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Investing, Managing and Transforming in these Challenging Times

2020 would have been another promising year for Metro Pacific Investments Corporation (MPIC), with its focus on infrastructure investment, to increase the country’s infrastructure capacity and provide inclusive access on power, water and sanitation, and transportation solutions.

The group’s consolidated Core Net Income (CNI) of ₱3.4B in the first quarter, with power accounting for ₱2.87B (62%), tollroads at ₱0.92B (20%), water at ₱0.86 billion (18%), and contribution from hospitals, rail, logistics and other businesses, offset each other.

The said figure went down by 6% from ₱3.7 billion in the same period last year, largely due to the economic contraction caused by the pandemic.

Construction progress of the Cebu-Cordova Link Expressway, the first tollway in the Visayas, which is expected to be completed by October 2021.

Manila Electric Company posted a CNI of ₱5.7B, Global Business Power had ₱ 0.4B, Metro Pacific Tollways Corp. had₱0.9B, and Maynilad Water, ₱1.6B.

Frontliners from Manuel J. Hospital in Butuan City flew to Manila to help fight COVID-19 in Our Lady of Lourdes Hospital, MPHHI’s designated referral facility.

“The robustness of our operations, even in these difficult times, reflects a decade and more of sustained capital investment. Our talented management and dedicated front-line employees deserve our gratitude in these trying times,” says MPIC President and Chief Executive Officer Jose Ma. Lim.

He added that the group is well funded due to the ₱30.1B sell down of its interest in the hospitals business in 2019 and the suspension of its share buy back program and discretionary projects.

As a responsible corporate citizen, the conglomerate responded to the COVID-19 outbreak by channeling much of its effort on emergency response and going the extra mile in strengthening the delivery of essential utilities and services under its stewardship.

Through Tulong Kapatid, the corporate social responsibility alliance of foundations and companies under the MVP Group of Companies, as well as thedonations of its employees, the conglomerate provided substantial support to the government’s drive to curb the pandemic and reach out to the society’s vulnerable sectors.

In the crucial weeks of the enhanced community quarantine, Meralco and Maynilad provided stable supply and deferred payments on power and water, respectively, while MPTC kept the smooth flow of essential goods, services and essential workers through the tollways.

Metro Pacific Hospital Holdings Inc. (MPHHI) upgraded its overall bed capacity, made medical services available 24/7 in its nationwide network, and designated the Our Lady of Lourdes Hospital in Manila as its main COVID-19 referral facility. It also extended its expertise in the construction of quarantine and isolation facilities across the country.

As of July 2020, MPIC has shared a total of P350M in aid to government agencies, hospitals, local governments, community organizations, and individual beneficiaries.

This assistance came in the form of medical personal protective equipment, food packs to front-liners, health care packages and medical kits, deferred billings, waived fees, extended electric subsidies, transportation and logistics support, livelihood projects, direct grants to the PhilippineDisaster Resilience Foundation, andrelief support to marginalized groups.

Looking Forward

The COVID-19 pandemic illustrated both the strength of MPIC’s offerings and the need for more diligent focus on sustainability. And with the extraordinary circumstances notwithstanding, the group has made significant progress on the key industries it is involved in.

“Beyond figures, our priorities are in order—the welfare of our people, service to our customers, cash preservation, and profitability. Despite the unpredictable environment, the resiliency of our major companies assures us we can rebound and excel through this crisis,” says MPIC Chairman Manuel Pangilinan.

He said that with the gradual easing of the quarantine relations, its firms have been back on track with its programs to help restart the local economy.

Meralco linemen ensure continuous electric service in their concession areas, especially in COVID-19 treatment centers.

Meralco has spent ₱4.2B on capital expenditures to address critical loading of facilities and support new demand and customer connections. It has also electrified outlying islands through microgrid implementations by leveraging on solar and battery energystorage.

MPTC has earmarked ₱107B on current projects and will allocate ₱25B once it secures the Cavite-Tagaytay-Batangas Expressway. It has opened the first subsection of the Cavite-Laguna Expressway, andthe North Luzon Expressway’s Harbor Link Malabon Exit. The latter’s 2.6-km elevated expressway will be completed in the second half of 2020 and will drastically reduce travel time and benefit the transport logistics industry.

Moreover, the Cebu–Cordova Link Expressway, the first tollway in the Visayas, has resumed construction and is expected to be completed in October 2021 and decongest traffic situation in Metro Cebu.

Global Business Power Corp.is strengthening ancillary services and exploring investments in renewable energy to complement its fossil fuel capacity.

Construction is ongoing for the joint venture between METPower Venture Partners Holdings, Inc. and Dole Philippines for waste-to-energy biogas plants in South Cotabato, while awaiting go signal for the 36-mw Quezon City Solid Waste Management Facility Project.

MetroPac Water Investments Corp. has strengthened treatment plants to become earthquake-proof, expanded supplytreatmentcapacity, and increasedwater supply. Water coverage has grown to 9.7 million consumers, while some 3,151 kms. of new pipes have been laid, and its NRW at the DMA level was at 24.8% by March, saving one billion liters daily.

The National Water Resources Board has increased Maynilad’s allocation for domestic use in Metro Manila and adjacent cities by four cubic meters per second, enabling it to optimize treatment facilities, reducelosses, and increase distribution.

Outside its Maynilad concession, MPW currently bills 359 million liters a day (MLD), with expansion plans of up to 602 MLD in Laguna, Iloilo, and Cagayan de Oro, and 660 MLD in Vietnam.

Meanwhile, Light Rail Management Corp.’s CNI fell by 19%, but progress of the LRT-1 Cavite Extension has reached 40% completion since resumption of construction.

Last but not least, Metropac Movers, Inc. is set to construct first-class warehousing and cold storage facilities warehouses along the Sta. Rosa-Tagaytay Road.

“Now more than ever, Metro Pacific will enhance its resolve to invest, manage and transform key industries to help the country get back on its feet and regain its competitive edge in Asia,” Pangilinan concluded.

Vice Ganda film among the first four announced for MMFF 2020

IN 1789, Benjamin Franklin said only two things in life were certain: death and taxes. Mr. Franklin clearly had not foreseen the Metro Manila Film Festival (MMFF), which, despite a pandemic, has announced the first four entries for this year’s festival featuring perennial entrants in the form of Jose Marie “Vice Ganda” Viceral whose films have been shown in the festival since 2012.

The festival shows eight full-length films, the first four of which were chosen based on script submissions while the other four entries will be chosen from finished film submissions and will be announced later in the year. The first four entries were announced on the MMFF Facebook page on July 17.

This year, Mr. Viceral will be starring in Praybeyt Benjamin 3, the third film in the comedy series following The Unkabogable Praybeyt Benjamin (2011) and the Amazing Praybeyt Benjamin (2014). The series follows Mr. Viceral in the role of Colonel Benjamin “Benjie” Santos, a reluctant soldier tasked to save humanity.

It should be noted that the other perennial entrant — Marvic Valentin “Vic” Sotto — does not have a film among the first four entrants. Mr. Sotto has had films in the festival since 2003’s Lastikman. His last MMFF entry was 2019’s Mission Unstapabol: The Don Identity.

The other three entries that were named are: horror film Ang Mga Kaibigan ni Mama Susan starring Joshua Garcia and Angie Ferro, directed by Chito Roño; fantasy adventure film Magikland starring Jun Urbano and Migs Cuaderno, directed by Christian Acuna; and comedy horror film The Exorcism of my Siszums starring Toni and Alex Gonzaga and directed by Fifth Solomon. The Gonzaga sisters’ last entry to the festival was 2018’s Mary Marry Me.

The pandemic halted the planned summer edition of the annual Metro Manila Film Festival, arguably the largest film festival in the country, but it hasn’t stopped the holiday edition which runs from Dec. 25 to the first week of January. Last year’s edition grossed almost P1 billion.

During the annual film festival, only the entries, which are all Filipino films, can be shown in theaters (with the exception of 3D theaters and IMAX theaters). Despite its name, the Metro Manila Film Festival is held nationwide. — Zsarlene B. Chua

Ayala Land keeps positive outlook for property through long-term investment strategy and innovative business approach

Optimistic amid the pandemic

In spite of the global pandemic largely impacting economies and sectors, property stays a viable investment. Maintaining an optimistic outlook for the sector, Ayala Land Inc. (ALI), the developer behind several of the country’s sought-after mixed-use estates, sees the current setting as an opportunity for investors to establish a richer property portfolio.

According to Cris Zuluaga, assistant vice president (AVP) of Ayala Land Estates, Inc., the uncertainty should not deter those with capital especially when attractive returns can be expected in the future.

“We have seen in past crises how the property sector has constantly been able to recover after a downturn with values appreciating over time. Given our country’s stable economy, it remains one of the best options for investment today,” Ms. Zuluaga said.

Furthermore, ALI’s AVP notes that the property sector has shown consistent strength despite economic downturns. ALI has proven through time the sustainability and viability of its projects as it saw tremendous growth in the land value of its developments in strategic growth centers.

Arca South blends prime accessibility and life’s essentials for a more dynamic lifestyle.

For instance, the land values reported by Colliers in September 2018 and December 2019 showed both Alabang and Makati grew about 12% annually in the past 10 years, thus reflecting the recent growth of the industry.

Moreover, as one of the largest and most diverse developers in the country, ALI’s track record exhibits its ability to weather regional and global events of economic impact. The firm’s 29 sustainable mixed-use estates across the Philippines showcase its mettle through the years.

Taking financial risks during a pandemic may seem unwise to some, but Ms. Zaluaga holds that there is an advantage of potential returns in investing on property albeit the calculated risk.

Exponential growth for Vermosa

Vermosa, Ayala Land’s progressive estate in Cavite, presents an investment opportunity for homebuyers, industries, and businesses who are banking on reaping returns post-pandemic.

Vermosa offers training and sports facilities to encourage healthy living.

Vermosa has reached an 82% growth on its commercial properties since its introduction in 2015, with a compounded annual growth rate of 14%. Upon full build out, Vermosa is expected to house around 30,000 people across several of its residential developments and generate about 500,000 jobs.

Having become the destination for modern active living and lifestyle pursuits in the south of Manila, Vermosa is set to develop as a progressive commercial center. Moreover, with several major infrastructure projects (i.e., Aguinaldo and Molino flyovers, Skyway extension, and the Cavite-Laguna Expressway) which will make Cavite a booming growth center, Vermosa is seen to gain improved access.

According to Ms. Zaluaga, Vermosa has the trademark qualities of an Ayala Land estate: integrated, pedestrian-friendly, inclusive, and conducive for building an ideal, community-grounded lifestyle.

Developing properties with self-sustainability in mind, ALI estates like Vermosa ensconce the right mix of residential, business, and lifestyle spaces that continue to serve generations upon generations of residents and investors.

“The historical performance of our properties in terms of land value, and the strategy and careful management that we continue to commit to our estates are assurances that we provide to homebuyers and investors who wish to secure strong future returns with Ayala Land,” Ms. Zaluaga stressed.

Apart from residential investments in its estates, Ayala Land commercial lots are likewise worth considering for investments, particularly at Vermosa, Nuvali in Santa Rosa, Laguna; Arca South in Taguig; Alviera in Porac, Pampanga; and Altaraza Town Center in San Jose del Monte, Bulacan.

OUTLIER: ABS-CBN franchise rejection drives trade volume of rival GMA

By Lourdes O. Pilar, Researcher

NEWS of Philippine lawmakers rejecting the franchise application of ABS-CBN Corp. drove market players to take positions — and later profits — on the stock of rival GMA Network, Inc. last week.

A total of 100.65 million shares of GMA stock worth P682.51 million exchanged hands on the trading floor from July 13 to 17, data from the Philippine Stock Exchange showed.

“GMA Network, Inc. is among the active stocks [last] week as the media outfit stands to benefit most from media business after its main rival station ABS- CBN was denied of a franchise by Congress,” said Diversified Securities, Inc. Equity Trader Aniceto K. Pangan in an e-mail.

“[A] number of investors took profits in the first two days as prices sizzled with the announcement as it gave the investors the opportunity to gain especially in these challenging times,” Mr. Pangan added.

In a separate e-mail, Mercantile Securities Corp. Analyst Jeff Radley C. See shared this view: “The market took their chance to take profit on GMA Network as the stock is not really active for years.”

Voting 70 to 11, the House of Representatives committee on legislative franchise on July 10 denied the 25-year extension plea of ABS-CBN, saying it is “undeserving” of the privilege. The broadcast network is known to be critical of President Rodrigo R. Duterte.

Last Wednesday, ABS-CBN released a statement that it would be implementing a retrenchment program effective Aug. 31, following Congress’ non-renewal of its franchise.

From its closing price of P6.03 in July 10, GMA’s stock price went up as high as P8.50 last Monday before settling at P6.65 that day. The remainder of the week saw most market players taking profits with the stock’s closing price reaching P5.36 on Wednesday before ending the week at P5.53.

GMA reported a 19% decline in its first-quarter attributable net income to P583.4 million from P721.8 million in the same period last year. Its total revenues were likewise down by 7% to P3.5 billion from P3.8 billion previously.

Broken down, its advertising and subscription revenues were down 7% (to P3.3 billion from P3.5 billion) and 11% (P243 million from P274.5 million). Production revenue also decreased by 12% (P10.7 million from P12.1 million) while those from distribution and content provisioning increased by 52% (P23.7 million from P15.6 million).

“As the second quarter remains a challenge to all companies due to the two-month enhanced community quarantine that slowed down the economic activity, we may see a consolidation in price in the near term, but outlook remains positive as the economy continues to reopen with ease in restrictions,” Diversified Securities’ Mr. Pangan said.

“Definitely, we could see [GMA’s] advertising revenues increase as the economy reopens with further ease in restrictions, especially with the absence of its main rival,” he added.

Mr. Pangan placed the GMA stock’s short-term price support at P5.30 per share and resistance at P5.76 per share.

For Mercantile Securities’ Mr. See: “Revenue more or less will be the same or even might go down due to COVID-19 (coronavirus disease 2019).”

Mr. See pegged the stock’s support levels at P5.2 and P4.8, and resistance levels at P5.76 and P6.65.

Thailand plans open borders for high-spenders on private planes

THAILAND’s plan to target high-spending foreigners to kick-start its travel sector has a green light after winning Cabinet approval and additional support from the nation’s aviation regulator.

The Southeast Asian nation lifted on July 1 a near-total ban on foreign travelers. The majority of arrivals in the initial phase will be foreigners with direct ties to Thailand — such as those with businesses, major investments or family in the country. The Civil Aviation Authority of Thailand (CAAT) added a clause to also allow those who have “special arrangements” with the government.

“Many in the high-spending, high-income groups avoided direct impact from the pandemic, but couldn’t come here because of travel restrictions,” Chula Sukmanop, director general of the CAAT, said. “I’ve spoken with private aircraft operators who said they have plenty of potential customers looking to charter a plane to here.”

The “special arrangement” group widens the market for “big spenders,” whose applications could be treated on a “fast-track basis that requires case-by-case approval,” Chula said. The biggest proportion of visitors in the initial phase will qualify through one of the travel-bubble agreements Thailand makes with other nations, he said.

“There will be a lot of competition from other tourism-dependent countries for the ultra-luxury segment,” Somprawin Manprasert, chief economist at Bank of Ayudhya Pcl, said in a phone interview. “This won’t do much to help the many small hotel operators in the country,” he said, adding that “it’s not enough to compensate for overall revenue lost.”

The Cabinet as expected approved a plan in late June to allow in Hong Kong, Singapore, South Korea and Japan passport holders starting this month, provided they can prove that they will deliver economic benefits or investments. People from some Chinese provinces will also be given clearance.

More countries will be added to the bubble list as early as next month, depending on the risk situation in each territory, Chula said.

A national curfew, tight border controls and near-universal adoption of face masks has enabled Thailand to limit its coronavirus tally to just over 3,100, with 58 fatalities. No local transmissions have been reported for more than a month, prompting the Cabinet to remove most business restrictions effective July 1, on top of easing the border lockdown.

“Any risk now is from abroad,” Chula said. “We’ve been free of local infections for over 35 days now, so what’s scaring people is the infection-growth rates in other countries. Some Thais have asked us not to open up the country and bring in risks, but we have to do it for the economy.”

The central bank’s latest forecast is for 8 million foreign arrivals this year — one-quarter of the 2019 tally — and barely half of its previous estimate.

The tourism ministry estimates total revenue from the travel sector of 1.23 trillion baht ($39.7 billion) in 2020, down 59% from last year. Thailand’s economy is expected to contract as much as 8.1% this year. — Bloomberg

PayMaya distributes SAP through sari-sari stores

Smart Padala by PayMaya agents in select areas around the country are now equipped with QR codes for faster and safer contactless way to encash funds for beneficiaries of the second tranche of the Department of Welfare and Development (DSWD) Social Amelioration Program (SAP).

PayMaya has been tapped by the DSWD to distribute the financial aid, which ranges from P5,000 to P8,000 depending on the beneficiary’s location, through the PayMaya accounts of the recipients in Metro Manila, Cordillera Administrative Region, Region 3, Region 4-A, and Region 7, among others. In these areas, Smart Padala by PayMaya agents in neighborhood communities will serve as encashment touchpoints for individuals and families severely affected by the COVID-19 pandemic identified as SAP beneficiaries.

With over 30,000 partner agent touchpoints nationwide, Smart Padala has the most extensive domestic remittance network in the country. Aside from the disbursement of the SAP financial aid, PayMaya has also been working with the DSWD in distributing funds to beneficiaries of its Assistance to Individuals in Crisis Situations (AICS) program.

As of June, PayMaya Philippines has helped disburse more than P1.4 billion in financial aid to at least 120,000 citizen beneficiaries under the social amelioration programs of various national government agencies and local government units since the start of COVID-19 community quarantines last March.

Realizing the need for a quick and efficient system to hand out financial aid that also prevents cash handling, which may help spread the virus, the government both in the national and local level has turned to PayMaya’s e-Wallet and its other digital financial services to provide the fastest way to deliver much-needed assistance to their respective constituents.

Apart from DSWD, funds from the Social Security System’s (SSS) Small Business Wage Subsidy (SBWS) program, were disbursed directly to the PayMaya accounts of registered beneficiaries in as fast as two weeks for the first tranche, providing critical aid to small business employees who lost their income due to the quarantine.

On the local level, the cities of Caloocan, Las Piñas, Manila, Mandaluyong, Pasig, and Quezon City have also utilized PayMaya to deliver financial aid to senior citizens, persons with disabilities (PWDs), solo parents, and scholars, among other constituents in their respective localities.

PayMaya is the only end-to-end digital payments ecosystem enabler in the Philippines with platforms and services that cut across consumers, merchants, and government. Aside from providing payments acceptance for the largest e-Commerce, food, retail and gas merchants in the Philippines, PayMaya enables national and social services agencies as well as local government units with digital payments and disbursement services.

Through its app and wallet, PayMaya provides millions of Filipinos with the fastest way to own a financial account with over 40,000 Add Money touchpoints nationwide, more than double the total number of traditional bank branches in the Philippines combined. Its Smart Padala by PayMaya network of over 30,000 partner touchpoints nationwide serves as last mile digital financial hubs in communities, providing the unbanked and underserved with access to services. To know more about PayMaya’s products and services, visit www.PayMaya.com or follow @PayMayaOfficial on Facebook, Twitter, and Instagram.

SM mobilizes proactive COVID-19 response

The COVID-19 pandemic continues to bring a formidable global challenge to both lives and economies. To cope with the unprecedented times, SM and its companies, worked together to provide care and aid to its stakeholders and the country to overcome the health crisis.

SM Investments Corporation (SM) President Frederic DyBuncio summed up SM’s COVID-19 efforts in his report during the company’s recent annual stockholders’ meeting.

As the country entered into an eight-week long community quarantine, SM immediately launched initiatives to address the impact of the pandemicgeared towards support to employees and partners;delivery of several medical donations and conduct of relief missions;provision of essential products and services; as well as the expansion of access channels to cater to customers’ needs.

TAKING CARE OF ITS EMPLOYEES AND TENANTS

Since the start of the lockdown, SM swiftly assured regular compensation for the benefit of its workforce, security guards and janitorial staff. SM also provided its employees with protective gear and access to COVID-19 tests to ensure their safety in the workplace.

As for its tenants, SM Supermalls waivedrentals to support the continuity of operations of tens of thousands micro, small and medium enterprises affected by the lockdown.

Through joint efforts, SM has donated over PHP400 million of essential medical supplies and equipment and reached out to marginalized sectors most affected economically.

PROVIDING ASSISTANCE TO HOSPITALS

Of this amount, the rapid deployment of medical resources comprised over PHP300 million worth of critical medical supplies, personal protective equipment and PCR tests to hospitals nationwide.

SM also contributed to the government’s COVID-19 mitigation efforts by building emergency quarantine facilities for COVID-19 patients located at Air Force General Hospital in Pasay City and at V. Luna and Camp Crame in Quezon City.

SUPPORTING COLLECTIVE EFFORTS 

In addition, SM donated PHP100 million through Project Ugnayan of the private sector and Caritas of the Catholic Church to urban poor families impacted by the lockdown.

Over 80 grassroots communities were also provided with Kalinga (care) packs through relief operations of the SM Foundation and Uniqlo Philippines.

In partnership with the Philippine Red Cross and the national government, SM transformed SM Mall of Asia Arena into a mega swabbing facility.

ADAPTING IN THE TIME OF PANDEMIC

 SM also adapted to the changing business landscape by implementing several e-commerce programs to cater to customers’ needs during the outbreak.

SM President Frederic DyBuncio said SM looks at its ecommerce initiatives and strategies in two areas—as a direct participant and as a service provider.

As a direct participant, SM has its own online shopping sites with its stores also in several commerce platforms to be able to access a much wider customer base for SM’s products.

As a service provider, SM uses the physical presence of its malls and stores as pick up locations for click and collect. It also provides logistics support such as warehousing and last mile delivery using the different logistics companies it owns within the group. It also provides the digital payment network through its banks and the e-wallet service through its joint venture with GrabPay in the Philippines.

“As we continue to build our capabilities to respond to the new realities, our company’s strong financial condition, along with our combined hard work, will allow us to lead a resurgence after this crisis,” Mr. DyBuncio said.

Live inspired with Crosswinds luxury development in Tagaytay

Imagine waking up to the cold embrace of Tagaytay’s signature crisp climate. The panoramic view of a scenery highlighted by 30,000 pine trees scattered across 100 hectares, setting a backdrop of meandering foliage, of beautiful thematic homes, truly a sight to behold as your eyes feast in pure beauty.

Only 30 minutes from the south of Manila, Crosswinds is Vista Land’s luxury development in Tagaytay.

Your getaway from the hustle and bustle of the urban jungle, a masterpiece on its own, poised and proud as a community unlike any other, Vista Land’s Crosswinds in Tagaytay embodies living at its finest.

Pine-scented mornings at Crosswinds in Tagaytay

Offering both vertical and horizontal homes, Crosswinds speaks of beauty and elegance in its Swiss-themed community highlighted by breathtaking views of properties thematically delivered by Brittany, Vista Land’s luxury residential brand.

Scattered across the 100-hectare enclave are developments that serve as an embodiment of Brittany’s mantra to deliver beautiful homes to the entitled few.

The Grand Quartier, Brittany’s initial vertical offering, towers over the serene community that boasts of a viewing deck that features a 180-degree view of the master-planned community.

Moreover, located along the slopes of Crosswinds, the Swiss Quadrilles is a series of aweinspiring homes that feature Crosswinds’ eminent thematic offerings.

Charming swiss chalet by VistaLand’s luxury residential brand, Brittany.

Properties like the townhouses of Deux Pointe and the cluster of homes lodged across the community serve as a testament of Brittany’s expertise and prominence as developers of thematic living.

The community leaves the door open for a chance at the luxury that it provides. Their latest offerings are the Alpine Villas, a pre-selling vertical home that promotes a stunning view of Tagaytay’s greeneries, and a handful of ready homes that are fit to Vista Land’s luxury standards.

A green nook

An opportunity for affluent living awaits, live inspired with Crosswinds.

How PSEi member stocks performed — July 17, 2020

Here’s a quick glance at how PSEi stocks fared on Friday, July 17, 2020.


Are hospitals doing more business during pandemics? It’s complicated

By Vann Marlo M. Villegas, Reporter

The common public perception of hospitals during the pandemic was: Dangerous places, heroic healthcare workers, everyone wearing PPE — and astronomical bills for a few days of confinement for COVID-19, assuming you survived.

The professional view is somewhat different. Yes, the workers are heroic, but they’re also exhausted from long nerve-wracking shifts. They have to be shuttled to and from home because of the lack of transport. PPE costs money, especialy if everyone in the world is trying to stock up at the same time. And for every gain in “business” (for want of a better word) caused by lots of people falling ill, there is also the offsetting loss of non-COVID-19 (coronavirus disease 2019) patients who weren’t able to go to hospitals because of the lockdown — including core clientele like the elderly and the long-term ill.

The ultimate reality check for the healthcare professional was that you could actually die doing this job — and not just because the virus was deadly, but because the tools to do the work properly weren’t available.

“The initial problem then was the PPE, and this is the reason why many of the health providers, the doctors and the nurses were infected with COVID — because there was lack of PPE,” Jaime A. Almora, president of the Philippine Hospitals Association, said.

Rustico Jimenez, president of the Private Hospitals Association of the Philippines, Inc. (PHAPi), said the country was not prepared for the pandemic, and the government should have acted sooner in procuring PPE earlier in the year, when the caseload consisted of three visiting Chinese nationals over the Lunar New Year holiday.

As of June 12, the DoH estimated that 2,846 healthcare workers were infected with COVID-19, or about 12% of the cases at that point. The breakdown at the time was 1,032 nurses, 751 physicians, 184 nursing assistants, 113 medical technologists, 56 radiologic technologists, and 377 other professionals.

A total of 1,806 have recovered and 1,007 remained active cases. Thirty-three died, including three nurses, 24 physicians, and six from other health-related professions.

As of early June, the Office of the President reported that the DoH had procured 6 million sets of PPE for P12.1 billion, with 1.458 million sets distributed.

IMPROVISING AND ADAPTING
Saturnino Javier, a cardiologist who is the medical director of Makati Medical Center (MMC), said the hospital had to improvise and adapt when the pandemic hit.

The patient surge quickly filled the emergency room and intensive care unit, while healthcare workers started falling ill or had to be quarantined because they had been in contact with sick colleagues or patients.

Occupancy rates also started trending down because of the loss of non-COVID admissions — while PPE costs surged.

“So the impact was a double-whammy,” he said in the BusinessWorld Insights forum in early June, adding that doctors were unable to consult with patients because their clinics had to close, all while the hospital had to pay a hefty premium for in-demand PPE, which he described as “exorbitantly priced” by “unscrupulous distributors and manufacturers.”

Mr. Almora said chronically ill patients like those undergoing hemodialysis could not come in for their sessions due to the lockdown.

One other wrinkle that went unnoticed by the public was that 96 hospitals which had been initially rejected for PhilHealth accreditation ultimately had to be accepted by the health insurance system in order to keep hospital beds open in case COVID-19 cases surged.

Mr. Almora said the PHA, which sits on the PhilHealth accreditation committee, said the hospitals, including 92 in Metro Manila, might go out of business if they could not admit PhilHealth patients. He warned the committee that without the hospitals, “the healthcare delivery will be incapacitated.”

WORKER SHORTAGES
Mr. Jimenez of the private hospitals’ association said before the pandemic, his industry was understaffed by around 23,000 nurses, who had been transferring to government hospitals because of the attractive pay, apart from those who left to work overseas.

“So ‘yung mga na-train naming mga nurses, usually after one year or even two years, even if stable na sila sa mga private hospitals, because of the need for extra money, they will go to government hospitals. And then of course added to that, yung brain drain natin talaga (The nurses we trained, even if they were in stable jobs with us after one or two years, went to government hospitals because of the extra money — adding to the nurses we lose overseas from the brain drain),” he said.

He also noted other worker shortages elsewhere in the healthcare system — 3,000 pharmacists, 2,000-3,000 medical technologists, and about 2,500 radiologic technologists, he said.

Mr. Javier said a “good number” of nurses also left during the height of the pandemic due to personal or health issues.

“You cannot impose on anyone to stay, especially if there are offers of higher salaries elsewhere,” he said during the Insights forum. “This is a reality we confront and are still confronting at the moment.”

He added that MMC’s human resource department is working on measures to encourage nurses to stay, including more career advancement opportunities, flexible working hours, and increased benefits.

“But if the bottom line is salary, we really cannot compete with European countries and the US especially when the demand for nurses in those areas is higher,” he said, adding that the government could do more to discourage brain drain.

BRACING FOR THE NEW NORMAL
According to the Office of the President report, in early June there were 1,912 COVID-19 admitting hospitals, 24 of which were designated DoH coronavirus referral hospitals, with a total capacity of 13,627 beds.

Mr. Javier said MMC is resuming operations gradually and “in a very cautious manner” to ensure the safety of patients and employees.

“And as we move to the new normal, this is now a situation where we try to manage fear,” he said.

Aside from a no-mask, no-entry policy, MMC has imposed zoning protocols in the emergency room, while entire floors of the hospital have been designated cold and hot spots to separate COVID and non-COVID patients.

Mr. Javier also said that many of the clinics have been retrofitted to ensure that they can deal with any possible breach in containment protocols.

Telemedicine has had to be roped in for patients who cannot visit hospitals, with more appointments now possible via telephone, though the need to fill up questionnaires remains unavoidable, he said.

“This is being encouraged as we partially resume operations and all our doctors have been encouraged and we support them in whatever platform they would like to utilize — whether telemedicine or the telehealth modality,” he said.

Mr. Almora of the hospitals’ association said its more than 1,900 members are on the alert for a surge in cases as the lockdown eases and people revisit their old routines of moving around more freely, including trips to the provinces.

Mr. Jimenez of the private hospitals’ association also said members are trying to adjust. They have been advised to maintain separate paths for navigating hospitals for non-COVID patients. “We segregate already there,” he added.

With doctors’ clinics also sporadically open, the association advises changing of air filters, even in operating rooms.

“Slowly we were able to cope but still about 50% only are functioning,” Mr. Jimenez said, adding that some hospitals are allowing only emergency rooms to function and others are operating only partially as doctors slowly come back.

The DoH has resorted to emergency hiring of healthcare workers. Health Undersecretary Maria Rosario S. Vergeire said 9,297 positions have been approved for hiring and 3,807 have been hired. Some 1,289 nurses were also deployed to government hospitals under the nurses deployment program.

THE SEASON FOR RESPIRATORY ILLNESSES
The onset of the rains means hospitals will need to be ready to accommodate more patients with seasonal conditions.

Mr. Jimenez of the private hospitals’ association said the workload is expected to rise for child vaccination, dengue, chicken pox, measles, and typhoid fever. Flooding also raises the risk of leptospirosis.

Mr. Almora of the hospitals’ association noted that the main fear is respiratory illnesses whose symptoms resemble those of COVID-19.

Ito ’yung kinakatakutan namin so kailangan ma-i-isolate (We’re all afraid of these cases and will need to isolate patients)…We have to treat them like they are COVID cases until proven otherwise,” he said.

He said the procedure might be to rapid-test suspected cases and isolate them until the results are validated.

Mr. Javier said he expects limited operations to continue for more than a year — the time he expects it to take for a vaccine to be available.

“The treatments are only empirical. I mean medicines used for other diseases are now showing signs that they are good for COVID. So if we wait for all these to function properly (and verify that they are) safe for patients — personal lang ito siguro more than a year pa yan (my personal view is that it’s more than a year away,” he said.

“I hope with the new-normal operations in place, we will be able to bounce back. While we are doing that, we hope not to let our guard down in terms of managing the pandemic in our midst,” he said.

“But at least… I can see somehow a changing perspective because patients (are) coming back, somehow increasing already, maybe not very dramatic but you see on a day-to-day basis, the numbers are improving and to me it’s a good sign,” he added.

Philippines among countries with high levels of concern over a ‘second wave’ of COVID-19 infections

Philippines among countries with high levels of concern over a ‘second wave’ of COVID-19 infections

COVID-19, China policy may dent Duterte rating

PRESIDENT Rodrigo R. Duterte’s popularity may get dented for the first time by his pro-China policy combined with his government’s response to the coronavirus pandemic, according to a political analyst.

“Its strength, of course is populism, and therefore the Achilles heel of the Duterte government is COVID-19 (coronavirus disease 2019) and China,” Robin Michael Garcia, chief executive officer of polling firm WR Numero research, said in an online interview last week.

“It will definitely affect the numbers because this is a cross-cutting issue that even the people who supported Duterte do not agree with him on both China and COVID,” he added.

Filipinos’ net trust ratings were a “good” +42 for the United States, a “moderate” +27 for Australia, and a “bad” -36 for China, the Social Weather Stations (SWS) said in a statement on Sunday, citing the results of its July poll.

Net trust fell from poor to bad for China, down by 9 points from -27 in December. This was the lowest since the bad -37 in April 2016, the polling firm said.

Net trust in China has been positive in only 9 out of 53 polls since SWS first conducted the poll in August 1994. It reached as high as a moderate +17 in June 2010 and as low as a bad -46 in September 2015, it said.

Net trust fell from very good to good for the US, down by 25 points from +67 in December, SWS said. This was the lowest since the good +35 in March 2010.

Net trust in the United States has been positive since SWS first included it in the poll in December 1994. Out of 68 surveys, it ranged from moderate +18 in May 2005 to excellent +82 in December 2013.

Mr. Garcia said the tough-talking Philippine leader must assert Philippine sovereignty in the South China Sea and protect the people from the global health crisis if he wants to keep his strongman image.

“If he’s not able to stand up against these issues, which is also the reason why he was elected in the first place, then this whole image of strongman will be absent,” he said.

The twin issues could also affect the chances of his anointed candidate in the 2022 presidential elections, he said.

WR Numero found in an April poll that 82% of Filipinos agreed China was a threat to the Philippines and 64% said it should be condemned for allowing the coronavirus, which was first detected in Wuhan City, to spread worldwide.

The poll also showed that seven of 10 Filipinos wanted China to pay for damages from the pandemic that has sickened more than 65,000 and killed about 1,700 people in the Philippines.

The poll also found 54% of Filipinos saw China as a good ally, largely linked to expected economic benefits from its Belt and Road initiative. But Mr. Garcia expects the support to delince.

“The reason why 54% of people still believe that China may be a good ally is because of perhaps the economic benefits that China may still continue to give in the next few months,” he said.

“As these investments fail to materialize, then we can see that the numbers will continue to dip,” he added.

Mr. Garcia said the government must improve its national security strategy, while asserting its rights in the South China Sea through diplomatic protest.

“Rhetoric is not enough,” he said. “We need to be able to really create a grand strategy of improving our security policy, our security capabilities, alliance policy as well with the United States and China.”

SWS POLL
A poll by the SWS in July found that seven of 10 Filipinos wanted the government of President Duterte to assert the country’s territorial claims in the South China Sea.

Philippine citizens also think China should be held accountable for allegedly failing to disclose information about the novel coronavirus, SWS said in a statement this month.

Foreign Affairs Secretary Teodoro L. Locsin, Jr. earlier this month said a 2016 decision by a United Nations tribunal rejecting China’s claim to more than 80% of the South China Sea is nonnegotiable.

The Department of Foreign Affairs issued the statement on the fourth anniversary of the decision favoring the Philippines in the arbitration case filed by the government of then President Benigno S. C. Aquino III against China.

The tribunal ruled that China’s claim of historic rights to resources within the sea under the so-called “nine-dash line” was illegal.

The court said the Philippines could declare certain areas of the sea as part of its exclusive economic zone because these areas do not overlap with any entitlements claimed by China.

Certain Chinese actions in the South China Sea violated Philippine sovereign rights, the court said. It added that China’s island-building activities in the disputed waterway had caused severe environmental harm in violation of international law.

Mr. Duterte has sought closer trade and investment ties with China since he took office in 2016, including potential joint explorations for oil and gas in the South China Sea.

SWS found that four out of five Filipinos, or 82%, thought the government should ally itself with other countries that were likely to aid the Philippines in defending its territory.

Meanwhile, three of five Filipinos thought China had held back information on the virus. Seven of 10 Filipinos said China should be held accountable for the pandemic.

US Secretary of State Mike Pompeo last week said China’s expansive maritime claims across most of the South China Sea were “completely unlawful.” — Charmaine A. Tadalan