- 11 months ago
Join us as we talk about cervical cancer—its causes, risk factors, and the importance of early detection. OB-GYN Dr. Stephanie Gail Mesina-Veneracion shares expert insights on how education and prevention can save lives.
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01:00This disease continues to impact thousands of Filipino women.
02:11Good afternoon.
02:12Good afternoon.
02:13Maying hapon, Mamildred.
02:14Maying haponsan sa atong mga suking tingpaminaw o tigtanaw.
02:18Yes.
02:19I'm pretty sure na nagin mo yung daghan audience.
02:21Yes.
02:22So, please sing kaya mong environment, atmosphere during sa studio.
02:28Pagkagwapan na lang yun sa amu ang guest.
02:31Yeah.
02:32Canang personal kaayo ang atong discussion, especially sa mga kababayinan.
02:36Like, unsa man yung human papiloma virus or HPV and how is it linked to cervical cancer?
02:53Kanang daghan mga kababayinan nga nagsis, dey na siya.
02:54Kailang nahibawan, especially in the rural areas.
02:55It's kind of difficult for them.
02:56So, can you elaborate on that, doc?
02:57Alright.
02:58Sige.
02:59Human papiloma virus, HPV.
03:00Okay.
03:01It is one of the most common cause of sexually transmitted infections.
03:02So, itong mga usual na nailhan na mga STD, kaya kanamang mga sira na itong itawag
03:19sa bisaya, which were caused by gonorrhea, chlamydia.
03:23Ang HPV, padaplin kayo na siya.
03:26Wala kayo na siya nailhan sa mga kababayihan.
03:28Di lang sa mga kababayihan, kundi sa katawhan gin mismo.
03:31Okay?
03:32Sometimes, I'm also being asked, doktora, kanyang HPV?
03:36Pareho ba niya ang HIV?
03:37Doolman.
03:38Doolman.
03:39Usara man kaligas ang ihang litra.
03:41Ang middle litra.
03:42Yes.
03:43It's totally different.
03:44HPV is totally different.
03:45Again, usani siya sa mga virus na makaka-cause o which is caused by sexual transmission.
03:53No?
03:54Mapuha ni na ito siya sa pamaagi sa panghilawas.
03:56Now, the link to cervical cancer there is that more than 95% of cervical cancer cases is actually caused by HPV.
04:05Oh, more than?
04:06More than 95% of cervical cancer cases.
04:10So, naman usual na itong mga pangutana sa mga kababayihan na, doktora, kanyang cervical cancer ato ba ni siyang na-inherit?
04:19Hereditary ba ni?
04:20Gikan sa ato ang ginikanan atong mama na ay very few cases.
04:25But again, more than 95% of cervical cancer cases is caused by human papilloma virus na makuha sa panghilawas.
04:33Okay.
04:34So, net.
04:35Pag-inut-an net ha.
04:37Pag-inut-an net.
04:40Pag-inut-an net.
04:41So, naabay ang simptomas, is it something na makita, ma-feel?
04:47Uy, HPV ni.
04:49Ana, naaban na siya, dok?
04:51Okay.
04:52Alright.
04:53HPV can manifest in a lot of ways, no?
04:56So, besides the cervical cancer, which is late na na siya mutong usually, ang dapat repeated ang imang infection sa HPV,
05:03ang other na HPV-related diseases itong makitaan is genital warts,
05:08or itong itawag ugkunggo sa bisaya, no?
05:11Kunggo sa bisaya, or kalunggo, no?
05:14Or kung sa Tagalog pa, kulugo.
05:16Alright?
05:17So, the warts, do you mean ka nang sometimes na-upload?
05:20No, dili na siya mao.
05:22Naaragi din rin sa ito ang genital area, appeal sa lubot.
05:26Okay.
05:27Muna siya'y genital warts caused by HPV.
05:30Others, pwede siya mamanifest sa imuhang cervix as pre-cancer solutions,
05:36na iuban mamanifest siya as oropharyngeal cancer,
05:41na iuban mamanifest siya as kanang murag, sambol-sambol ang throat.
05:46Ang buta, I don't know if it's okay to mention a certain American actor.
05:50Okay raba, ma-mention o gan?
05:52Basta diagnose na siya.
05:53Basta actor lang siya, do?
05:54Actor lang siya.
05:55Itago lang na ito sa pangan ng actor.
05:57Itago lang na ito siya sa pangan ng American actor.
05:59This certain American actor,
06:01which is very, who is very prominent actually.
06:03Ang ihang reklamo ato many years back is,
06:06nagsigisag sore throat.
06:07Okay.
06:08Sigisag balik-balik sa ENT patambal siyang sore throat.
06:11Until finally,
06:12huwag yun naayo,
06:14pagkita nga nga,
06:16na ay mga lesions,
06:17pag biopsy,
06:18HPV-related cancer of the throat.
06:21Okay.
06:22Oh.
06:23Inaana na siya manifest.
06:24Ang pinakangilingig manggudani,
06:25kayo pwede manggud na huwag yun kayo simptomas at all.
06:27And yet.
06:28And yet, you have HPV already.
06:30Hindi.
06:31Let me just emphasize,
06:32na ang HPV,
06:34hindi siya pareha sa uban nga mga sexually transmitted infections,
06:37bitaw na.
06:38Eh, muna,
06:39gaon munggug ka,
06:40naghahan munggug kag-laki,
06:42naghahan munggug kag-babae,
06:43muna, nasira ka.
06:44Sakto.
06:45Muna, usual na ito.
06:46Yes.
06:47Ang STD,
06:48atong manggung malink to extra marital affairs.
06:51That's right.
06:52Atong malink ang STD with promiscuity.
06:55Yes.
06:56It's true.
06:57But HPV is not associated with promiscuity.
07:00Kitang tanan,
07:01once we have a history already of sexual intercourse,
07:04we already have the chance of acquiring human papilloma virus.
07:07Iskang kausara na,
07:08na sexual intercourse.
07:09Which is also evident in the kids that are being raped.
07:13Oh my God.
07:14Na, ig-examine sa ilahan na asagi uban mga bata tao
07:17na makita nato nanay genital warts,
07:19or naikunggo.
07:20Possible ang katong ni-abuse sa ilahan is,
07:23koan?
07:24HPV.
07:25Infected.
07:26That's right.
07:27So, but can HPV and cervical cancer be prevented?
07:31Yes.
07:32Okay.
07:33Preventive net.
07:34Pwede na.
07:35So, this is the reason why I'm a strong advocate for HPV and cervical cancer awareness.
07:41So, natin mga pamaagig yun na ma-prevent niya siya.
07:44Nagi ko'y acronym.
07:45Parani, no?
07:46Okay.
07:47A, B, C, D, V.
07:49Okay.
07:50Okay.
07:51Ang letter A is abstinence.
07:52Okay.
07:53But my God, dili kita,
07:54imposible kayo ng abstinence, ma'am Mildred.
07:57Because, whether we like it or not,
07:59sex is a basic need of humanity.
08:02Mokono na siya ang reason, Doc.
08:04Nga nung ang mga kumbinto na ako'y kapayas.
08:08Kaya ang kapayas ko, no, makapasubdue ko, no, sa urge sa mga...
08:15Pero, tootooong ko na, Doc.
08:16Tootooong.
08:17Siguro na siya.
08:18Huwag git chansa na.
08:19Huwag git takibaw sa...
08:21So, imposible kayo ng abstinence.
08:23Yeah.
08:24Letter B is be faithful.
08:25So, be faithful.
08:26Nana.
08:27Di na naging namusod ang atong pagka-be faithful.
08:29Nana.
08:30Nga naging na ito.
08:31Yes.
08:32No?
08:33Letter C is wearing a condom.
08:34But then again, let me also emphasize na ang condom,
08:37diligyan na siya mag-guarantee yung 100% protection.
08:40Okay?
08:41And then, letter D.
08:43Doctor's consult.
08:44So, sa doctor's consult, di na nang namusod ang pap smear.
08:47I'm sure familiar.
08:49Gikita tanan about pap smear.
08:51Yes.
08:52Which a lot of women have misconceptions about.
08:54O, niya.
08:55Mahalog sa dsila, anak.
08:56Yes.
08:57So, muna siya.
08:58Muna siya.
08:59Ako na siyang iigun.
09:00Nga nung importante kayo ng pap smear later on.
09:02Besides sa pap smear, letter V.
09:04Which is the vaccination.
09:05Okay.
09:06Okay?
09:07So, ang pap smear.
09:08Ang usual mga pagtuos mga tao sa pap smear na.
09:11Ah, magpa-pap smear ko.
09:13Kaya magpa-limpiyo ko.
09:14Na may ovan.
09:15Ayan.
09:16Muna siya ma-inter...
09:17Ang ka ng raspa and a pap smear.
09:20Ma-interchange na siya.
09:21Yes.
09:22Ang pap smear is actually dilip para limpiob.
09:25It's a cervical cancer screening test.
09:27Yes.
09:28So, katumpag pandemic.
09:29Kibawa man tangtanan na na-swab.
09:31No?
09:32Para sa COVID.
09:33Yes.
09:34So, the pap smear is basically a swab for the cervix.
09:37To test for cervical cancer.
09:39Now, the importance of pap smear comes in anina concept.
09:44Yes.
09:45Ang cervical cancer mga good mamildrian,
09:46before na siya mahimong cancer,
09:48muagi na siya pipila ka pre-cancerous lesions.
09:51Pre-cancerous, mas sabuti pa cancer.
09:53But pa doong nag-cancer.
09:55Muagi na siya pipila ka pre-cancerous lesions,
09:57so, wakay ma-feel na sintomas.
09:59Mundo, akong giingon earlier,
10:01na kung nakay HPV,
10:02doesn't necessarily mean na dapat nakay sintomas.
10:05Kanyang mga pre-cancerous lesions,
10:08muna siya'y makitaan sa pap smear.
10:10Okay.
10:11Para matambalan siya before mahimong cancer.
10:13Makats siya na yun.
10:14Yes.
10:15Makats siya, matambalan siya before mahimong cancer.
10:18Muna siya'y important sa pap smear.
10:20At what age man dapat na itong,
10:23women should regular ka magpap smear?
10:27That's a very good question.
10:28So, over the years nang kausab na itong guidelines,
10:31many years back at the age of 21,
10:33with or without the history of sexual intercourse,
10:36nausab na sa many years later,
10:37nahi mo na sa 25 years,
10:39karoon na itong guidelines 30 years old.
10:42Okay.
10:43But, naikatch,
10:44given that you don't have any history of any STDs,
10:47other STDs,
10:48you don't have any other symptoms,
10:51like vaginal discharge,
10:52or you're not high risk.
10:54So, ang kanang pap smear,
10:59ako lang i-explain gamay kay,
11:01mo gina siya sa mga kababayanan mo,
11:03they find it ang discomfort of opening up.
11:06Yeah.
11:07Especially nga,
11:08kanang,
11:09unsan na ba,
11:10kanang,
11:11tuyuan gini mo bitaw,
11:12tuyuan gini mo gatog-doctor and everything,
11:14but,
11:15kan na,
11:16si doc,
11:17i-explain,
11:18unsan ka-importante ang pap smear.
11:20Kanang swab na siya,
11:22but it will help you,
11:24early detection,
11:25no?
11:26Early detection is really the key.
11:27Campaign is really prevention.
11:29Kay,
11:30mas barato man siguro ang prevention
11:32kay mag-cure na ta,
11:33di ba?
11:34Tinood, good na siya ma'am Mildred.
11:36Kasagaran mga,
11:37kadlukan mga good sa mga kababayahan na to,
11:39no,
11:40is ka na manggong sakit,
11:41manggong pap smear do.
11:42Actually,
11:43ang akong tip sa mga kababayahan,
11:44para di mo sakit ang pap smear,
11:46relax lang yun ka.
11:48Kung unsa kakaandam,
11:49sa gabiin mo,
11:50ato bang sa imong bana,
11:51ingunan na kakaandam mo,
11:53ato bang sa imong ubi.
11:54Scary sa bitaw ang tool ilang gamiton.
11:56Kanyaурisag,
11:58ang naong niya,
11:59arsag-dak alun sa ba?
12:01Sakto ka,
12:02marsag-dak na po tao.
12:03Yes.
12:04I think,
12:06I mean I'm,
12:06I think I'm one of the women
12:08na at first,
12:09ang inyo-ops,
12:10ciri-kirin mga
12:11feeling na ako bang,
12:12niyo open ragay ko
12:13kuit hakikصل takuntiyan,
12:14kumangalang ahumang anak niya.
12:16Sure,
12:17I think,
12:18it's part of our culture,
12:19nonisyang na area is prohibited
12:21genna siya.
12:22It's,
12:23ako raged na.
12:24It's true.
12:25Carang,
12:26It's important to detect it early and prevent it, isn't it?
12:36Yes, that's right.
12:37Okay, now, how do you approach conversations with patients about the importance of regular screening and HPV vaccination, especially with those who might be hesitant?
12:50Where does HPV vaccine come with a cost?
12:55How do you know that?
12:57Okay, first, I really listen to my patients.
13:00They have a lot of concerns.
13:02The cost that you mentioned, Ma'am, the misconceptions about the virus, HPV, cervical cancer.
13:10I listen to their fears also.
13:13So first, I begin by saying that HPV is very common.
13:24All of us, in our lifetime, at least we can get one strain of the virus.
13:29Make that 80% in our lifetime.
13:31We can get it.
13:33It's just that.
13:34Okay.
13:35Okay.
13:36So, it's a big thing to connect to cancer when it's back.
13:38When it's back.
13:39Okay.
13:40Okay.
13:41Okay.
13:42Okay.
13:43Okay.
13:44So, if you develop along the way to become pre-cancerous.
13:46If you don't want to pop-smear, you don't want to die.
13:48You don't want to die.
13:49You don't want to die later on.
13:50Okay.
13:51So, I emphasize that you don't have to be promiscuous to get HPV.
13:56Okay.
13:57I'm not sure about that.
13:58I've only had one partner in my life.
14:03Sure, I'm sure.
14:04Sure, I'm okay.
14:05But you can never be too sure.
14:07Sure.
14:08Because the cancer can be diagnosed usually in the later age.
14:11At the age of 40.
14:13But, it's not a lot of confidence.
14:16Dr. Galbo, our oncologist, who is the earliest cervical cancer patient that I encounter is 21 years old.
14:24Wow.
14:25It's not a lot of confidence.
14:27It's true.
14:30It's true.
14:32I don't know if it's a generation thing.
14:35It's a culture thing.
14:36It's a values.
14:37It's a culture thing.
14:38It's a values.
14:39It's a mix of everything.
14:42It's a mix of everything.
14:44It's values.
14:48We get to be more open like the West.
14:51Yes.
14:52We don't have the Filipino values.
14:55You know.
14:56So, when I say, Mildred,
14:58Mildred,
14:59I'm just the one who answered it.
15:01So, when I say, I tell the patients how common it is.
15:05So, when we have HPV, Mildred,
15:08infected,
15:09Some women are lucky to be able to clear the infection on their own.
15:13While some women develop the HPV related diseases.
15:16But, there's no way for us to tell, Mildred,
15:19that I'm developing.
15:20I'm living.
15:21So, it depends on your immunity and many other factors.
15:24The pap smear is important.
15:26When we talk about the cost, Mildred,
15:29how I frame it to my patients,
15:31or how I encourage them,
15:32is that if you want to invest on your future,
15:35this is one thing.
15:36This is one thing.
15:37You invest big on your health.
15:39You're right.
15:40I'm going to get a job.
15:42So, you're going to go back and invest in HPV.
15:45You're right.
15:46You're right.
15:47You're right.
15:48You're right.
15:49You're right.
15:50You're right.
15:51You're right.
15:52You're right.
15:53You're right.
15:54It's kind of difficult to express love to other people
15:56when you cannot love yourself.
15:58That's true.
15:59And I think taking care of yourself is important.
16:01Very important.
16:02Right?
16:03It's important.
16:04First of all,
16:05you're right.
16:06You're right.
16:07Can you say, Doc,
16:08why is it important for women
16:10to have an understanding of this health issue
16:13and to take action to prevent it?
16:16Okay.
16:17I think it all circles back to the fact that knowledge is power.
16:21No?
16:22Yes.
16:23If knowledge is power,
16:24if it's only a person who has a cervical cancer,
16:28I cannot elaborate more.
16:33If it's cancer in any form,
16:35it affects you holistically, emotionally,
16:42it affects your family.
16:43No?
16:44It affects the people around you.
16:45It affects your worth, economics, everything down the line.
16:49Okay?
16:50Economics, good, no?
16:51Economics, good.
16:52But,
16:53if you don't need to know whether to go to the hospital,
16:55you do not need to know how to breathe,
16:58how much pain and what do you do.
16:59Even if cancer is pain in your health,
17:01if you don't need to love your health,
17:02you don't want to the health care.
17:03If it's Φm,
17:04if you don't need to know what the health care is,
17:05if you don't need to know how to breathe the health care about it,
17:06you don't need to know how to breathe.
17:07Although it expands the coverage in field health for cancer, but still, the treatment of your treatment, they are covered.
17:21And I think it's more of you, your personality.
17:26If you think it's good, you'll see it.
17:30If you go through the therapy,
17:34you'll be out of it.
17:37But again, the best is really to prevent before it develops.
17:41It's cheaper.
17:43It's cheaper.
17:44It's cheaper than the UtaNet.
17:46I'm using the UtaNet.
17:48I'm using the HPV vaccine.
17:51It's a range from what?
17:53If the government has published vaccines,
17:57it will be available.
17:59That's a very good question.
18:01I don't know if I'm in the right position
18:03to really tell the range of the vaccine.
18:05It depends on whether you want to inject.
18:07Okay.
18:08But vaccines are available in the clinics of OBGYNs and some pediatricians.
18:13Private.
18:14I'm talking about the private sector.
18:16And then available to pharmacies.
18:19I know that there are pharmacies already selling the vaccines,
18:22but you have to have the prescription from the doctor.
18:25With regards to the government,
18:27yes, there are a few LGUs.
18:30So LGUs are the procured for?
18:33Yes.
18:34Recently, we had a Cervical Cancer Summit here in Cebu last September 5,
18:39and it was a successful one.
18:41So, the goal of that Cervical Cancer Summit is
18:44to be able to use the other LGUs.
18:48They would appeal their priority for Cervical Cancer Elimination.
18:53So, many stakeholders, the stakeholders during that event actually committed to really helping in the awareness.
19:00The important thing is that the Cervical Cancer is to be able to access the PCC.
19:06It is to be able to get out there.
19:08So, there are no concerns of the PCC.
19:10So, when you don't care about it, you can't care.
19:11Well, before you have to ask,
19:14you have to ask yourself,
19:15and you have to ask yourself,
19:17you have to ask yourself,
19:18and you just ask yourself a vaccine for HPV.
19:20You have to ask yourself a vaccine for HPV.
19:21So, you can't do that.
19:23But I know there are few of them already for LGUs.
19:27I have an example for the Cercar.
19:29And CAR-CAR, nag-sugod sila ang HPV vaccination sa ilang employees,
19:34kahit tungod na sila'y usaka-employee daw na na-diagnosed with cervical cancer.
19:38So ako ba, muhuwat pala ita?
19:39Muhuwat pa uya, tinunan.
19:40Na na-ayung mag-cervical cancer na ito.
19:41Before tamotake o action.
19:43Correct, correct na siya.
19:45So, one is awareness, good.
19:47So, kamong mga nagtanaw din ha, ayaw paghuwat nga na mo'y bati on.
19:52But, you know, just visit.
19:54Ang PAPS Mirba is available in Barangay Health Centers,
19:58or they really have to go to the hospitals.
20:01Okay.
20:01I am not very sure about certain Barangay Health Centers offering PAPS Mirba.
20:07But, pwede gitsa lang mo add to mga OPD na clinics that have OBGYNs,
20:13private clinics, pwede.
20:16Ang usaka-way na maka-screen to for cervical cancer is kanang atong itawag VIA.
20:22Muwat na kadungog na ba buwan ng mass VIA screening.
20:26Waduh ko kadungog gano'n.
20:27So, kuwa na siya.
20:28Lain yung meaning ang VIA sa media.
20:30Sige, padayin lang kadog.
20:30Sige.
20:31So, mass VIA screening.
20:33Yes.
20:34For example, na ay certain mga NGOs or na yung mga LGUs na mag-host sila o ka ng mass VIA,
20:40daghan ka ayaw na sila mga babae na i-screen.
20:42I-screen.
20:43I-dungan-dungan na sila bilang kad, na-screen na sila, swab na sila, di na siya pap-smear.
20:49Ang pap-smear, mangun mo, gawas ang resulta about a week after pa.
20:53Ang VIA is an immediate result right there.
20:57And then, dinha da yun, itreat da yun siya kung na-i-precancerous rations.
21:02So, ang pinakalitas na akong na-atenan na mass VIA was last May.
21:08In sa Hoops Dome sa Lapulapo.
21:10So, sponsored to sa LGU sa Lapulapo.
21:12Sponsored to sa LGU sa Lapulapo, sa MSD, o sa POGS.
21:16Amo ang organization sa mga OB.
21:20Pero the thing is, di mo, kung ka dapat mo huwat kung ka no sa panay BAA.
21:24Mausad.
21:25Diba?
21:25Yes, pero mausad.
21:26So, I think we have two government hospitals of three days siguro.
21:31Nga naasa City, that's Soto, that's CCMC, o kanin sa St. Anthony.
21:35So, ka nang kung para sa mga mama, mga nanay din na, if you, you know, you just,
21:41wala lang sa imong, kung naay kaliwat ninyo or naamoy koan, ka nang pag,
21:46kahadlo ka na, add to, mas better good na magpapasmirta.
21:49And have it, have it checked before ka mo, add to ka, mula bang na ka sa lisud, mas mahal na.
21:57And then, you know, at risk, ang imong naon, ang imong pamilya.
22:00Not just ang imong kaugalingon, but ang imong pamilya, especially kung na kayong mga anak.
22:05I mean, you know, lisud ka ayaw, nga mo biyakag sa'yo, imong mga anak, why mo take care.
22:09But ma-prevent, mangood siya.
22:11Ma-prevent siya.
22:11Ma-prevent siya, if mo lang na early detection.
22:15Kami, ang media, makatabang mi sa awareness, no?
22:17So, pwede, Mika, ipabalik-balik nila mo ni Kenneth nga.
22:21Dito.
22:21Unsan ng HPV, kanang makasabot ba ang mga tao na dilini siya, kanang, this is not just, kanang a rumbling of letters,
22:31but naan ni siya'y pasabot niya, angay ninyong bantayan.
22:35Now, unsan mansad ang, sa imong experience as OBGYN, unsan mansad ang mga bar years imong nakita?
22:43For women nga, kanang magpa-check up, or kanang, or kanang, for them to be aware of HPV.
22:52Okay.
22:52There are a lot of barriers.
22:54Magsugod-gyuntaan ni sa misconception, kanagyod, na dili, dili, sakto ang information na maabot sa ilaha.
23:02First, ang pinaka-importante, which is ang screening, no?
23:06Kanang screening, mahadlok sila kay tungod, sakit lagi, kana, muna, sakit ang pap smear.
23:12Gani ka, sakitin, nanganak ka.
23:14Oo, ganoon niya.
23:16The thought, ang ilang hunahuna na dili nila kailangan tungod kay, sila ay gipamati,
23:22dili nila kailangan kay tungod, usara ka buk ilang sexual partner,
23:25or dili nila kailangan tungod kay, hindi sila sexually active.
23:30Anang panahuna?
23:32Okay.
23:33Another barrier is, um...
23:36Kung ano siya, dok?
23:37Kaneng, kaneng siya ba, no?
23:39Kaneng misconception, no?
23:40Nga, if usara'y mong partner, least likely ka to get HPV.
23:46Kung di siya ka sexually active, least likely ka to get HPV.
23:49Kaneng, mga tita, mga mama, dili na siya, assurance ha, nga inana.
23:53Sagi pa, sabot pa ni dok, nga, wala'y garantiya kung inana'y mong practices, inana'y mong life, di ka magka-HPV.
24:03So, ang ato lang yun is early detection.
24:06Hala, ugma, pagpabukda yun para pap-smear.
24:10Ang usap po na kumakitaan na barrier, most especially sa vaccination, is the cost.
24:16Yes.
24:16Okay.
24:17Muna, ang mga LGUs to have vaccination included also in their priority sa ilhang projects.
24:27Kaya, dili man ko na pwede iagad na to sa DOH, tanan?
24:32Yes, it's true.
24:33So, DOH, in cooperation with the LGUs, unta,
24:37muna, muna yung i-try po, nag-work out sa government, no?
24:43Provincial government na to, na atong matabangan, ug-auhagsin atong mga LGUs na pangitaan gud siya, ug-ka ng budget.
24:52Naanagin na ni Dr. Niki Katalang.
24:54Naanagin na.
24:55Naanagin na ni Dr. Niki.
24:57Naanagin na ni Dr. Niki.
24:58Nga, pag-ingon nga.
24:59Kanang mayor.
25:01Kimbo siguro ta, ane, no?
25:03Kanang kaisus.
25:04Walay lungsod o syudad mahitabo kung why mga nanay, why mga mama.
25:08So, kanide siya, by the way, Ma'am Mildred, ganahan lang na ako iingon po ba na.
25:13Ang kaning vaccine, magsugod ni siya, ug-edad, ug-nine years old.
25:19Both males and females, ha?
25:20Pwede na ginanato sila tagaan o vaccine.
25:23Ang uban mga lugar o ang uban mga nasood, vaccinated na ilahang kids 9 to 14 years old.
25:30So, appeal na siya sa katong regular na itong vaccine, katong mga MMR.
25:35Yes.
25:35So, appeal na na siya.
25:36Mura na siya, di na siya sa...
25:36Recommend na na siya.
25:38Yeah, kind of mandatory na siya, no?
25:41But, you know, that's one barrier there.
25:44Kay daghan man kong mga ginikanan po na diliganahan.
25:49Actually, sa uban mga lungsodiri, nanay uban niya nakapa...
25:54Nanas sila yung projects na magpa-inject o 9 to 14 years old.
25:57Of course, malangkit, manas ginikanan, no?
25:59Yes, kay my nurse man.
26:01Dili mo sugot ang ginikanan.
26:03Kay, mahadlok.
26:05Of course, nasa sila sa thought na,
26:07Virgin, pamantahin ni akong anak.
26:09Uy, pamantahin ni buot.
26:11So, mga nai, prevent na siya.
26:13Kanang shield na na siya.
26:14Shield na na siya.
26:15That's the right word.
26:17It's really shielding.
26:19Kunya, ang kanimanggong vaccine,
26:21it works best.
26:23Let me emphasize,
26:24it works best kung wala pa nakaaging panghilawas ang tao.
26:28When the person is still naive to the virus,
26:32the vaccine works best in those people.
26:35Ang nakanindot po niya,
26:36at ages 9 to 14 years old,
26:40duhara, kadoses ang iturok.
26:42So, makasave, gyan ta.
26:43Kaya tulong mangi na siya.
26:44Ah, okay.
26:46So, naraman day na,
26:48wapam ang kangenet kayo,
26:50wapaman,
26:51wapaman,
26:52gawas pa man na,
26:53i-consider gyan na ito.
26:54At 9 years old,
26:55muna gyan ang ipavaccinate kayo.
26:57That's being a responsible parent.
27:00Diba si Kenneth ang sampulit kayo?
27:02O, niya,
27:02o sa sa DIY ni kanang mamildred,
27:05uwing,
27:05story amgitabahay ni Kenneth,
27:07no?
27:07Lucky mag-indis Kenneth.
27:08Yes,
27:09apel ba si Kenneth?
27:10HPV is not only found in females, ha?
27:14We have that notion,
27:15mangkod na,
27:15ang HPV,
27:16tungan,
27:17cervical cancer.
27:18Gimarkat ba siya,
27:18cervical cancer vaccine,
27:20right?
27:21But it also affects males.
27:22Katong kung giyengon American actor,
27:24ganiha.
27:24Sa lalaki,
27:26ang ilahang cancer is
27:27anal cancer,
27:29penile cancer,
27:32oropharyngeal cancer,
27:33katong sa throat.
27:35So,
27:35ako,
27:36kung ako'y pasyente sa clinic,
27:37for example,
27:38na ay warts,
27:39na ay pasyente ako na na ay warts,
27:40ako tag-aag vaccine,
27:42ang banapod,
27:43magpabakuna po.
27:45Okay,
27:45para kay,
27:46walang giyapo,
27:46nagpabakuna siya niya,
27:48ang karir.
27:50O araso net mo,
27:51napagtibinot ando niya ta.
27:53Pero diliingon si Doc,
27:54dili bi-assurance ang
27:55hopefully faithful,
27:58faithful ginis ginis.
28:00Maka-vouch good si
28:01koan na na,
28:01si Annabelle.
28:03Ang buotan.
28:04Okay.
28:05Now,
28:06unsang mansad,
28:07would you know
28:07if there's any
28:08government programs
28:10nga kanang koan,
28:11kanang,
28:13existing government programs
28:15like sa DOH,
28:16nga kanang
28:17very aggressive
28:18on,
28:19kaning problem
28:20on the cervical cancer
28:21HPV?
28:23I cannot answer
28:25on behalf of DOH.
28:27From the recent,
28:28yes,
28:29naagid sila'y,
28:29naagid sila'y mga,
28:30mga,
28:31koan,
28:31anino,
28:31naagid sila'y mga
28:33existing programs,
28:35anino,
28:35but tungod sa kadaghan
28:36na ito programs,
28:38nililirabaya kay Moni
28:40na health problem
28:41ang ilang gi-address.
28:43Yeah.
28:43So,
28:44muna,
28:44katong Cervical Cancer Summit,
28:46atog yung giauhag
28:47ang tagsa-tagsa
28:48ng mga stakeholders
28:49dito.
28:50Mostly LGUs.
28:51LGUs,
28:52katong AMHOP,
28:54no?
28:54Private
28:55organizations,
28:57naasay ka ng mga
28:57organizations
28:58sa kanab
28:59ng mga cancer survivors
29:01o
29:01appeal na
29:02among organization,
29:03ang Philippine Obstetrical
29:04and Gynecological Society,
29:07na kanab itong
29:07magtinabangay,
29:08tatanan kay,
29:09diligid na ito,
29:09pwede man po,
29:10good,
29:11na iasa lang po,
29:12tanan sa gobyrno.
29:13Oh, correct.
29:14Kay,
29:14ang government mismo,
29:15yes,
29:16they have healthcare workers,
29:17but these
29:18healthcare workers,
29:20or kung
29:21palitan sa awareness
29:22lang itong sturyaan,
29:23kailangan bagi hapon sila
29:24ang tabang
29:25sa mga OBGYNs
29:27para makaibaw sila,
29:29makaibaw na gilid sila
29:30on saon nila
29:31pag-spread
29:32or saon nila
29:33pag-sturya
29:34in terms of awareness
29:35sa mga tao,
29:36sa importansya.
29:37So,
29:38parang,
29:39murag
29:39hand-in-hand gilid siya.
29:41But if you ask me
29:41of a certain
29:42specific
29:43program sa DOH,
29:46dude ko katubaga na,
29:47ma'am.
29:47Pero,
29:48every year,
29:50mga private companies,
29:51murag ka ron,
29:52murag,
29:52murag,
29:53matrabaho ni mo
29:54kung di ka ni-offer
29:55o health insurance,
29:57murag,
29:57equivalent naman si
29:58health insurance
29:59to wifi,
30:00nga dito mo
30:00kaon sa restaurant
30:01kung wali wifi,
30:03kay dita ka Instagram.
30:04So,
30:04most of the companies now,
30:06na na sila'y programs nga,
30:08kanang annual physical exam,
30:10kanang,
30:13do you,
30:14do you,
30:15ano ba,
30:15do you,
30:16do you recommend
30:16na kanang,
30:17for these private companies
30:21nga,
30:22mu-offer sila
30:23o vaccine,
30:24kanang,
30:25salary reduction,
30:26just to make sure,
30:27kaya mo,
30:27mung good na'y cost,
30:28diba?
30:28Because of the cost,
30:29nga bultu,
30:30gato ni mo,
30:31magtigom sa ko
30:33para sa first vaccine,
30:34magtigom sa second vaccine,
30:36so,
30:37kanang siya,
30:37kanang,
30:38do you see
30:38the possibility nga,
30:40kanang,
30:40okay,
30:41ang company ang,
30:42kanang,
30:44mupalit,
30:45pero salary reduction?
30:47Actually,
30:47na yung mga companies
30:48na yung nga na,
30:49ba ya,
30:50patilig kakainguntan na.
30:52There are a few.
30:53I know about that
30:54because,
30:55ako man said,
30:55ang mu-add to sa ilang company
30:57para mustoryan nila
30:58about sa importance
31:00sa vaccination.
31:01Na na,
31:01na agad na siya,
31:02ma'am red.
31:03I-recommend na na.
31:04So,
31:04I-recommend na na
31:05sa inyong mga company.
31:06I-recommend na na to,
31:07net.
31:07I-recommend na to.
31:08Pero,
31:08ang nakanindot
31:08ng mga annual physical exam
31:10nila,
31:10nanagin ay pap smear.
31:11Appel na,
31:12basta babae.
31:12I-recommend na.
31:13Ang diri sa sansa,
31:14nag-pap smear,
31:15na ay pap smear
31:16dito sa ubuos,
31:17pero,
31:18ato lang ko sa clinic.
31:20Huwag ko kaabot
31:21sa cut-off,
31:22so,
31:22magpadayon pa ko
31:23sa akong APE.
31:24Now,
31:25during the,
31:25you mentioned
31:26during the summit,
31:27anong sa may mga
31:27key takeaways
31:29sa katong summit
31:31na hitabo lately?
31:32Kato,
31:33ang key takeaways,
31:35basically,
31:36napamanggot na sa
31:37implementation phase,
31:38no?
31:39Ah,
31:39ako lang yung i-share
31:40na ang nakanindot
31:41manggot ato na summit
31:42kaya na ay tulok
31:43kabuok,
31:44provinces,
31:45diris sa Cebu,
31:46na nanagin sila
31:47yung mga projects
31:47na nindot.
31:48O sa ato,
31:49katokong giingon
31:50ang car-car,
31:51nagsugod na sila
31:51sa ilahang
31:52vaccination
31:53sa ilang employees,
31:55napuhon,
31:55ganahan na sila,
31:56naana,
31:57nag-procure na sila
31:58o budget para
31:59ang mga kids nila,
32:019 to 14 years old,
32:02mabakunahan na.
32:04Ang Minglanilya,
32:05nana sila,
32:05ay nindot na program
32:06sa screening,
32:08yan,
32:09nanasad sila,
32:09ganahan na sila,
32:10they're applying
32:10for a budget na po
32:12para makapa,
32:13vaccine na po sila
32:14sa ilahang mga,
32:15mga kids
32:17or employees po nila.
32:19Number three,
32:20ang mandawe po,
32:21they're also starting.
32:22Suswak na si Kenneth
32:24sa Minglanilya,
32:25ang Cebu City na lang
32:26atong ipanawagan na ni
32:28kinsagay ang
32:28Committee on Health
32:30na to.
32:31But anyway,
32:32for our
32:33mga naasa
32:34konsihos sa Cebu City,
32:36may tag-inyo
32:36sa ding mahuna-hunaan,
32:37alang sa mga
32:38kababayanan,
32:40everybody,
32:42kayo,
32:42di li man ni siya
32:43exclusive,
32:44na market lang siya
32:45sa cervical cancer,
32:46but it affects men
32:47as well.
32:48So,
32:49male-dominated
32:49raba ang atong
32:50konsihos,
32:51so,
32:51basig inyo po
32:52niyang makonsider na.
32:54I think,
32:54ang bisag musugod lang
32:56ta sa screening,
32:57no?
32:58Kanya.
32:58Musugod lang ta sa screening.
33:00For a highly
33:00urbanized city niya,
33:03kay Baogita din
33:03ni Cebu City,
33:04daghan kayong mga
33:05super hyperactive
33:06sa ilang sexual life,
33:08together na,
33:09appeal na na
33:09sa ilang mga
33:10unsa pa din na.
33:10So,
33:11I think prevention
33:12siguro ang mas maayo.
33:14Mas makatabang
33:14ang syudad sa prevention
33:16kaysa
33:17ato na ta sa cure,
33:18nga mahal.
33:18Mahurot na tong budget.
33:19Mahurot na tong budget.
33:20Mahurot na tong budget niya,
33:21Gamayra ang maka-avail.
33:23Kahit daku man ang volume.
33:24Ang champ na budget,
33:26na Gamayra na.
33:26Add to lang ta sa prevention.
33:29So,
33:30with that,
33:30Doc,
33:30any
33:31panawagan ni mo
33:32sa mga nagtanaw na to
33:33karoon labi na
33:34for our women
33:35to be more open?
33:37Okay.
33:38So,
33:39akong panawagan
33:39sa atong women,
33:41no?
33:42Ayaw mo
33:42magkahadluk
33:42magpa-screening.
33:44Ang inyo,
33:45ang angahe kahadlukan
33:46na
33:46awahe na kaayaw
33:48ang tanan.
33:50And,
33:50I always want to leave
33:52the audience
33:53by saying,
33:55intellectuals
33:56solve problems,
33:58but
33:59geniuses
34:00avoid them.
34:02Diba?
34:02So,
34:02magpaka-genius
34:03tang tanan.
34:05Kay,
34:06you know,
34:07everybody knows
34:08that prevention
34:08is always,
34:10always good,
34:11better than cure.
34:13So,
34:13kani,
34:14please be informed
34:15that
34:16ang
34:17HPV
34:19or ang cervical cancer
34:21is
34:21one
34:22out of the
34:24only two cancers
34:25with a vaccine.
34:27Duharagi na sila
34:28ka-cancer na ibakuna.
34:29Ang usa is liver.
34:31Ang usa is cervical.
34:32And when you think about it,
34:33it's not just cervical
34:34kaysa lalaki na
34:35pa-enal,
34:36na pa-oropharyngeal,
34:37na pa-pinyl cancer.
34:39So,
34:39ato nang i-grab
34:40ang opportunity.
34:41Mahadluk mag-itatanan
34:42sa cancer.
34:43So,
34:44kung mahadluk ta,
34:44then action na
34:45na to atong kahadluk.
34:47So,
34:48before ta magmanamilit,
34:49masig pwede ta
34:50manguta na
34:51kung unsa kaha
34:52ang programa
34:53sa province
34:54for this.
34:54Karong
34:58September 24
34:59ay
34:59naatay
35:00aktibidadis
35:01na umabot
35:02sa
35:02kapitol.
35:04Karong
35:04September 24
35:05in collaboration
35:07Wednesday.
35:07Next Wednesday.
35:09In collaboration
35:09with the
35:10Philippine Obstetrical
35:11and Gynecological
35:12Society
35:13Cebu Chapter.
35:15So,
35:15dito naatay
35:16ka ng
35:17mga layphora.
35:18No?
35:18Natay layphora.
35:19Upin na ng
35:19cervical cancer
35:20and HPV
35:22o daghan
35:23pang mga
35:24topics na
35:25mindot ka
35:25ayo
35:26para sa mga
35:26kababaihan.
35:27So,
35:28katon o,
35:29it's an opportunity
35:30for us.
35:30Saktutunggiin ko
35:31ni Doc
35:31nga
35:32it takes
35:33a genius
35:34na matambalan ta
35:35nga
35:36koan.
35:37So,
35:37be a genius.
35:38Ayaw pag
35:39just intellectual.
35:40Ayaw pag
35:40maintainer
35:41of being
35:41just an
35:42intellectual.
35:43Be a genius.
35:44Kayong problema
35:44mang good
35:45nakahibaw ta,
35:45nakabasata,
35:46but
35:46wak tay
35:47gibuhat
35:47ng action.
35:48So,
35:49we take
35:50action
35:50because
35:51we love
35:52ourselves.
35:52So,
35:53with that,
35:54we thank
35:54everybody
35:55joining us
35:56this afternoon.
35:56So,
35:57thank you
35:57Dr.
35:58Stephanie
35:59Gail
35:59Messina
36:00Veneracion
36:00for joining
36:02us and
36:02thank you
36:03for our
36:04viewers in
36:05tuning in.
36:05See you again
36:06next Thursday.
36:07See you again
36:07next Thursday.
36:36next Thursday.
36:37Give me
36:38us.
36:39�
36:39We'll say
36:40hi.
36:41Bye-bye.
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