Department of Education: Republic of The Philippines

Republic of the Philippines
Department of Education
REGION XI
SCHOOLS DIVISION OF DAVAO CITY
COVID-19 RELATED CASES INCIDENT REPORT

TO: REYNALDO M. GUILLENA, CESO V
Schools Division Superintendent
Schools Division of Davao City
Attention: GERARD S. PIL

Administrative Officer V
Administrative Section
cc: RITCHELLE S. ARESCO, MD

Medical Officer III
Chief, School Health Section
District / School / Office: DANIEL R. AGUINALDO NATIONAL HIGH SCHOOL Date of Reporting: FEBRUARY 07, 2022
DETAILS OF THE INCIDENT
Name of Employee: JULIANNE JANE CASTALLA DIONGSON Designation: MASTER TEACHER I Sex: FEMALE
Grade Level / Department / Office / Section: GRADE 10 / FILIPINO DEPARTMENT
Date of RT-PCR and place (write N/A if Not Applicable): JANUARY, 24, 2022 AT SOUTHERN PHILIPPINES MEDICAL CENTER (SPMC)
Classification: (select what that applies)

√ Confirmed __ Probable __ Suspect __ Close Contact First Generation Close Contact (F1)
__ Other PUM __ Influenza like Illness (ILI) __Locally Stranded Individual (LSI) or living with LSI
Mode of Exposure: (select what applies)

__ Essential Travel to market, work or bank __ Others - Exposed to LSIs, High Risk Individuals, etc
__ Exposed to Confirmed Case – Relative ________________________________
___ Household Member √ Unknown: please indicate the following:
___ Not Household Member √ No exposure to known COVID19 case at
__ Exposed to Confirmed Case - Workplace home and at work
__ Exposed to Confirmed Case - Others
__ Hospital Visit / Stay
√ Did not receive contact tracing text msg from
__ Local Travel SafeDQR
__ Contact Tracing from SafeDQR √ Mode of transportation: Jeepney/Taxi/Private
Place of Exposure: (select all that applies)

___ Workplace (indicate School or Office) ___________________________
___ House
___ Essential Establishments (Bank, Market, Hospital, etc.)
___ Others (Please specify) _______________________________________
Dates of Quarantine (as advised by the Barangay Health Center): JANUARY 24, 2022 UP TO DATE OF CONFINEMENT
Place of Quarantine: ___ Home Quarantine __ Isolation Facility: ________________ √ Hospital: SPMC
Note: If report is for Confirmed COVID-19 Personnel please attach the list of identified First Generation close contact (F1) marked as Annex A.
Narrative of the Incident:
January 23, 2022 Evening – I suffered fever, headache, muscle and stomach pain that causes hard breathing. It’s like inside me was
reaping and tearing into pieces. The pain was so unbearable. I vomited many times. I was so weak and I can’t breathe. I decided to
go to Southern Philippines Medical Center (SPMC).
Address: Elpidio Quirino Avenue, Davao City

Telephone No: (082) 224-3274, (082) 222-1672
E-mail: [email protected]
REGION XI
January 24, 2022 at 12:01 – I undergo laboratories and swab testing. My labtest results were all declining. My haemoglobin,
electrolytes, calcium, potassium and sugar were too low. I was admitted at the Intensive Care Unit and rely on oxygen to keep my
breathing stable.
January 25, 2022 – the doctor requested a blood transfusion because my haemoglobin was deteriorating.
January 26, 2022 – My swab test result came, I tested positive to Covid19 and this saddened me. It caused emotional fear and
anxieties that worsen my situation. In the same day, I was diagnosed with acute pancreatitis but I cannot undergo ultrasound and
other labtest because I AM COVID POSITIVE. I was still at the ICU, admitted and quarantined.
February 04, 2022 – I already had my ultrasound and other labtest. It showed that my pancreas was swollen and stones were found
in my gallbladder. I am advised to undergo surgery but was put on hold because of being positive in Covid19.
I am still waiting for updates from my doctors. As of the moment my health is not okay.
I am humbly asking your good and understanding office to bear with me in this depressing situation. I am a hard-working and
dedicated teacher in DRANHS and I spend most of my time working. I am hoping and praying that everything will be alright soon. I
already had my re-swab and still hoping that it will turn negative so I can undergo further labtest and surgery.
Thank you so much for hearing me and may God bless us all.
Prepared by:
JULIANNE JANE C. DIONGSON

Master Teacher I
LEO B. ASILO, PhD

School Head
Annex A
List of Identified First Generation Close Contact (F1)
Grade Level / Department Date of Last Exposure to Dates of Quarantine as advised by

Name
/ Office / Section Confirmed COVID-19 Case the Barangay Health Center
1
2
3
4
5
6
7
8
Prepared by:
___________________________________
School Head

Telephone No: (082) 224-3274, (082) 222-1672
REGION XI

Telephone No: (082) 224-3274, (082) 222-1672

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Department of Education: Republic of The Philippines

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Republic of the Philippines

COVID-19 RELATED CASES INCIDENT REPORT

Attention: GERARD S. PIL

cc: RITCHELLE S. ARESCO, MD

DETAILS OF THE INCIDENT

Classification: (select what that applies)

Mode of Exposure: (select what applies)

Place of Exposure: (select all that applies)

Narrative of the Incident:

Address: Elpidio Quirino Avenue, Davao City

JULIANNE JANE C. DIONGSON

LEO B. ASILO, PhD

List of Identified First Generation Close Contact (F1)

Grade Level / Department Date of Last Exposure to Dates of Quarantine as advised by

Address: Elpidio Quirino Avenue, Davao City

Address: Elpidio Quirino Avenue, Davao City

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