coughing fits that can cause the infected person to struggle to breathe and vomit that last up to 10 weeks.The CDC said babies infected with pertussis are likely to suffer from difficulty in breathing, while teenagers and adults generally have milder symptoms.Hand washing Realiza and Catulong advised the public to practice proper handwashing and resume wearing face masks to prevent the spread of the disease.The two health officials emphasized the importance of vaccinating children against common diseases like pertussis and seeking regular check-ups at health centers.Realiza said they continue to conduct health education for parents in Lapu-Lapu to properly take care of their children and ensure they receive ample nutrition.Expected to riseIn the past week, three cities in the Philippines -- Quezon, Pasig, and Iloilo -- have declared an outbreak of pertussis.Quezon and Pasig recorded almost 50 cases and six deaths, while Iloilo reported 15 cases with eight suspected cases. Department of Health (DOH) Undersecretary Eric Tayag said many areas in the country are on high alert due to the spread of pertussis, especially among children. The DOH expects the number of cases to continue to rise. Within the first 10 weeks of 2024, 453 Filipinos across the country were diagnosed with pertussis.The National Capital Region reported the highest number of cases with 38, followed by Calabarzon and Central Visayas. So far, 35 people have died due to this infection, said the DOH. (HIC) licensed online casinos GOVERNOR Gwendolyn Garcia has told the contractor of the Cebu Bus Rapid Transit (CBRT) to cease all civil works within Capitol-owned lots due to the alleged lack of a documentary permit.In a now-deleted post on the Provincial Government’s social media arm on Tuesday night, February 27, 2024, Garcia issued Memorandum 16-2024 ordering Hunan Road and Bridge Construction Group Ltd. to immediately stop the construction of the bus station in front of the Capitol building along Osmeña Blvd. in Cebu City. SunStar Cebu was able to get a screenshot of the memorandum from the now-deleted post.In the memorandum, Garcia said the Capitol discovered that the project’s proponents lacked the necessary authorization from the National Historical Commission of the Philippines (NHCP) for the construction of the bus stations along Osmeña Blvd.On Tuesday, Jose Eleazar Bersales of the National Commission for Culture and the Arts (NCCA) Advisory Board informed the governor about the potential violation of the project against the Philippine Heritage Law.The project “appears to be located” within the buffer zones of the Capitol Building and the Fuente Osmeña Rotunda, both of which could easily qualify as heritage zones, according to the memorandum.Bersales is the Capitol consultant on museums and heritage.Garcia tasked the Philippine National Police to monitor the strict implementation of her memorandum. FindingsShe said the project violates the National Cultural Heritage Act of 2009, or Republic Act (RA) 10066, as the contractor has not secured the necessary authorization from the NHCP.RA 10066 mandates the protection of structures and edifices older than 50 years, and any construction within designated buffer zones requires the authorization of the NHCP, she said.The Capitol building was declared a National Historical Landmark and has a Grade 1 Level Heritage Structure Classification. Garcia said this entails a stricter implementation of RA 10066. Completed in 1938, the edifice features neoclassical and art deco style, with similarities to the US Capitol building.SunStar Cebu reached out to Norvin Imbong, the CBRT’s project manager, on Wednesday, February 28, for comment, but to no avail.In February 2023, Garcia told CBRT proponents that the project would traverse some lots owned by the Province and sought “just compensation” from the Department of Transportation (DOTr).Each bus station occupies an area of 160 square meters, with drainage systems on both sides of the sidewalk.The bus station along Osmeña Blvd. is part of Package 1 of the project, which stretches from the Cebu South Bus Terminal on N. Bacalso Ave. to the front of the Capitol building.The entire CBRT project will start in Barangay Bulacao and in the South Road Properties in the south and run through Barangay Talamban in the north. It has a total project cost of around P28.78 billion.In a privilege speech during the regular session of the Cebu City Council on Wednesday, Feb. 28, Vice Mayor Raymond Alvin Garcia requested the Office of the Building Official to issue a cease-and-desist order against the CBRT contractor.He said it should come up with a better design for the stations that can be submitted and proposed to the appropriate bodies, including but not limited to the NCCA, Cultural and Historical Affairs Commission (Chac) and the council.He also urged Chac to collaborate with counterparts in Cebu Province to explore alternative designs, ensuring that these are more complementary and in conformity with existing laws and policies.In his speech, the vice mayor said the infrastructure being introduced within the historical and cultural vista corridor is part of a project intended to benefit constituents in Cebu City.However, he argued that it poses a significant threat to the integrity of the city’s shared identity, heritage and culture as the people of Cebu.“One cannot be allowed to cancel the other, especially if the proposed design did not even pass through both the Cultural and Historical Affairs Commission and the Sangguniang Panlungsod,” he said.President Ferdinand Marcos Jr. led the groundbreaking of the CBRT at the Fuente Osmeña Circle on Feb. 27, 2023, where he announced that it was one of the National Government’s flagship infrastructure projects.The Department of Transportation is the lead implementing agency. Both the governor and the vice mayor did not provide an explanation on why they waited one year to voice their objection to the design and placement of the CBRT bus stations. (EHP/AML)

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HEALTH officials in the cities of Mandaue and Lapu-Lapu in Cebu have confirmed logging pertussis cases, including several suspected pertussis cases, especially among children and infants.Agnes Realiza, head of the Lapu-Lapu City Health Office (LCHO), and Debra Catulong, head of the Mandaue City Health Office (MCHO), said in an interview with SunStar Tuesday, March 26, 2024, that they have been increasing the administration of pentavalent vaccines to contain the spread of the disease, particularly among toddlers and infants.They have also been conducting catch-up vaccinations, or administering vaccines to those who missed out on a particular vaccine at the recommended age or missed a scheduled vaccination dose. The pentavalent vaccine, as defined by the World Health Organization, protects children and infants from potentially deadly diseases, which include diphtheria, tetanus, Hib, hepatitis B, and pertussis.Realiza reported on March 25 that there was only one confirmed case of pertussis in Lapu-Lapu, while 15 were suspected to be pertussis cases. These 15, however, were later identified to be not related to the respiratory illness.Catulong, for her part, did not give an exact number but confirmed that Mandaue City also has confirmed and suspected cases of the disease.Both Mandaue and Lapu-Lapu have had no outbreaks of pertussis, said the two officials.Early consultation Both Realiza and Catulong recommended that parents should seek immediate medical consultation, such as visiting the LCHO and MCHO, if they notice that their children have coughs and colds. Catulong also reminded parents to follow the instructions for medication intake and isolate the pertussis-infected child from other children to prevent contamination.According to the Centers for Disease Control and Prevention (CDC), pertussis, commonly known as "whooping cough," is a highly contagious respiratory tract infection that can affect people of all ages but is especially dangerous for babies. It is caused by the bacterium Bordetella pertussis.The bacteria spread easily from person to person through the air. The CDC said the whooping cough can only be contracted from other humans.The early symptoms of pertussis include a runny or stuffy nose, a mild and occasional cough (mostly common for adults), low-grade fever (less than 38 degrees Celsius), apnea (life-threatening pauses in breathing), and cyanosis (turning blue or purple) in babies and toddlers.If left untreated for two weeks, the infected person may start to develop whooping cough, which is later accompanied by paroxysms -- rapid, violent, uncontrollable coughing fits that can cause the infected person to struggle to breathe and vomit that last up to 10 weeks.The CDC said babies infected with pertussis are likely to suffer from difficulty in breathing, while teenagers and adults generally have milder symptoms.Hand washing Realiza and Catulong advised the public to practice proper handwashing and resume wearing face masks to prevent the spread of the disease.The two health officials emphasized the importance of vaccinating children against common diseases like pertussis and seeking regular check-ups at health centers.Realiza said they continue to conduct health education for parents in Lapu-Lapu to properly take care of their children and ensure they receive ample nutrition.Expected to riseIn the past week, three cities in the Philippines -- Quezon, Pasig, and Iloilo -- have declared an outbreak of pertussis.Quezon and Pasig recorded almost 50 cases and six deaths, while Iloilo reported 15 cases with eight suspected cases. Department of Health (DOH) Undersecretary Eric Tayag said many areas in the country are on high alert due to the spread of pertussis, especially among children. The DOH expects the number of cases to continue to rise. Within the first 10 weeks of 2024, 453 Filipinos across the country were diagnosed with pertussis.The National Capital Region reported the highest number of cases with 38, followed by Calabarzon and Central Visayas. So far, 35 people have died due to this infection, said the DOH. (HIC) Where can I bet on games?

Some of the most important trends revolve around the changes to the legalisation of online gambling for offshore operators, with President Rodrigo Duterte cracking down on illegal operations in recent years. Otherwise, we’ve identified that the growth in the land-based gambling industry has resulted in job creation for locals, with more than half of all employees in the entertainment sector being employed for gambling and betting activities.

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