Nasal washing is important

Siblings Drs. Doloreich Dumaluan (left) and Theodore Dumaluan on fighting against COVID-19. Photo: Allen Doydora/DYRD

The coronavirus disease 2019 (COVID-19) pandemic has ignited interest in viral transmission and prevention owing to the extent of it and significan morbidity and mortality associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Nature Medicine said the cells in the eye and some other organs also contain the viral-entry proteins. The study also predicts how a key entry protein is regulated with other immune system genes and reveals potential targets for the development of treatments to reduce transmission.

The COVID-19 affects the lungs and airways. In the worst cases, the virus causes pneumonia that can ultimately lead to death. The virus is thought to be spread through respiratory droplets produced when an infected person coughs or sneezes, and appears to be easily transmitted within affected areas. 

Just like our teeth, our nasal needs cleaning.

Last Saturday's "The Doctor is In" (with Dr. Doloreich Dumaluan as the main resource person), the topic was about nasal washing. 

Sinus rinsing, using a saline solution of salt and water, can be beneficial for those with allergies and sinus and nasal diseases. 

It moisturizes the nose while flushing out allergens and mucus, says Theodore "Doyet" Dumaluan, M.D., an eye, ear, nose and throat (EENT) surgeon. 

He said all infections of the body result from failure of innate immune system.

The primary defense against respiratory infection is in the nose in the way of mucus clearance. 

Dumaluan recommends spray washing (not nasal irrigation) "because it is very convenient and gentle, easy to apply on daily basis, adaptable to all ages and generally safe."

But with the rise of the novel coronavirus, nasal washing is recommended. 

Here' an article from Theodore Dumaluan, EENT about  Novel Nasal Wash for Airborne Particles: a home remedy solution I lifted from his Facebook page" Nasal Care": 

Nasal washing, in its practical sense, would mean sanitation. That is, lessening the number of contaminants lodged in the nasal cavity. Since it started as an ancient Hindu practice in preparation for meditation, a significant amount of liquid was used to pass into the nasal cavity to cleanse it.  Neti pot, a tea pot shaped vessel, was popularized in the early 70’s. It delivers saline solution into the nasal cavity by gravity; that is, positioning the tilted head below the pot while pressing the spout into the nostril. 

Since then, with the basic principles in place, nasal washing evolved with the use of squirt bottles and mist sprays (and even automated irrigation-aspiration device). 

A study was done to prove the efficacy of saline nasal lavage for long term use (1 year) with unfavorable outcome, showing lower incidence of infection AFTER discontinuing. 

The recommendation then was not to use saline nasal irrigation on a regular basis, only when there is infection. One possible reason for the risk of infection is the retention of fluids in the sinuses, when not properly drained, which favors pathogenic eruption as normal saline has no antiseptic potential.

Saline nasal (lavage)wash is basically good, but not for long term. We unknowingly inhale airborne particles (dust, pollen, virus, bacteria etc.) from the environment most of the time, on a daily basis, that would trigger allergic reactions to acute and chronic infection. These micro-particles are initially trapped in the mucus layer covering the nasal epithelium. Our innate immune system has limited capacity, depending on the load and virulence of the pathogen, among others.

How do we balance the issues of long-term wash, daily airborne-particle load, and pathogenic virulence which maybe carried?

In washing, what you cannot do with small volume, you can compensate with technique. Mist sprays cannot mechanically displace contaminated mucus but can deliver enough liquid coating to lessen viscosity and make it more displaceable. If we coat it with layers of saline, good mucus clearance is attained easing down particle load, without possibility of fluid retention in the sinuses that predisposes to infection.

Apparently, saline is not enough.  How do we address pathogenicity?

 Povidone-Iodine (PVI) is a very potent antiseptic, which is widely available and has been around for ages. It is the only antiseptic which increases biocidal potency, at contact time of 15 seconds, when diluted. Free Iodine, the active component, is released when 10% PVI is diluted, with the highest free Iodine at 0.1% dilution (4.88 ppm) where it is tasteless, odorless and colorless. 

At the same dilution, studies have shown that it is non-toxic to the ciliary lining of the nasal mucosal epithelium.  The free Iodine is involved in blocking viral attachment to cellular receptors and inhibits viral release and spread from infected cells. PVI is useful to prevent infection and limit spread of human and avian influenza viruses. 

Virgin coconut oil (VCO) is generally recommended and safe (GRAS) oil for oral intake and local application. It has antiulcerogenic activity, thus a good mucosal conditioner, minimizing the mild irritating effect of hyperyonic saline. Its monolaurin compounds reduce viral infectivity of enveloped RNA and DNA viruses. Though local application may trigger irritation and mild allergic reaction, it is not common.

Delivering the saline wash thru pump mist spray minimizes fluid retention; VCO promotes nasal mucosal epithelium function, and together with the free iodine from PVI, biocidal activity is potentiated without ciliotoxicity. This Saline-Iodine-VCO (SIV) emulsion wash is a novel home remedy solution made with boiled/sterile water.

 

Thus, SIV emulsion is a safe nasal wash solution for daily hygiene, with minimal tolerable irritation, delivered with pump nasal spray bottle and can be applied 2-3x a day.

Homemade saline solution requires the following:

1. 4 cups of distilled or boiled (for at least 20minutes) water. Cooled later.

2. 1 tsp iodized salt

3. An airtight storage container with a lid, such as 350ml bottle 

To make saline solution (stock): 

 A. Wash hands thoroughly

 B. Sterilize container and mixing utensil using dishwasher or boiling them in water

 C. Pour 300-350 of the cooled sterile water into 350 ml sterilized bottle

 D. Add and mix 1 tsp of iodized salt into the bottle.

To make SIV emulsion wash with 30 ml saline in spray bottle:

A. Add 3-5 drops of 10% PVI (Betadine) then

B. Add 2 ml VCO

To apply, shake the spray bottle thoroughly to emulsify the oil before using.  Position spray tip 2-3mm in the nasal opening. Apply 3 rounds of 5 puffs per nostril, sniffing in every puff and blow out gently after every round. Wash nose 3x a day. Refill with stock saline when consumed then add PVI and VCO.

(See technique at  "Nasal Care" Facebook page)

https://www.facebook.com/107202160845042/videos/507688963266732/

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SK Bahi will definitely impress you

Youth leaders of Barangay Bahi in Alburquerque town in Bohol push their mobile classroom to teach schoolkids this pandemic. Photo: Leo Udtohan

How's your barangay’s Sangguniang Kabataan (SK) doing so far? Are they living up to your expectations of them? If not, they can probably learn a thing or two from the SK of Barangay Bahi in Alburquerque town. 

The SK officials of Barangay Bahi has successfully implemented "Project Tulak Karunungan - eSKwela Program Mobile Kariton Klasrum" last July 18 with some 100 grade school pupils as their beneficiaries.

Last week, your VRS had personally witnessed how SK Barangay Bahi chairman Kien Alphe Garsuta and his councilors and a volunteer pushed their cart filled with books, papers, and chairs while they roamed around in the village. 

Their destination was sitio Pantad at least 1.5 km from village proper on a mission to teach children whose studies has been interrupted by a pandemic through their "kariton klasrum" (cart classroom). 

As I accompanied them, I personally witnessed their dedication as well as their endurance. When they reached a hilly part of the road, they pushed the cart with all their might  or else the cart would push back against them.

"We created this mobile classroom so we can just go to them so would not leave the barangay. That's what we thought 'pushing wisdom,' we 'push wisdom' to the children," said Garsuta.

When the "mobile classroom" debuted last July 18, there were only 20 students. Now, they have already taught 100 schoolkids. 

Garsuta, 23, said his team noticed that children got bored at home during the quarantine with activities limited only to watching TV and using cellphone. 

"We want to continue what they have learned in their schools, " said Garsuta, who was also the municipal federated SK president. 

Garsuta’s team looked for a design. But it was their fellow SK Lourdes Ungab who designed the pushcart and transformed it into a makeshift, mobile classroom. 

The SK of Barangay Bahi in Alburquerque: Their routine includes pushing the mobile cart on some up and down slopes that they pass along the way. Photo:  SK Bahi

Garsuta always believed in the capability of the youth to implement projects that don’t have to be costly. He also wants to minimize the use of the SK’s funds.

The cart costs them P8, 000 including labor, and another P10, 000 for educational materials such as papers, books and pencils, chairs, pails and soaps. 

The cart was perfect for the task which is small enough to roll in roads. 

The schedules would depend on their availability but they were able to teach thrice a week with Sunday as the group's fixed day.  They just finished eight session last Sunday, August 2. 

The class lasts for two hours would start at 3 p.m. until 5 p.m. held in a vacant lot. 

It begins with a prayer and singing of the Philippine National Anthem, Bohol and Alburquerque hymns. 

A story telling would follow, then a five-minute exercise. 

Children from kindergarten to Grade 4 were grouped by their levels with assigned volunteers-teachers who would teach about reading, writing, counting, and proper handwashing. 

"We teach children the tracing of letters, basic reading, basic writing, identifying colors and shapes, as well as spelling, and then we teach them proper hand washing because we are here in the pandemic. We taught them how to sanitize and wash their hands," said Garsuta. 

The community gladly welcomed the "mobile classroom".

One of them was the 25-year-old Antonette Pabio whose five-year-old Jayshine Dave attended the class.

"This is a big help for our children especially now  there are no classes, no teachers because of  COVID-19. It's okay for me to bring my son here because he will also learn something," she said. 

 

Pabio said making children stop schooling in midstream breaks momentum of the learning process and makes them lose interest and the motivation to study to better themselves.

Hence, the mobile classroom refreshes what they learned from school.

Kimberly Channel Garsuta, 9, one of the students, said she was energized to study again. 

She would be in Grade 4 this August 24 if classes will push through. 

"I want to attend here because I learned a lot and then I'm happy I have a lot of friends here," she said. 

After the sessions, the youth leaders have to clean the area and  place the chairs and other materials in the cart. 

Going back is also challenging due to a slopping ground.

But these youth leaders have no qualms since they have a  meaningful and fulfilling day. 

Garsuta is a kind of a youth leader who can motivate his peers and lead by example that will make the youth group stronger and more effective.

He also encourages other youth to also do their share in making a difference in the community.

Garsuta said they have to learn to adapt and evolve just like the coronavirus is doing, by improvising, innovating and pioneering without stopping education. 

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Local farm sites: Agriculture for food security and sustainability amid pandemic

Candijay-born politician-turned organic farmer Robert Olaer, with wife Brenda from the Yu political clan of Calape, owners of Iyaah Eco-Farm in a pose with Audio-Bohol president Fiel Angeli E. Araoarao-Gabin from the City Government of Tagbilaran.

The members of the Association of United Development Information Officers (Audio) in Bohol had been looking forward to July 29 and 30, 2020 as another exciting learning opportunity. Dubbed "Blogging Forum", the activity included lectures and expository tours to farm tourism sites being assisted by the Agricultural Training Institute Regional Training Center (ATI-RTC) for Central Visayas headed by Dr. Carolyn May O. Daquio based in Barangay Cabawan, Tagbilaran City, Bohol. 

Recently, Bohol Governor Arthur C. Yap emphasized the importance of agriculture to Boholanos incorporating agriculture in the tourism industry. 

Farm tourism is the business of attracting visitors to go to farm areas, generally for educational purposes, while encouraging economic activities that can provide both the farm and community income. 

However, due to the CoVid-19 strict health and safety standard protocols, the AUDIO-Bohol group composed of information officers from the local government units and national line agencies in the province led by City Government of Tagbilaran's Fiel Angeli E. Araoarao - Gabin as president, were divided into two groups for July 29 and 30, but with the same itinerary. 

The Audio members with Robert and Brenda Olaer, ATI-RTC 7's Doris Isabel Racho, and PIA-Bohol's Rey Anthony Chiu and Elvira Bongosia at Iyaah Eco-Farm.

ATI-RTC 7's Doris Isabel Racho facilitated the activity which started with the opening program sharing the ATI TRC-7 agricultural development thrust, as well as its staunch commitment to the “Bayanihan to Heal Act”, while teaching new trends in communication such as blogging and vlogging and showcasing different farm technologies. 

After the lecture of Bohol Bloggers' Collective former president and content writer Jhuriz Dugaduga about blogging who taught the group on how to make interesting posts that attract engagements using the social media, Jomer Balag, the owner of Jolit's Eco-Garden in Cambacay, Batuan town, took the Audio members for a brief tour of the area and explained the fruit fermentation process using molasses to provide the necessary nutrients to his plants in the farm. 

The visitors were also served all-natural passion fruit juice. Nestled in the interior part of the province, the place is, indeed, a haven of locally produced vegetables and ornamentals that are a sure delight to every "plantliner".

The most-awaited part of the visitors was the chance to choose and buy the ornamentals that made the ATI coaster look like a crowded "lasang" (forest) on the way back to Tagbilaran.

Jomer Balag of Jolit's Eco-Garden explains the fermentation process using molasses.

IYAAH Eco-Farm, coined from the word “kinaiyahan” (nature), an acronym meaning “Inigsoonay'ng Yano Alang sa Agrikulturang Hamugaway”, is situated on a 10,500 square meter-property less than 5 kilometers away from the center of Tagbilaran City.

 It is classified as an integrated diversified farm that has been registered as one of ATI-RTC 7’s learning sites.

The owner, former Candijay Sangguniang Bayan member Robert Olaer, supported by his wife Brenda, shared their passion for the conservation of nature and its sustainability which aligns with their strong advocacy to have a “Happy Living, Healthy Lifestyle, and Holistic Life”.

 According to Olaer who is the Tagbilaran City Agriculture and Fishery Council (CAFC) chair,  Kapunongan sa mga Bol-anong Organikong Mag-uuma (KBOOM) vice-president, and Central Visayas Farm Tourism Association (CeViFTA) vice-president, they are basically teaching “harmonious living by eating locally-produced organic foods, while constantly communicating with nature. After all, nature does it all.”

Capping the educational part of the one-day activity was the lecture on vlogging by noted Panglaoanon graphic artist Rowell Clenuar, founder of Travel 29, the marketing agency that popularized the Alicia Panoramic Park, who challenged the Audio members to harness their creativity. 

On behalf of group, Audio-Bohol president Gabin expressed profound gratitude to the ATI-RTC-7 for sponsoring the blogging forum geared towards teaching a more interesting platform of sharing knowledge while expressing oneself, refining communication skills, expanding professional networks, making a difference to the general public,  and learning how to appreciate and be engaged in the promotion of agriculture  towards food  security and sustainability, especially  in this time of pandemic.

PIA-Bohol’s Rey Anthony Chiu and Elvira Bongosia also provided coordination.

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Sweet memories

Someone forwarded this article he culled from the Internet. I think this is worth sharing. 

As a kid,  Regardless of the weather, our dinner time was at 7:00PM and bed time was 9:00PM.

Eating out at a #restaurant was a huge deal, and usually to celebrate a special occasion.

There was no such thing as fast food on every other day, and having a bottle of soft drinks or a large ice-cream from the local shop was a real treat. Boy oh boy! Pass your final exams and then you may get a new pair of shoes or set of clothes! 

You took your school clothes off as soon as you got home and put on your ‘home’ clothes. There was no taking or picking you up in the car, you either boarded the school bus or rode on public transport!  Or simply walked back. You got home did your chores and your homework after dinner. 

We didn’t have #cabletv #wifi or #Netflix, we had only a few channels to watch and not available 24/7.

We played shatong, tumbang preso, Hide & Seek, marbles, jack stones, and any other game we could come up with.....  At home, we stuck to chess, scrabbles, ludo, snakes and ladders. 

Staying shut in the house was a PUNISHMENT and the only thing we knew about "bored" was --- "You better find something to do before I find it for you!"

We played music via records, magnetic tapes or listened to the radio. 

We went to the local shop for groceries and candy used to be a few cents or at the most one cent.

We ate what Mom made for breakfast, lunch and dinner. Even snacks were homemade. Bottled water was unheard of. We drank tap water. At home it was boiled and cooled . While playing outside straight from the tap.

We weren't AFRAID OF ANYTHING.  We played until dark... sunset was our alarm.

We hung around with real friends not virtual. We rode our bicycles or walked to meet our friends at their houses. Friends houses were extension to our home.

If someone had a fight, that's what it was and we were friends again a week later, if not SOONER.

We watched our MOUTHS around our elders because ALL of our aunts, uncles, grandpas, grandmas, AND our parents' best friends were all extensions of our PARENTS and you didn't want them telling your parents if you misbehaved! Or they would give you something to cry about.

We respected the Police, Firemen, Ambulance workers, Teachers, Doctors and Nurses. 

We never answered back..... ever!! 

We got detention at school for not doing homework, being late to class or being naughty. Our teachers spanked us when we deserved, and our parents did not complain about it.

Those were the good days. So many kids today will never know how it feels to be a kid the way we used to be 😁.  I loved my childhood and all the friends I hung around with. Good Times 🤓😘

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COVID-19 leaves beauty industry unemployed

There’s no denying that the majority of freelance makeup artists and hairstylists are affected by the COVID-19.  But Roger Ryan" Khim" Magtagad is at your service at the BQ Mall.  Photo: Leo Udtohan

With business disrupted and provinces on lockdown to contain the pandemic, the economy slumbers. 

 

Most projects are at a standstill. Beauty pageants and events have been cancelled and postponed.

 

So sad the virus has all but completely shut down their industry.

 

For the freelance make-up and hairstylists  their jobs---which involves face-to-face, one-on-one contact — the very thing that the entire world has been told to avoid to stop the spread of the virus--- they are left to find creative ways to survive financially and emotionally. 

 

Andrew, a Tagbilaran-based freelance makeup artist, hasn’t worked since March 16. He primarily does wedding makeup and worked a wedding that day, but he's been self-quarantining ever since.

 

“My June weddings were cancelled," he told VRS. 

 

Another make-up artist Pickles said that next year's project is totally empty. 

 

"No bookings compared to last year's, " he said. 

 

But the pandemic didn't stop them to makeup lost time and to render community volunteerism during the COVID-19 pandemic. 

 

They have volunteered to paint social distancing markers around Tagbilaran City. They also helped to check the home quarantine pass and monitor social distancing in both public and private establishments. 

 

Roger Ryan" Khim" Magtagad of The Art Noveau volunteered to assist frontliners at malls and public markets. 

 

"This quarantine I would say is life changing. It had swayed me how many times, made me blank for awhile and made my life uncertain at some point. I belong to the events industry that is greatly affected by this pandemic. No events means no job and no job means no money and no food to eat, " shared Khim. 

 

He thought it was the end. 

 

For freelance makeup artists and hairstylists, their lives have already changed dramatically during this pandemic.  But Nina and Angela are at your service at the Dao Public Market. Photo: Leo Udtohan

"The Art Nouveau Models and my closest and trusted supported me and motivated me. They provided me not just material things but also wisdom and determination," he said. 

 

He said it was a challenge venturing into a new platform of work that he was not used to it. 

 

"I have been managing and handling models for more than 10 years. So I have to adjust everything on this also," he said. 

 

"I want to be able to take part in helping flattening the curve for COVID- 19. As a new member of the Glam Team, I am one of those who is very blessed to receive aid from  (Tagbilaran City First Lady) Ate Jane Yap our very active and loving 1st lady. Under the administration of Mayor Baba Yap, I am very happy and honored that I am able to help my community and work to make this community sanitized to prevent the spreading of the virus. I will render myself and continue to volunteer in maintaining the safety protocol in Tagbilaran City."

 

COVID19, he said, is still here. He encouraged everyone to protect ourselves and the community.

 

"As much as I want to help, this is the only thing I can do that is why I am giving my all because I know it will make a difference. It is very risky for me but I want to help and I want to tell people to be responsible and to stay at home when it's not needed. We should ask not what the government can provide but ask ourselves, 'What can I do to help flatten the curve?', " said Khim. 

 

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'Dolphin therapy' at the island of dolphins

Pods of dolphins found in the sea waters off Garcia Hernandez town in Bohol province. Photo courtesy:  Jervin Galido

When "Dolphin therapy" became a "fad" in 2005, yours truly, frequently visited the Pamilacan Island to see the friendly mammals. 

 

I have had depression that a friend told me to see dolphins. 

 

My friend said that dolphins have reputation for their healing powers over the last couple of decades.

 

There are reports dolphins can use their natural ultrasound to zap tumors, heal muscle injuries and stimulate the brains of disabled children. Dolphins have relieved chest pain and restored faulty vision.

 

That explained that there are many facilities scattered around the world that offer various forms of dolphin-assisted therapy for people with mental and physical ailments. 

 

Essentially, it’s an expensive opportunity to swim with dolphins.  In the USA and Mexico, the program includes five 40-minute sessions with a single dolphin in a pool over three days. The cost is $575.

Parents of children with severe autism, Down syndrome, cerebral palsy or other disabilities spend thousands of dollars on such dolphin-based treatments in hopes that the animals can reach their kids in ways that psychiatrists, physical therapists or medications never could.

 

But I didn't shell out money to see the dolphins in a facility. I had experienced them in their own natural habitat. 

 

Although my friend told me that I could swim with dolphins at Pamilacan Island, but it didn't offer therapy. 

 

Some experts said that the appeal of dolphin therapy is based more on mystical beliefs than on any real results. 

 

There’s no real research to support dolphin therapy, but I believe the animals bring joy, confidence and self-esteem to children and adults. 

 

During my visits to Pamilacan Island, swimming with dolphins had improved my feelings of well-being while reducing anxiety. 

 

When I learned that pods of dolphins re-appeared in Garcia Hernandez town last week, I am happy because their appearance means abundance of foods from our seas. 

 

The presence of dolphins in the sea waters off Barangay Cayam enticed residents to look for them in the open sea. 

 

Those who had a close encounter with the  dolphins  have been posting photos and videos of animals enjoying the newly quiet sea in the social media. 

 

Ruel Baguhin, 37, considers the presence of dolphins in the municipality as “rare” and “surprising” since the last time residents have seen the aquatic mammals was some decades ago.

 

Residents have been spotting bottlenose and spinner dolphins as well as orcas or killer whales starting last June 29.

 

The presence of dolphins in the waters off Barangay Cayam prompted residents to look for them in the open sea.

 

Those who had close encounters with the dolphins posted photos and videos of the sea mammals on social media.

 

According to National Geographic, orcas or killer whales are considered the largest among the dolphins and are among the world’s most powerful predators. They are recognized through their distinctive black-and-white colors.

 

John Brian Galendez, 29, a resident of West-Lungsodaan in Garcia Hernandez town, saw “hundreds” of dolphins last Saturday afternoon.

 

He said he and friends spotted them at around 5 p.m.

 

“It was my first time seeing dolphins here although I learned that some fishermen have had sightings of them in the past,” Galendez said.

 

The Bohol Sea is said to be one of the breeding grounds of whales and dolphins.

 

Whales and dolphins sightings were popular in the seas of Jagna, Garcia Hernandez, Lila and Pamilacan Island in Baclayon town, known as the highway of the whales and dolphins. 

 

However, it diminished in early 1990s due to rampant whale and dolphin hunting.

 

Since then sightings of these creatures became rare.

 

An outcry from local and foreign conservationists triggered the ban on the hunting of dolphins and whales. 

 

The Philippines, one of the first countries in Southeast Asia with policies protecting marine mammals, banned the catching, selling, or transporting of dolphins and whales since 1992 through Fisheries Administrative Order 185.

 

In 1998, the Animal Welfare Act was also put in place. In 2001, the Fisheries Administrative Order 208 on the conservation of rare, threatened, and endangered fishery species, which includes whales and dolphins.

 

Does dolphin therapy work? I don't know. 

But I feel better. 

 

 

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