CITY HEALTH OFFICE

(DOH PROGRAMS)
DEMOGRAPHIC PROFILE
Dagupan City
is one of the highly urbanized city of the Province of
Pangasinan.
It is classified as a second income class city.
The City covers a total land area of 40, 079, 278.93 meters or
about 4, 008 hectares (as per City Assessor’s Record).
However, the digitized cadastral maps reveal that the sum of
the lands within Dagupan’s boundaries is 4, 447.10 hectares. It
is bounded by the Lingayen Gulf in the north, San Fabian in
the northeast, Mangaldan in the east, Calasiao in the south
and Binmaley in the west.
It is sub-divided into 31 barangays, 5 of which are islands, 3
are coastal and the rest are either inland or river barangays.
2024 Population- 180,162
 Barangays:
23 Inland or River Barangays:

Bacayao Norte Bacayao Sur Barangay I Barangay II and III

Barangay IV Bolosan Caranglaan Herrero-Perez

Lasip Chico Lasip Grande Lucao Malued

Mamalingling Mangin Mayombo Pantal

Poblacion Oeste Pogo Chico Pogo Grande Salisay

Tambac Tapuac Tebeng

3 Coastal Barangays:
❖ Bonuan Binloc
❖ Bonuan Gueset
❖ Bonuan Boquig

5 Island Barangays:
❖ Calmay
❖ Carael
❖ Lomboy
❖ Pugaro
❖ Salapingao

1 main health center and 18 barangay health stations

City Health Office Vision and Mission:
Vision:
Responsive Local Health System with strong partnership among
committed Stakeholders for Healthy Dagupeños.

Mission:
“Health for all Dagupeños through efficient and cost-effective
implementation of preventive, promotive and curative health
programs by professionalized health work force through adequate,
accessible, accurate, equitable and quality health care delivery.”
 Community Health

is a field of public health

that focuses on studying,
protecting, or improving
health within a community.
It does not focus on a group
of people with the same
shared characteristics, like
age or diagnosis, but on all
people within a
geographical location or
involved in specific activity.
Community Health
According to Winslow(1920)

Public health is the science and art of preventing disease, prolonging life and
promoting health and efficiency through organized community efforts for the
sanitation of the environment, the control of the communicable infections, the
education of the individuals in personal hygiene.
Primary Health Care is essential health care made universally accessible
to individuals and families in the community by means acceptable to
them through their full participation and at a cost that the community and
country can afford..

It is the first level of contact of individuals and the family with the national
health system bringing health care as close as possible to where people
live and work ans establishes the first element of a continuing care
process.

The primary health center (PHC) is the basic structural and functional unit
of the public health services in developing countries, to provide
accessible, affordable and available primary health care to people.
 Factors in Community Health
Socio-cultural factors, including the beliefs, norms and traditions of a place, shape attitudes
toward health and influence the habits that contribute to healthful practices or detract from
them.
Access is a key point for health professionals—giving everyone, but especially those most on the
margins—access to healthy food, safe and reliable child care, after-school programs and
transportation services.
Geographical and environmental health factors are also priorities, including disease prevalence,
overcrowding, industrial development and pollution levels.
Community health workers think through the “how” as much as the “what,” taking on the
responsibility of the long-term wellness of vulnerable populations. That includes collaborating
across multiple sectors, employing culturally sensitive methods, and using scientific and
evidence-based approaches to address not just the needs, but also the interests of the defined
group.
The benefit to individuals is obvious, if not always immediate. But the benefits extend to the
framework of the community itself, and to schools, businesses and gathering places. Money is
saved, absenteeism is reduced, mental health improves and the spread of disease declines.
Community health workers are integral to creating and maintaining welcoming and comfortable
communities for all.
 A. Maternal Care and Services
Objectives of Maternal Child Health:
1. To reduce maternal mortality and morbidity.
2. To reduce neonatal mortality and morbidity.
3. To regulate fertility so as to have wanted and healthy
children when desired
4. Provide basic maternal and child health care to all mother
and children.
5. Promote and protect health of mothers.
6. Promote and protect physical growth and psycho-social
development of children.
Maternal Care encompasses the package of health interventions and
services that must be provided to women from the time they become
pregnant, during delivery and post partum period which is up to 42
days after delivery.

The following enumerates the key maternal care and services that are
tracked through the FHSIS.
Target Clients – pregnant women
safety of the mother and the child

IMPORTANCE OF PRE-NATAL VISITS:

Early assessment & detection of high risk factors
Early prevention, monitoring and treatment of HR factors
Ensuring safe delivery and a healthy baby
Getting correct advise on proper care during pregnancy, preparing for delivery.

Services during the Pre-natal visits:

Physical examination
At least 4 pre-natal check-ups:
▪ At least 1 pre-natal visit during the 1st trimester
▪ At least 1 pre-natal visit during the 2st trimester
▪ At least 2 pre-natal visit during the 3rd trimester
Tetanus-diptheria (Td) toxoid vaccine:

DOSE SCHEDULE % Duration of

protected protection
Td1 At first contact, or as early - -
as possible during
pregnancy
Td2 4 weeks after Td1 80 %(60-90) 3

Td3 6 to 12 months after Td2 95% 5

Td4 1 to 3 years after Td3 99% 10

Td5 1 to 5 years after Td4 99% Lifetime

❖ Immunization against Tetanus-diptheria (2 doses for the 1st pregnancy,

at least 3 doses for 2nd or more pregnancy)
❖ If a mother has received 2 doses of Tetanus-diptheria she is considered
FULLY IMMUNIZED MOTHER (FIM)
Micronutrient supplementation of iron with folic acid,
calcium carbonate, iodine capsule
One dose of deworming (anti- helminthic) tablet
STI Testing: Syphilis, Hepatitis B and HIV
Laboratory Testing: complete blood count or hemoglobin
and hematocrit count, gestational diabetes
Basic Oral Health Care(BOHC)
Counseling on proper nutrition, prenatal & neonatal care,
proper hygiene, breastfeeding, early psycho-social
stimulation of the baby, etc.
High Risk Pregnancies:
Too young – less than 18 yrs. old
Too old - more than 34 years old
Too many – more than 4 children
Too close – less than 3 years interval
Getting pregnant while sick with chronic diseases like TB or Malaria or with Iron Deficiency.

Intra-Partum Care:
Delivery attended by skilled health professionals
Delivery in a health facility

Post-Partum Care:
Given at least 2 PP check-ups with their newborns within 7 days after delivery
Micronutrient supplementation of iron with folic acid for 3 months
Provision of 1 dose of Vitamin A supplementation within 1 month after delivery
BREASTFEEDING:

Promotion of exclusive Breastfeeding

Strengthened the MILK CODE (Executive Order No. 51) a law which
protects and promote breastfeeding.
KEY POINTS:
❖ It is the most nutritious & the cheapest form of infant feeding.
❖ Mother’s milk contains colostrum which has antibodies that protect the baby from
sickness.
❖ It is the best natural means of feeding, available anytime & does not get spoiled.
❖ Breast milk protects the baby against viruses, bacteria & allergy.
❖ Strengthens mother-child bonding because it:
❖ Promotes the feeling of security in the child
❖ Makes the child feel loved and wanted
❖ Helps develop & heighten the child’s senses
❖ Frequent breastfeeding delays the return of menses & helps to protect from another
pregnancy.
 B. Family Planning
Target clients – women of reproductive age
(WRAs) aged 15-49 years old.
❖ Helping couples achieved their desired family size in the context of
responsible parenthood.
❖ Health intervention program of DOH to promote overall health of women &
children
❖ Contributes to the reduction of maternal & infant deaths in the country.
Services:
❖ FP counseling
❖ Physical examination
❖ Provision of FP methods

FP Methods
❖ Permanent ( Vasectomy and
Bilateral Tubal Ligation)
❖ Temporary ( pill, iud,
dmpa/injectables, condom,
fertility awareness- based
methods)
C. Child Care and Nutrition Services
Child Care encompasses the package of health interventions and services that must
be provided to the newborns, infants, under-five children, school-aged children and
children of older age groups (10-19 years old) including management of sick children.
Some newborn care services however are reported as part of the Prenatal Care (e.g.
Td immunization). The following enumerates the key child care and services that are
tracked through the FHSIS.
 Newborn Care (0-28 days)
❑ Immunization at birth (Hepatitis B1, BCG within 24 hours)
❑ Protection at birth from neonatal tetanus
❑ Initiation of breastfeeding lasting for 90 minutes

Infant Care (29 days-11 months old)

❑ Immunization of BCG, DPT-H.influenzae type B-Hepatitis B (Pentavalent) 3 doses, Pneumococcal
Conjugate vaccine (PCV) 3 doses, Oral Polio Vaccine (OPV) 3 doses, Inactivated Polio Vaccine
(IPV) 2 doses, Measles Mumps Rubella (MMR) 2 doses

❑ Exclusive breastfeeding up to 6 months

❑ Complementary feeding initiation with continuous breastfeeding starting at 6 months old

❑ Low birth weight infants, ages 1-3 months, seen and given iron supplementation

❑ Micronutrient Supplementation: Vit.A and micronutrient powder (MNP) for 6-23 months old
Under-five Children Care (1-4 years old)
❑ Immunization of MMR at 12 months
❑ Micronutrient Supplementation, Vit.A and Micronurient powder (MNP)
❑ Deworming, 2 doses, 6 months apart

School-Aged Children (5-9 years old)

❑ Deworming, 2 doses, 6 months apart
❑ School-based Immunization (Grade 1)

Adolescents (10-19 years old)

❑ Deworming, 2 doses, six months apart
❑ School-based Immunization (Grade 7 children)

Management of Sick Infant and Children

❑ Sick infants and children given Vitamin A capsule
❑ Diarrhea cases given ORS/ORT with Zinc
❑ Pneumonia cases treated
 What is Fully Immunized Child (FIC)

A Fully Immunized Child (FIC) in EPI shall mean a child

who has Immunization of:
1 dose BCG,
3 doses DPT-H.influenzae type B-Hepatitis B
(Pentavalent),
3 doses Pneumococcal Conjugate vaccine (PCV),
3 doses Oral Polio Vaccine (OPV),
2 doses Inactivated Polio Vaccine (IPV),
2 doses Measles Mumps Rubella (MMR)
❖ Wednesday – has been declared nationwide as
Immunization Day.
D. Oral Health Care and Services
0-11 months old
❖ Oral Examination. Instruction on infant's oral health
care
❖ Advice on exclusive breastfeeding
❖ Topical application of fluoride (9-11 mos.) (unless
contraindicated)

1-4 years old (12-59 months)

❖ Oral examination
❖ Topical application of fluoride
❖ Supervised Tooth Brushing
❖ Atraumatic Restorative Treatment (ART)
❖ Oral prophylaxis/scaling
❖ Oral Health Education
5-9 years old (school-aged children)
❖ Oral examination
❖ Supervised Tooth Brushing
❖ Oral Health Education
❖ Pit and fissure sealant application
❖ Temporary filling
❖ Permanent filling
10-19 years old
❖ Oral examination
❖ Education and counselling on good oral hygiene, diet and adverse effects of tobacco/smoking
and alcohol and sweetened beverages & food
❖ Pit and fissure sealant application
❖ Temporary filling
❖ Permanent filling
❖ Oral prophylaxis/scaling
❖ Oral Urgent Treatment (OUT)

20-59 years old

❖ Oral Examination
❖ Education and counselling on good oral hygiene, diet and adverse effects of tobacco/smoking
and alcohol and sweetened beverages & food
❖ Gum Treatment
❖ Oral prophylaxis/scaling
❖ Permanent filling
❖ Atraumatic Restorative Treatment (ART)
60 years old and above
❖ Oral Examination
❖ Education and counselling on good oral hygiene, diet and adverse effects of
tobacco/smoking and alcohol and sweetened beverages & food
❖ Oral Urgent Treatment (OUT): Relief of pain, extraction of unsavable teeth and referral of
complicated cases to higher level

Pregnant women
❖ Oral Examination
❖ Education and counselling on good oral hygiene, diet and adverse effects of
tobacco/smoking and alcohol and sweetened beverages & food
❖ Oral prophylaxis/scaling
❖ Gum Treatment
❖ Temporary filling
❖ Permanent filling
A healthy
community
benefits
every person
in it. And
community
health is one
means of
achieving a
healthy
community.
E. Infectious Disease Prevention and Control
Services
Filariasis Prevention and Control Services
Schistosomiasis Prevention and Control Services
Soil-Transmitted Helminthiasis Prevention and Control Services
STI Prevention and Control Services
Malaria Prevention and Control Services
Rabies Prevention and Control Services
National Tuberculosis Program Prevention and Control Services
Leprosy Prevention and Control Services
Rabies Prevention and Control Services
 NATIONAL TUBERCULOSIS CONTROL PROGRAM
Infectious disease usually affecting the lungs caused by Mycobacterium tuberculosis.
Transmitted from TB patients through coughing
Most common sign is cough lasting for 2 weeks or more.
Diagnosed through sputum examination

Strategy: Directly Observed Treatment Short Course Chemotheraphy (TB-DOTS)

What DOTS can do?

Will cure TB patients (high cure rate as high as 95%)
Prevents new infections among children & adults
Prevents resistance to Anti-TB Drugs
No hospitalization required
Saves money
 LEPROSY CONTROL PROGRAM
Disease affecting the skin caused by Mycobacterium Laprae or Leprosy Bacilli.

Early signs:
Changes in skin
Loss of feeling on the lesions of the skin
Decrease or even loss of sweating, and hair growth over the skin lesions
Thickened or painful nerves in neck, forearm, near elbow & at back of knees
Weakness of limbs
 Treatment & Management of Leprosy
Multi-Drug Therapy

Benefits of Early Treatment:

Cured within a shorter period
Will not be able to infect other susceptible members of
the household
Prevent the progress of skin lesions in the body.
Prevent nerve damage leading to deformities.
Prevent relapse & resistance to drugs.
 Rabies Prevention and Control Services
Is an acute, progressive, incurable viral encephalitis with a fatal outcome.

According to the World Health Organization, it ranks 12 th among the major killer
disease (WHO,2002)
 Post-Exposure Prophylaxis (PEP)
anti-rabies prophylaxis administered after an exposure (such as bite,
scratch, lick, etc) to potentially rabid animals/humans. It includes local wound
care, administration of rabies vaccine with or without Rabies Immune Globulin
(RIG) depending on category of exposure.

Objectives of Post-Exposure Prophylaxis (PEP):

1. To minimize the amount of virus at the site of inoculation
2. To develop a high titer of neutralizing antibody early and maintain it for
as long as possible
 Exposure to suspected/proven Rabid Animals
Local Wound Care
Immediate vigorous washing and flushing with soap and water preferably for 10
minutes
❖ Apply povidone iodine or alcohol
❖ Avoid suturing of wounds since it may inoculate virus deeper into the wound
❖ Avoid practices that may further contaminate the wound (e.g. Tandok, Bato, Rubbing
garlic on the wounds)
Category of Exposure:
❖ Category I
▪ Touching/feeding an animal
▪ Licking of intact skin (with reliable history and thorough physical examination)

❖ Category II
▪ Superficial scratch/abrasion without bleeding
▪ Superficial scratch/abrasion that is induced to bleed
▪ Nibbling of skin with brushing/hematoma

❖ Category III
▪ Transdermal bites or scratches with spontaneous bleeding (to include puncture wounds,
laceration, avulsions)
▪ Licking of mucous membrane
▪ All category II exposures on head and neck area
▪ Handling of infected carcass or ingestion of raw infected meat
▪ Licks on broken skin
 F. Non- Communicable Disease Prevention and
Control Services
Non-communicable diseases are non-infectious in nature and thus do not spread like
communicable diseases. Most NCDs are chronic and last for a longer period of time.
NCDs account for approximately 71% of global deaths. Furthermore, these deaths are
concentrated in middle and low-income countries. The four major death-causing NCDs
are –

Cardiovascular Diseases

Cancer

Respiratory Diseases

Diabetes
The NCDs may occur due to lifestyle as well as genetic factors. Thus, some of them are
also termed lifestyle diseases. The risk factors for NCDs are mostly poor diet, lack of
exercise, inadequate sleep, smoking, alcohol consumption and stress.

Lifestyle Related Diseases (LRDs)

❖ Risk assessment on tobacco use, harmful use of alcohol, unhealthy diet
and physical inactivity

❖ Provision of initial management of those at risk such as brief tobacco

advice, Healthy Lifestyle Modification Counselling

Lifestyle diseases, like hypertension, diabetes, cancer, heart diseases, and stroke
are a part of non-communicable diseases (NCD). Mental health diseases like
trauma and depression are also included under this. Various physiological factors,
along with improper diet and exercise, are a major cause of most NCDs.
Physiological Factors
❖ Blood Pressure
❖ Cholesterol
❖ Blood Glucose
❖ Hyperlipidemia
❖ Overweight or Obesity

Behavioural Factors
❖ Sedentary Lifestyle
❖ Unbalanced Diet
❖ Stress
❖ Tobacco and Alcohol
❖ People of all ages, gender and region are prone to these risk factors . In
this, the behavioural factors are modifiable with proper lifestyle changes.
Hypertension
Hypertension is a sustained increase of systemic arterial blood pressure,
typically more than 150/90 mm Hg. Essential or primary hypertension is seen in
90% of total hypersensitive individuals. In most persons, obesity and a
sedentary lifestyle appear to play a major role in causing essential
hypertension. This is treatable but not curable. The high salt content in canned
and packaged foods can also lead to hypertension. Thus, it can be
prevented with a proper diet and lifestyle.

In the early stages of hypertension, an increase in stress states (exercise,

excitement, emotions, etc.) can be observed. In late stages, it can also lead
to renal failure and cardiac complications.
Cardiovascular disease
The term denotes a group of disorders associated with the blood vessels
and heart. Cardiovascular diseases include rheumatic heart disease,
coronary heart disease, heart failure, heart attack, stroke, etc. The main
reason is the blockage of blood vessels supplying the brain or heart. This
blockage is caused due to fat deposits in the walls of blood vessels. Heart
attack and stroke are the major NCDs and are usually acute events.
Strokes are caused by blood clots or bleeding from the blood vessel.

Most cardiovascular diseases can be prevented by healthy eating, limiting

alcohol intake, exercising, avoiding tobacco, etc. Treating high blood
lipids, high blood pressure and diabetes can also prevent cardiovascular
diseases. Genetics is also a risk factor for certain cardiac diseases.
 Diabetes Mellitus Prevention and Control
Diabetes – is a condition where there
is poor activity or decrease
production of a hormone called
insulin resulting in an increase in blood
sugar.
❖ 4 out of 100 Filipinos are diabetics
❖ Higher in urban than in rural areas
❖ 63% are unaware that they had
diabetes
❖ No known cure for diabetes.
Non-communicable Diseases – Prevention
and Cure
Healthy Diet – Avoiding canned food and excessive salt can prevent hypertension. Also,
taking high fibre content helps in controlling hypertension. A healthy and balanced diet
is also vital for overall body health.

Regular Exercise – Approximately 1.6 million global deaths are attributed to a sedentary
lifestyle. Obesity is associated with many NCDs like coronary heart disease, type 2
diabetes, asthma, stroke and even some cancers.

Adequate Sleep – 6 to 8 hours of sound sleep is a must for a healthy body to function.
Inadequate sleep leads to an increase in stress levels, changes in blood pressure and
disturbance in the biological cycle.
Avoiding tobacco and alcohol – Avoiding alcohol will have an
impact on preventing depression, chronic liver diseases and even
motor vehicular injuries. Also, both chewing and smoking tobacco
contribute to cancer, chronic lung diseases, heart diseases and
strokes.

The first step towards a cure is the management of these diseases.

The management includes screening, detecting and treating the
diseases. As NCDs are chronic, palliative care is also needed.
Strengthening primary health care will significantly reduce the
deaths associated with NCDs.
Cancer Prevention and Control
❖ Cancer is largely considered a lifestyle
disease.
❖OBJECTIVE: Morbidity and mortality rates
from cancer are reduced.
❖ Males - lungs, liver and prostate
❖ Females - breast, cervix and lungs
❖ Children - leukemias, lymphomas
Services:
Counselling patient on:
❖ tobacco use cessation
❖ diet modification & moderate
Cancer screening
Breast Examination
Pap smear screening
Hepa B vaccination among infants
Establish support care program for cancer patients
 G. Emerging & Re-emerging Diseases

Emerging and Re-Emerging

Infectious Diseases (EIDs) are
infections that have newly appeared
in a population or have existed
previously but are rapidly increasing
in incidence or geographic range
2019 CoVid – 19 Corona Virus
Dengue Control Program
Dengue - a viral infection characterized by sudden onset of fever which
would last for 2 - 7 days.
Types of dengue:
1. dengue fever
2. dengue hemorrhagic fever
3. undifferentiated fever
Carriers:
1. Aedes Aegypti - primary vector of the disease
- prefers to breed indoor in artificial container

2. Aedes Albopictus - most common in rural areas

- secondary vector of dengue
- prefers to breed outside
PREVENTION AND CONTROL:
Environmental Management
Biological control
Chemical control
Personal protection
Space spray applications
H. Environmental Health and Sanitation
1. Households
❖ Access to Basic Safe Water Supply
❖ Use of Safely Managed Drinking Water Services
❖ Use of Sanitary Toilet Facilities
❖ Use of Safely managed sanitation services
❖ Solid Waste Management Practices
❖ With Complete Sanitation Facilities

2. Industrial Establishments
❖ Agriculture, Fishery and Forestry
❖ Manufacturing
❖ Electricity, Water and Gas
❖ Construction
I. Natality

the ratio of live births in an area to the population of that area;

expressed per 1000 population per year
Livebirths/ Crude Birth Rate = no. of livebirths x 1000
population
 J. Morbidity
Morbidity refers to the state of being unhealthy.
It applies to all the people affected by a disease
in a particular region.

The morbidity rate refers to the number of

people affected by a particular disease. This
helps health officials to make risk management
and adopt national health systems according to
the needs of the population.
 K. Mortality
the ratio of deaths in an area to the population of that area; expressed per 1000 per year
Mortality rate, or death rate is a measure of the number of deaths (in general, or due to a specific
cause) in a particular population, scaled to the size of that population, per unit of time. Mortality rate
is typically expressed in units of deaths per 1,000 individuals per year.
Total Deaths/ Crude Death Rate = no. of deaths x 1000
population

Maternal mortality rate is a number of deaths of mothers assigned to pregnancy-related

causes during a given time interval, divided by the number of live births during the same
time interval.
Maternal Deaths/ Maternal mortality Rate = no. of maternal deaths x 100,000
no.of livebirths
Infant mortality rate is a number of deaths among children <one year of age during
a given time interval divided by the number of live births during the same time
interval.
Infant Deaths/ Infant mortality Rate = no. of infant deaths x 1000
no.of livebirths

Under-five mortality rate is a number of deaths of children less than 5 years old,
divided by number of live births.
Under-five Deaths/ Under-five mortality Rate = no. of Under-five x 1000
no.of livebirths
𝐈𝐩𝐚𝐠𝐩𝐚𝐭𝐮𝐥𝐨𝐲 𝐧𝐚𝐭𝐢𝐧 𝐚𝐧𝐠 𝐤𝐮𝐦𝐩𝐢𝐲𝐚𝐧𝐬𝐚 𝐬𝐚 𝐛𝐚𝐰𝐚𝐭 𝐢𝐬𝐚, 𝐭𝐢𝐰𝐚𝐥𝐚 𝐬𝐚 𝐤𝐚𝐤𝐚𝐲𝐚𝐡𝐚𝐧 𝐧𝐠 𝐬𝐞𝐤𝐭𝐨𝐫 𝐧𝐠 𝐤𝐚𝐥𝐮𝐬𝐮𝐠𝐚𝐧, 𝐚𝐭
𝐤𝐚𝐚𝐥𝐚𝐦𝐚𝐧 𝐮𝐩𝐚𝐧𝐠 𝐩𝐚𝐧𝐚𝐭𝐢𝐥𝐢𝐡𝐢𝐧𝐠 𝐥𝐢𝐠𝐭𝐚𝐬 𝐚𝐭 𝐦𝐚𝐥𝐮𝐬𝐨𝐠 𝐡𝐢𝐧𝐝𝐢 𝐥𝐚𝐧𝐠 𝐚𝐧𝐠 𝐬𝐚𝐫𝐢𝐥𝐢 𝐧𝐠𝐮𝐧𝐢𝐭 𝐚𝐧𝐠 𝐛𝐚𝐰𝐚𝐭 𝐦𝐢𝐲𝐞𝐦𝐛𝐫𝐨 𝐧𝐠
𝐚𝐭𝐢𝐧𝐠 𝐩𝐚𝐦𝐢𝐥𝐲𝐚.
𝐖𝐚𝐥𝐚𝐧𝐠 𝐦𝐚𝐢𝐢𝐰𝐚𝐧 𝐬𝐚 𝐩𝐚𝐭𝐮𝐥𝐨𝐲 𝐧𝐚𝐭𝐢𝐧𝐠 𝐩𝐚𝐠𝐭𝐮𝐤𝐥𝐚𝐬, 𝐩𝐚𝐠𝐛𝐚𝐥𝐚𝐧𝐠𝐤𝐚𝐬, 𝐚𝐭 𝐦𝐚𝐬 𝐩𝐢𝐧𝐚𝐥𝐚𝐰𝐚𝐤 𝐧𝐚 𝐬𝐞𝐫𝐛𝐢𝐬𝐲𝐨𝐧𝐠
𝐩𝐚𝐧𝐠𝐤𝐚𝐥𝐮𝐬𝐮𝐠𝐚𝐧 𝐧𝐚 𝐫𝐚𝐦𝐝𝐚𝐦 𝐧𝐠 𝐛𝐚𝐰𝐚𝐭 𝐢𝐬𝐚𝐧𝐠 𝐏𝐢𝐥𝐢𝐩𝐢𝐧𝐨.
Thank You!