COVID-19 pandemic in the Philippines

The COVID-19 pandemic in the Philippines is part of the worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus reached the Philippines on January 30, 2020, when the first case of the disease was confirmed in Metro Manila. It involved a 38-year-old Chinese woman who was confined in the San Lazaro Hospital in Manila. The second case was confirmed on February 2, that of a 44-year-old Chinese man who died a day earlier, which was also the first confirmed death from the disease outside mainland China.[2][3][4]

COVID-19 pandemic in the Philippines
Map of provinces (including Metro Manila) with confirmed COVID-19 cases (as of June 24)[lower-alpha 1]
  ≥5000 confirmed
  1000–4999 confirmed
  500–999 confirmed
  100–499 confirmed
  10–99 confirmed
  1–9 confirmed
Map of provinces (including independent cities) with confirmed COVID-19 cases (as of June 24)
  ≥1000 confirmed
  500–999 confirmed
  100–499 confirmed
  10–99 confirmed
  1–9 confirmed
DiseaseCOVID-19
Virus strainSARS-CoV-2
LocationPhilippines
First outbreakWuhan, Hubei, China
Index caseManila
Arrival dateJanuary 30, 2020
(4 months and 4 weeks)
Confirmed cases34,073
Active cases23,667
Suspected cases4,819[1]
Severe cases123[1]
Critical cases24[1]
Recovered9,182
Deaths
1,224
Fatality rate3.59%
Government website
Suspected cases have not been confirmed as being due to this strain by laboratory tests, although some other strains may have been ruled out.

After over a month without recording any cases, the Philippines had confirmed its first local transmission on March 7, 2020,[5][6] and since then, the virus spread to the country with at least one case being confirmed in all of the country's 17 regions. Socio-economic status has been associated with the prevalence of COVID-19 cases across the 17 regions of the country.[7]

As of June 26, 2020, there have been 34,073 confirmed cases of the disease in the country. Out of these cases, 9,182 recoveries and 1,224 deaths were recorded.[8][9] The Philippines has the third most number of cases in Southeast Asia, 15th in Asia, and 39th in the world. The largest single-day increase in the number of confirmed cases was reported on June 23, when the Department of Health (DOH) reported 1,186 new cases.[10]

As of June 25, the country has 63 subnational laboratories capable of detecting the SARS-CoV-2 virus and has conducted a total of 662,647 tests from more than 610,052 unique individuals.[1][8]

Timeline

January–February 2020 – first cases

COVID-19 cases in the Philippines  ()
     Deaths        Recoveries        Active cases

Jan Jan Feb Feb Mar Mar Apr Apr May May Jun Jun Last 15 days Last 15 days

Date
# of cases
# of deaths
2020-01-30
1(n.a.) 0(n.a.)
1(=) 0(n.a.)
2020-02-02
2(+100%) 0(n.a.)
2(=) 0(n.a.)
2020-02-05
3(+50%) 1(n.a.)
3(=) 1(=)
2020-02-10
3(=) 1(=)
3(=) 1(=)
2020-03-05
5(+67%) 1(=)
2020-03-06
5(=) 1(=)
2020-03-07
6(+20%) 1(=)
2020-03-08
10(+67%) 1(=)
2020-03-09
24(+140%) 1(=)
2020-03-10
33(+38%) 1(=)
2020-03-11
49(+48%) 2(+100%)
2020-03-12
52(+6.1%) 5(+150%)
2020-03-13
64(+23%) 6(+20%)
2020-03-14
111(+73%) 8(+33%)
2020-03-15
140(+26%) 12(+50%)
2020-03-16
142(+1.4%) 12(=)
2020-03-17
187(+32%) 14(+17%)
2020-03-18
202(+8%) 17(+21%)
2020-03-19
217(+7.4%) 17(=)
2020-03-20
230(+6%) 18(+5.9%)
2020-03-21
307(+33%) 19(+5.6%)
2020-03-22
380(+24%) 25(+32%)
2020-03-23
462(+22%) 33(+32%)
2020-03-24
552(+19%) 35(+6.1%)
2020-03-25
636(+15%) 38(+8.6%)
2020-03-26
707(+11%) 45(+18%)
2020-03-27
803(+14%) 54(+20%)
2020-03-28
1,075(+34%) 68(+26%)
2020-03-29
1,418(+32%) 71(+4.4%)
2020-03-30
1,546(+9%) 78(+9.9%)
2020-03-31
2,084(+35%) 88(+13%)
2020-04-01
2,311(+11%) 96(+9.1%)
2020-04-02
2,633(+14%) 107(+11%)
2020-04-03
3,018(+15%) 136(+27%)
2020-04-04
3,094(+2.5%) 144(+5.9%)
2020-04-05
3,246(+4.9%) 152(+5.6%)
2020-04-06
3,660(+13%) 163(+7.2%)
2020-04-07
3,764(+2.8%) 177(+8.6%)
2020-04-08
3,870(+2.8%) 182(+2.8%)
2020-04-09
4,076(+5.3%) 203(+12%)
2020-04-10
4,195(+2.9%) 221(+8.9%)
2020-04-11
4,428(+5.6%) 247(+12%)
2020-04-12
4,648(+5%) 297(+20%)
2020-04-13
4,932(+6.1%) 315(+6.1%)
2020-04-14
5,223(+5.9%) 335(+6.3%)
2020-04-15
5,453(+4.4%) 349(+4.2%)
2020-04-16
5,660(+3.8%) 362(+3.7%)
2020-04-17
5,878(+3.9%) 387(+6.9%)
2020-04-18
6,087(+3.6%) 397(+2.6%)
2020-04-19
6,259(+2.8%) 409(+3%)
2020-04-20
6,459(+3.2%) 428(+4.6%)
2020-04-21
6,599(+2.2%) 437(+2.1%)
2020-04-22
6,710(+1.7%) 446(+2.1%)
2020-04-23
6,981(+4%) 462(+3.6%)
2020-04-24
7,192(+3%) 477(+3.2%)
2020-04-25
7,294(+1.4%) 494(+3.6%)
2020-04-26
7,579(+3.9%) 501(+1.4%)
2020-04-27
7,777(+2.6%) 511(+2%)
2020-04-28
7,958(+2.3%) 530(+3.7%)
2020-04-29
8,212(+3.2%) 558(+5.3%)
2020-04-30
8,488(+3.4%) 568(+1.8%)
2020-05-01
8,772(+3.3%) 579(+1.9%)
2020-05-02
8,928(+1.8%) 603(+4.1%)
2020-05-03
9,223(+3.3%) 607(+0.66%)
2020-05-04
9,485(+2.8%) 623(+2.6%)
2020-05-05
9,684(+2.1%) 637(+2.2%)
2020-05-06
10,004(+3.3%) 658(+3.3%)
2020-05-07
10,343(+3.4%) 685(+4.1%)
2020-05-08
10,463(+1.2%) 696(+1.6%)
2020-05-09
10,610(+1.4%) 704(+1.1%)
2020-05-10
10,794(+1.7%) 719(+2.1%)
2020-05-11
11,086(+2.7%) 726(+0.97%)
2020-05-12
11,350(+2.4%) 751(+3.4%)
2020-05-13
11,618(+2.4%) 772(+2.8%)
2020-05-14
11,876(+2.2%) 790(+2.3%)
2020-05-15
12,091(+1.8%) 806(+2%)
2020-05-16
12,305(+1.8%) 817(+1.4%)
2020-05-17
12,513(+1.7%) 824(+0.86%)
2020-05-18
12,718(+1.6%) 831(+0.85%)
2020-05-19
12,942(+1.8%) 837(+0.72%)
2020-05-20
13,221(+2.2%) 842(+0.6%)
2020-05-21
13,434(+1.6%) 846(+0.48%)
2020-05-22
13,597(+1.2%) 857(+1.3%)
2020-05-23
13,777(+1.3%) 863(+0.7%)
2020-05-24
14,035(+1.9%) 868(+0.58%)
2020-05-25
14,319(+2%) 873(+0.58%)
2020-05-26
14,669(+2.4%) 886(+1.5%)
2020-05-27
15,049(+2.6%) 904(+2%)
2020-05-28
15,588(+3.6%) 921(+1.9%)
2020-05-29
16,634(+6.7%) 942(+2.3%)
2020-05-30
17,224(+3.5%) 950(+0.85%)
2020-05-31
18,086(+5%) 957(+0.74%)
2020-06-01
18,638(+3.1%) 960(+0.31%)
2020-06-02
18,997(+1.9%) 966(+0.62%)
2020-06-03
19,748(+4%) 974(+0.83%)
2020-06-04
20,382(+3.2%) 984(+1%)
2020-06-05
20,626(+1.2%) 987(+0.3%)
2020-06-06
21,340(+3.5%) 994(+0.71%)
2020-06-07
21,895(+2.6%) 1,003(+0.91%)
2020-06-08
22,474(+2.6%) 1,011(+0.8%)
2020-06-09
22,992(+2.3%) 1,017(+0.59%)
2020-06-10
23,732(+3.2%) 1,027(+0.98%)
2020-06-11
24,175(+1.9%) 1,036(+0.88%)
2020-06-12
24,787(+2.5%) 1,052(+1.5%)
2020-06-13
25,392(+2.4%) 1,074(+2.1%)
2020-06-14
25,930(+2.1%) 1,088(+1.3%)
2020-06-15
26,420(+1.9%) 1,098(+0.92%)
2020-06-16
26,781(+1.4%) 1,103(+0.46%)
2020-06-17
27,238(+1.7%) 1,108(+0.45%)
2020-06-18
27,799(+2.1%) 1,116(+0.72%)
2020-06-19
28,459(+2.4%) 1,130(+1.3%)
2020-06-20
29,400(+3.3%) 1,150(+1.8%)
2020-06-21
30,052(+2.2%) 1,169(+1.7%)
2020-06-22
30,682(+2.1%) 1,177(+0.68%)
2020-06-23
31,825(+3.7%) 1,186(+0.76%)
2020-06-24
32,295(+1.5%) 1,204(+1.5%)
2020-06-25
33,069(+2.4%) 1,212(+0.66%)
2020-06-26
34,073(+3%) 1,224(+0.99%)

The Philippines reported its first suspected case of COVID-19 in January 2020. The case was that of a 5-year-old boy in Cebu, who arrived in the country on January 12 with his mother.[11] At that time, the Philippines has no capability to conduct tests to confirm suspected COVID-19 cases.[12][13] The boy tested positive for "non-specific pancoronavirus assay" by the Research Institute for Tropical Medicine (RITM) in Muntinlupa, and samples from the boy were sent to the Victorian Infectious Disease Reference Laboratory in Melbourne, Australia, for confirmatory testing to determine the specific coronavirus strain.[11] The boy tested negative for COVID-19 but several suspected cases were reported in various parts of the country.[14]

The RITM developed capability to conduct confirmatory tests for COVID-19 in response to the emergence of suspected COVID-19 cases. It started conducting confirmatory tests on January 30.[12][13]

The first case of COVID-19 in the Philippines was confirmed on the same day. The diagnosed patient was a 38-year-old Chinese woman from Wuhan, who had arrived in Manila from Hong Kong on January 21.[15] She was admitted to the San Lazaro Hospital in Manila[16] on January 25 after she sought a consultation due to a mild cough. At the time of the confirmation announcement, the Chinese woman was already asymptomatic.[17]

The second case was confirmed on February 2, a 44-year-old Chinese male who was the companion of the first case. His death on February 1 was the first recorded outside China. He suffered from coinfection with influenza and Streptococcus pneumoniae.[18]

On February 5, the DOH confirmed a third case in a 60-year-old Chinese woman who flew into Cebu City from Hong Kong on January 20 before she traveled to Bohol where she consulted a doctor at a private hospital on January 22, due to fever and rhinitis. Samples taken from the patient on January 24 returned a negative result, but the DOH was notified on February 3 that samples taken from the patient on January 23 tested positive for the virus. The patient upon recovery on January 31 was allowed to go home to China.[19]

March 2020 – early spread

Number of cases (blue) and number of deaths (red) on a logarithmic scale.

After a month of reporting no new cases, on March 6, the DOH announced two cases consisting of two Filipinos. One is a 48-year-old man with a travel history to Japan, returning on February 25 and reported symptoms on March 3.[20] The other is a 60-year-old man with a history of hypertension and diabetes who experienced symptoms on February 25 and was admitted to a hospital on March 1 when he experienced pneumonia. He had last visited a Muslim prayer hall in San Juan.[20] The DOH confirmed that the fifth case had no travel history outside the Philippines and is, therefore, the first case of local transmission. A sixth case was later confirmed, that of a 59-year-old woman who is the wife of the fifth case.[21] Since then, the Department of Health recorded a continuous increase in the number of COVID-19 cases in the country.[22]

Cases abroad involving foreigners with travel history in the Philippines were reported in early March 2020. The first three recorded cases involving an Australian, a Japanese, and a Taiwanese national had a history of visiting the Philippines in February 2020. Though it was unconfirmed whether or not they had contracted the virus while in the Philippines, speculations arose on undetected local transmissions in the country due to prior confirmation of the Philippines' first case of local transmission.[23][24][25]

Several measures were imposed to mitigate the spread of the disease in the country, including bans on travel to mainland China, Hong Kong, Macau, and South Korea. On March 7, 2020, the Department of Health (DOH) raised its "Code Red Sub-Level 1," with a recommendation to the President of the Philippines to impose a "public health emergency" authorizing the DOH to mobilize resources for the procurement of safety gear and the imposition of preventive quarantine measures.[17] On March 9, President Rodrigo Duterte issued Proclamation No. 922, declaring the country under a state of public health emergency.[26]

On March 12, President Duterte declared "Code Red Sub-Level 2," issuing a partial lockdown on Metro Manila to prevent a nationwide spread of COVID-19.[27][28] The lockdowns were expanded on March 16, placing the entirety of Luzon under an "enhanced community quarantine" (ECQ).[29] Other local governments outside Luzon followed in implementing similar lockdowns. On March 17, President Duterte issued Proclamation No. 929, declaring the Philippines under a state of calamity for a tentative period of six months.[30]

Additional facilities started to conduct confirmatory testing. On March 20, four facilities, namely the Southern Philippines Medical Center in Davao City, Vicente Sotto Memorial Medical Center in Cebu City, Baguio General Hospital and Medical Center in Benguet, and the San Lazaro Hospital in Manila (where the first case was admitted to), began conducting tests as well augmenting the RITM.[31] Other facilities began operations as well in the following days.[8]

On March 25, the President signed the Bayanihan to Heal as One Act, which gave him additional powers to handle the outbreak.[32][33]

April 2020 – quarantine extensions

President Duterte on April 7 accepted the recommendation of the Inter-Agency Task Force on Emerging Infectious Diseases (IATF-EID) to extend the ECQ in Luzon until April 30.[34]

On April 17, it was reported that the country has been able to bring down the viral disease' reproduction number to 0.65 from 1.5, which means that the average number of people a person can infect decreased from more than one to less than one.[35] Recent data at the time suggest that the country is doing better in "flattening the curve",[36] but was warned of "resurgence" and must ramp up mass testing in order to isolate cases and avoid further transmission of COVID-19.[35]

Sometime in late April, local government units (LGUs) were no longer authorized to impose quarantine measures without the consent of the IATF-EID. Prior to that period, LGUs could impose such measures in coordination with the Department of the Interior and Local Government.[37]

May–June 2020 – easing lockdowns

The ECQ in Luzon was extended until May 15 in some areas. This includes Metro Manila, Calabarzon, Central Luzon (except Aurora), Pangasinan, and Benguet. ECQ measures were also extended in the provinces of Iloilo and Cebu as well as in Davao City.[38][39][40][41] Other areas were downgraded or placed under general community quarantine (GCQ).[42]

After May 15, the Philippine government revised its quarantine classifications in correspondence on earlier announcement that "Science and Economics will be considered for any changes of the lockdown measures."[43] A modified enhanced community quarantine (MECQ) was applied to Metro Manila, Laguna, and Cebu City, while a GCQ was raised to 41 provinces and 10 cities with moderate risk.[44][45] Meanwhile, 40 provinces and 11 cities that were considered "low-risk areas" were supposed to be released from community quarantine measures, but were eventually upgraded to a "modified general community quarantine" (MGCQ) after a reportedly "honest mistake" from the national government and requests from respective LGUs.[46]

Once again, the Philippine government revised its announcements and declared the entire country under GCQ, while Metro Manila, Laguna, and Cebu City continued to implement an MECQ. This is temporary until guidelines of MGCQ for low-risk areas is finalized.[47] The IATF-EID is also reportedly considering the reclassification of provinces and cities in Central Luzon as "high-risk areas" under MECQ.[48]

After receiving petitions from LGUs, the IATF-EID revised its quarantine policies yet again. Cebu City and Mandaue were placed under ECQ, while Metro Manila, Laguna, and Central Luzon (except for Aurora and Tarlac) are all on MECQ. The remaining parts of the country are still on GCQ.[49]

Dr. Edsel Maurice Salvana, who is an IATF-EID member and the director of the Institute of Molecular Biology and Biotechnology at the University of the Philippines, said on May 20, that the strain of COVID-19 which arrived in the country in March likely originated from India. The virus strain's family tree is said by Salvana to have appeared in China and Australia.[50]

Cases

Notable cases

Officials of the Department of Foreign Affairs (DFA) and relatives receive Philippine Ambassador to Lebanon Bernardita Catalla, who died due to COVID-19. Her body was repatriated to Manila in April 2020.

Three incumbent and two former Senators of the Philippines have contracted COVID-19. On March 16, Senate Majority Leader Juan Miguel Zubiri confirmed that he tested positive for COVID-19, but was already cleared of the virus last April 12.[51][52] On March 25, Senator Koko Pimentel announced that he had also tested positive for COVID-19.[53] The following day, Senator Sonny Angara became the third senator to announce his COVID-19 diagnosis after yielding a positive result.[54] Eleven days later, Angara announced that he is also a survivor and was even able to donate his plasma for plasmapheresis when he retested positive for SARS-CoV-2 remnants on May 2.[55][56][57] On March 31, former Senator Bongbong Marcos declared that he also tested positive for COVID-19, but has claimed to have already recovered.[58][59] Another former Senator, Heherson Alvarez, and his wife were reported to be in critical condition after contracting the virus;[60] Alvarez was even set to receive plasma from a recovered patient through convalescent plasma therapy, but died on April 20.[61]

Among the Cabinet of President Rodrigo Duterte's administration, Interior and Local Government Secretary Eduardo Año[62] and Education Secretary Leonor Briones[63] were confirmed to have tested positive for COVID-19. AFP Chief of Staff General Felimon Santos, Jr. also tested positive for COVID-19.[64] All of them have recovered.[65][66][67]

On March 31, former Prime Minister and Finance Secretary Cesar Virata was reported to have been admitted to the intensive care unit of St. Luke's Medical Center – Global City due to a stroke and pneumonia. Virata was later confirmed to have contracted the disease.[60] He was discharged on April 15.[68]

On March 25, Rizal province Governor Rebecca Ynares announced that she had contracted COVID-19.[69]

Several personalities in the Philippine showbiz have contracted the virus. Actors Christopher de Leon[70] and Menggie Cobarrubias,[71] as well as actresses Iza Calzado[72] and Sylvia Sanchez[73] all tested positive for COVID-19. De Leon, Calzado, and Sanchez have recovered,[74][75] while Cobarrubias died five days before testing positive of the disease.[71] Fashion designer Ito Curata also succumbed to the disease.[76] Additionally, GMA Network journalist Howie Severino contracted the virus and recovered, prompting him to make a documentary on his experience.[77]

Two Filipino foreign relations experts have also died from COVID-19: Professor Aileen Baviera, a former dean of the University of the Philippines Asian Center and a leading expert on China, died on March 21 before being confirmed for having the virus,[78] and seasoned diplomat Bernardita Catalla, who previously served as the Philippine ambassador to Lebanon, Hong Kong, Malaysia, and Indonesia, also died from the disease.[79]

By region

Map of regions with confirmed COVID-19 cases (as of June 16)[lower-alpha 2]
  ≥10000 confirmed
  5000–9999 confirmed
  1000–4999 confirmed
  100–999 confirmed
  10–99 confirmed
  1–9 confirmed

By demographic

Age and sex

Among the confirmed cases, most are in their 30s and majority are male.[8][9]

The oldest person to have recovered from COVID-19 in the Philippines (as of April 12) is reportedly a 95-year-old man from Mandaluyong,[80] while the oldest to die from the disease in Western Visayas (and presumably in the country as of April 9) was a 94-year-old man from Miag-ao, Iloilo.[81] The youngest patient to recover (as of April 30) was a 16-day-old boy from Quezon City,[82] whereas the youngest death due to complications from COVID-19 (as of April 14) was a 29-day-old infant from the province of Batangas.[83]

Front line workers

As of June 3, the DOH reported 2,703 healthcare personnel to have contracted COVID-19. This constitutes to 14% of the total cases in the country, which is significantly higher compared to the infection rate of 2–3% for healthcare workers in the Western Pacific Region.[84]

Additionally, as of May 21, there are already 260 police officers from the Philippine National Police who were infected with the disease and four fatalities.[85] According to Brigadier General Edgar Arevallo, Spokesman of the Armed Forces of the Philippines, there are 44 COVID-infected military men recorded as of May 20.[86] There are also 160 members of the Presidential Security Group (PSG) who tested positive to COVID-19, said PSG Commander Colonel Jesus Durante III.[87]

Filipino expatriates

The Department of Foreign Affairs (DFA) provides information regarding the number of Filipino nationals abroad to have contracted COVID-19. The DFA keeps an official tally of confirmed Filipino COVID-19 cases per region instead of by country. As of May 30, there have been 2,868 overseas Filipinos from in 47 countries and territories that tested positive for COVID-19.[88] This count is not included in the national tally of cases by the DOH.

The first confirmed case of a Filipino national outside the Philippines was announced by the DFA on February 5, 2020 – that of a crew member of the Diamond Princess cruise ship quarantined off the coast of Yokohama, Japan.[89]

Suspected cases

The DOH previously used the designation "patients under investigation" (PUIs) and "persons under monitoring" (PUMs) to manage suspected and confirmed cases. PUIs involved individuals who had a travel history to Wuhan but by February 3, the DOH has expanded the scope of PUIs to include individuals who had a travel history to any part of China.[8] "Persons under monitoring" are asymptomatic individuals with known history of exposure to another person with confirmed COVID-19 infection.[90]

On April 11, the DOH revised its terminology for PUIs; "suspect" and "probable" cases. Suspect cases involves individuals exhibiting flu-like symptoms and has a history of travel to areas with reported local transmission within 14 days prior to the manifestation of their symptoms. Someone with fever, cough or shortness of breath who is above 60 years old, pregnant, with other underlying illness, or a health worker could also be considered as a suspect case. Patients admitted to a hospital due to severe symptoms caused by an undetermined lung disease could also be tagged as a suspect case. Probable cases involves persons who underwent testing with results that need further validation, and those who were tested but whose test were not facilitated in an official laboratory for a reverse transcription polymerase chain reaction test.[91]

The usage of the PUM designation has since been discontinued. It was reasoned that it is assumed that the general public has been exposed to COVID-19 due to local or community transmission already ongoing in several parts of the Philippines.[90]

As of June 26, there have been 4,819 suspected cases (1,261 probable and 3,578 suspect) in the country.[1]

Backlog

Since May 29, the DOH has been reporting backlogged cases, commonly referred to as "late cases" or cases that were validated by the Epidemiology Bureau more than four days after the release of test results. Late cases were reported alongside new cases or "fresh cases", which now corresponds to the cases that were validated three days within the release of test results. This change was implemented by the health department to help clarify the sudden increase of cases in the country.[92][93] The second largest single-day increase on the number of confirmed cases in the country has been accounted to the backlog in late May 2020, when 1,046 new cases were announced. Only 46 out of these cases were fresh cases and the remaining 1,000 cases were late cases.[94]

Medical response

Hospital admission policy

Algorithm for the triage of patients with possible COVID-19 infection in health care facilities (as of March 10, 2020)
A ward dedicated for COVID-19 patients at the Philippine General Hospital.

The DOH has issued a reminder, that Level 2 and 3 hospitals cannot deny admittance of people suspected or confirmed to have COVID-19 infection and refusal of admission is a "violation of the signed Performance Commitment and shall be dealt with by the PhilHealth accordingly". The department said that Level 2 and 3 hospitals can accommodate individuals with mild COVID-19 symptoms while individuals in a serious or critical condition may be transferred to one of the DOH's three main referral hospitals,[95] which was increased over time to 75 designated hospitals as of April 13 with a combined bed capacity of 3,194.[96]

On March 16, the DOH announced a revision on their protocol on hospital admission for COVID-19 positive patients. A week prior, the DOH has began sending both asymptomatic patients and individuals with mild symptoms back on their homes for quarantine and continued health monitoring until they have been deemed recovered. Priority are given to high-risk patients or those with severe symptoms for hospital admission.[97][98]

Drug therapy and vaccine development

The Philippines, with at least 45 other countries, has joined the World Health Organization (WHO)'s Solidarity trial to study the effectivity of certain drugs in treating COVID-19 patients. Dr. Marissa Alejandrija of the Philippine Society of Microbiology and Infectious Disease is the Philippines' representative in the study with Health Undersecretary Maria Rosario Vergeire as the official liaison of the DOH in the multinational study.[99][100]

The Department of Science and Technology (DOST) announced that it is seeking bilateral collaboration with other countries such as China, Russia, South Korea, Taiwan, and the United Kingdom on endeavors related to the vaccine development for COVID-19.[101][102] President Rodrigo Duterte declared a bounty of 10 million (around $200 thousand) for anyone who could produce a vaccine against COVID-19, which was later increased to ₱50 million (around $1 million).[103]

Although it is allowed for compassionate use for moderate to severe patients, the DOH and Food and Drug Administration (FDA) warned against the self-medicating use of drugs that are not yet approved by the FDA in treating the coronavirus, including azithromycin, chloroquine, favipiravir (Avigan), hydroxychloroquine, interferon beta-1b, losartan, lopinavir/ritonavir (Kaletra), procaine and dexamethasone with Vitamin B (Prodex-B), remdesivir, and other drug cocktails, stating that those might have adverse side-effects, especially if not supervised by healthcare professionals.[104][105][106]

The Filipino-developed Fabunan Antiviral Injection (named after its inventor, Dr. Ruben G. Fabunan) was declared illegal by the same agencies, stating that it was still unproven as a cure for the coronavirus and carries a potential risk. A cease-and-desist order against the vaccine was also issued by FDA after supposed vaccination sessions were held in Zambales by Fabunan Clinic. As of the moment, the said injection has had two patents (although one was expired) but is still unregistered as a medicinal product at the FDA.[107][108][109][110][111]

Russian Ambassador to the Philippines Igor Khovaev announced that the Russian government is offering to donate Russian-developed over-the-counter drug called Cicloferon that is claimed to have cured the symptoms of COVID-19 on Russian patients. The FDA and DOH have classified the said drug as treatment rather than cure.[112] Similarly, the DOH warned against the China-developed drug Carrimycin due to its lack of concrete evidence on its safety and effectiveness.[113]

The Philippine General Hospital, St. Luke's Medical Center, and the Lung Center of the Philippines called for plasma donations to be used for a potential COVID-19 treatment called Convalescent Plasma Therapy. The plasma from recovered patients contains antibodies which were produced by the body to specifically respond against the SARS-CoV-2 strain and may possibly be transferred on critical patients.[114][115][116][117]

The Philippine Council on Health Research and Development at the DOST plans to distribute an undisclosed "functional food," while Presidential Spokesman Harry Roque also revealed that the DOST, Philippine General Hospital, and the Ateneo de Manila University, are collaborating with the Duke–NUS Medical School in Singapore to evaluate the feasibility of lauric acid from virgin coconut oil, Vitex negundo (known locally as Lagundi), and Euphorbia hirta (known locally as Tawa-tawa) as a "dietary regimen supplement" to help COVID-19 patients combat the disease. A "functional food" or "dietary regimen supplement" is described as similar to how tawa-tawa is also used as a remedy against dengue by incorporating it to the diet of diagnosed patients.[118][119][120]

Testing

A medical worker takes a swab sample from a woman for COVID-19 testing at the Palacio de Maynila.

Early COVID-19 testing in the Philippines was only limited to persons with travel history to countries with cases of local transmission and those with exposure to the individuals confirmed to have COVID-19. The testing protocols were revised sometime in mid-March 2020 to give priority to the testing of any individual with severe symptoms as well as to the elderly, pregnant and immunocompromised persons with at least mild symptoms.[121][122] On March 30, symptomatic healthcare workers are also considered priority for testing.[123]

During his press briefing on May 19, Presidential Spokesperson Harry Roque said that the people aimed to be tested in the government's "expanded targeted testing" are as follows: "(1) all symptomatic cases, (2) all of those coming from abroad, (3) all close contacts of confirmed cases that were found through contact tracing, and (4) all of those who tested positive on rapid antibody tests." The government is also opting to test through benchmarks, by testing 1–2% of the Philippines' entire population and 10–12% of the disease's epicenter in the country, which is in Metro Manila.[124][125]

In late March, some politicians and their relatives were reportedly tested for the virus despite not showing any symptoms, causing public backlash amidst a shortage of testing kits since it was against DOH guidelines to test asymptomatic individuals.[126] The DOH responded to the public criticism by clarifying that, while there is "no policy for VIP treatment" with regard to testing for COVID-19 and that "all specimens are being processed on a first-in, first-out basis," it "extends courtesy" to front line government officials, specifically those involved in national security and public health.[127] Some senators who were tested claim that they used rapid antibody tests not accredited by the DOH at that time.[128]

Testing capacity

The country has conducted 340,954 tests, including repeat tests, and have tested over 312,463 unique individuals. As of May 19, the government can already process 11,127 daily PCR tests.[124] The task force aims to conduct one million tests by July.[129]

On March 9, 2020, a total of 2,000 tests has been conducted at a rate of 200 to 250 people accommodated by tests per day.[130] The testing capacity of the Philippine government has been expanded by late March 2020. As of March 23, the Research Institute for Tropical Medicine (RITM) in Muntinlupa alone can test 600 people per day, other laboratories except for the facility of San Lazaro Hospital, Manila, can do 100 tests, while the said hospital can do 50 tests per day.[131] By March 27, the release of test results conducted at the RITM takes five to seven days due to backlog, but the institute is committed to reducing the turnaround to two to three days.[132] The DOH announced that the country will conduct targeted mass testing on April 14, which will be administered strictly for susceptible, probable, and high-risk patients, such as health workers, expectant mothers, and patients with other medical conditions.[133][134] The country's testing continuously increased, except when RITM temporarily scaled down its operations from April 20–24 after 43 of its staffs tested positive for the virus.[135]

The Philippines has the capability to conduct mass testing, either through reverse transcription polymerase chain reaction (RT-PCR) or rapid antibody testing, given the increased number and improving capacity of the country's accredited laboratories and the procurement of more testing kits.[133][134][136] The first localized targeted mass testing began in Valenzuela on April 11[137] which was followed by the cities of Manila, Quezon City, and Muntinlupa, and the province of Cavite, on April 14.[133][134][138][139] Other local government units followed suit shortly after the Inter-Agency Task Force on Emerging Infectious Diseases (IATF-EID) adopted a resolution that commences 'a national government-enabled, local government unit-led, and people-centered response' to COVID-19.[140]

Testing kits

Sets of GenAmplify COVID-19 RT-PCR Test Kits developed by the NIH

The Food and Drug Administration has approved the usage of 38 PCR test kits (including one locally developed kit) as of May 5,[141] and 39 rapid antibody testing kits.[142]

A locally developed PCR testing kit has been made by the National Institutes of Health at the University of the Philippines Manila.[143] It is reportedly six times cheaper than its foreign counterparts.[144][145] However, some of the kits were recalled in May by its manufacturer, after it was found out that testing using the kits yields indeterminate results 30 percent at the time. The manufacturers plan to rectify the "minor" defects and make the kits commercially available again.[146]

Testing facilities

Before January 30, there were no medical facilities in the country that can confirm cases of the virus.[12][13] Before that date, the RITM conducted preliminary tests on suspected cases to determine if they are infected with a coronavirus but could not detect the new strain on patients.[147] Samples from suspected cases with confirmed coronavirus infection had to be sent abroad to the Victorian Infectious Diseases Reference Laboratory in Melbourne, Australia, for confirmatory testing specifically for SARS-CoV-2 strain.[148]

Government response

Health advisory on the coronavirus disease 2019 (COVID-19) release by the Department of Health.

Nationwide measures

President Rodrigo Duterte presides over a meeting with the Inter-Agency Task Force on Emerging Infectious Diseases at the Malacañang Palace on March 12.

The Philippine government has introduced nationwide measures in response to the pandemic. Following the confirmation of the first localized transmission on March 7, the DOH raised its alert to Code Red Sub-Level 1.[149] President Rodrigo Duterte later issued Proclamation No. 922 on March 9, formally declaring a public health emergency, authorizing local government units to employ their local disaster risk reduction management funds.[150][26]

The Department of Trade and Industry (DTI) on March 9 issued a directive ordering retailers should only allow the sale of two bottles of each type of disinfectant per person as a measure against hoarding. In line with the public health emergency declaration, the department imposed a 60-day price freeze on basic commodities.[151]

On March 16, the president signed Proclamation No. 929 declaring a state of calamity throughout the country for six months, bringing into effect the following:[152]

  • price control of basic needs and commodities,
  • granting interest-free loans,
  • distribution of calamity funds,
  • authorization of importation and receipt of donations, and
  • hazard allowance for public health workers and government personnel in the fields of science and technology.[153]

President Duterte has signed administrative orders providing daily hazard pay[154] and additional special risk allowance to front line government officials and employees including health workers.[155] The office of Vice President Leni Robredo on its part raised funding for personal protective equipments.[156]

The Department of Labor and Employment[157] and the Department of Social Welfare and Development[158] has started their own emergency cash subsidy programs.

Bayanihan to Heal as One Act

Senators during a special session to tackle the passage of the Bayanihan to Heal as One Act on March 23.

Following the sharp increase of confirmed cases, President Duterte called on Congress to hold special sessions on March 23 to enact the Bayanihan to Heal as One Act upon his request, which would "authorize the President to exercise powers necessary to carry out urgent measures to meet the current national emergency related to COVID-19 only for three months unless extended by Congress. The act would allow President Duterte to "reallocate, realign, and reprogram" a budget of almost ₱275 billion ($5.37 billion) from the estimated ₱438 billion ($8.55 billion) national budget approved for 2020, in response to the pandemic.[159][160]

In the House of Representatives, the bill was introduced as House Bill No. 6616 with House Speaker Alan Peter Cayetano of Pateros–Taguig as its principal sponsor and was defended on the floor by Deputy Speaker Luis Raymund Villafuerte of Camarines Sur's 2nd district. In the Senate of the Philippines, the bill was introduced as Senate Bill No. 1418 with Senate President Tito Sotto and Senator Pia Cayetano as its principal sponsors.[161]

The House version of the bill passed the House of Representatives in a 284–9 vote without abstentions,[162] while its Senate version unanimously passed the Senate.[163] President Duterte signed the bill into law the following day.[164]

Lockdowns

Community quarantines in the Philippines (as of June 16)

Given the rapidly increasing number of cases in the country, the government has initiated lockdowns aimed at preventing the spread of the disease.

On March 12, President Duterte announced a partial lockdown covering Metro Manila,[165] that began on March 15. The lockdown was later expanded on March 16, when President Duterte imposed an enhanced community quarantine covering the entire Luzon, including outlying islands. The enhanced community quarantine restricted travel and transportation within the island, imposed strict home quarantine among all households, and the closure of all non-essential private establishments.[166][167][168]

On April 7, President Duterte extended the duration of the enhanced community quarantine on Luzon until April 30, following a recommendation from the IATF-EID.[169]

On April 24, Duterte extended the enhanced community quarantine until May 15, but only for Metro Manila, Central Luzon and Calabarzon as well as other areas in Luzon that are considered a high-risk for COVID-19.[170]

Local governments units both within and outside Luzon has also imposed their own quarantine measures.

Travel restrictions

Travel of foreign nationals to the Philippines is banned with few exceptions since March 2020. The issuance of visas to all foreign national on March 19 was stopped and all visas already issued are voided except to those issued to families of Filipino nationals would remain valid.[171] Three days later a travel ban was imposed on all foreign nationals, except spouses of Filipino citizens (and their children), and workers for international organizations and non-governmental organizations accredited in the country.[172]

By late January 2020, Philippine travel visas under the "visa-upon-arrival" (VUA) program were denied to tourists from Wuhan.[173] On January 24, 135 individuals who arrived at the Kalibo International Airport in Aklan from Wuhan were deported.[174] There were calls for a wider temporary ban on people entering the country from anywhere in China. This was supported by some members of the Senate however, the DOH and the Office of the President find no urgent need for such a measure.[175]

On January 31, a travel ban on all Chinese nationals from Hubei and other affected areas in China was imposed. The VUA program for Chinese tourists and businessmen was also suspended.[176] On February 2, a ban was introduced on all foreign travelers who visited China, Hong Kong, and Macau in the past 14 days;[177] Philippine citizens and holders of permanent resident visas were allowed in the country but subjected to a mandatory 14-day quarantine. The Philippine government also ordered a ban on travel to China, Hong Kong, and Macau until further notice.[178] The Philippine Ports Authority had also barred disembarkation by crew or passengers from vessels that have recently visited China on all seaports it control.[179] A ban was briefly imposed on Taiwan from February 10[180] to February 15.[181] A travel ban to South Korea was also imposed for tourists.[182]

The Philippines suspended all inbound commercial flights to its international airports for a week from May 3.[183] From May 11 to June 10, new regulations are imposed on inbound flights to the Ninoy Aquino International Airport with charter flights allowed only on Mondays and Thursdays and commercial flights allowed in all the other five days. All flights require prior clearance from the Department of Foreign Affairs (DFA) and the Civil Aviation Authority of the Philippines.[184]

Repatriation

Repatriated Filipinos arrive at Clark Air Base, Pampanga on February 9.[185]

The Philippine national government has repatriated citizens from various COVID-19 affected countries and cruise ships. As of May 21, at least 28,589 Overseas Filipino Workers have been repatriated according to the DFA.[186] The repatriates are prioritized for testing as part of the government's effort to mitigate the spread of COVID-19. The Overseas Workers Welfare Administration has designated hotels and other facilities in the country where repatriates could stay while completing their mandatory 14-day quarantine period.[187]

The first repatriation efforts by the government involved repatriating Filipino nationals in Hubei, China. The government began the repatriation process on January 18.[188] Upon arrival in the Philippines, individuals underwent mandatory quarantine for 14 days.[189] Likewise the Philippine government has repatriated Filipino seafarers, and to a lesser extent Filipino tourists, on board cruise ships in various countries and territories.[190]

Military and police

A police-manned checkpoint in Tuguegarao

Both the Armed Forces of the Philippines (AFP) and the Philippine National Police (PNP) have been deployed by the national government as front liners in addressing the pandemic.[191] PNP Chief Archie Gamboa tasked his agency to increase their visibility in various communities and to arrest individuals and groups "without warning" involved in activities that violate quarantine protocols on physical distancing and mass gatherings.[192] Border checkpoints maintained by the AFP, PNP, and the Philippine Coast Guard were installed in areas with community quarantine to control the traffic of people and goods and ultimately contain the spread of the virus across regions during the pandemic.[193]

The PNP have also been tasked to arrest individuals who hoard essential goods in stores and to report firms that fail to comply with the directives of the DTI by manipulating the prices of such goods during the pandemic.[194] The Philippine Air Force and Philippine Navy have utilized their aircraft and vessels for the delivery of personal protective equipment and medical supplies, as well as the transportation of health personnel, to various locations around the country.[195]

On March 24, the PNP launched a task force in collaboration with the Department of Information and Communications Technology to search for and apprehend peddlers of misinformation and fake news related to the pandemic, in compliance with the Cybercrime Prevention Act and the Bayanihan to Heal as One Act. Both laws penalize fake news peddlers for a jail time of 12 years maximum or a fine of up to ₱1 million ($19,770).[196]

Since April 15, PNP personnel have donated portions of their salaries to the Department of Finance to help sustain the national government's efforts in addressing the pandemic. Finance Secretary Carlos Dominguez III reported that, as of May 6, the PNP has raised over ₱228.45 million ($4.5 million) worth of cash donations.[197]

Following the rise in violations by the public to adhere to quarantine protocols, President Rodrigo Duterte has threatened for both the military and the police to "take over" in enforcing the social distancing and curfew guidelines in a similar fashion to martial law.[198] On April 20, a memo from the AFP regarding stricter quarantine protocols was leaked. The memo was later confirmed.[199]

Since April 20, the AFP has deployed its field kitchens in various locations around the country to provide free meals for homeless people, stranded workers and students, informal settlers, and families in "depressed communities" affected by the quarantine impositions.[200]

Other measures

The Presidential Security Group (PSG) have implemented a "no-touch" policy during meetings by President Duterte with politicians, reporters, and visitors.[201]

Several government officials announced that they would donate portions of their salaries to help fund government initiatives responding to the pandemic. President Duterte said that he would donate a month of his salary, which amounts to ₱400,000, to the Office of Civil Defense.[202] Some senators and around 200 members of the House of Representatives would also donate their salaries for May, while most Cabinet members would donate at most 75 percent of their salaries.[203][204]

Foreign aid

Medical supply aid from China being received by military personnel at the Villamor Air Base, March 21

The government of China and the United States has pledged support to the Philippine government response against COVID-19. China announced that it would be donating medical supplies including 100,000 testing kits, 100,000 surgical masks, 10,000 N95 masks, and 10,000 sets of personal protective equipment.[205] The United States Agency for International Development also pledged $2.7 million worth of aid to help the Philippines develop adequate testing capabilities, and ensure the availability of medical supplies through the agency's "on-the-ground partners".[206] China's aid was received on March 21, 2020.[207]

On March 22, the DFA said that the Philippines would be receiving a donation from Singapore consisting of 3,000 testing kits and a polymerase chain reaction machine.[208][209] In early April 2020, the DFA announced it received 20 units of testing kits, capable of 1,000 tests, from Brunei.[210] The United Arab Emirates also donated medical supplies in May 2020.[211]

On March 28, it was disclosed that some of the test kits made in China were only 40% accurate in testing for signs of the COVID-19 on an individual suspected to be infected with the disease.[212] The test kits were donated by a private foundation.[213][214]

Impact

Economic impact

Economic indicators

The National Economic and Development Authority (NEDA) revised its economic growth outlook for the Philippines in 2020 from a 6.5% to 7.5% gross domestic product (GDP) growth registered in late 2019 to a 5.5% to 6.5% GDP growth, following the pandemic. The NEDA cited the decline in service exports, especially tourism. Moody's Analytics also reduced their GDP growth outlook for the country, from 5.9% in 2019 to 4.9% following the pandemic.[215] Meanwhile, Nomura gave a bitter prediction of 1.6%,[216] while the International Monetary Fund (IMF) gave an almost flat growth of 0.6% for this year before rebounding to 7.6% in 2021.[217]

Bangko Sentral ng Pilipinas (BSP) Governor Benjamin Diokno and then-NEDA Director-General Ernesto Pernia forecast that the Philippine economy would likely enter a recession in 2020 due to the effect of the pandemic. Diokno stated that, although the first quarter is likely to grow by 3% since the Luzon-wide enhanced community quarantine only took effect near the end of the quarter, the second and third quarters would likely experience contractions in economic growth.[218]

The Philippines' real GDP contracted by 0.2% in the first quarter of 2020, the first contraction since the fourth quarter of 1998, a year after the Asian financial crisis, with a technical recession deemed "likely" to be posted within 2020.[219]

On the other hand, the BSP records an inflation rate of 2.2% in April and 2.5% in March compared from 2.6% in February and 2.9% in January. The average rate of 2.6% for the period of January to April 2020 is also 1% lower compared to the inflation rate from the same period in the previous year. The event was primarily and hugely caused by lower oil prices and transportation costs, even if the prices of food supplies and alcoholic beverages and tobacco slightly rose.[220][221][222]

In terms of the amount of economic loss that the Philippines is projected to suffer, NEDA gave a value of up to 2.0 trillion, or equivalent to about 9.4% of 2020 nominal GDP,[223] while the Philippine Institute for Development Studies estimates at a maximum of 2.5 trillion.[224] International organizations also gave their predictions, with the Friedrich Naumann Foundation envisioning a 273-billion loss and the Europe Solidaire Sans Frontières envisioning a combined loss of more than 1 trillion just in the month of April.[225][226]

The pandemic also affected the goal of the Philippines to be among the countries with upper-middle-income country status by nominal GNI per capita. Before his resignation, Pernia said that the country will still achieve this goal by 2020,[227] while his replacement, acting NEDA Director-General Karl Kendrick Chua, said last May that this goal will be achieved in 2022.[228] Daniel Ross of Bloomberg also stated that the Philippines, which is "an economic star poised to outpace long-time regional winners such as China, Indonesia and India," will face hindrances amidst the COVID-19 pandemic.[229]

On March 9, 2020, the Philippine Stock Exchange (PSE) index lost 457.77 points or 6.76%, its steepest decline since the financial crisis of 2007–08.[230] The following day, shares plunged by 6.23% to 5,957.35 (US$117.54), settling below the 6,000 level benchmark and entering the bear market territory. The mining and oil industries were the most affected with a 9.05% drop, followed by holding companies with a 6.93% drop. The PSE's circuit breaker mechanism was invoked for the second time since the measure's introduction in 2008 halting trade for 15 minutes.[231]

Employment

In terms of unemployment rate, the Philippine Statistics Authority (PSA) records an estimated unemployment rate of 5.3% in January 2020, which is the same with January 2019.[232][233] Moody's Analytics puts its estimate at 5.3% for the first quarter of 2020, while Nomura expects 7.5% for Q1 and a 13-year high of 8% in Q2 of this year.[234][235] Meanwhile, the IMF stated that the unemployment rate in the country would be 6.2% for this year compared to 5.1% in 2019.[217] A higher rate of 6.8% for this year was also predicted by S&P Global Ratings.[236]

The Trade Union Congress of the Philippines estimates that around 7,000 people may lose jobs within the first half of 2020 due to the pandemic.[237] Economists from the Ateneo de Manila University estimate that 57% of the country's workforce may be displaced within the end of the first quarter of 2020. It comprises around 15 million workers in Luzon that were laid off due to the enhanced community quarantine, around four million of whom are based in Metro Manila, as well as an estimated 4.3 million workers in Visayas and another 4.3 million in Mindanao that were laid off due to quarantine restrictions.[238]

In March, the Department of Labor and Employment stated that 1.05 million workers were displaced due to the pandemic,[239] even after they released guidelines for employers in handling the impact of COVID-19.[240]

Philippine aviation services were heavily affected after travel, both locally and internationally, was restricted to contain the spread of the virus.[241][242] Philippine Airlines, the country's flag carrier, decided to lay off 300 of its workers due to losses caused by the pandemic.[243] Philippines AirAsia also dropped its plan to debut in the PSE within 2020 and decided to focus on expanding its domestic operations after a government ban on China and South Korea threatened 30% of its revenue.[244] Employees of Cebu Pacific, the country's largest airline, compromised on a pay cut amounting to 10% to avoid layoffs.[245] However, Cebu Pacific eventually laid off over 150 cabin crew personnel near the end of the first quarter as more countries and provinces in the Philippines implemented travel restrictions, affecting its flights.[246] Airline logistics firm 1Aviation Groundhandling Services also laid off 400 newly hired workers without regular status.[247]

The University of Santo Tomas Hospital retrenched its non-essential staffs after reporting financial losses from unpaid PhilHealth claims and underpayment of some COVID-19 patients.[248] The following day, the decision was put on a hold, which will be decided if it will proceed or not on May 20.[249] Some German businesses that are based in the country also reported to reduce investments in the country, but will continue to maintain their employees.[250]

Food service and supply

Following directives from the Philippine government, several fast food and restaurant chains suspended dine-in services and restricted operations to take-out and delivery. Following the Luzon-wide enhanced community quarantine, online food ordering services such as GrabFood and Foodpanda temporarily halted but eventually resumed operations in Luzon during the quarantine period.[251]

Several restaurants and coffee shops across the country offered free food and beverages to front line professionals involved in the pandemic, especially health care workers.[252][253]

Food production and distribution slowed down during the pandemic, especially in Luzon, primarily due to the lack of financial assistance and inaccessibility of transportation resulting from community quarantine measures being implemented across numerous local governments. The delivery of fresh vegetables from the province of Benguet, which supplies the country with over 80 percent of the country's highland vegetable requirements, was halted due to the implementation of an "extreme enhanced" community quarantine in La Trinidad.[254] Local government officials advised local rice farmers to sell their harvests to them, assuring them that they would help distribute it to their respective communities amid the border restrictions.[255]

On March 27, Vietnam announced that it would reduce its production and exportation of rice due to food security amid the pandemic. The Philippines, the largest importer of rice in the world, imports 25% of its rice from Vietnam. Agriculture Secretary William Dar assured that there would be "no shortage of the staple during the duration of the enhanced community quarantine and beyond" as "harvest [is] already coming in." Dar also stated the Department of Agriculture's plans to initiate early planting in the Cagayan Valley and Central Luzon, two of the largest rice producers in the country, ahead of the third quarter of 2020.[256]

Production of canned fish in the country was adversely affected with Zamboanga City, which accounts for 85% of the country's canned fish industry, announcing it would reduce the production of canned fish in the Philippines by 50–60% due to difficulties encountered following the implementation of a city-wide lockdown.[257]

Medical supply

Cloth face masks draw the attention of customers at the Muñoz Market in Quezon City due to the limited supply and higher price of surgical masks.

A shortage of medical masks was reported in various parts of the country due to concerns over the pandemic.[258][259] RITM director Celia Carlos urged the public against hoarding masks to ensure ample supply for medical workers directly dealing with patients suspected or confirmed to have COVID-19 infection.[260] The Department of Trade and Industry (DTI), in cooperation with the Philippine National Police, are acting against reports of traders hoarding face masks and selling said item at an overpriced rate.[261] The DTI has also directed its Philippine International Trading Corp. to import 5 million masks from overseas. Medtecs International Corp. Ltd., the sole manufacturer of medical mask in the country, has committed to supply the government through the DTI.[262]

Doctors in the Philippines have deplored the shortages in personal protective equipment amid the pandemic, and was even cited as the cause of high infection rate and death rate of healthcare workers in the country.[263][264][265] To address this issue, the Philippine government continues to procure and stockpile such equipment, as the pandemic is expected to last until 2021.[266][267][268]

According to Health Undersecretary Maria Rosario Vergeire, the country also issued requests for ventilators and respirators that will be used for severe or critical COVID-19 patients, as there are reported shortages of these equipment.[98][269]

Retail

A public market vendor in Manila wearing a cellulose acetate face shield, March 25

According to the Philippine Retailers Association, the "total retail environment" saw a decline of 30–50%. SM Investments, the country's largest retailer, saw a decline of 10–20% in domestic sales.[270] Despite the decline, most retail stores that provide essential services, including supermarkets, convenience stores, hardware stores, and pharmacies, remained open across the country to sustain consumers while other establishments at malls closed down.[271] Such retail stores, however, imposed strict social distancing measures with some supermarkets only allowing 50 customers inside at a time and placing stickers on the floor to indicate that customers must stand one meter apart from each other. Stores were also regularly disinfected and customers were required to undergo a temperature check before entering.[272] In the Greater Manila Area, several online grocers continued to operate, but with limited delivery slots.[273] After most industries in the country being closed for two months, many stores in the retail sector are already allowed to open under revised guidelines of eased community quarantines.[274]

Panic buying and hoarding became rampant across the country, especially with essential goods such as food and sanitation products.[275] The Philippine Amalgamated Supermarkets Association reported that the purchases of masks, alcohol, and other personal hygiene products in supermarkets across the country had already surged, urging the public against panic buying.[276]

Economic think-tank Fitch Solutions forecasts that the consumer and retail sector, especially non-essential businesses, would be one of the hardest-hit sectors in the Philippines as it loses sales revenue for an entire month due to the Luzon enhanced community quarantine (Luzon accounts for 73% of the country's GDP). Fitch Solutions forecasts the household final consumption expenditure for the country in 2020 to expand by 6.7% year-over-year, which was adjusted from a "pre-coronavirus projection" for 2020 of 7% growth year-over-year.[277]

Mall operators across the country, such as Ayala, Megaworld, SM, Robinsons, and Vista, initially shortened the operating hours of its malls to comply with government quarantine measures.[278] While doing so, malls were asked to implement social distancing measures; for example, several malls implemented a "single-seat gap" policy in cinemas, in which moviegoers were required to sit one seat apart from each other.[279] However, most malls in the country have since limited its operations to establishments providing essential services, particularly groceries, banks, and hardware stores.[280]

Travel

Local airlines AirAsia, Philippine Airlines, and Cebu Pacific suspended flights in response to the imposition of travel bans by the Philippine government and some foreign governments. The airlines have suspended flights as early as February 2, 2020, covering routes involving destinations in China, Hong Kong and Macau.[281] At least Philippine Airlines has suspended all of its flights by March 2020,[282][283] although the airline has announced plans to resume selected flights by June 1, 2020.[284]

Social impact

Education

Gates of a public high school in Baliuag, Bulacan closed due to the suspension of classes.

On March 9, 2020, President Rodrigo Duterte suspended classes at all levels in Metro Manila until March 14, in response to the rise in confirmed cases of COVID-19 in the Philippines.[285] Before that, Navotas Mayor Toby Tiangco had already suspended classes in the city as a preventive measure.[286] He also appealed to the Department of Education (DepEd) to pass all Navoteño students for the remainder of the academic year.[287] Some towns in Rizal, namely Cainta, Rodriguez, San Mateo, and Taytay, also suspended classes following confirmation of at least two cases in the province.[288] Classes in Metro Manila were extended until April 14 when President Duterte placed the area under a partial lockdown on March 9. It was superseded on March 16 by the declaration of an enhanced community quarantine covering the wider Luzon island, which was later extended until April 30.[166] On March 16, the DepEd issued guidelines prohibiting public schools in areas with suspended classes from administering the final examinations of students and instead compute the students' final grades for the academic year based on "their current academic standing." Otherwise, schools in areas without suspension were advised to immediately administer final examinations within that week on a "staggered basis" and for teachers and students to observe social distancing measures.[289]

Before the announcement of the enhanced community quarantine, the University of the Philippines Diliman announced on March 12 that it would implement online learning alternatives for all its classes.[290] The Commission on Higher Education (CHED) advised other institutions of higher education to implement distance education methods of learning for its classes, such as the use of educational technology, to maximize the academic term despite the suspensions;[291] several other public and private tertiary institutions implemented such arrangements for its classes.[292] However, following the announcement of the enhanced community quarantine in Luzon and other areas, colleges and universities suspended mandatory online classes in consideration of the welfare of its students, faculty, and staff. Academic administration offices continued to operate with a skeleton crew, while other offices in colleges and universities operated through telecommuting arrangements.[293] Some schools, however, continued to hold online classes,[294] and in response, several student groups appealed to CHED to suspend mandatory online classes in consideration of the logistical limitations and well-being of a majority of students.[295]

Classes in all levels across the country were eventually suspended due to the pandemic.[296] Graduation rites in Philippine schools were also either canceled or postponed.[297] However, as to whom would graduate is still unknown since the issue of 'mass promotion' in primary, secondary, and tertiary levels remains highly debated.[287][298][299][300][301][302]

Regarding the start of school year 2020–21, Senate President Vicente Sotto III had proposed that classes should commence in September,[303] while a group of UP experts wants it to be pushed back to December in order to limit the spread of the disease.[304] The DepEd and the IATF-EID later decided that face-to-face classes would start on August 24, while online learning can begin as early as June.[305][306] CHED left the decision of starting semesters to college administrators, although urged them to shift into the new semestral calendar and start 'flexible classes' in August and face-to-face classes in September as well.[307][308] Meanwhile, Senator Sherwin Gatchalian, who chairs the Senate Committee on Basic Education, Culture, and the Arts, set up an inquiry about how schools would brace the "new normal" brought by the pandemic.[309] Gatchalian and DepEd proposed certain measures to be implemented during the opening of classes, such as the airing lectures on television and radio, a "mandatory face mask policy", maintaining physical distancing, and limiting class sizes.[310][311] In June, officials reported that schools will not open until a vaccine is available, though remote learning should resume at the end of August.[312]

Tourism

Philippine Airlines aircraft grounded at the Ninoy Aquino International Airport due to the Luzon enhanced community quarantine, March 25

The NEDA reported that the coronavirus pandemic would incur a ₱22.7 billion ($448 million) monthly loss of tourism revenue for the Philippines and the impact of the pandemic could last around five to six months based from past experiences from the SARS, H1N1, and the MERS outbreaks. Over 5,200 flights covering two months, which was to be serviced by member airlines of the Air-Carriers Association of the Philippines, were canceled.[313] Meanwhile, the Asian Development Bank predicts a ₱111 billion ($2.2 billion) loss in the tourism sector,[314] while the Tourism Congress of the Philippines estimates the figures at around ₱20 billion ($395 thousand), considering that 12.7% of the Philippines' GDP is generated through tourism.[315] Europe Solidaire Sans Frontières also reported potential damage in Philippine tourism.[226]

The National Museum of the Philippines temporarily closed its complex in Manila and all branch museums throughout the country.[316] On March 13, the National Parks Development Committee also closed Rizal Park and Paco Park until further notice while the Intramuros Administration closed several sites in Intramuros, including Fort Santiago, Museo de Intramuros, and Casa Manila.[317]

The Philippine Shopping Festival, a nationwide mall sale event backed by the Department of Tourism originally scheduled on March 1–31 was postponed due to the COVID-19 pandemic.[318] Several local festivals across the country were also either canceled or postponed due to the ongoing COVID-19 pandemic, including Panagbenga Festival in Baguio, Kadayawan sa Dabaw Festival in Davao City,[319] Moriones Festival in Marinduque,[320] and San Pedro Cutud Lenten Rites in Pampanga.[321][322][323][324][325][326]

Prisons

Detainees at the New Bilibid Prison getting tested for COVID-19.

The impact of COVID-19 in prisons in the Philippines is projected to be "dangerous," since its jails have the highest occupancy rate in the world that stands at 534%.[327] The Bureau of Jail Management and Penology has temporarily suspended the acceptance of visitors in prisons it manages as early as March 2020, encouraging would-be visitors to avail the e-dalaw service which would allow inmates to communicate with relatives online.[328]

Certain human rights groups raised their concerns on the issue. Human Rights Watch flagged the cases of dying inmates in prison cells and called for the freedom of minor offenders, the elderly, and the ill.[329][330] Karapatan and KAPATID both called for the release of political prisoners that belongs to vulnerable sector as a way to decongest Philippine jails amidst COVID-19 pandemic.[331][332]

A group of 22 high-risk prisoners (either of old age, immunocompromised, or pregnant) also asked for temporary liberty due to 'humanitarian grounds' since "hellish prison conditions in the Philippines make the detainees vulnerable to COVID-19." All of the 22 prisoners, five of which are consultants of New Peoples' Army (NPA), are asking to be allowed to post bail or to be released under personal recognizance. They are represented by Public Interest Law Center (PILC) and the National Union of People's Lawyers (NUPL).[333] Similarly, one of the suspects in the death of Horacio "Atio" Castillo III pleaded for freedom under the guise of the COVID-19's threat.[334]

In mid-April, the Supreme Court (SC) reiterated its 2014 circular, which allows the temporary freedom of "persons deprived of liberty" who were able to serve their minimum penalty during an ongoing trial or those whose trial are paused due to lack of witnesses.[335] Chief Justice Diosdado Peralta and Justice Secretary Menardo Guevarra also signed resolutions that relaxes bail prices for indigent inmates and requirements to avail parole and executive clemency. On May 2, Associate Justice Mario Victor Leonen announced that there were 9,731 detainees released temporarily by the SC from March 17 to April 29 as a way to alleviate the country's overcrowding prisons.[336]

Entertainment and media

The DOH issued an advisory for the cancellation of large public events and mass gatherings, such as concerts, until further notice to minimize the risk of spreading the disease.[337] This prompted several local and international artists to either cancel or postpone their scheduled concerts and fan meets.[338][339][340]

Local television networks temporarily stopped admitting live audiences for their television shows, including variety shows Eat Bulaga! on GMA Network as well as It's Showtime and ASAP on ABS-CBN.[341] On March 13, both ABS-CBN and GMA announced that they would suspend productions on their drama shows as well as other entertainment programs by March 15, replacing affected programs with reruns of previous series or extended newscast runs.[342][343]

Broadcast radio companies are also curtailing their operations during the quarantine period, either by shortening their broadcast hours and/or suspending regular programming in favor of "special broadcasts".[344]

The Philippine Amusement and Gaming Corporation ordered the suspension of all gaming operations in the country, including the land-based casinos in Entertainment City and Newport City, on March 15. The gaming regulator also announced that they were limiting the operations of Philippine offshore gaming operations in the region.[345]

Religion

An announcement from the Roman Catholic Diocese of Pasig that they will suspend all public Masses starting March 14.

The Roman Catholic Church in the Philippines has issued preventive guidelines against the pandemic through the Catholic Bishops' Conference of the Philippines (CBCP). In January 2020, the CBCP issued a liturgical guideline which urges Mass attendees to "practice ordinarily" the receiving of communion by hand, and avoid holding hands while praying the Lord's Prayer during Mass. As a spiritual measure against the spread of the disease, the CBCP also composed an oratio imperata (obligatory prayer) which is to be recited during Mass. In February 2020, the CBCP issued a second liturgical guideline in anticipation of the Lenten season. The bishops suggested that during Ash Wednesday, ashes would be sprinkled on the faithfuls' head instead of the customary marking of the forehead with a cross to minimize body contact. The CBCP also urged people to refrain from kissing or touching the cross for veneration during Good Friday, particularly the celebration of the Passion of Jesus. They suggested genuflection or bowing as an alternative to the practice.[346] Dioceses across the country have suspended the public celebration of Masses.[347] On April 8, Holy Wednesday, the CBCP organized an interfaith prayer service against the spread of the coronavirus, which was televised nationwide.[348]

Other Christian denominations and organizations, such as the Iglesia ni Cristo[349][350] and the Jehovah's Witnesses,[351] have suspended live worship services and resorted to organizing worship services through online platforms. The Philippine Council of Evangelical Churches, an organization composed of Evangelical and Protestant church member organizations in the country, also adopted similar measures.[352]

The Church of Jesus Christ of Latter-day Saints directed missionaries assigned in the Philippines who are not native to the country to move out for temporary reassignment to another country. They were ordered to self-quarantine in their new homes for 14 days.[353]

The Islamic community in the Philippines has also adopted measures against COVID-19. The Regional Darul Ifta' of Bangsamoro suspended all congregational prayers in the Bangsamoro region from March 19 to April 10.[354]

Sports

Several sports facilities including the Ninoy Aquino Stadium of the Rizal Memorial Sports Complex were converted into temporary quarantine facilities for COVID-19 patients.

Several ongoing or scheduled seasons of sports leagues in the Philippines, such as the ASEAN Basketball League, Maharlika Pilipinas Basketball League, Philippine Basketball Association,[355] National Basketball League, Philippines Football League,[356] Philippine Super Liga, were suspended.[357] Upcoming sporting competitions hosted by the country, specifically the Badminton Asia Championships (initially scheduled to be hosted in Wuhan but was moved to Manila)[358] and the AFF Women's Championship, were postponed.[359]

Regional qualification games involving Philippine national teams were likewise postponed; the 2021 FIBA Asia Cup qualification home match of the Philippine men's national basketball team against Thailand scheduled for February 20 at the Smart Araneta Coliseum was rescheduled,[360] while FIFA and the Asian Football Confederation suspended the Philippine national football team's three remaining matches in the second round of qualification for the 2022 FIFA World Cup.[361]

Some games, however, pushed through but were played behind closed doors to prevent the spread of the virus amongst the audience. Before the suspension of the Philippine Super Liga, three matches in the PSL Grand Prix Conference on March 10 were played at an empty Filoil Flying V Centre.[362] On March 11, local football team Ceres–Negros F.C. played their 2020 AFC Cup home match against Bali United F.C. behind closed doors at the Rizal Memorial Stadium.[363]

On April 29, 2020, the Philippine Sports Commission have announced that they will cancel all of their sporting events until December 2020 to comply with government directives that prohibit mass gathering events. This meant the cancellation of the Palarong Pambansa in Marikina, the Philippine National Games,[364] and the ASEAN Para Games.[365]

Elections

The Commission on Elections has suspended the nationwide voter registration on March 10 until the end of the month due to the COVID-19 pandemic. The registration period began on January 20, 2020, and is scheduled to run until September 30, 2021.[366] The suspension was later extended to last until the end of April. The issuance of voter's certification is also suspended until further notice. The next national elections scheduled in the Philippines are in May 2022.[367] The plebiscite to ratify legislation that proposes the partition of Palawan into three smaller provinces scheduled for May 2020 was also delayed due to the COVID-19 pandemic.[368]

Misinformation and hoaxes

After the initial outbreak of the COVID-19 pandemic in the Philippines, conspiracy theories, misinformation, and disinformation emerged online regarding the origin, scale, prevention, treatment, and various other aspects of the disease. Among these hoaxes include:

  • SARS-CoV-2 being a type of rabies along with advice to not eat bats. The virus is in the coronavirus family and is unrelated to rabies.[369]
  • Boiled ginger as a cure for COVID-19. There is no concrete scientific proof for this claim. Mark Pasayan, a doctor from the Philippine Society for Microbiology and Infectious Diseases says that while a cold weather may make one more susceptible to the COVID-19 infection, the intake of hot or cold food does not correlate with the prevention and treatment of the disease.[370]
  • In the first week of February, the government supposedly imposed a 14-day quarantine for travelers coming from 20 countries. An infographic supporting the claim was circulated purportedly from the Department of the Interior and Local Government (DILG). On February 7, the DILG denied the claim. At that time the quarantine measure is only being imposed from travelers from three territories: Mainland China, Macau, and Hong Kong.[371]
  • Viral posts with various claims such as avoidance of eating ice cream and cold food, and encouraging exposure to sunlight as a means of prevention against COVID-19 purportedly from UNICEF. UNICEF Philippines has issued a statement disassociating itself from the posts peddling false and misleading information.[372]
  • The DOH supposedly issuing an advisory on the proliferation of fake cigarettes which is claimed to be a method of transmission of COVID-19. The government agency did not issue such advisory.[373]
  • A widely circulated graphic on social media claimed that gargling warm water with salt would "eliminate the virus." DOH Undersecretary Eric Domingo said that while the saline water has been a recognized home treatment for symptoms of a sore throat for many generations, there is no evidence suggesting its capability to kill the virus.[374]
  • A supposed video spread on the internet about how bananas can cure COVID-19. This information was even advocated by the presidential Spokesperson Salvador Panelo. However, DOH Spokesperson Ma. Rosario Vergeire debunked this claim, saying that while bananas is a healthy food source, there are no conclusive evidences yet about its effectivity against coronavirus.[375]
  • The Palace also disproved posts circulating online about the declaration of "Total Lockdown" nationwide and warned its peddlers of imminent arrest. At the time of the circulation, the enhanced community quarantine in Luzon was already in effect.[376]

The DOH has advised against spreading misinformation and unverified claims concerning the pandemic.[377]

The Philippine National Police has taken action against the spread of misinformation related to the pandemic and has warned the public that misinformation purveyors could be charged for violating Presidential Decree no. 90 for "declaring local rumor, mongering and spreading false information". In the case of misinformation circulated online, violators could be charged for violating the Cybercrime Prevention Act which has a maximum penalty of imprisonment for 12 years.[378] The Bayanihan to Heal as One Act also punishes fake news peddlers of two months jail time or fine of up to ₱1 million.[379]

According to the DOH, the cremation of the body of the first confirmed COVID-19 death in the Philippines has been hampered by the proliferation of misinformation.[380]

Statistics

By region

Confirmed COVID-19 cases in the Philippines by region of residence ()
Region Cases Deaths Active Recov. Tested
# % # % # % # % pos.
Metro Manila 16277 821 5.04 9598 58.97 5858 35.99 432990 7.08
Cordillera 111 2 1.8 58 52.25 51 45.95 27153 0.58
Ilocos Region 131 12 9.16 63 48.09 56 42.75 3496 0.14
Cagayan Valley 45 1 2.22 10 22.22 34 75.56 1839 1.09
Central Luzon 838 37 4.42 407 48.57 394 47.02 12563 0.77
Calabarzon 2334 136 5.83 1071 45.89 1127 48.29 8621 1.5
Mimaropa 87 4 4.6 24 27.59 59 67.82 537 3.17
Bicol Region 108 5 4.63 36 33.33 67 62.04 4127 1.74
Western Visayas 199 11 5.53 85 42.71 103 51.76 22174 0.8
Central Visayas 6419 122 1.9 5886 91.7 411 6.4 36960 19.38
Eastern Visayas 301 0 0.0 273 90.7 28 9.3 7367 5.57
Zamboanga Peninsula 189 5 2.65 50 26.46 134 70.9 4402 4.98
Northern Mindanao 98 9 9.18 70 71.43 19 19.39 1262 9.51
Davao Region 479 30 6.26 262 54.7 187 39.04 14487 4.36
Soccsksargen 51 1 1.96 29 56.86 21 41.18 240 5.83
Caraga 31 0 0.0 24 77.42 7 22.58
Bangsamoro 57 4 7.02 42 73.68 11 19.3 988 5.57
Repatriates 1844 1 0.05 1778 96.42 65 3.52
For validation 2696 3 0.11 2670 99.04 24 0.89
Philippines 32295 1204 3.73 22435 69.47 8656 26.8 580560 6.9
Note: Data as of June 24, 2020; 4:00 PM (PST)
Source: Department of Health's COVID-19 Case Tracker
Daily COVID-19 cases in the Philippines by region of residence ()
Date Regions Confirmed Deaths Active Recov. Tested Ref. Notes
NCR CAR I II III IV-A IV-B V VI VII VIII IX X XI XII XIII BAR New Total New Total Total Total Total
January 30, 2020 1 1 1 2 [381] [lower-alpha 3]
January 31, 2020 0 1 2 1 [382]
February 1, 2020 0 1 1 1 1 1 [383]
February 3, 2020 1 1 2 0 1 1 1 [384] [lower-alpha 3]
February 5, 2020 1 1 3 0 1 1 1 [385] [lower-alpha 3]
February 10, 2020 0 3 0 1 0 2 [386]
March 6, 2020 1 1 2 5 0 1 2 2 [387]
March 7, 2020 1 1 6 0 1 3 2 [388]
March 8, 2020 4 4 10 0 1 7 2 [389]
March 9, 2020 11 1 1 1 14 24 0 1 21 2 [390]
March 10, 2020 7 1 1 9 33 0 1 30 2 [391]
March 11, 2020 13 2 1 16 49 1 2 45 2 [392]
March 12, 2020 2 1 3 52 3 5 45 2 [393]
March 13, 2020 9 2 1 13 64 1 6 56 2 [394]
March 14, 2020 36 1 3 7 47 111 2 8 101 2 [395]
March 15, 2020 23 1 4 1 29 140 4 12 126 2 [396]
March 16, 2020 2 2 142 0 12 127 3 [397]
March 17, 2020 38 1 5 1 45 187 2 14 169 4 [398]
March 18, 2020 11 2 1 1 15 202 3 17 178 7 [399]
March 19, 2020 13 2 15 217 0 17 194 8 [400]
March 20, 2020 13 13 230 1 18 204 8 [401]
March 21, 2020 57 2 1 5 7 1 2 2 77 307 1 19 275 13 [402]
March 22, 2020 57 1 15 73 380 6 25 338 17 [403]
March 23, 2020 66 1 6 9 2 82 462 8 33 411 18 [404]
March 24, 2020 71 3 12 1 1 2 90 552 2 35 497 20 [405]
March 25, 2020 63 1 12 1 2 1 1 2 1 84 636 3 38 572 26 [406]
March 26, 2020 46 1 3 2 7 11 71 707 7 45 632 28 [407]
March 27, 2020 77 4 2 1 10 3 3 1 1 96 803 9 54 718 31 [408]
March 28, 2020 192 1 6 16 43 2 6 2 272 1075 14 68 972 35 [409]
March 29, 2020 261 3 2 4 16 33 1 1 4 16 343 1418 3 71 1305 42 [410]
March 30, 2020 69 4 2 7 20 1 23 2 128 1546 7 78 1426 42 [411]
March 31, 2020 404 2 5 20 72 3 1 27 2 1 538 2084 10 88 1947 49 [412]
April 1, 2020 159 2 3 8 35 2 13 4 227 2311 8 96 2165 50 [413]
April 2, 2020 237 1 16 2 19 38 1 1 3 4 1 322 2633 11 107 2475 51 [414]
April 3, 2020 285 2 1 29 50 4 4 1 2 4 2 385 3018 29 136 2830 52 20276 [415]
April 4, 2020 51 1 3 9 1 6 6 76 3094 8 144 2893 57 22683 [416]
April 5, 2020 110 1 11 18 9 1 152 3246 8 152 3030 64 23027 [417][418]
April 6, 2020 309 5 1 16 71 3 1 2 1 3 1 414 3660 11 163 3424 73 24727 [419]
April 7, 2020 59 1 4 28 1 2 1 1 4 3 104 3764 14 177 3503 84 26412 [420]
April 8, 2020 74 1 2 23 1 3 2 1 106 3870 5 182 3592 96 29537 [421]
April 9, 2020 157 1 1 14 29 1 3 1 206 4076 21 203 3749 124 31526 [422]
April 10, 2020 69 8 6 23 9 1 3 119 4195 18 221 3834 140 32770 [423]
April 11, 2020 164 1 2 1 16 48 1 233 4428 26 247 4024 157 34072 [424]
April 12, 2020 146 10 53 4 1 2 2 220 4648 50 297 4154 197 35782 [425]
April 13, 2020 193 2 3 1 23 58 2 2 1 1 284 4932 18 315 4375 242 38169 [426]
April 14, 2020 200 23 57 1 1 3 291 5223 20 335 4593 295 39998 [427]
April 15, 2020 177 1 1 6 34 1 7 3 230 5453 14 349 4751 353 42623 [428][429]
April 16, 2020 117 1 27 40 21 2 207 5660 13 362 4873 425 39947 [429][430]
April 17, 2020 141 24 20 2 27 1 2 218 5878 25 387 5004 487 42215 [431]
April 18, 2020 143 5 49 6 2 1 3 209 6087 10 397 5174 516 49613 [432]
April 19, 2020 125 8 19 1 18 1 1 172 6259 12 409 5278 572 55465 [433][434]
April 20, 2020 133 3 18 6 3 27 6 1 1 200 6459 19 428 5418 613 58072 [435]
April 21, 2020 74 1 1 6 52 1 3 140 6599 9 437 5511 651 61049 [436]
April 22, 2020 74 2 10 3 2 12 5 111 6710 9 446 5571 693 64581 [437]
April 23, 2020 99 2 17 1 6 142 1 1 1 271 6981 16 462 5797 722 68765 [438]
April 24, 2020 151 2 17 2 21 1 211 7192 15 477 5953 762 72794 [439]
April 25, 2020 51 2 6 2 6 1 1 29 1 1 102 7294 17 494 6008 792 76030 [440]
April 26, 2020 155 8 1 4 42 4 2 63 5 285 7579 7 501 6216 862 80858 [441]
April 27, 2020 129 6 4 9 2 4 39 1 198 7777 10 511 6334 932 85596 [442][443]
April 28, 2020 124 1 1 1 7 1 1 30 6 6 181 7958 19 530 6453 975 89021 [444][445]
April 29, 2020 190 11 39 1 1 1 3 254 8212 28 558 6631 1023 92822 [446][447]
April 30, 2020 149 1 1 9 4 1 105 1 276 8488 10 568 6877 1043 97505 [448]
May 1, 2020 128 3 1 12 1 3 2 130 1 284 8772 11 579 7109 1084 103417 [449][450]
May 2, 2020 50 13 1 156 8928 24 603 7201 1124 106520 [451][452]
May 3, 2020 121 1 1 1 17 1 4 120 22 1 12 295 9223 4 607 7402 1214 113574 [453][454]
May 4, 2020 124 3 25 3 3 88 1 14 1 2 262 9485 16 623 7547 1315 117853 [455][456]
May 5, 2020 173 4 19 1 1 1 199 9684 14 637 7639 1408 126713 [457][458]
May 6, 2020 177 1 6 11 4 1 8 98 12 320 10004 21 658 7840 1506 131786 [459]
May 7, 2020 104 1 6 6 3 2 205 2 6 339 10343 27 685 8040 1618 137055 [460][461]
May 8, 2020 77 3 1 28 2 1 1 120 10463 11 696 8033 1734 142663 [462][463]
May 9, 2020 105 3 2 1 8 9 147 10610 8 704 8064 1842 149640 [464][465]
May 10, 2020 80 2 2 75 4 184 10794 15 719 8151 1924 158384 [466][467]
May 11, 2020 172 6 48 74 1 292 11086 7 726 8361 1999 166473 [468][469]
May 12, 2020 160 1 1 4 7 3 5 74 264 11350 25 751 8493 2106 172238 [470][471]
May 13, 2020 153 2 18 1 58 21 268 11618 21 772 8595 2251 184857 [472][473]
May 14, 2020 179 1 3 17 1 2 5 16 2 13 2 7 258 11876 18 790 8749 2337 199284 [474][475]
May 15, 2020 124 7 27 1 1 2 4 16 12 215 12091 16 806 8825 2460 207823 [476]
May 16, 2020 131 6 25 1 25 8 1 214 12305 11 817 8927 2561 215567 [477][478]
May 17, 2020 150 1 5 7 1 2 208 12513 7 824 9054 2635 225142 [479][480]
May 18, 2020 123 1 1 1 2 1 8 16 205 12718 7 831 9158 2729 232932 [481]
May 19, 2020 168 14 12 1 17 4 224 12942 6 837 9262 2843 239753 [482]
May 20, 2020 137 27 11 14 1 279 13221 5 842 9447 2932 247239 [483][484]
May 21, 2020 98 1 8 2 98 1 2 213 13434 4 846 9588 3000 256652 [485]
May 22, 2020 91 3 12 1 56 163 13597 11 857 9648 3092 265061 [486][487]
May 23, 2020 114 1 7 12 2 1 38 1 1 180 13777 6 863 9737 3177 272355 [488][489]
May 24, 2020 196 18 9 5 1 258 14035 5 868 9918 3249 277789 [490][491]
May 25, 2020 171 3 38 70 284 14319 5 873 10123 3323 283147 [492][493]
May 26, 2020 248 1 7 18 1 1 2 4 2 10 350 14669 13 886 10371 3412 289732 [494][495]
May 27, 2020 255 4 22 1 1 1 6 1 1 380 15049 18 904 10639 3506 297358 [496][497]
May 28, 2020 309 1 15 30 1 2 55 2 21 1 1 539 15588 17 921 11069 3598 304989 [498][499]
May 29, 2020 513 1 50 62 1 2 5 28 1 2 7 2 1 8 1046 16634 21 942 11972 3720 312349 [500]
May 30, 2020 314 5 1 10 38 2 6 3 18 1 1 590 17224 8 950 12466 3808 318356 [501]
May 31, 2020 192 2 1 2 81 4 1 862 18086 7 957 13220 3909 328835 [502]
June 1, 2020 203 1 27 30 5 103 1 1 3 8 552 18638 3 960 13699 3979 335726 [503]
June 2, 2020 90 1 1 8 5 1 99 1 4 1 359 18997 6 966 13968 4063 345577 [504]
June 3, 2020 241 5 33 29 16 1 342 6 1 44 751 19748 8 974 14621 4153 357252 [505]
June 4, 2020 156 1 8 19 7 2 223 1 1 1 16 3 4 634 20382 10 984 15150 4248 376341 [506]
June 5, 2020 48 1 2 16 1 244 20626 3 987 15309 4330 386726 [507]
June 6, 2020 244 1 8 19 1 2 171 2 2 1 714 21340 7 994 15905 4441 395872 [508]
June 7, 2020 67 104 555 21895 9 1003 16362 4530 406344 [509]
June 8, 2020 220 9 1 5 25 2 3 161 2 3 1 579 22474 8 1011 16826 4637 416201 [510]
June 9, 2020 151 2 2 12 1 86 5 518 22992 6 1017 17239 4736 427121 [511]
June 10, 2020 192 1 1 1 10 23 83 6 1 2 3 740 23732 10 1027 17810 4895 436448 [512]
June 11, 2020 83 2 1 5 11 3 2 72 13 5 1 443 24172 9 1036 17974 5165 446149 [513]
June 12, 2020 185 3 2 6 13 1 4 112 6 2 10 3 7 615 24787 16 1052 18281 5454 457749 [514]
June 13, 2020 284 3 2 1 5 30 1 3 85 53 3 20 27 607 25392 22 1074 18612 5706 468961 [515]
June 14, 2020 245 17 2 1 2 3 1 115 539 25930 14 1088 18888 5954 477204 [516]
June 15, 2020 152 7 1 4 14 1 2 84 65 2 9 12 5 1 490 26420 10 1098 19070 6252 485611 [517]
June 16, 2020 155 8 4 1 1 14 5 59 6 1 4 8 5 1 3 364 26781 5 1103 19126 6552 495180 [518]
June 17, 2020 196 6 2 3 15 1 6 160 6 5 5 3 3 3 457 27238 5 1108 19310 6820 509519 [519]
June 18, 2020 153 6 14 2 3 299 7 2 1 1 3 562 27799 9 1116 19593 7090 520306 [520]
June 19, 2020 317 5 2 10 40 4 4 5 124 76 2 2 4 6 7 661 28459 14 1130 19951 7378 534106 [521]
June 20, 2020 280 2 3 9 30 2 2 11 444 4 4 1 1 7 4 943 29400 20 1150 20600 7650 547373 [522]
June 21, 2020 251 6 49 2 1 1 266 2 2 4 11 653 30052 19 1169 20990 7893 558163
June 22, 2020 175 2 1 1 10 53 3 6 257 12 1 5 1 1 630 30682 8 1177 21362 8143 568604
June 23, 2020 378 14 39 2 1 11 320 1 2 3 27 2 2 12 1150 31825 9 1186 22197 8442 580560
June 24, 2020 240 3 6 13 1 1 9 145 3 3 1 2 470 32295 18 1204 22435 8656 596058
June 25, 2020 453 3 12 45 2 8 106 1 12 1 1 1 34 778 33069 8 1212 22947 8910
June 26, 2020 1006 34073 12 1224 23667 9182
Cases 16277 111 131 45 838 2334 87 108 199 6419 301 189 98 479 51 31 57 N/A 34073 N/A N/A 23667 9182 596058 N/A N/A
Deaths 821 2 12 1 37 136 4 5 11 122 0 5 9 30 1 0 4 N/A N/A N/A 1224 N/A N/A N/A N/A N/A
Date NCR CAR I II III IV-A IV-B V VI VII VIII IX X XI XII XIII BAR New Total New Total Total Total Total Ref. Notes
Regions Confirmed Deaths Active Recov. Tested

Source: Department of Health's COVID-19 Tracker

Notes:

  1. Breakdown of confirmed cases is according to the COVID-19 Tracker of the Department of Health (DOH). Take note that the map may not reflect all affected localities. The methodology on how patients with confirmed COVID-19 infection are recorded in a particular locality in the tracker is unclear and may vary. Cases under validation including cases among repatriates may not reflect on the map.
    • Other independent cities's cases are grouped together with their geographically associated provinces (e.g Puerto Princesa with Palawan, Zamboanga City with non-contiguous Zamboanga del Sur).
    • Cotabato City's cases are still considered as cases under the Soccsksargen region despite being part of Bangsamoro since the city has not yet formally been turned over to the Bangsamoro regional government. For the purpose of the map, its cases are considered part of Maguindanao.
  2. Breakdown of confirmed cases by region is according to the COVID-19 Case Tracker of the Department of Health (DOH). Cases in Cotabato City, a part of Bangsamoro, under the Soccsksargen region since the city has not yet formally been turned over to the Bangsamoro regional government.
  3. The first three cases were Chinese citizens without local residence(s) in the Philippines but was included on Central Visayas' data for statistical purposes.

By demographic

In the table below, the general lethality of coronavirus disease 2019 (COVID-19) in the Philippines is presently given around 4%, implying about 4 deaths and 96 potential survivors per 100 cases. To compare the three well-known coronavirus diseases, the case fatality rate of the 2002 severe acute respiratory syndrome (SARS) outbreak was higher at 11%,[523] while that of the 2012 Middle East respiratory syndrome (MERS) outbreak was much higher at 36%.[524]

Progression charts

Notes

    See also

    References

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    13. Panganiban-Perez, Tina (January 31, 2020). "RITM now running nCoV tests – DOH spox". GMA News. Archived from the original on February 2, 2020. Retrieved February 2, 2020.
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