ORDINANCE No. 043

EXCERPTS FROM THE JOURNAL OF THE REGULAR SESSION NO. 147-2025 OF THE 11^TH SANGGUNIANG PANLALAWIGAN OF CAPIZ (TERM 2022-2025), HELD IN THE HALL OF VICE GOVERNORS, CAPIZ PROVINCIAL CAPITOL, ROXAS CITY ON JUNE 02, 2025

Hon. JAIME O. MAGBANUA

Vice Governor

Presiding Officer

Present:

Hon. ELMER P. AREVALO – Member

Hon. GILBERT O. ARDIVILLA – Member

Hon. ALDWIN A. CRUZ-AM – Member

Hon. JONATHAN B. BESA – Member

Hon. NERIZA JOY G. SAN FELIX – Member

Hon. BLESILDA P. ALMALBIS – Member

Hon. CECILIO F. FECUNDO – Member

Hon. THEA FAITH T. REYES – Member

Hon. TRINA MARIE A. IGNACIO – Member

Hon. RAFE D. LALUMA (IPMR) – Member

Hon. PRINCE ROVIC F. GARDOSE (PSK Fed. Pres.) – Member

Ex-Officio

Official Travel:

Hon. PAUL IVAN R. BATICADOS (PCL Fed. Pres.) – Member

Ex-Officio

Hon. NICO A. YAP (LIGA Fed. Pres.) – Member

Ex-Officio

Absent:

Hon. JOSE FULGENCIO A. DEL ROSARIO – Member

(Sick Leave)

xxx xxx xxx

ORDINANCE NO. 423

Series of 2025 (2022-2025)

AN ORDINANCE ENACTING THE HEALTH AND SANITATION CODE

OF THE PROVINCE OF CAPIZ

Authored by:

Hon. Thea Faith T. Reyes

PREAMBLE

WHEREAS, the 1987 Constitution of the Republic of the Philippines mandates the State to protect and promote the general welfare, and the right to health of the people, thereby instilling health consciousness among them;

WHEREAS, Republic Act (R.A.) No. 7160 otherwise known as the Local Government Code of 1991 grants local government units autonomy, empowering them to exercise necessary powers for efficient governance and to promote the general welfare of their constituents;

WHEREAS, under the Local Government Code, the Sangguniang Panlalawigan, as the province’s legislative body, is responsible for enacting ordinances, approving resolutions and appropriating funds for the welfare of the province and its inhabitants;

WHEREAS, it is the duty of the local government to safeguard public health by ensuring access to clean and safe environments, proper sanitation, the promotion of healthy lifestyles, and prevention of communicable diseases in accordance with the provisions of the 1987 Philippine Constitution and R.A. No. 7160;

WHEREAS, the prevention of diseases and the establishment of health and sanitation standards are critical in mitigating health risks, promoting the welfare of all residents and ensuring a sustainable future for the province;

WHEREAS, the World Health Organization (WHO) through its 2005 International Health Regulations (IHR), requires member states to establish efficient disease surveillance systems to protect populations from public health threats, including emerging infectious diseases, epidemics and health events, involving chemical, nuclear and environmental agents of concern;

WHEREAS, R.A. No. 11332, known as the Mandatory Reporting of Notifiable Diseases and Health Events of Public Concern Act, along with its Implementing Rules and Regulations (IRR), strengthens the IHR of 2005;

WHEREAS, R.A. No. 11332 requires local government units to ensure proper reporting, investigation and management of notifiable diseases, and calls for the active participation of the community in surveillance and response efforts;

WHEREAS, R.A. No. 11223 or the Universal Health Care (UHC) Act, seeks to ensure that all Filipinos have access to a comprehensive set of health services without financial hardship, promoting province-wide health systems for better health outcomes;

WHEREAS, the Health Promotion Framework set by the Department of Health (DOH) promotes seven key health habits to prevent diseases and promote health;

WHEREAS, the Sanitation Code of the Philippines (Presidential Decree No. 856) provides the legal basis for proper sanitation and environmental health practices in the country, aiming to prevent environmental health hazards and promote public health through the establishment of sanitation systems and practices;

WHEREAS, it is necessary to enforce effective standards and protocols that address the specific health and sanitation challenges faced by various sectors, including public and private establishments, local government units, health facilities, and households, to ensure the collective well-being of the community;

WHEREAS, this ordinance seeks to establish a clear framework for health and sanitation practices, focusing on the prevention of diseases, the promotion of healthy behaviors, and the protection of the environment in accordance with national laws, policies, and international health standards.

Proclamation of Policy

NOW, THEREFORE, it is the policy of the Capiz Provincial Government to safeguard and promote the health and well-being of its residents by ensuring the establishment of comprehensive health and sanitation standards, promoting disease prevention and health awareness, and fostering sustainable environmental practices that contribute to the overall welfare of the community. In pursuit of this policy, the local government commits to enforce relevant national health laws, adhere to international health regulations, and integrate preventive measures that will enhance public health resilience in the province.

NOW, THEREFORE, premises considered and upon motion of Hon. Thea Faith T. Reyes, duly seconded by Hon. Jonathan B. Besa, Hon. Gilbert O. Ardivilla, Hon. Aldwin A. Cruz-am, Hon. Cecilio F. Fecundo, Hon. Prince Rovic F. Gardose, Hon. Rafe D. Laluma, Hon. Blesilda P. Almalbis, Hon. Elmer P. Arevalo and Neriza Joy G. San Felix, be it

ORDAINED, as it is hereby ORDAINED, by the Sangguniang Panlalawigan of the province of Capiz, in SESSION DULY ASSEMBLED, that:

Rule 1: General Provisions

Section 1. Title. This Ordinance shall be known as The Health and Sanitation Code of the Province of Capiz.

Section 2. Scope. This Code shall apply to all public and private establishments, local government units, health facilities, households and individuals residing within the province of Capiz. It covers health promotion, disease prevention and sanitation and environmental practices. The ordinance aims to protect public health and well-being by establishing standards and protocols for health and sanitation practices across various sectors.

This ordinance does not cover matters already regulated by national laws and agencies; however, local policies may be stricter, provided they are consistent with national guidelines. Enforcement shall be in accordance with the provisions set forth by the DOH and other relevant agencies.

Section 3. Objectives. As part of the commitment to improve public health, this Code seeks to:

Improve the overall health and well-being of residents in the province of Capiz by implementing standards for health promotion, disease prevention and sanitation;

Reduce the incidence and spread of communicable and non-communicable diseases through the establishment of clear guidelines for sanitation, hygiene and health practices in both public and private settings;

Set protocols for proper sanitation and environmental management in communities, businesses, healthcare facilities and households, ensuring a clean and safe environment;

Raise awareness on healthy practices and the prevention of diseases, particularly focusing on nutrition, vaccination and responsible behavior in personal and community health management; and

Encourage the adoption of sustainable practices in waste management, water quality and environmental protection that contribute to long-term health and well-being;

Ensure local regulations are consistent with and supportive of national policies on health and sanitation, allowing for stricter standards where necessary, in alignment with the DOH and other relevant agencies; and

Establish an effective system for monitoring and enforcing health and sanitation standards, ensuring compliance through local authorities and promoting accountability across sectors.

Section 4. Definition of Terms. For purposes of this Code, the following are defined as follows:

Active Breaks – refers to short periods during work or school hours where individuals engage in physical activity or exercise to improve overall well-being and reduce sedentary behavior.

Adverse Events Following Immunization (AEFI) – refers to any undesirable health outcomes or side effects that occur after vaccination, which may include mild reactions like soreness or fever, or more severe reactions that require investigation and reporting to health authorities.

Air Filtration Systems – refers to mechanisms that remove particles, allergens and other airborne contaminants from indoor air by passing it through filters. Air filtration systems capture dust, pollen, bacteria and viruses, which improves air quality and reduces the risk of respiratory issues or infection, especially in enclosed spaces.

Airborne Pathogens – refers to microorganisms, including viruses and bacteria that can spread through the air and cause respiratory infections. Effective air filtration and ventilation can reduce the risk of airborne transmission in enclosed spaces.

Balanced Diet – refers to a diet that includes a variety of foods in the right proportions to provide the necessary nutrients (proteins, fats, carbohydrates, vitamins and minerals) for the body’s optimal function.

Booster Doses – refers to additional doses of a vaccine administered after the initial series to enhance or prolong immunity against a disease, often required after a certain period or when immunity levels decrease over time.

Community Immunity (Herd Immunity) – refers to the protection from disease that occurs when a sufficient proportion of a population is vaccinated, reducing the spread of the disease and providing indirect protection to unvaccinated individuals.

Community-Based Substance Abuse Prevention Programs – refers to those programs and local initiatives designed to raise awareness about the dangers of substance abuse, promote healthy behaviors and prevent the initiation of drug and alcohol use within a community.

Contaminants – refers to the harmful substances or organisms that may pollute food, water or surfaces, posing health risks to humans and animals alike.
Continuity of Care – refers to the consistent and coordinated management of a patient’s health care over time, ensuring smooth transitions between different levels of care or specialists.

Coping Strategies – refers to the techniques and methods individuals use to manage stress, anxiety and other emotional challenges, such as journaling, mindfulness, or social support.

Crisis Intervention – refers to the immediate, short-term assistance provided to individuals in acute mental distress or emergency situations, designed to prevent harm and stabilize their condition.

Cross-Contamination – The unintentional transfer of harmful organisms from one surface, object or food item to another, often through improper handling or hygiene practices.

De-escalation Techniques – refers to the methods used to calm down individuals in distress, preventing conflict or crisis situations, and ensuring safety and emotional support.

Direct Contact Diseases – refers to the infections spread through direct physical contact with an infected person or contaminated surfaces and objects. These diseases are transmitted when pathogens are transferred from skin, mucous membranes or bodily fluids to another individual, often through handshakes, hugs or touching contaminated surfaces followed by touching one’s face. Examples include illnesses caused by certain strains of the common cold and some bacterial infections, with transmission risks reduced by frequent handwashing and surface disinfection.

Disease Prevention – refers to the actions taken to prevent the occurrence or progression of disease, particularly through measures that reduce risk factors, such as vaccinations, screenings, healthy lifestyle promotion and public health interventions.

Early Signs of Substance Abuse – refers to the initial behavioral, physical or psychological indicators that a person may be developing a pattern of substance use that could lead to abuse or addiction. These signs may include changes in mood, behavior or performance, or physical symptoms such as weight loss or neglect of personal hygiene.

Educational Campaigns – refers to the organized efforts to inform and instruct the public on specific topics, such as health and hygiene practices, to promote awareness and behavior change.

Emergency Response Plans – refers to the prepared protocols and actions established to respond quickly and effectively to disease outbreaks or other health emergencies.

Follow-Up Care – refers to the ongoing care provided after an individual has received initial treatment for substance abuse, which may include counseling, therapy and monitoring to prevent relapse and support long-term recovery.

Food and Waterborne Diseases – refers to the illnesses caused by consuming contaminated food or water, often due to bacteria, viruses or parasites. Common diseases include salmonellosis, cholera and hepatitis A, with risks heightened by poor sanitation and food safety practices.

Food Handlers – refers to the individuals involved in preparing, cooking or serving food, who must follow hygiene protocols to ensure food safety.

Food Insecurity – refers to the lack of consistent access to enough nutritious food for an active and healthy life due to financial or other barriers, often leading to malnutrition.

Food Safety Standards – refers to the regulations and practices designed to ensure that food is prepared, stored and consumed in ways that prevent contamination, spoilage and foodborne illnesses, thereby, safeguarding public health.

Hand Hygiene Stations – refers to the designated areas with facilities for handwashing or hand sanitizing, equipped with soap, water or hand sanitizers. These stations promote hand hygiene in public, healthcare and other shared spaces.

Health Certificates – refers to the official documents issued by health authorities certifying that a food handler has met hygiene and health requirements, reducing the risk of disease transmission.

Health Promotion – refers to the activities and policies aimed at empowering individuals and communities to increase control over, and improve their health. This includes initiatives focused on education, behavioral change and creating supportive environments to reduce health risks and promote well-being.

High-Risk Areas – refers to the specific locations identified through data analysis or public reporting that are prone to road accidents or injuries, often due to poor infrastructure, traffic volume or lack of safety measures.

High-Touch Surfaces – refers to the surfaces frequently touched by multiple people, which can harbor infectious agents, such as doorknobs, light switches, handrails and shared electronic devices. These surfaces require regular cleaning and disinfection to prevent disease transmission.

Hydration – refers to the process of providing adequate fluid to the body to maintain normal physiological functions, with water being the primary source of hydration.

Hygiene Standards – refers to the practices aimed at maintaining cleanliness and preventing the spread of diseases, including handwashing, sanitization and cleanliness of facilities.

Immunization Drives – refers to the organized campaigns aimed at delivering vaccines to specific groups or communities, often conducted at set locations, such as health facilities or mobile clinics, to ensure equitable access to vaccination services.

Infection Prevention and Control (IPC) – refers to the policies, protocols and procedures designed to prevent the spread of infectious diseases within healthcare, community and household settings. IPC measures include the use of PPE, hand hygiene, disinfection and patient screening.

Isolation and Quarantine – refers to the practices for separating individuals who are ill (isolation) or who may have been exposed to an infectious disease (quarantine) to prevent transmission. Isolation is recommended for symptomatic individuals within households and healthcare facilities.

Malnutrition – refers to a condition that arises from deficiencies, excesses or imbalances in a person’s intake of nutrients, which can lead to health problems such as undernutrition, obesity and diet-related diseases.

Mental Health Discrimination – refers to the unfair treatment of individuals based on their mental health status, including stigma, exclusion or lack of support.

Mental Health First Aid – refers to the training programs designed to equip individuals with the knowledge and skills to recognize mental health issues and provide initial help until professional support is available.

Mental Health Screenings – refers to the voluntary, confidential tests or assessments to detect early signs of mental health issues, typically conducted in schools or workplaces.

Mental Health Stereotypes – refers to the prejudices or misconceptions about mental health conditions or individuals with mental health issues, often leading to stigmatization or exclusion.

Mental Health – refers to a state of well-being in which an individual can cope with normal life stresses, work productively and contribute to their community. Mental health encompasses emotional, psychological and social well-being and is essential for overall health.

Mobile Clinics – refers to health facilities on wheels that are deployed to provide healthcare services, including vaccinations, in remote or underserved areas, making access to health services more convenient for communities.

Moderate to Vigorous Physical Activity – refers to the physical activities that increase the heart rate and breathing, such as brisk walking, running or playing sports.

Non-Judgmental Discussions – refers to the open, supportive conversations about sexual health within families or communities that encourage individuals to share concerns and seek help without fear of criticism.

Nutrition – refers to the intake of food and nutrients necessary for the body’s growth, repair and optimal functioning. Proper nutrition is fundamental for physical health, immune support, cognitive function and disease prevention.

Nutritional Status – refers to a measure of an individual’s health as determined by the quantity and quality of their diet and its effects on physical and biochemical markers of health, such as weight, height and blood nutrient levels.
Nutrition-Conscious Society – refers to the community where individuals and groups are aware of and actively practice healthy eating habits, making informed decisions about food choices to promote overall well-being.

Other Diseases – refers to the category which encompasses illnesses that do not fall into the other defined categories but may require public health intervention. These include chronic diseases like diabetes, cardiovascular diseases and genetic disorders. Prevention focuses on lifestyle modification and health screenings.

Outbreak Response Protocols – refers to the structured plans and actions that health facilities, organizations or communities implement to control and contain disease spread during outbreaks.

Pathogens – refers to the microorganisms, such as bacteria, viruses or parasites, that cause disease in humans, animals or plants.

Peer Counseling Networks – refers to the support systems where individuals with life experience of mental health challenges offer emotional support and guidance to others facing similar issues.

Personal Protective Equipment (PPE) – refers to the protective clothing and equipment such as masks, gloves, gowns and face shields designed to prevent exposure to infectious agents. PPE is essential in healthcare settings for safeguarding both healthcare workers and patients.

Personalized Nutritional Counseling – refers to the one-on-one consultations provided by health professionals, such as dietitians or nutritionists, to help individuals understand their unique dietary needs and make personalized, informed food choices based on health status, goals and preferences.

Pest Control – refers to the methods and strategies used to manage or eradicate pests, such as rodents or insects that can spread zoonotic diseases.

Philippine Package of Essential Non-Communicable Diseases (PhilPEN) – refers to the national framework or program designed to address the prevention and management of non-communicable diseases, such as hypertension, diabetes and cancer, through standardized guidelines and health assessments.

Physical Activity – refers to any movement of the body that expends energy, including exercise, sports or daily activities such as walking or gardening.

Physical Activity – refers to any movement of the body that requires energy expenditure, including exercise, work-related movement and activities such as walking, gardening or household chores. Physical activity is essential for maintaining physical fitness and preventing a range of diseases.

Potable Water – refers to water that meets safety standards for drinking, free from contaminants harmful to health.

Referral Programs – refers to the structured systems that guide individuals from one service provider to another, typically to connect those in need of substance abuse treatment or rehabilitation with appropriate healthcare or support services.

Rehabilitation Centers – refers to specialized facilities or institutions that provide medical and therapeutic services to individuals recovering from substance abuse disorders, including detoxification, therapy and support for long-term recovery.

Respiratory Droplet Diseases – refers to infections primarily transmitted through respiratory droplets that are expelled when an infected person coughs, sneezes, talks or breathes. These droplets can carry viruses or bacteria over short distances, typically within one to two meters, infecting individuals who come into contact with them. Common respiratory droplet diseases include influenza, COVID-19, and certain types of pneumonia, with transmission risks increased in crowded or poorly ventilated spaces.

Road Hazards – refers to conditions or objects on the road that pose risks to vehicle and pedestrian safety, such as potholes, poorly marked intersections, damaged signage, or malfunctioning traffic signals.

Road Infrastructure – refers to the physical components of road systems, including roads, sidewalks, bike lanes, traffic signs, signals, lighting and pedestrian crossings, designed to facilitate safe movement for vehicles and pedestrians.

Road Safety – refers to measures, regulations and practices aimed at reducing the risk of accidents and injuries on roadways. Road safety involves traffic laws, infrastructure design, vehicle safety standards, and public education on safe driving behaviors.

Safe Food Handling – refers to procedures and practices to ensure that food is prepared, stored and served safely, preventing contamination and the growth of harmful pathogens.

Sanitation Permit – refers to an official authorization issued by a government or health authority that certifies a facility or establishment meets required sanitation standards. This permit is typically mandatory for businesses in food service, healthcare or other public-serving industries, ensuring that they follow regulations to protect public health.

Sanitation – refers to the practice of maintaining clean and hygienic conditions to prevent the spread of diseases and promote health. Sanitation involves proper waste disposal, clean water access, sewage management, and safe food handling, along with personal hygiene practices. Effective sanitation reduces the risk of infectious diseases and is essential for public health, particularly in densely populated or resource-limited areas.

Self-Care – refers to activities and practices individuals engage in to maintain or improve their physical, mental and emotional health, such as exercise, relaxation and hobbies.

Sexually Transmitted Diseases (STDs) – refers to infections spread primarily through sexual contact, including HIV, syphilis, chlamydia and gonorrhea. STDs often require targeted education, testing and treatment efforts to prevent transmission.

Social Connections – refers to relationships and interactions with others, which may include family, friends and community networks, contributing to emotional and mental health.

Stress Management – refers to techniques and strategies employed to reduce or cope with stress, such as relaxation exercises, time management and healthy coping mechanisms.

Substance Abuse – refers to the harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs, leading to dependency or negative impacts on health, behavior or social relationships. Substance abuse often requires intervention and treatment to prevent addiction and associated health issues.

Support Groups – refers to groups of individuals with similar experiences who meet to offer emotional support, share coping strategies, and reduce isolation.

Sustainable Agricultural Practices – refers to the farming methods that meet the current demand for food without compromising the ability of future generations to meet their own needs. These practices prioritize environmental health, economic viability and social equity.

Symptomatic Individuals – refers to persons exhibiting signs of illness, especially symptoms related to respiratory infections, such as coughing, sneezing, fever or shortness of breath. Symptomatic individuals are advised to wear masks and practice respiratory hygiene to minimize the spread of infectious agents.

Vaccination Coverage – refers to the proportion of the target population that has received vaccinations, typically measured as a percentage, and used to assess the success and reach of immunization programs.

Vaccination Sites – refers to the designated locations where individuals can receive vaccines, such as health clinics, mobile vaccination units or community centers. These sites are often organized for easy access, especially in underserved or remote areas.

Vaccination – refers to the administration of a vaccine to stimulate the immune system to recognize and fight specific infectious agents, providing immunity and reducing the risk of disease. Vaccination is a critical tool in controlling the spread of infectious diseases within populations.

Vaccine Awareness – refers to the public education efforts to inform individuals and communities about the safety, benefits and necessity of vaccines, as well as addressing any myths, misconceptions or concerns that may hinder vaccination uptake.

Vaccine Compliance – refers to the adherence to vaccination schedules and guidelines, ensuring that individuals and communities receive vaccines according to recommended timelines and protocols to prevent the spread of disease.

Vaccine Eligibility – refers to the criteria used to determine which individuals are suitable candidates for vaccination, based on factors such as age, health conditions, vaccination history and guidelines set by health authorities.
Vector-borne Diseases – refers to diseases spread by vectors such as mosquitoes, ticks or fleas, which carry pathogens from one host to another. Examples include malaria, dengue fever and Lyme disease. Vector control and surveillance are essential for managing these diseases.

Ventilation – refers to the process of supplying fresh air to an indoor environment and removing stale air to maintain air quality and reduce the buildup of contaminants. Ventilation helps control indoor humidity, reduces the concentration of airborne pathogens, and minimizes exposure to pollutants, creating a healthier and more comfortable space.

Waste Disposal Systems – refers to the mechanisms for the safe collection, storage and removal of waste, including refuse bins and sanitation procedures, to prevent environmental contamination and pest infestation.

Wildlife – refers to those undomesticated animals living in their natural habitat, which can carry and transmit zoonotic diseases when humans or domestic animals come into close contact with them.

Work-Life Balance – refers to a healthy equilibrium between work responsibilities and personal life, aimed at reducing stress and promoting overall well-being.

Zoonotic Diseases – refers to infections transmitted from animals to humans, either directly or through vectors. Examples include rabies, avian flu and certain coronaviruses. Control measures often involve animal monitoring and controlling human-animal contact.

Chapter 1: Health Promotion

Rule 2: Physical Activity

Section 5. Responsibilities of Local Officials and Communities. Local officials and communities shall collaborate to promote physical activity and a healthy environment by:

Creating and maintaining accessible parks, playgrounds and sports facilities to encourage physical activity for all age groups;

Conducting regular campaigns to educate the community on the importance of exercise and healthy lifestyle choices;

Establishing and promoting support groups for individuals with lifestyle-related health issues to foster a sense of community and shared health goals;

Encouraging participation in community events, such as fun runs, health fairs and wellness workshops, to strengthen social ties and increase health awareness; and

Partnering with healthcare providers to offer health services, including regular health screenings and wellness programs, to support physical activity initiatives.

Section 6. Responsibilities of Health Facilities and Health Workers. Health facilities and health workers shall promote physical activity and healthy living by:

Educating individuals and families on the importance of physical activity, nutrition and preventive care through outreach and counseling programs;

Conducting regular health assessments and screenings, using the Philippine Package of Essential Non-Communicable Diseases (PhilPEN), to identify health risks and provide timely interventions;

Documenting and reporting health assessments and screenings through established reporting mechanisms;

Advocating for preventive health measures such as vaccinations and hygiene practices to reduce disease incidence;

Collaborating with local organizations to implement initiatives that address public health concerns and improve health literacy;

Supporting individuals in adopting lifestyle changes, including weight management and stress reduction, to promote overall health; and

Monitoring community health trends and using this data to guide public health strategies and improve service delivery.

Section 7. Responsibilities of Schools, Offices, and Other Institutions. Schools, offices and institutions shall promote physical activity and a healthy lifestyle by:

Providing opportunities for regular physical activity, including organized sports, exercise programs and active breaks during work or school hours;

Organizing health screenings and wellness programs, including vaccination drives, to monitor and support the health of students and employees;

Ensuring clean and safe environments by adhering to hygiene standards and conducting regular maintenance of facilities; and

Collaborating with local health authorities to implement initiatives that enhance the health and well-being of students, employees and the broader community.

Section 8. Responsibilities of Individuals and Families. Individuals and families are encouraged to adopt habits that promote a healthy lifestyle by:

Engaging in moderate to vigorous physical activity each week;

Ensuring adequate, quality sleep each night to support overall health;

Integrating stress-reduction techniques, such as mindfulness, into daily routines;

Avoiding tobacco use and consuming alcohol in moderation;

Scheduling regular health check-ups and screenings as recommended by healthcare providers; and

Building strong social connections and participating in community activities that foster a healthy lifestyle.

Section 9. Promotion of Physical Activity.

The Capiz Provincial Government shall prioritize physical activity promotion through public health campaigns and programs tailored for different age groups and abilities;

Local Government Units (LGUs) shall establish and maintain accessible public spaces such as parks, sports facilities and walking paths, providing safe environments for physical activity;

LGUs shall organize community-based fitness programs and recreational activities to encourage active living and health awareness;

Schools and institutions shall integrate physical activity into daily routines by offering organized sports, exercise programs and promoting participation in physical activity during breaks; and

Physical activity programs and facilities shall be designed to be inclusive and accessible to all residents, including those with disabilities.

Section 10. Monitoring and Evaluation. The Provincial Health Office shall monitor the effectiveness of physical activity initiatives, health programs and lifestyle campaigns, report regularly to the provincial government on progress and areas for improvement. Monitoring efforts will ensure that health outcomes are achieved and will inform future health and wellness strategies.

Rule 3: Mental Health Promotion and Support

Section 11. Responsibilities of Local Officials and Community in Promoting Mental Health. Local officials and community members shall actively work together to foster a mentally healthy environment by:

Implementing mental health policies that align with national standards to increase service access and reduce stigma and discrimination;

Collaborating with health agencies to establish accessible mental health centers that provide counseling, crisis intervention and referral services;

Conducting awareness campaigns to educate the public on mental health issues, available resources and the importance of early help-seeking behavior;

Training barangay officials, community leaders and volunteers in mental health first aid and crisis response to equip them with skills to identify and assist individuals in distress; and
Promoting support groups and peer counseling networks to provide safe spaces for individuals to discuss mental health challenges and access emotional support;

Organizing community wellness events, such as stress-relief workshops and physical activities that promote a healthy lifestyle;

Publicizing mental health hotlines and resources for quick access during mental health emergencies;

Partnering with healthcare providers, mental health practitioners and NGOs to strengthen mental health services and establish a reliable community referral system; and

Regularly assessing and updating community mental health programs to address evolving needs and improve their effectiveness.

Section 12. Responsibilities of Health Facilities and Health Workers. Health facilities and workers shall fulfill the following roles to enhance mental well-being within the community:

Provide education on mental health, stress management and coping strategies to patients and the public;

Include mental health assessments in regular check-ups, using tools approved by the DOH and local authorities, to identify risk factors, offer early interventions and refer individuals as needed;

Offer basic mental health support in primary care settings, ensuring individuals can access reliable information and resources;

Record mental health cases following DOH protocols to maintain confidentiality and comply with national mental health policies;

Implement programs that foster social support networks and reduce stigma around mental health concerns;

Facilitate access to specialized mental health professionals and ensure continuity of care through appropriate referrals;

Collect data on prevalent mental health concerns to inform local strategies and improve service delivery; and

Provide education and resources to families and caregivers to foster a supportive home environment for individuals with mental health needs.

Section 13. Responsibilities of Schools, Workplaces and Other Institutions. Schools, workplaces and institutions shall contribute to mental health promotion by adopting the following measures:

Implement structured mental health programs that emphasize stress management, emotional resilience and tailored coping strategies for students, employees, and members;
Provide clear information about mental health services, including counseling hotlines, local providers and digital resources;

Display mental health resources in common areas and on online platforms for easy access;

Conduct voluntary, confidential screenings to identify early mental health concerns, following DOH and local health authorities’ standards;

Report health assessments and screenings to relevant authorities via established mechanisms;

Create inclusive environments where individuals feel safe discussing mental health concerns;

Train staff to recognize signs of mental distress and respond with empathy;

Equip teachers, managers and leaders with mental health support skills, including first aid, active listening, and de-escalation techniques;

Create policies to prevent discrimination based on mental health conditions, in compliance with national legislation;

Promote work-life balance in workplaces through flexible hours, wellness breaks and manageable workloads;

Organize regular wellness activities, including mindfulness workshops, stress management and physical exercise; and

Regularly review mental health programs and policies to meet members’ evolving needs, aligning with DOH and local guidelines.

Section 14. Individual and Family Responsibilities. Individuals and families are encouraged to foster a supportive mental health environment through the following actions:

Building awareness of mental health issues, symptoms and coping strategies to support loved ones;

Encouraging open, non-judgmental conversations about mental well-being within the family to create a safe space for sharing concerns;

Recognizing early signs of mental health issues and seeking professional help promptly;

Practicing self-care, including regular exercise, relaxation and hobbies, to manage stress and improve well-being;

Prioritizing balanced nutrition, physical activity and sleep to support mental health;

Fostering a positive, patient and understanding home atmosphere where family members feel valued;
Challenging mental health stereotypes by normalizing conversations and supporting help-seeking without judgment;

Staying connected with friends, neighbors and support groups to reduce isolation;

Keeping mental health hotlines and crisis resources readily available; and

Modeling healthy coping strategies, such as journaling, mindfulness or creative outlets, and discouraging harmful behaviors.

Section 15. Mental Health Promotion Programs. The Capiz Provincial Government shall prioritize mental health through programs focused on education, preventive care and support services. With that,

LGUs shall develop accessible public mental health services, including counseling centers and crisis support;

LGUs shall organize outreach initiatives targeting schools, workplaces and underserved areas;

Schools and institutions shall integrate mental health education into curricula and provide resources for students and staff; and

Programs shall be inclusive, ensuring accessibility for individuals with disabilities.

Section 16. Monitoring and Evaluation. The Provincial Health Office shall regularly evaluate mental health programs and report progress to the Provincial Government, guiding continuous improvements to meet the community’s mental health needs effectively.

Rule 4: Substance Abuse Prevention

Section 17. Responsibilities of Local Officials and Communities. Local officials and communities shall collaborate to reduce substance abuse and promote a healthy environment by:

Developing and implementing community-based substance abuse prevention programs to raise awareness about the dangers of drug use and alcohol abuse;

Establishing support systems such as counseling services, rehabilitation centers and support groups for individuals affected by substance abuse;

Encouraging the active participation of the community in awareness campaigns, outreach programs, and activities aimed at reducing substance abuse, including anti-drug rallies and educational workshops;

Partnering with healthcare providers, law enforcement; and local organizations to strengthen efforts in preventing substance abuse and supporting individuals in recovery; and

Providing training for community leaders, educators and other stakeholders to recognize early signs of substance abuse and intervene effectively.

Section 18. Responsibilities of Health Facilities and Health Workers. Health facilities and health workers shall promote substance abuse prevention and provide intervention by:

Educating individuals and families about the dangers of substance abuse and the benefits of maintaining a drug-free lifestyle through counseling and outreach programs;

Offering support services, including referral programs to rehabilitation centers, treatment programs and psychological support for individuals struggling with substance abuse;

Conducting regular health screenings to detect signs of substance abuse and providing timely interventions to individuals at risk;

Advocating for the prevention of substance abuse by promoting education on healthy coping mechanisms, mental health and stress management;

Collaborating with local authorities and non-governmental organizations (NGOs) to implement prevention initiatives, such as school programs and community outreach, to address substance abuse concerns; and

Providing follow-up care and ongoing support for individuals in recovery, including counseling and rehabilitation services.

Section 19. Responsibilities of Schools, Offices, and Other Institutions. Schools, offices and institutions shall contribute to the prevention and control of substance abuse by:

Integrating substance abuse education into their curricula to raise awareness and equipping students and employees with knowledge on the dangers of drugs and alcohol;

Organizing regular awareness campaigns, seminars and workshops to educate students and staff on substance abuse prevention and coping strategies;

Offering counseling services to students and employees, providing confidential support for those dealing with substance abuse issues or related concerns;

Implementing clear policies on drug and alcohol use in schools and workplaces, including disciplinary actions and preventive measures; and

Collaborating with local health authorities and law enforcement to provide training and resources for staff on identifying and addressing substance abuse issues.

Section 20. Responsibilities of Individuals and Families. Individuals and families are encouraged to adopt habits that promote a substance-free lifestyle, including:

Avoiding the use of illegal drugs and alcohol abuse, recognizing the negative impact they have on physical, mental and social health;

Seeking help and support early if struggling with substance abuse, utilizing available resources such as counseling, rehabilitation and support groups;

Building strong family relationships and support systems that promote healthy behaviors and prevent the onset of substance abuse;

Participating in community efforts to prevent substance abuse, including attending educational programs and supporting anti-drug initiatives; and

Promoting mental well-being and healthy coping strategies, such as stress management, exercise and social engagement, as alternatives to substance use.

Section 21. Substance Abuse Prevention Programs

The Capiz Provincial Government shall prioritize the implementation of comprehensive substance abuse prevention programs that focus on education, early intervention and recovery support;

LGUs shall establish accessible community centers and support services for individuals affected by substance abuse, including rehabilitation programs and peer support networks;

LGUs shall organize outreach campaigns and prevention initiatives that target schools, workplaces and vulnerable populations, with a focus on building resilience against substance abuse;

Schools and institutions shall collaborate with local health authorities to provide substance abuse prevention education and offer support services for students and employees.

Programs shall be inclusive and provide support for individuals from all socioeconomic backgrounds, ensuring equal access to resources and care.

Section 22. Monitoring and Evaluation. The Provincial Health Office shall regularly monitor the effectiveness of substance abuse prevention and treatment programs, report to the provincial government on progress and areas for improvement. This evaluation will guide the continuous enhancement of substance abuse prevention strategies and inform future health and wellness initiatives.

Rule 5: Promotion and Support of Nutrition

Section 23. Responsibilities of Local Officials and the Community in Promoting Nutrition. Local officials and community members shall fulfill the following responsibilities to foster a healthy, nutrition-conscious society:

Organize programs and campaigns to educate residents on healthy eating practices and provide accessible nutrition information;

Ensure that residents have access to affordable, nutritious food options by supporting local farmers’ markets, food cooperatives and community food programs;

Encourage the development of local food systems prioritizing sustainable agricultural practices that support local farmers and contribute to food security;

Regulate food establishments to ensure that food safety standards are met, and provide access to clean drinking water to create environments conducive to healthy eating; and

Partner with local government units, healthcare providers, non-governmental organizations and community leaders to address nutrition-related issues and improve public health outcomes.

Section 24. Health Facilities and Health Workers’ Responsibilities in Promoting Nutrition. Health facilities and health workers play a key role in supporting nutrition by adhering to these responsibilities:

Provide personalized nutritional counseling to help patients understand their dietary needs and make informed food choices;

Regularly assess the nutritional status of patients to identify those at risk of malnutrition or diet-related conditions and offer early intervention;

Maintain accurate records of patients’ nutritional status and report data to health authorities using established mechanisms;

Conduct workshops and informational sessions to educate individuals and families on balanced diets, hydration and healthy eating habits;

Distribute educational materials, including pamphlets and guidelines, to raise public awareness about nutrition;

Collaborate with local organizations and health initiatives to improve food access for vulnerable populations, particularly children, the elderly and economically disadvantaged groups; and

Advocate for preventive measures such as regular check-ups and screenings to identify and address nutrition-related issues early.

Section 25. Responsibilities of Schools, Workplaces and Other Institutions in Promoting Nutrition. Educational institutions, workplaces and other organizations shall establish supportive environments for nutrition by fulfilling these responsibilities:

Provide nutritious meal and snack options in cafeterias, vending machines, or nearby food establishments, ensuring that healthy choices are accessible;

Promote healthy eating habits through workshops, seminars and informational materials that empower students, employees and members to make informed dietary choices;

Integrate nutrition education programs and resources to enhance awareness of balanced diets, portion control and food safety;

Allow flexible meal breaks to support balanced meals and regular hydration, particularly during school or work hours; and

Ensure the availability of clean drinking water and promote regular hydration as part of a holistic approach to nutrition.

Section 26. Responsibilities of Individuals and Families Toward Nutrition. To support community health, individuals and families are encouraged to adhere to the following nutrition guidelines:

Prioritize a balanced diet with a variety of nutritious foods, such as vegetables, fruits, whole grains, and lean proteins;

Limit the intake of free sugars, trans fats, and saturated fats, especially from processed foods, to prevent diet-related conditions;

Maintain proper hydration by drinking adequate water daily and limiting sugary beverages;

Actively seek information about healthy eating practices through community resources, local government programs, or available educational materials; and

Participate in public health programs aimed at improving access to nutritious food, particularly for low-income or food-insecure households.

Section 27. Implementation of Nutrition Programs and Services. The Capiz Provincial Government shall develop nutrition programs designed to provide educational resources, preventive care, and accessible support services. Local authorities shall be responsible for implementing these programs, which shall include:

Regular public outreach initiatives, especially in underserved areas, to educate residents about nutrition and healthy lifestyle practices;

Provision of nutritional assessments and meal assistance to vulnerable populations, including children, pregnant women and the elderly;

Integration of nutrition education into school curricula and workplace wellness programs;

Promotion of community food initiatives, such as public gardens and food assistance programs, to strengthen food security.

Section 28. Monitoring and Evaluation. The Provincial Health Office shall conduct regular evaluations of nutrition programs and services to ensure that they effectively address the community’s needs. Findings shall be reported to local authorities to guide improvements and policy adjustments as necessary.

Rule 6: Vaccination

Section 29. Responsibilities of Local Officials and Community in the Vaccination Program. To strengthen public health through vaccination, local officials and community members shall undertake the following responsibilities:

Disseminate vaccine information through community forums, social media and public announcements to raise awareness and address misconceptions about vaccines;

Collaborate with health facilities to establish accessible vaccination sites, prioritizing remote and underserved areas to ensure equitable vaccine access;

Drive public support for vaccination through campaigns, endorsements at community events and active encouragement for families to participate in immunization programs;

Equip and train community health workers for door-to-door outreach, providing vaccine information and assisting with vaccination where necessary;

Partner with the DOH and local health offices to monitor vaccination progress, address challenges and secure resources as needed;

Regularly monitor community vaccination rates and report them to regional health authorities in accordance with DOH protocols to support targeted interventions;

Organize educational programs to highlight vaccine benefits, reduce stigma and enhance public understanding of vaccine-preventable diseases; and

Assist residents, especially vulnerable groups, with registration, transportation and follow-up for booster doses to ensure full vaccine coverage.

Section 30. Responsibilities of Health Facilities and Health in the Vaccination Program. Health facilities and workers shall perform the following duties to promote and facilitate vaccination:

Raise awareness about the importance, safety and benefits of vaccines while addressing common concerns to improve vaccine acceptance;

Conduct regular immunization drives, ensuring all priority groups, such as children, elderly and high-risk individuals, have access to vaccines in alignment with Department of Health recommendations;

Screen individuals for vaccine eligibility based on age, health and existing conditions, following DOH and local health protocols.

Document and report vaccinations in patient health records and submit data to health authorities, supporting proper immunization tracking;

Collaborate with local health offices to expand outreach, particularly in underserved areas, ensuring fair access to vaccination services;

Follow DOH protocols for vaccine handling, storage, and administration to ensure efficacy and prevent adverse effects; and

Track and report any adverse events following immunization to appropriate authorities as part of DOH monitoring and safety protocols;

Engage families and community leaders in vaccine awareness campaigns to foster support for routine immunization and community health.

Section 31. Responsibilities of Schools, Offices and Other Institutions in the Vaccination Program. Schools, workplaces and institutions shall support vaccination efforts by undertaking the following responsibilities:

Educate students, employees and members on vaccine benefits and safety, countering myths to enhance vaccine acceptance;

Coordinate with local health offices to arrange on-site vaccination drives or mobile clinics, making vaccines accessible and convenient;

Implement policies that support vaccination compliance for students, staff and members, particularly for DOH-recommended vaccines;

Maintain immunization records where appropriate, in compliance with data privacy laws, to support community immunity goal;

Encourage hygiene practices, including hand washing and respiratory etiquette, to reduce disease spread within institutions;

Collaborate with local health authorities to hold seminars, workshops and sessions on vaccination, promoting informed decision-making;

Adhere to reporting protocols for cases of vaccine-preventable diseases, as guided by the DOH, to enable rapid response and containment; and

Work with families and community members to reinforce the importance of vaccination, fostering a supportive environment for public health.

Section 32. Responsibilities of Individuals and Families in the Vaccination Program. Individuals and families are encouraged to fulfill the following responsibilities:

Seek accurate, up-to-date vaccine information from reliable sources, including the DOH and healthcare providers;

Follow the DOH-recommended vaccination schedule for all family members, ensuring timely administration of doses and boosters;

Engage in family discussions on vaccine importance, addressing concerns and promoting informed choices based on vaccine benefits and safety;

Prioritize vaccination for children, elderly and individuals with underlying health conditions to protect against infectious diseases;

Schedule regular health check-ups and consult healthcare providers for guidance on vaccine updates, potential side effects, and necessary follow-ups;

Monitor for adverse reactions after vaccination and report them to health authorities, supporting public health safety monitoring; and

Support local vaccination drives by encouraging participation within the community, fostering a positive environment for vaccine compliance.

Section 33. Monitoring, Reporting, and Evaluation. The Provincial Health Office shall oversee the monitoring and evaluation of vaccination rates and coverage, submit reports to national health agencies. Recommendations for improvements in access and participation shall be developed as necessary to strengthen provincial immunization programs.

Rule 7: Road Safety

Section 34. General Responsibilities for Road Safety. Local officials, community members, and road safety stakeholders shall undertake the following responsibilities to effectively enhance road safety:

Local leaders shall initiate public awareness programs on road safety practices, including the proper use of seatbelts, helmets and compliance with traffic laws;

Develop and implement traffic management plans that include appropriate signage, traffic lights, and speed bumps to enhance road safety and reduce accidents;

Regularly assess local road conditions and traffic patterns to identify high-risk areas, prioritizing improvements such as better lighting, signage and pedestrian crossings;

Encourage active community involvement in road safety initiatives, fostering collaboration among local officials, schools and organizations to increase outreach and effectiveness;

Support the design and maintenance of safe road infrastructure, including sidewalks, bike lanes, and designated pedestrian crossings, to protect all road users and reduce injury risks;

Organize regular workshops for drivers, pedestrians, and cyclists to promote safe behaviors and educate the public on the importance of following traffic regulations;

Establish a transparent and accessible system for reporting road hazards and accidents, allowing the community to easily communicate safety concerns to local authorities;

Continuously evaluate the effectiveness of road safety measures and community engagement, using data to formulate strategies and improvements;

Collaborate with local health offices, law enforcement, and non-governmental organizations to develop integrated strategies for reducing road injuries from a public health and safety perspective.

Section 35. Responsibilities of Health Facilities and Health Workers. Health facilities and healthcare workers have vital responsibilities in promoting road safety, which include:

Providing first aid and emergency care training to community members, equipping them with the skills to respond effectively to road traffic accidents;

Identifying individuals at higher risk for road injuries, such as the elderly, children and individuals with certain health conditions, and offering tailored advice to promote safer road practices;

Keeping accurate records of all road traffic injuries treated and ensuring timely reporting to local authorities for data collection and analysis;

Collaborating with local government units and traffic authorities to advocate for safer road designs, improved signage, and stricter enforcement of traffic laws; and

Regularly assessing trends in road injuries within the community and evaluating the effectiveness of prevention programs, using this data to refine strategies and improve public awareness efforts.

Section 36. Responsibilities of Individuals and Families. Individuals and families play a crucial role in promoting road safety. Their responsibilities include:

Adhering to traffic rules, including speed limits, traffic signals and pedestrian guidelines, to ensure their safety and that of others;

Always wearing seatbelts in vehicles and helmets when cycling or riding motorcycles;

Parents and guardians modeling safe road behaviors, such as using crosswalks and refraining from using mobile devices while driving;

Families regularly discussing road safety practices and teaching children to be aware of their surroundings and understand basic traffic rules;

Ensuring that children, elderly and vulnerable individuals are accompanied by an adult when crossing streets and selecting safe routes;

Encouraging peers to comply with traffic laws and practice safe road behaviors;

Reporting road hazards such as potholes, faulty traffic lights and unclear signage to local authorities for immediate action; and

Participating in community road safety programs, workshops and campaigns to support broader initiatives aimed at reducing road injuries; and

Sharing road safety information through social media, community groups, or local events to foster a culture of safety and vigilance within the community.

Section 37. Monitoring and Evaluation. The Provincial Health Office will monitor and evaluate the effectiveness of road safety initiatives through:

Regular gathering of data on road traffic injuries, fatalities and accident trends in collaboration with local health facilities, law enforcement, and stakeholders;

Periodic review of road safety measures, such as infrastructure improvements and public awareness campaigns, to identify successes and areas for improvement;

Assessment of the impact of road safety programs on reducing road-related injuries and fatalities;

Provision of regular reports to local government units and stakeholders with recommendations for enhancing road safety; and

Use of data and feedback to refine road safety strategies, ensuring continuous improvement across the province.

Chapter 2: Diseases Prevention

Rule 8. Prevention and Control of Respiratory Droplet and Direct Contact Diseases

Section 38. Health Facilities Protocol. Health facilities shall implement the following measures to prevent the spread of respiratory droplet and direct contact diseases:

All healthcare workers must wear appropriate PPE, including masks, gloves and face shields, when interacting with patients or handling potentially contaminated materials;

Health facilities shall conduct thorough screening of patients upon entry. Patients exhibiting symptoms of respiratory illness must be provided with a face mask;

Separate areas shall be designated for patients exhibiting respiratory symptoms to prevent transmission to other patients;

High-touch surfaces and common areas shall be cleaned and disinfected regularly according to established health protocols;

Hand hygiene stations shall be available throughout the facility, and all staff shall be trained in proper handwashing techniques and the use of hand sanitizers;

Ensure proper ventilation and air filtration systems are in place to reduce airborne pathogens in patient care areas;

Healthcare workers shall receive regular training on infection prevention and control practices, emphasizing respiratory hygiene and proper use of PPE;

All cases of respiratory droplet and direct contact diseases shall be documented and reported to local health authorities, following established reporting mechanisms; and

Collaborate with partners and stakeholders to develop and implement initiatives aimed at reducing the incidence of diseases in the community.

Section 39. Offices, Restaurants and Other Buildings Protocol. Offices, restaurants and other buildings shall implement the following measures to prevent the transmission of respiratory droplet diseases:

Handwashing stations or hand sanitizer dispensers must be available at entrances and throughout the premises to encourage frequent hand hygiene;

Office and restaurant layouts should ensure adequate spacing between individuals, with signage reminding everyone to maintain a safe distance;

High-touch surfaces such as doorknobs, light switches, and shared equipment shall be cleaned and disinfected regularly;

Buildings shall improve indoor air quality by enhancing ventilation systems and using air filters to reduce airborne pathogens;

Employees and patrons exhibiting symptoms must wear masks in shared spaces, especially where social distancing cannot be maintained;

Educational materials on respiratory hygiene, including proper handwashing and mask usage, shall be displayed throughout the premises; and

Establish protocols for reporting suspected cases of illness to ensure timely communication and response, preventing further transmission within the facility.

Section 40. Public Areas Protocol. Public areas shall implement the following measures to prevent diseases transmitted through respiratory droplets and direct contact:

Handwashing stations or hand sanitizers must be provided at key locations to encourage regular hand cleaning;

High-touch surfaces, including railings, doorknobs, and public restrooms, shall be cleaned and disinfected frequently;

Indoor public areas shall enhance ventilation by using air filtration systems or opening windows when feasible to lower airborne pathogen concentrations;

Individuals exhibiting symptoms in public spaces must wear masks, especially in crowded or enclosed areas, to minimize the transmission of respiratory droplets;

Information on respiratory hygiene, including the importance of handwashing and proper mask use, shall be communicated through signage and community outreach efforts; and

Public areas shall establish protocols for reporting suspected cases of illness and respond promptly to prevent further spread.

Section 41. Household Guidelines. Households shall implement the following measures to prevent the spread of respiratory droplet and direct contact diseases:

Family members must cover their mouths and noses with a tissue or elbow when coughing or sneezing. Used tissues must be immediately disposed of in covered bins;

All household members must wash hands regularly, especially after coughing, sneezing, or touching contaminated surfaces. Hand sanitizers with at least 60% alcohol may be used when soap and water are unavailable;

Frequently clean and disinfect high-touch surfaces such as doorknobs, light switches, and countertops using appropriate cleaning agents;

Ensure proper ventilation by opening windows and doors whenever possible to allow fresh air to circulate;

When a member is ill, they should stay in a separate room and use a designated bathroom if available. Other members must limit contact and wear masks in shared spaces;

Maintain physical distance from individuals who are coughing, sneezing, or showing signs of illness; and

Regularly monitor household members for symptoms of respiratory illnesses and seek medical advice promptly to prevent further spread in the community.

Rule 9: Prevention and Control of Food and Waterborne Diseases

Section 42. Health Facilities Protocol. All health facilities must adopt and implement the following protocols to ensure the safety and well-being of the community:

Implement strict hygiene measures for food preparation, storage and handling, and regularly train staff on food safety practices, sanitation, and personal hygiene standards to prevent foodborne diseases;

Document and report all cases of food and waterborne diseases in health records, following established reporting mechanisms to facilitate prompt response and monitoring;

Ensure all water sources used for drinking, cooking and sanitation are safe and regularly tested for contaminants. Immediate action must be taken to address any identified risks, including providing alternative water sources when necessary;

Conduct public education campaigns to raise awareness about preventing food and waterborne diseases, emphasizing safe food handling, sanitation practices, and the importance of clean water;

Collaborate with partners and stakeholders to develop and implement initiatives aimed at reducing the incidence of food and waterborne diseases in the community;

Activate response protocols during outbreaks of food or waterborne diseases, including prompt investigation and containment strategies; and

Comply with national guidelines and regulations set by the DOH and partners to prevent food and waterborne diseases.

Section 43. Offices, Restaurants and Other Buildings Protocol. Offices, restaurants and building management teams are required to implement the following protocols to ensure the health and safety of employees, tenants and visitors:

Regularly sanitize, inspect, and maintain water dispensers and storage tanks. Cleaning and maintenance records must be kept accessible for review;

For on-site food services or canteens, ensure adherence to strict food safety standards. This includes maintaining clean preparation areas, sanitizing utensils and storing food at safe temperatures. All food handlers must complete mandatory food safety and hygiene training;

Implement effective waste disposal systems to prevent contamination. Refuse bins must be strategically placed, emptied regularly and sanitized. Sanitary facilities must include soap, water and hand-drying options and be cleaned daily;

Encourage proper handwashing among all occupants, especially before meals and after restroom use. Provide handwashing stations or alcohol-based sanitizers in key areas such as entrances, restrooms, and eating areas;

Ensure that water sources met safety standards through regular testing. Any contamination must be reported immediately, with appropriate corrective actions taken;

Conduct regular training sessions and awareness campaigns for employees and tenants on food and water safety, including proper food handling, water hygiene practices, and disease prevention strategies;

In the event of suspected food or waterborne illness, must follow a response protocol, including reporting to local health authorities, isolating potential contamination sources, and notifying all building occupants of safety measures; and

Coordinate with local health offices for guidance on food and water safety protocols and participate in inspections as required.

Section 44. Public Areas Protocol. To ensure public health and safety, all public areas must implement the following measures to prevent food and waterborne diseases:

Public areas must be regularly cleaned and sanitized. Proper waste disposal systems, including strategically located refuse bins, should be provided and emptied frequently to prevent contamination from food waste and pollutants;
Vendors and food handlers in public areas must follow strict food safety standards. This includes providing mandatory handwashing facilities, access to potable water, and using gloves or utensils to avoid direct contact with food. Food storage and preparation areas must meet health inspection standards;

Drinking water stations in public areas must be regularly tested to meet potable water quality standards. Signage must clearly indicate safe drinking water sources, and all water used for food preparation or public consumption must be treated and filtered according to health regulations;

All food vendors, handlers and preparers in public spaces must secure and display valid health certificates, indicating compliance with mandatory health and hygiene training. Regular health check-ups are required to ensure vendors are free from communicable diseases;

Display in visible locations public awareness materials, such as posters and flyers, on preventing food and waterborne diseases. These materials should promote proper hygiene, safe food handling, and correct waste disposal practices to reduce contamination risks;

Local health authorities shall conduct regular inspections to ensure compliance with sanitation, food safety, and water quality standards. Violations must be addressed promptly, with penalties for non-compliance enforced; and

Public areas must establish protocols for responding to disease outbreaks, including designating isolation zones if necessary and coordinating with local health authorities to control the spread of food and waterborne diseases;

Section 45. Household Guidelines. Households must implement the following measures to prevent food and waterborne diseases:

Practice proper food handling and storage by refrigerating perishable items, separating raw and cooked foods, and consuming leftovers within recommended timeframes to minimize contamination risks;

All drinking and cooking water must be sourced from clean, safe supplies or boiled before use. Households are encouraged to use water filters or purification methods if water quality is uncertain;

All household members must wash their hands thoroughly with soap and water before handling food, after using the restroom, and after returning home to prevent the spread of bacteria and viruses;

Kitchens, cooking utensils, and surfaces must be regularly cleaned with soap or disinfectants to eliminate bacteria, particularly in areas used for raw meat, poultry, and seafood;

Households must promptly and safely dispose of waste using covered trash bins to deter pests that may carry diseases;

Households shall regularly check food and water quality by examining expiration dates, detecting unusual odors, and identifying contamination indicators. Discard any items that appear unsafe for consumption; and

In cases of suspected foodborne illness, households must promptly report symptoms to local health authorities and seek medical assistance to prevent community spread.

Rule 10: Prevention and Control of Zoonotic Diseases

Section 46. General Provisions. To safeguard public health and prevent the transmission of zoonotic diseases, the following provisions shall be adopted and implemented within the province:

Public Awareness and Education. Public health campaigns shall be conducted to educate the community on zoonotic disease risks, prevention strategies and safe interactions with animals, particularly for individuals in close contact with animals (e.g., farmers, veterinarians, and pet owners).

Collaboration and Coordination. LGUs shall collaborate with the DOH, Department of Agriculture (DA), veterinary services, and animal health authorities to implement disease control strategies, respond to outbreaks, and ensure compliance with national health policies.

Section 47. Health Facilities Protocol. Health facilities within the province shall implement the following measures to prevent the transmission of zoonotic diseases:

Healthcare workers shall wear appropriate PPE, including gloves, masks and protective clothing, when handling animals or materials potentially contaminated with zoonotic pathogens;

Healthcare workers shall inquire about recent animal exposure or travel to areas where zoonotic diseases are prevalent to aid early detection of potential zoonotic disease cases;

Strict hygiene protocols, including regular handwashing and disinfection, shall be observed by all healthcare staff after handling animals or animal products to minimize transmission risks;

Healthcare workers shall receive continuous training on the identification, signs, symptoms, transmission routes and preventive measures of zoonotic diseases;

Health facilities shall conduct community outreach programs to educate the public about zoonotic disease risks, especially those in close contact with animals;

Zoonotic diseases detected in both humans and animals shall be documented and reported through existing mechanisms to local health authorities and relevant partners to facilitate timely investigation and response to outbreaks; and

Health facilities shall work with local veterinary services and animal health authorities to monitor zoonotic diseases in animal populations and implement comprehensive disease control strategies.

Section 48. Offices, Restaurants and Other Buildings Protocol. Offices, restaurants and other public buildings shall adopt the following measures to minimize the risk of zoonotic disease transmission:

High-touch surfaces such as doorknobs, tables and countertops shall be cleaned and disinfected regularly to eliminate pathogens that may be present due to animal contact or contamination;

Food waste and other contaminants shall be disposed of in sealed containers to prevent attracting pests and wildlife that may carry zoonotic diseases;

Effective pest control measures shall be implemented to minimize the presence of rodents and other pests, which can carry zoonotic diseases, and infestations must be addressed promptly;

Restaurants shall adhere to stringent food safety practices, including sourcing food from reputable suppliers, maintaining proper cooking and storage temperatures, and avoiding cross-contamination to prevent foodborne zoonotic infections;

Employees shall receive training on zoonotic disease risks, hygiene practices, and safe handling of animals or animal products, particularly in food service settings;

Clear policies regarding animals in workplaces or dining areas shall be established, ensuring that any animals allowed on the premises are healthy and well-managed to reduce disease transmission risks;

Restaurants and offices shall display clear signage promoting hygiene practices and zoonotic disease prevention to raise awareness among staff and customers;

Employees and patrons shall be encouraged to report any symptoms of zoonotic diseases, such as fever or gastrointestinal issues, particularly after contact with suspected animals; and

Businesses shall collaborate with local health authorities and partners to stay informed about zoonotic disease outbreaks and implement the necessary preventive measures.

Section 49. Public Areas Protocol. Public areas, including parks, playgrounds and public restrooms, shall implement the following measures to reduce zoonotic disease transmission:

High-touch surfaces such as benches, playground equipment, and public restrooms shall be regularly cleaned and disinfected to eliminate potential pathogens;

Covered trash bins and adequate waste disposal facilities shall be provided to prevent littering and minimize the attraction of animals that may carry zoonotic diseases. Pest control strategies shall be implemented to address rodent and other pest populations;

Policies shall be established to regulate the presence of animals in public areas, particularly where food is consumed or children play, to minimize zoonotic disease risks;

Educational campaigns shall raise awareness about zoonotic diseases, emphasizing hygiene and safe interactions with animals;

Public areas shall have emergency response plans in place for zoonotic disease outbreaks, including procedures for reporting and managing cases;

Community involvement in maintaining cleanliness and monitoring public areas for health hazards shall be encouraged to foster a collective responsibility for disease prevention.

Section 50. Household Guidelines. Households are encouraged to adopt the following practices to prevent zoonotic disease transmission:

Household members shall wash hands before handling food, cook meats thoroughly, and keep raw and cooked foods separate to prevent contamination;

Pets shall be regularly vaccinated, dewormed and checked for parasites. Preventive treatments should be used as advised by a veterinarian;

Homes shall be kept clean, free of waste and clutter, and pest control measures shall be implemented to prevent rodent and insect infestations;

Waste, including pet waste, shall be disposed of in sealed bags and designated trash bins to prevent attracting wildlife;

Direct contact with wild animals shall be avoided, and children shall be educated to respect wildlife and observe animals from a safe distance;

Household members shall be vigilant for signs of illness in pets and family members and seek medical or veterinary assistance promptly if symptoms appear; and

Households should utilize local health and agriculture office for guidance and assistance in preventing zoonotic diseases.

Rule 11: Prevention and Control of Vector-borne Diseases

Section 51. Health Facilities Protocol. Health facilities shall implement the following protocols to prevent the transmission of vector-borne diseases:

Conduct regular assessments to identify and eliminate potential breeding sites for vectors, such as stagnant water in trays, plant pots and drainage systems;

Keep patient rooms, waiting areas and outdoor spaces clean and free from waste and debris that may attract vectors;

Use sealed containers for medical and regular waste disposal and ensure timely collection to prevent overflow and reduce vector attraction;

Work with local authorities to establish an integrated vector management program tailored to the facility’s needs, focusing on prevention and safe control methods;
Provide training for healthcare workers on identifying symptoms of vector-borne diseases, preventive measures and reporting procedures;

Promote the use of protective gear such as long sleeves and insect repellent among healthcare staff, especially in outdoor areas;

Install and maintain screens on windows and doors, and inspect for gaps to ensure they are sealed and intact;

Maintain the facility’s landscaping by keeping grass short and trimming shrubs to reduce shelter for vectors;

Ensure proper functioning of drainage systems to prevent stagnant water accumulation around the facility;

Organize initiatives to educate patients and the community about vector-borne diseases and prevention measures;

Document and report all cases of vector-borne diseases in health records according to established mechanisms and guidelines.

Section 52. Offices, Restaurants and Other Buildings Protocol. Offices, restaurants and other public buildings shall implement the following protocols to prevent the transmission of vector-borne diseases:

Conduct regular inspections to identify and eliminate potential breeding sites for vectors, such as stagnant water in plant pots and containers;

Keep both indoor and outdoor areas clean, free from litter and ensure proper trash disposal in covered bins;

Use sealed trash bins with scheduled regular waste collection to prevent overflow and minimize vector attraction;

Maintain the landscaping to reduce tall grass and dense shrubs that can harbor vectors;

Encourage employees and patrons to use insect repellent or wear long sleeves and pants when outdoors to minimize exposure to vectors;

Install screens on windows and doors, inspecting them for gaps to ensure they are sealed and intact;

Ensure proper functioning of drainage systems to prevent stagnant water accumulation;

Organize educational campaigns or workshops to inform staff and patrons about vector-borne diseases and preventive actions.

Section 53. Public Areas Protocol. Public areas shall implement the following measures to prevent the transmission of vector-borne diseases:

Inspect and eliminate stagnant water in public facilities, parks and open spaces, including puddles, ditches and containers, to reduce mosquito breeding sites;

Keep public areas clean and free from litter, which attracts vectors and creates breeding grounds;

Use landscaping methods that minimize stagnant water and ensure adequate drainage in parks and recreational areas;

Provide covered trash bins in public areas and conduct regular inspections to ensure they are used properly and remain clean;

Educate the public about vector-borne diseases, their transmission, and prevention through awareness campaigns in public spaces;

Work with local health authorities to develop and implement integrated vector management strategies that combine public health initiatives with community engagement;

Facilitate regular community clean-up events to engage residents in maintaining public spaces and reducing potential vector habitats;

Implement appropriate and safe vector control measures such as applying larvicides to standing water or conducting fogging treatments during outbreaks, in accordance with public health guidelines.

Section 54. Household Guidelines. Households shall implement the following measures to prevent the transmission of vector-borne diseases:

Regularly check and eliminate stagnant water in and around the home, including in flower pots, bird baths, and gutters;

Install screens on windows and doors to keep out mosquitoes and other vectors, and use bed nets in areas where vector-borne diseases are common;

Use recommended insect repellents on exposed skin and clothing when outdoors, particularly during peak mosquito activity (dawn and dusk);

Keep lawns and gardens well-trimmed to eliminate hiding spots for vectors. Remove debris and overgrown vegetation that can harbor pests;

Store refuse in sealed containers and dispose of it regularly to avoid attracting vectors that can spread diseases;

Engage in community programs focused on vector control and public health initiatives, collaborating with local health authorities for effective prevention strategies;

Be vigilant for symptoms of vector-borne diseases, such as fever, joint pain or rash, and seek medical attention promptly if symptoms arise.

Section 55. Coordination with Other Agencies. The Provincial Health Office shall coordinate with national agencies, such as the Department of Health, Department of Environment and Natural Resources, and local government units, to ensure an effective, integrated response to vector-borne diseases. This collaboration includes sharing information, joint monitoring, and aligning public health strategies across sectors.

Rule 12: Prevention and Control of Sexually Transmitted and Other

Communicable Diseases

Section 56. Roles and Responsibilities of Local Officials in Preventing Sexually Transmitted Diseases. Local officials are responsible for the following actions to effectively manage and prevent sexually transmitted diseases:

Develop and enforce local policies that require health facilities to offer comprehensive sexual health services, including prevention, testing, treatment and counseling;

Initiate public campaigns to raise awareness about sexually transmitted diseases their transmission, and prevention methods, using various media platforms to reach diverse community groups;

Fund and promote sexual health education programs in schools and community centers, emphasizing safe sex practices and the importance of regular screenings;

Implement strategies to reduce stigma surrounding sexually transmitted diseases through community education and engagement, creating a supportive environment for individuals to seek help; and

Regularly assess local data on sexually transmitted diseases prevalence to identify trends, allocate resources effectively, and tailor public health interventions to local needs.

Section 57. Roles and Responsibilities of Health Facilities in Preventing and Managing Sexually Transmitted Diseases. Health facilities shall implement the following measures to prevent and manage sexually transmitted diseases:

Screen all patients for sexually transmitted diseases during routine check-ups and whenever symptoms arise, ensuring a comprehensive sexual health history and risk assessment;

Ensure that all patient interactions regarding sexual health are confidential and that patient privacy is respected at all times;

Provide patients with education about sexually transmitted diseases, including transmission, prevention strategies, and the importance of regular testing. Offer counseling services to promote safe sexual practices;

Perform or refer for accurate and timely sexually transmitted disease testing using validated methods, and ensure that patients receive prompt notification of results, with appropriate follow-up care;

Follow local health authority or DOH guidelines for the treatment and management of sexually transmitted diseases, ensuring up-to-date practices and protocols;

Encourage patients to inform their sexual partners about potential exposure to sexually transmitted diseases and offer support for referral to testing and treatment;

Provide preventive services, including vaccinations (e.g., HPV and Hepatitis B), condoms, and other barrier methods to reduce the risk of sexually transmitted diseases transmission;

Ensure that healthcare providers receive regular training on the latest sexually transmitted diseases prevention, management and counseling guidelines to maintain high-quality care;

Maintain accurate records of all sexually transmitted diseases cases and treatments, and report relevant data to health authorities for monitoring and public health planning;

Collaborate with local organizations and advocacy groups to design outreach programs targeting high-risk populations and promoting inclusive sexual health resources; and

Participate in community outreach programs to raise awareness about sexually transmitted diseases, promote preventive measures, and reduce the stigma associated with sexual health issues.

Section 58. Roles and Responsibilities of Individuals and Families in Preventing Sexually Transmitted Diseases. Individuals and their families must take the following actions to prevent and manage sexually transmitted diseases:

Seek information about sexually transmitted diseases, including transmission, symptoms, and prevention methods, to make informed decisions about sexual health;

Use condoms and other barrier methods consistently during sexual activity to reduce the risk of sexually transmitted diseases transmission;

Engage in regular sexually transmitted diseases testing, particularly for individuals with multiple sexual partners or who engage in high-risk behaviors. Families should support one another in accessing testing services;

Encourage open and non-judgmental discussions about sexual health within families, promoting understanding and support;

Individuals diagnosed with sexually transmitted diseases should adhere to prescribed treatments and seek family support to manage emotional and physical challenges;

Inform past and current sexual partners if diagnosed with sexually transmitted disease, facilitating timely testing and treatment for those affected;

Foster relationships built on trust and respect, discussing consent and shared responsibility for sexual health within families;

Take advantage of available preventive services, such as HPV and Hepatitis B vaccinations, and educate family members on their importance;

Participate in community programs focused on sexual health education and sexually transmitted diseases prevention to support broader public health efforts; and

Work together to combat stigma surrounding sexually transmitted diseases, promoting a culture of understanding and empathy for those affected.

Section 59. Guidelines for Handling Other Diseases. For diseases not explicitly addressed by this Code, the guidelines issued by the DOH shall apply. Local health authorities will ensure that interventions for such diseases follow these national health directives to maintain consistency and alignment with the Philippines’ overall public health strategies.

Chapter 3: Sanitation

Rule 13: Water supply

Section 60. Prescribed Standards and Procedures. Drinking water standards, including bacteriological and chemical examinations, must meet the criteria outlined in the Philippine National Standards for Drinking Water 2017. Treatment and disinfection processes for making water potable, as well as procedures for decontaminating water sources and distribution systems, shall follow Department of Health guidelines.

Section 61. Required Water Examinations.

Initial Examination. Newly constructed water systems or sources must undergo comprehensive physical, chemical, and microbiological testing prior to operation and public use. Initial tests for radioactive contamination should also be conducted to ensure safety.

Periodic Examination. Existing water sources shall be tested as follows:

Microbiological testing at intervals no longer than six months;

Comprehensive chemical testing at least once every 12 months or more frequently as deemed necessary;

Annual radioactive contamination testing for all active water sources.

Section 62. Accredited Laboratories and Submission of Water Samples. All examinations of drinking water must be conducted in private or government laboratories accredited by the Department of Health. Water system operators are responsible for submitting water samples to accredited laboratories as per schedules and procedures mandated by the Department of Health.

Section 63. Water Retailers and Refilling Stations.

Inspection and Sample Testing. Individuals or entities engaged in the trade and distribution of purified or mineral water must:

Submit water samples to the Local Health Office for unscheduled monthly laboratory testing;

Provide access to purification and processing materials for on-the-spot inspections conducted by the Local Health Office.

Operator Certification. Operators and key personnel in charge of managing water refilling stations or similar services are required to complete a 40-hour Department of Health-accredited course covering key topics including ecology, hydrology, microbiology, parasitology, water treatment, sanitary chemistry, public health engineering, and hazard analysis.

Water Potability Certification. Water retailers and refilling stations must obtain a Certificate of Water Potability from their respective local health office, affirming the water’s suitability for drinking. It is the Local Health Officer’s responsibility to conduct necessary evaluations and issue this certification to the business.

Water Safety Plans. All drinking water service providers are required to develop and implement water safety plans for their supply systems within three (3) years of this ordinance’s enactment. Plans must be reviewed and approved by relevant authorities before implementation, as mandated by Department of Health Administrative Order No. 2014-0027.

Local Drinking Water Quality Monitoring Committee (LDWQMC). The LDWQMC, organized at the city or municipal level, is tasked with monitoring drinking water quality. The committee’s functions and responsibilities align with Joint Administrative Order No. 2022-0002, ensuring that safe, quality drinking water is available to the public.

Rule 14: Food Establishments

Section 64. Sanitary Permit Requirement.

No food establishment shall operate for public patronage without a Sanitary Permit issued by the local health office. “Food establishment” refers to any premises where food or drinks are manufactured, processed, stored, sold or served.

The Sanitary Permit must be visibly displayed within the establishment.

Permit Fees. Fees for permit applications, issuance, renewal and updates shall be determined by the City or Municipal Government through an ordinance.

Change in Ownership or Occupancy. New occupants or owners of an establishment must notify the Local Health Officer of any change within a period of fourteen (14) days from change of ownership or occupancy, present the permit certificate for updating, and pay the required fee for the notation.

Permit Record Keeping. The City or Municipality shall maintain a record of all Sanitary Permits issued, including renewals, to monitor compliance. This record must include:

The name and address of the permit holder, who must be the actual occupant;

The location of the establishment;

The specific purposes for which the permit was issued;

The initial permit issuance date and all renewal dates;

All changes in occupancy and management;

Conditions for issuance or renewal of the permit;

The record shall be accessible for inspection by Department of Health officers at reasonable times.

Section 65. Health Certificates for Employees. All employees in food establishments must possess a Health Certificate from the local health authority, issued following required annual medical exams and immunizations.

Section 66. Food Quality and Safety Standards. All food must come from sources approved by the local health authority and meet the following standards:

Meats, Meat Products, and Fish must be sourced from facilities under sanitary or veterinary oversight and must be thoroughly cooked before serving;

Milk and milk products must be from approved sources. If obtained from other sources, they must be pasteurized or sterilized, refrigerated upon opening, and stored properly;

All perishable or potentially hazardous foods must be stored at temperatures below 45°F (7°C);

Hot Foods or cooked foods intended to be served hot must be maintained at 140°F (60°C) or above;

Raw fruits and vegetables must be thoroughly washed before use.

Section 67. Structural and Operational Requirements for Food Establishments. Food establishments must meet the following structural and operational standards:

Location and Usage Restrictions

Food establishments must be located in areas designated by zoning laws, ordinances, or policies. If no such laws exist, the local health authority will determine the suitability of the location;

Food preparation, storage, handling, or sale areas must not be used for sleeping, animal keeping, or any purpose that could contaminate food;

In multi-purpose business establishments, food-related activities are restricted to designated areas with a valid sanitary permit.

Building and Facility Standards

Floors. Use concrete or other durable materials that are easy to clean.

Walls. Should be smooth, easy to clean and waterproof up to 2 meters in areas that get wet.

Ceilings. Must be dust-proof, washable and painted light colors to keep them clean.

Lighting. Ensure good lighting for cleaning and inspection, especially in food prep areas.

Ventilation. Provide enough air circulation to keep the area fresh and odor-free. If there’s no natural airflow, consider using fans.

Space. Allow enough room for safe and hygienic work.

Employee Facilities

Changing Rooms. For four or more employees, provide separate areas for men and women to change and store their personal items.

Handwashing. Place wash basins with soap and towels where employees can easily access them, with both hot and cold water available, kept in good condition.

Section 68. Use of Food-Service Spaces.

Food-service spaces shall not be used as living or sleeping quarters;

Personal belongings must be stored in lockers or designated areas away from food service spaces;

No animals or live fowl are permitted in these spaces;

Only personnel directly involved in food preparation and service are allowed in food-serving spaces;

Food in storage or preparation must be handled exclusively by designated staff.

Section 69. Food Handlers. All food handlers must have a health certificate from the local health authority. Food handlers shall:

Wear clean garments, caps or hairnets;

Maintain good personal hygiene;

Wash hands with soap and dry them before starting work or after using the restroom.

Section 70. Vermin Control

Food storage, preparation and serving areas must be constructed and maintained to prevent vermin access;

Openings to the outside must be screened with non-corrosive 16-mesh or finer wire;

A vermin abatement program is required. If neglected, the local health authority may step in, at the establishment’s expense;

During pest control treatments, food and food-contact surfaces must be protected;

Local governments are responsible for vermin control in public areas.

Section 71. Toilet and Washing Facilities

Clean, accessible toilets for both staff and customers must be provided, separate from food spaces;

Toilet rooms must not open directly into food spaces. If present, doors should be tight-fitting and self-closing;

Hand-washing facilities with water, soap, and drying devices must be available near toilets.

Section 72. Disposal of Refuse.

Refuse cans can be used in food prep areas only temporarily;

Storage of full and empty refuse cans should be in separate, designated areas;

Refuse cans must be vermin-proof, cleanable, and covered at all times except during active use;

Refuse cans should be cleaned in an adjacent area with necessary cleaning supplies.

Section 73. Equipment and Utensils

Equipment and utensils must be designed for easy cleaning and be free from health hazards;

Food-contact surfaces should be impervious, corrosion-resistant, non-toxic, and durable.

Section 74. Washing of Utensils

Utensils should be pre-rinsed to remove food particles;

Wash in warm water at 120°F (49°C) with soap or detergent, changing water frequently if not running.

Section 75. Bactericidal Treatment

After cleaning, utensils must undergo one of the following treatments:

Immersion in 170°F (77°C) hot water for at least 30 seconds.

Use other approved methods as authorized.

Section 76. Handling of Washed Utensils. Washed utensils should air-dry in wire racks without drying cloths. If using a drying cloth, it must be clean and changed frequently.

Section 77. Storage of Washed Utensils. Store in clean, dry places protected from contamination. Cups and bowls should be inverted; utensils not stored in closed cupboards must be covered or inverted.

Section 78. Dry Storage of Non-Perishable Foods.

Designated lockers, cupboards, or containers must be used, constructed from materials suitable for food spaces;

Storage temperature should be within 50-60°F (10-15°C), except for immediate-use items in food-prep areas.

Section 79. Refrigerated Storage of Perishable Foods.

Perishable items should be kept at or below 45°F (7°C) for short-term storage, ideally at 40°F for extended periods.

Recommended temperatures:

Frozen foods: max 10°F (-12°C)

Meat and fish: 32-38°F (0-3°C)

Milk products: 40-45°F (5-7°C)

Fruits and vegetables: 44-50°F (7-10°C)

Refrigerators must be clean, and well-maintained.

Section 80. Food Serving Operations.

Hand contact with food must be minimized;

Single-service items should be handled by their protected surfaces.

Section 81. Special Provisions.

Groceries

No grocery or sari-sari store shall be established within a distance of 25 meters from any source of contamination;

All foods which require no further cooking before they are eaten shall be protected from contamination.

Bakeries. Delivery trucks and carts of bakery products shall always be kept clean and sanitary.

Food Transportation.

Vehicles used for the transportation of perishable food items shall be equipped with refrigeration units to keep food items at the appropriate temperature;

All containers used for transporting food shall be made of materials that are non-toxic, corrosion-resistant, and easy to clean;

Food transportation vehicles shall be kept clean and disinfected regularly.

Section 82. Compliance Evaluation of Food Establishment.

Local health authorities must inspect food establishments at least biannually;

Inspections and notices of non-compliance will be issued to the permit holder, and a corrective action period will be provided;

Permit may be revoked if corrective actions are not implemented after two notices.

Rule 15: Stalls and Mobile Food Vendors (Caterers, Food Booths, and Ambulant Vendors)

Section 83. General Requirements.

No person or entity shall operate any stall or mobile food vending unit (catering service, and food booth) or similar trade without securing a valid sanitary permit;

All operators and personnel engaged in such services shall secure a health certificate from the Health Office.

Section 84. Sanitary Requirements

All food containers must be sealed and leak-proof to prevent contamination and spillage. The use of plastic and Styrofoam containers is prohibited;

Transport vehicles, including mobile food vendors, must be kept clean, and no substances capable of contaminating food or food products shall be transported together with the food in a manner that could lead to contamination;

Food booths, stalls, carts, mobile food vending units, and similar setups must be constructed in a way that protects food, drinks and utensils from exposure to insects, dust, and other contaminants;

An adequate supply of safe water must be made easily available for cleaning utensils and equipment;

All establishments, including mobile food vendors, must provide proper storage and holding facilities to maintain food or drinks at the required temperature, whether hot or cold;

Ice used for food purposes must come from approved sources and be stored and handled properly to avoid contamination;

Refuse and trash must be stored in tight, sealed receptacles, with refuse containers available at all times;

Wastewater and other liquid waste must be disposed of in a sanitary manner to prevent nuisance and avoid the breeding of disease-bearing insects or bacteria.

Section 85. Compliance Evaluation.

The local health authorities shall conduct inspections of stalls, mobile food units, and similar establishments at least every six (6) months to ensure compliance with sanitary and health requirements;

After each inspection, the local health authorities will issue a report detailing violations and corrective actions, with a reasonable timeframe for resolution;

Failure to comply may result in penalties, permit suspension or closure until compliance is achieved, with corrective timelines based on violation severity;

A follow-up inspection will verify corrective actions. If compliant, the local health authorities will issue a certificate of compliance;

The local health authorities will provide educational materials and conduct orientations to inform operators of compliance procedures.

Rule 16: Markets

Section 86. Mandatory Requirements.

Market Establishment and Alterations. No market shall be established or modified without prior approval of its plans and location by the Health Authority or their authorized representative.

Sanitary Permit Requirement. No individual, firm, or establishment shall operate a market without a sanitary permit from the local health authorities. This permit, valid for one (1) year, may be suspended or revoked by the local health authorities for any violation of this Code. Renewal is required annually.
Health Certificates for Employees. All individuals employed in markets handling food items must possess a current health certificate from the local health authorities. This certificate shall be renewed annually or as otherwise required by the local government unit.

Section 87. Market Construction Standards.

Market sites shall be accessible to the public and suitable for vehicular access;

The building shall allow ample space for the safe and convenient movement of vendors and customers;

Markets shall be divided into sections, including but not limited to dry goods, groceries, meat and meat products, seafood, vegetables, cooked foods, and fruits;

Each section must have clearly designated stalls;

Markets shall be fly-proof. Where not feasible, fly-proof facilities must be provided for stalls selling items prone to attracting flies.

Section 88. Sanitation Requirements.

Markets shall have a sufficient supply of potable water;

Drainage Facilities

Markets and their premises must have adequate drainage.

Sewer lines from toilets and urinals shall not connect to market drainage.

All market areas shall have adequate natural or artificial lighting and ventilation;

Markets shall provide an adequate number of strategically placed solid waste containers within the market and premises;

Markets must provide an adequate number of water closets and urinals;

Hand-washing facilities with soap and clean towels or disposable napkins shall be available near toilet rooms.

Section 89. Responsibility of the Market Administrator. The market administrator is essential to the orderly operation and maintenance of the market. Key responsibilities include:

Supervising and regulating the appropriate use of market stalls;

Prohibiting the construction of living quarters within the market premises;

Enforcing restrictions on unauthorized partitions, sheds, or booths in the market area.

Section 90. Responsibilities of Market Vendors. All vendors are responsible for maintaining cleanliness, safety and compliance within the market. They must:

Keep their stalls and surrounding areas clean, use designated waste containers, and ensure food items are stored hygienically to prevent contamination;
Obtain a valid health certificate if handling food, renew it annually, and follow all hygiene and food safety regulations set by the local health authorities;

Operate solely within assigned stalls, avoiding unauthorized structures or obstructions in public areas;

Assist market administrators and health officers during inspections and comply promptly with any corrective actions;

Conduct business courteously, minimizing noise and odors, to maintain a pleasant atmosphere for patrons and fellow vendors.

Section 91. Evaluation of Markets

Local health authorities must inspect markets at least biannually;

Inspections and notices of non-compliance will be issued to the permit holder, and a corrective action period will be provided;

Permit may be revoked if corrective actions are not implemented after two notices.

Rule 17: Livestock Farming

Section 92. General Requirements.

All piggery, poultry and other livestock farms must secure the necessary clearances, including Zoning Clearance and Environmental Clearance Certificate, as required by law. A Barangay Permit or Clearance is also mandatory;

All piggery, poultry and other livestock farms must be located in areas designated by applicable zoning laws, ordinances, or policies. In the absence of such laws, the local health authorities will assess and determine the suitability of the location.

Section 93. Additional Provisions.

Livestock farms must be preferably be located in rural areas;

Farms must be situated on rolling terrain to ensure proper drainage;

Flood-prone areas and environmentally critical zones, such as watersheds and water supply sources, must be avoided;
Farms shall be located on well-drained, porous soil;

Sites shall be planted with trees and vegetables to protect livestock from strong winds;

Farms must be located away from residential, commercial, institutional, and industrial areas;

Farms shall be situated away from major roads and highways;

Farms shall be positioned away from areas of immediate urban expansion.

Section 94. Compliance Monitoring. The local health authorities shall regularly monitor compliance with the requirements specified in this Code, including the proper location of farms and the necessary clearances. Inspections shall be conducted at intervals determined by the local health authorities.

Upon inspection, if any violations are identified, the local health authorities shall issue a notice to the farm operator, specifying corrective actions and a timeline for compliance. Failure to comply within the given timeline may result in penalties, suspension of operations, or closure of the farm until compliance is achieved, subject to the decision of the local chief executive.

Rule 18: Abattoirs

Section 95. Mandatory Requirements.

Sanitary Permit Requirement. No abattoir or slaughterhouse shall be established, expanded, or operated without a sanitary permit issued by the local health authorities. This permit, valid for one (1) year, is renewable annually and may be suspended or revoked for any violation of this ordinance.

Accreditation. All abattoirs must secure accreditation from the National Meat Inspection Commission (NMIC) and approval from the Department of Health for any construction or alteration plans.

Health Certificates for Employees. All personnel involved in handling, preparing, or transporting meat products must hold a valid health certificate issued by the local health authorities. This certificate must be renewed annually or as required by the local government unit.

Section 96. Facility Standards

Waste Disposal. Abattoirs shall be equipped with waterproof, covered metal containers for animal trimmings and waste, which must be disposed of daily.

Slaughter Supervision. Animals may only be slaughtered under the supervision of an NMIC representative. Carcasses must be inspected, marked, and certified fit for human consumption before sale or delivery.

Equipment Maintenance. All equipment must be made of materials that allow thorough cleaning, supporting sanitary meat preparation and handling.

Insect and Vermin Control. A year-round program to control flies, rodents, and pests is mandatory.

Section 97. Site and Structural Requirements

Location. Abattoirs must be located in areas designated by zoning laws, ordinances, or policies. If no such laws exist, the local health authorities will determine the suitability of the location.

Water Supply and Sanitary Facilities. Facilities must have an adequate water supply, including hot and cold water, and proper sanitary installations, such as faucets, wash basins, toilets, and baths, to support effective operations and cleanliness.

Drainage and Lighting. A dedicated drainage system for liquid waste, separate from toilet drainage, is required, as well as sufficient lighting and ventilation throughout all work areas.

Section 98. Site-Operational Sanitation Standards

All rooms and compartments used for edible products must be separate from those used for inedible products, and free of odors from any inedible handling areas;

Facilities must provide adequate cold storage except where carcasses and meat products are removed within six (6) hours of slaughter;

Only animals intended for slaughter are permitted within the premises, which must be kept clean and free from use for any domestic purposes.

Section 99. Fees and Inspection. Fees for ante-mortem and post-mortem examinations shall be set by local ordinances as determined by the local health authorities.

Section 100. Evaluation of Abattoir Operations

The local health authorities shall conduct annual inspections of all abattoirs, or more frequently as needed, to ensure compliance with sanitary and health regulations;

Abattoirs will be evaluated on construction, sanitation, waste management, meat handling, personnel health, and record-keeping;
Violations may result in penalties, suspension, or revocation of the sanitary permit;

The local health authorities will issue a report to the abattoir operator, specifying necessary corrective actions and follow-up inspections.

Rule 19: Public Laundry

Section 101. Sanitary Requirements.

The establishment shall secure a sanitary permit from the local health authorities before commencing operations;
All employees must obtain a health certificate issued by the local health authorities before commencing work in the establishment;

Employees shall observe good personal hygiene and safety practices at all times in the workplace;

Potable drinking water, toilets, and washing facilities must be provided for employees;

Laundry supplies, both liquid and solid, must be properly stored, prepared and handled. Chemical containers must be clearly labeled;

Sewage from the establishment must be discharged into the public sewer system in accordance with applicable laws;

Refuse, including waste water, must be segregated, stored, collected, transported and disposed of in compliance with existing laws, rules, and regulations;

The establishment must maintain an effective vermin abatement program. All clothes and linens must be covered and isolated during vermin control operations to prevent contamination;

Work rooms must be adequately lit and ventilated;

Articles from hospitals or infected sources must be disinfected through exposure to hot water, detergents, or other effective disinfecting means;

Articles exposed to any form of radioactivity must be isolated, monitored by Radiation Safety personnel, and allowed to decay before laundering.

Section 102. Responsibilities of the Laundry Supervisor.

Ensure compliance with all requirements and standards specified in this Code;

Oversee the proper operation, cleaning and maintenance of laundry equipment and facilities;

Develop and maintain a schedule for laundry operations to ensure an adequate and continuous supply of linens as needed by customers;
Be knowledgeable about the selection, quantity and proper use of laundry cleaning supplies;

Ensure regular maintenance and cleaning of all equipment and facilities;

Evaluate the effectiveness of laundry operations regularly; and

Ensure that all linens are safe for use by customers.

Section 103. Responsibilities of the Operator.

Ensure compliance with all requirements and standards outlined in this Code;

Promote good personal hygiene among employees and ensure that they update their health certificates as required;

Ensure the health, safety, and comfort of all employees and customers in the establishment;

Provide adequate sanitary facilities, personal protective equipment, and other necessities to maintain health, safety and sanitation standards;

Renew the sanitary permit annually;

Cooperate with health authorities during inspections of the establishment;

Ensure that the processes and materials used in the laundry are environmentally friendly and comply with environmental laws.

Section 104. Wastewater Treatment. The public laundry establishment shall comply with applicable wastewater treatment and disposal regulations to minimize environmental impact. Wastewater must be treated before discharge to ensure it meets environmental safety standards.

Section 105. Employee Training. The operator shall provide training to all employees on the proper handling of laundry materials, personal hygiene, safety procedures and the use of personal protective equipment.

Section 106. Evaluation of Public Laundry. The local health authorities shall conduct inspections of public laundry establishments at least every three (3) months to ensure compliance with this Code. Upon meeting the requirements, the operator shall be issued a sanitary permit.

The local health authorities have the authority to inspect any establishment and may require the operator to address non-compliance within a specified timeframe. Failure to comply may result in penalties or suspension of the sanitary permit.

Rule 20: School Sanitation and Health Services

Section 107. The Physical Environment. In the plan and design of the school, the following factors shall be considered:

Traffic Hazard. Site traffic hazards must be avoided without compromising accessibility to public transportation. The school shall be located away from sources of nuisances.

Grounds. The site shall be sufficiently large to accommodate playgrounds, athletic fields, and school gardens.

Building Requirements. The building shall:

Be constructed with strong and durable materials and designed to be functional;

Comply with local fire department requirements;

Provide adequate ventilation;

Have wall and ceiling finishes that ensure optimal lighting with minimal glare;

Use artificial lighting (fluorescent or incandescent) that provides a minimum of 25 foot-candles of lighting in the darkest corners;

Use durable, non-slippery flooring materials;

Include facilities with potable water, sewage, and waste disposal systems.

Section 108. The Emotional Environment. To promote the emotional health of the school population, the following provisions shall be observed:

Suitable Location. The school must be located in areas designated by zoning laws, ordinances, or policies. If no such laws exist, the local health authorities will determine the suitability of the location.

Recreational Facilities. The school must have safe and attractive playgrounds and provide adequate facilities for sports and games.

Rest Rooms. Faculty members shall have access to rest rooms for short breaks from teaching.

Section 109. Health Services. Trained personnel and adequate facilities must be available to provide the following health services to students:

Periodic physical and medical examinations;

Periodic immunization;

Medical and dental treatment;
Emergency treatment for common medical incidents;

Counseling and guidance services.

Section 110. Surveillance and Reporting of Health Data. Health data, including trends in communicable diseases, immunization rates and medical conditions affecting students, must be regularly collected by school health personnel. This data shall be reported to the appropriate health authorities.

Section 111. Requirements for Special Schools. Special schools, which use cadavers, plants, animals, bacterial or viral cultures, or radioactive materials for study or research, must adhere to the following requirements:

Cadavers. Must be stored in morgues and dissected in designated rooms, in compliance with the standards prescribed by the Department.

Hazardous Materials. Poisonous or harmful plants and animals must be kept in adequately secured areas.

Microbial Cultures. Viral and bacterial cultures must be stored in laboratories that meet security laboratory standards.

Radioactive Materials. Schools using radioactive materials for research must strictly follow the guidelines set by the Radiation Health Office and the Philippine Atomic Energy Commission for radiation protection.

Section 112. Waste Management

Waste Disposal. Schools shall implement waste segregation and disposal systems in compliance with local ordinances and environmental laws.

Health and Safety. Schools must ensure that all waste management practices, especially with biohazardous materials, follow sanitary and environmental safety protocols.

Section 113. Emergency Preparedness.

Disaster Preparedness Plan. Schools shall establish and regularly update disaster preparedness plans for natural and man-made emergencies, ensuring the safety of students, staff, and faculty.

First Aid Training. At least one staff member in every school shall be trained in basic first aid and emergency response procedures.

Section 114. Compliance Evaluation.

The local health authorities shall conduct inspections of school facilities at least once every semester to ensure compliance, focusing on the physical environment, health services, sanitation, and special school requirements;

If a school is found non-compliant, the local health authorities shall issue a notice specifying the violations and set a deadline for corrective action. Failure to comply may result in penalties, suspension of operations or temporary closure until standards are met, subject to the decision of the local chief executive;

Inspection records and compliance reports shall be maintained and submitted to relevant authorities for transparency.

Rule 21: Industrial Establishment, Commercial, and Other Non-food Establishments

Section 115. General Requirements. All industrial, commercial and non-food establishments, including but not limited to hospitals, medical and dental clinics, spas and resorts, must obtain a Sanitary Permit and local environmental clearance from the local health authorities. Personnel are required to secure Health certificates from the local health authorities.

Section 116. Sanitary and Environmental Requirements.

Sanitary Facilities. Establishments must provide adequate and separate toilet and bath facilities for each sex.

Water Supply. Potable drinking water must be readily accessible to all employees.

Waste Management. Establishments must use existing municipal or city waste disposal systems when available or implement appropriate refuse disposal systems to avoid health hazards, nuisances, and pollution. Waste storage and handling must follow sanitary standards.

Vermin and Pest Control. Establishments must implement an insect and vermin control program to maintain sanitary conditions and prevent disease transmission.

Workplace Cleanliness. All work areas, machinery, and equipment must be kept clean and sanitary to ensure employee safety.

Environmental Health Standards. Industrial processes and waste handling must prevent the spread of infectious diseases. Radiation, noise, and contaminant levels must meet approved safety limits, with noise mitigation measures in place to protect workers and neighboring communities.

Ventilation and Lighting. Establishments must provide adequate natural or artificial ventilation in all work areas. Lighting should be glare-free, with additional lighting where tasks require enhanced visibility.

Personal Protective Equipment (PPE). Employers must provide PPE to protect against hazardous substances, radiation, or mechanical risks. Workers must be trained in the proper use, care, and storage of PPE.

Section 117. Employer and Employee Responsibilities.

Employer Responsibilities. Employers must maintain required health and safety measures, inform employees of hazards, and conduct regular health assessments, including hearing tests in noisy areas. Personal protective equipment must be provided as needed.

Employee Responsibilities. Employees must adhere to prescribed protective measures and use PPE as instructed.

Section 118. Compliance Evaluation.

The local health authorities shall conduct regular inspections to assess compliance with sanitary and environmental standards, including waste management and occupational health practices;

Following evaluations, the local health authorities shall issue reports detailing deficiencies and corrective actions. Establishments will be notified of any violations, with a specified deadline for compliance;

Non-compliance may lead to penalties, suspension of operations, or closure as determined by the local chief executive. Repeated or severe violations may result in further administrative actions to protect public health.

Rule 22: Public Swimming or Bathing Places

Section 119. General Requirements.

All public swimming pools, bathing places (both natural and artificial), shall be under the sanitary control of public health authorities to ensure the safety and well-being of users;

No public swimming pool, bathhouse, or bathing place shall be opened for public use without first obtaining a sanitary permit from the local health authorities. The permit must be renewed periodically as required by the local health authorities;

The owner or operator must ensure that the swimming pool or bathing place is staffed with adequate lifeguards and attendants. These personnel must be properly trained and certified in life-saving techniques, first aid, artificial respiration, and other resuscitation measures. Additionally, no person shall be employed in such facilities without a valid health certificate issued by the local health authorities;

Public swimming pools and bathing places must adhere to the established standards for cleanliness and bacterial purity of water. These standards shall apply to both indoor and outdoor swimming pools, with regular testing and measures to prevent the spread of diseases;

No dogs or other animals shall be allowed in any part of the bathing area, including the bathing and dressing rooms, or the enclosed area of the swimming pool or bathing place;

Clear and visible signage outlining the regulations and instructions for using the swimming pool or bathing place shall be prominently posted in the bathing areas and in the dressing rooms. These signs shall provide guidance on the proper use of facilities and safety measures;

No person who is suffering from any contagious disease or infection shall be allowed to use the pool, bathing place, or bathhouse. The owner or operator must ensure that individuals exhibiting symptoms of illness are excluded from the facility to protect the health of other users;

The owner or operator must provide adequate shower and toilet facilities for both sexes, with sufficient privacy and access. Additionally, lavatories shall be provided adjacent to the toilets for convenience and sanitation.

Section 120. Evaluation of Compliance.

The local health authorities will conduct inspections of public swimming pools, bathing places and bathhouses to ensure compliance with sanitary standards, including water quality, cleanliness and proper personnel training;

The local health authorities will verify that all employees, including lifeguards and attendants, have valid health certificates and are free from infectious diseases, with regular health checks;

Regular testing of water quality in public swimming pools and bathing places will be conducted to meet prescribed cleanliness and bacterial purity standards;

The local health authorities will audit sanitation practices to ensure proper waste disposal and hygiene in bathing and dressing areas;

If violations are found, the local health authorities may issue a notice of violation and has the authority to suspend or revoke the sanitary permit to protect public health;

The local health authorities shall submit reports to the local government unit and concerned partners on inspection results, water quality, and enforcement actions.

Rule 23: Rest Areas, Bus Terminals, Bus Stops, and Service Stations

Section 121. Standards for Rest Areas, Bus Terminals, Bus Stops and Service Stations.

All rest areas, bus terminals, bus stops and service stations with permanent structures for motor vehicles must be equipped with adequate sanitary facilities for the convenience and personal necessities of the traveling public;

These facilities must be designed with ample space to prevent overcrowding of motor vehicles and travelers. They should be accessible and capable of accommodating the volume of passengers and vehicles without causing congestion;

Rest areas, bus terminals, bus stops and service stations must be provided with adequate ventilation and lighting to ensure comfort and safety. These areas should be located away from sources of noise, pollution, and other environmental nuisances;

A safe and adequate water supply must be available, complying with the provisions of this Code;

The facilities must also have proper excreta and sewage collection and disposal systems, in accordance with this Code. Additionally, refuse collection and disposal systems must be in place, as per the requirements of this Code;

An adequate number of comfort rooms must be provided, along with necessary auxiliary facilities, to meet the needs of the traveling public. The comfort rooms must be maintained in sanitary conditions, as outlined in this Code;

Waiting sheds for commuters must be of adequate size to comfortably accommodate at least thirty (30) persons. These structures must have smooth concrete floors, adequate seating facilities, and proper protection from the elements, ensuring comfort during waiting periods;

The sale of food and retail items in rest areas, bus terminals, bus stops, and service stations must comply with the provisions of this Code, ensuring food safety and hygiene;

To ensure the safety and security of passengers and their belongings, security measures and trained security personnel must be present, especially in high-traffic areas;

Regular maintenance of all facilities, including cleaning, waste disposal, and upkeep of structures, shall be carried out to ensure the continued hygiene and safety of the premises. The responsible parties shall be mandated to maintain a clean, orderly and functional environment.

Section 122. Evaluation of Compliance.

The local health authorities shall conduct routine inspections of rest areas, bus terminals, bus stops, and service stations to ensure compliance with sanitary standards, including water quality, sewage, waste disposal and comfort room facilities;

Regular testing of water quality shall be conducted to ensure it meets health standards for safety and purity;

The local health authorities shall audit sanitation practices to confirm proper hygiene and functioning of waste management systems;

The local health authorities shall ensure that all personnel have valid health certificates and are free from contagious diseases, with regular health checks enforced;

If non-compliance is found, the local health authorities may issue violations, suspend, or revoke permits to protect public health, subject to the decision of the local chief executive.

Rule 24: Camps, Picnic Grounds and Public Areas

Section 123. General Requirements.

No camp, picnic ground or public areas shall be open for public use without a sanitary permit issued by the local health authorities;

No camp, picnic ground or public areas must be located in areas designated by zoning laws, ordinances or policies. If no such laws exist, the local health authorities will determine the suitability of the location;

No camp, picnic ground or public areas shall have adequate lighting and ventilation. If tents are used, floors must be at least four inches above the ground;

Safe drinking water, in compliance with of this Code, must be available at all times;

An adequate number of sanitary facilities must be provided, with sewage disposal systems in accordance with this Code;

The storage, preparation and serving of food must follow the guidelines set forth in this Code;

Refuse bins with tight-fitting covers shall be placed at strategic locations, with regular waste collection and disposal in line with this Code;

Camps, picnic ground or public areas must be kept clean, free of litter, and regularly maintained;

A vermin control program must be implemented in compliance with this Code.

Rule 25: Dancing Schools, Dance Halls and Night Clubs

Section 124. General Requirements.

Dancing schools, dance halls, night clubs and day clubs shall operate and be open to the public only when a valid sanitary permit has been issued by the local health authorities;

These establishments must maintain a clean and sanitary environment at all times, ensuring that both the facilities and surrounding premises comply with health and safety standards;

Patrons must be provided with adequate potable water and toilet facilities, in compliance with the standards prescribed in this Code;

No private rooms or separate compartments for public use shall be allowed, except for designated areas such as lavatories, dressing rooms, bars, and kitchens.

Section 125. Employment and Health Requirements

No person shall be employed as a dancing instructor or instructress without first securing a health certificate from the local health authorities;

No person shall be employed as a guest relations officer, cook, bartender, or waiter without obtaining a health certificate from the local health authorities.

Section 126. Food and Drink Safety. The storage, preparation and serving of food and drinks in dancing schools, dance halls, night clubs, and day clubs must comply with the provisions set forth in this Code.

Section 127. Additional Provisions for Night/Day Clubs.

Night and day clubs shall only operate when a valid sanitary permit is issued by the local health authorities;

Employees, including guest relations officers, cooks, bartenders and waiters, shall only be employed upon securing a health certificate issued by the local health authorities;
The establishment and its premises must be kept clean at all times, following prescribed sanitation practices to ensure public safety and hygiene;

Adequate potable water and toilet facilities must be made available to patrons in accordance with the provisions of this Code;
No private rooms or separate compartments for public use shall be allowed, except for lavatories, dressing rooms, bars and kitchens;

The storage, preparation and serving of food and beverages must adhere to the standards outlined in this Code, ensuring the safety of both staff and patrons.

Section 128. Evaluation of Compliance.

The local health authorities shall conduct regular inspections of dancing schools, dance halls, night clubs, and day clubs to ensure compliance with sanitary and health standards, focusing on cleanliness, sanitation and proper facilities, including water and toilets.

It shall verify that all employees, including guest relations officers, cooks, bartenders, waiters and dancing instructors, have valid health certificates and are free from infectious diseases.

The local health authorities shall also assess food storage, preparation, and serving practices to ensure compliance with food safety standards.

If an establishment is non-compliant, the local health authorities may issue a notice of violation and take corrective actions, including revoking the sanitary permit or ordering closure until compliance is met, subject to the decision of the local chief executive.

The local health authorities shall submit reports to the local government unit and concerned partners on inspection results, water quality, and enforcement actions.

Rule 26: Tonsorial and Beauty Establishments

Section 129. General Requirements.

Sanitary Permit. A sanitary permit shall be secured from the local health authorities before operating any tonsorial or beauty establishment.

Health Certificates. No person shall be employed to provide services to customers without a valid health certificate issued by the local health authorities.

Sanitary Practices. The following sanitary practices must be observed at all times:

Personnel shall wash their hands with soap and water before serving customers;

Clean working garments must be worn at all times;

Eating or smoking while working is prohibited;

Tools and instruments used in services must be cleaned and disinfected before and after use with approved disinfectants and soaking solutions;

Customers shall be provided with clean and fresh towels, drapes, and other necessary linens;

Precautionary measures must be taken to prevent the transmission of diseases when serving customers with visible dermatoses or other infectious conditions.

Section 130. Additional Provisions.

Facility Cleanliness. The establishment must maintain a high standard of cleanliness in all areas, including service areas, restrooms, and storage areas.

Waste Disposal. Waste materials, including hair clippings, used towels and other refuse, shall be disposed of in a sanitary manner, following proper waste management procedures in accordance with this Code.

Customer Safety. The establishment shall ensure the safety of customers by using safe, non-toxic products and following health and safety guidelines set forth by the local health authorities.

Section 131. Evaluation of Compliance. The local health authorities shall conduct periodic inspections of tonsorial and beauty establishments to ensure compliance with cleanliness, sanitation, and safety standards. This includes verifying valid health certificates for employees, monitoring adherence to sanitary practices, and assessing facility cleanliness and waste disposal.

Violations will result in a notice of violation and may lead to corrective actions or revocation of the sanitary permit for repeated or severe offenses. The local health authorities shall submit a compliance report to the local government unit and concerned partners on inspection results, water quality, and enforcement actions.

Rule 27: Massage Clinics, Spa, and Sauna Bath Establishments

Section 132. General Requirements.

No person or entity shall operate a massage clinic, spa or sauna bath establishment without first obtaining a sanitary permit from the local health authorities;

A masseur must hold a certificate as a registered masseur, issued by the appropriate regulatory body, and possess a valid health certificate issued by the local health authorities;

A service attendant must possess a valid health certificate issued by the local health authorities before being employed at any massage clinic, spa, or sauna bath establishment.

Section 133. Sanitary Requirements.

The reception and office rooms shall be properly lighted and adequately ventilated to ensure comfort and hygiene;

Each massage room shall be well-ventilated, equipped with a sliding curtain at the entrance for privacy, and have a clean, suitable massage bed for customer use;

The sauna bath room shall be properly lighted, equipped with thermometers, and maintained clean and sanitary at all times;

Adequate and sanitary handwashing, bath and toilet facilities must be provided for both staff and customers;

Customers shall be supplied with soap, clean towels, and sanitized rubber or plastic slippers to ensure hygiene before services;

All customers shall be required to take a thorough bath before receiving a massage to prevent contamination and maintain cleanliness;

Service attendants and masseurs must wear clean, appropriate working garments when attending to customers to uphold sanitation standards.

Section 134. Health and Safety Standards.

Massage and spa establishments shall maintain all tools, equipment and facilities in a sanitary condition, and these shall be cleaned and disinfected before and after each use;

Precautionary measures to prevent disease transmission, including the use of clean linens and equipment, must be strictly followed, especially when serving customers with visible skin conditions or dermatoses;

The establishment shall maintain a clean, safe and comfortable environment for customers, adhering to all applicable health and safety regulations.

Section 135. Evaluation of Compliance.

The local health authorities shall conduct periodic inspections to ensure compliance with sanitary requirements, focusing on cleanliness, ventilation, waste disposal and equipment condition;

The local health authorities shall verify that all masseurs and service attendants have valid health certificates and are free from contagious diseases, with random checks conducted;

The local health authorities shall monitor adherence to sanitary practices, including handwashing, clean garments and equipment disinfection.

Violations will result in corrective actions, such as cleaning or additional facilities, with severe or repeated violations leading to permit suspension or revocation, subject to the decision of the local chief executive;

The local health authorities shall submit quarterly reports to the Provincial Government, detailing inspections, health verifications, corrective actions and enforcement measures;

The local health authorities shall submit reports to the local government unit and concerned partners on inspection results, water quality and enforcement actions.

Rule 28: Hotels, Motels, Apartments, Lodging, Boarding or Tenement Houses, and Condominiums

Section 136. General Requirements.

Sanitary Permit. No establishment shall operate or open for public patronage without a valid sanitary permit. Any expansion, alteration, or new construction within the establishment requires a new sanitary permit before operation.

Water Supply. All establishments shall provide adequate water supply to their patrons.

Sanitary Facilities:

Hotels, motels, and similar establishments shall provide each room with toilet, lavatory and bathing facilities;

Apartments and condominiums must have individual toilet, lavatory, and bathing facilities for each unit;

Dormitories may have common, but sufficient, toilet, lavatory, and bathing facilities.

Waste Management. The segregation, collection, storage and disposal of refuse must adhere to sanitary procedures and regulations.

Insect and Vermin Control. Periodic measures for insect and vermin control shall be undertaken to eliminate disease vectors.

Lighting. All areas within the establishment shall be adequately lighted with both natural and artificial lighting.

Ventilation. Natural or mechanical ventilation must be provided in all areas of the establishment to ensure the comfort and safety of guests and personnel.

Food and Beverage Service. The dispensing of food and beverages shall comply with the standards set in this Code.

Section 137. Responsibilities of the Owner or Operator.

Report any occurrence of a notifiable disease within the establishment to the appropriate authorities;

Report all deaths occurring in the establishment;

Conduct regular in-house inspections to maintain cleanliness and sanitation;

Maintain accurate records of all registered guests;

Cooperate with authorized officers during inspections and guide them as needed.

Section 138. Additional Provisions.

Emergency Response. Establishments must have protocols in place for handling medical emergencies, including the availability of first aid kits and contact information for nearby healthcare facilities.

Health Education. Owners and operators must ensure that staff members are trained in basic hygiene and sanitation practices.

Accessibility. Establishments must provide accessible accommodations for persons with disabilities in accordance with the accessibility standards set by the government.

Signage and Information. Establishments must display clear signage related to emergency exits, health and safety rules, and guest responsibilities, as prescribed by the local health authorities.

Section 139. Evaluation of Compliance.

The local health authorities shall conduct periodic inspections to ensure compliance with sanitary and health standards, focusing on cleanliness, waste management, water supply, ventilation and sanitation facilities;

The local health authorities will verify the validity of sanitary permits and health certificates of all personnel during inspections;
After inspections, the local health authorities shall assign a sanitation rating, which will be posted visibly for public guidance;

The local health authorities shall investigate any reported illnesses or deaths and apply measures to prevent the spread of communicable diseases;

If violations are found, the local health authorities will issue a notice of violation and require corrective actions. Repeated violations may result in sanitary permit suspension or revocation;

The local health authorities shall submit reports to the local government unit and concerned partners on inspection results, water quality, and enforcement actions.

Rule 29: Port, Airport, Vessel, and Aircraft Sanitation

Section 140. General Sanitary and Surveillance Requirements for Ports and Airports.

All ports and airports must provide potable drinking water and safe food sourced from suppliers approved by the local health authorities. Water and food storage and handling procedures must ensure protection against contamination;

The local health authorities shall conduct regular inspections of equipment, installations, and premises, and collect routine samples of water and food for laboratory examination to verify they meet health and safety standards for human consumption;
Organized medical and health services must be available at all ports and airports, equipped with adequate staff, facilities, and equipment for prompt response to health concerns;

Ports and airports shall implement a health surveillance system to monitor and promptly report any unusual health incidents or suspected cases of infectious diseases among passengers, crew and staff;

All practicable measures shall be taken by the local health authorities to keep ports and airports free of rodents and disease-carrying vermins. Regular deratting and disinsecting procedures shall be enforced;

Ports and airports of entry shall provide facilities for required immunizations as per international travel standards;

All ports and airports shall provide adequate and regularly maintained sanitary facilities, including restrooms and handwashing stations. These facilities must be accessible to all travelers, staff and crew;

Ports and airports must establish strict waste management systems for the safe collection, segregation and disposal of waste. Proper environmental hygiene shall be maintained to prevent potential health hazards;

Ports and airports shall display health advisory materials, such as posters or digital displays, to inform the public and employees about disease prevention, sanitation practices and health protocols, particularly in cases of heightened public health concern.

Section 141. Compliance Evaluation. The local health authorities shall conduct periodic evaluations to ensure compliance with all sanitary, health and safety standards set forth in this section. These evaluations will include:

Regular audits of facilities, equipment and health protocols to ensure adherence to sanitation and safety requirements;

Examination of inspection records, surveillance data and incident reports to assess the effectiveness of implemented health measures;

Documentation and verification that corrective actions have been taken for identified non-compliance issues, with follow-up inspections as necessary;

Issuance of a compliance rating, posted in a visible area within the port or airport, to inform the public of the facility’s sanitation and safety status.

Rule 30: Vermin Control

Section 142. General Requirements.

All establishments, including businesses, residences and places of assembly, must maintain an ongoing vermin abatement program. It is the responsibility of owners, operators or administrators to ensure the program is in place and effectively implemented to prevent the spread of vermin-borne diseases;

Provincial, city, and municipal governments are responsible for vermin control in all public areas under their jurisdiction, including parks, streets, markets, transport hubs and other communal spaces;

The local health authorities shall determine and approve the specific procedures and frequency for all vermin abatement programs, ensuring consistency and effectiveness in vermin control efforts across the province.

Section 143. Compliance Evaluation. The local health authorities shall conduct regular inspections of establishments and public areas to ensure compliance with vermin control standards. Non-compliance may result in penalties, and, if necessary, the local health office will implement the vermin control measures at the establishment’s expense.

Rule 31: Sewage Collection and Disposal, Excreta Disposal and Drainage

Section 144. Scope of Supervision of the local health authorities. The local health authorities or their duly authorized representative shall oversee the following aspects related to sewage and excreta disposal:

Approval of toilet construction, including community toilets for clusters of small, temporary houses or light materials;

Review of individual sewage disposal systems, sub-surface absorption systems, and other treatment devices;
Approval of toilet and sewage system locations concerning water sources to prevent contamination;

Evaluation and approval of plans, design data and specifications for new or existing sewerage systems or sewage treatment plants;

Regulation of untreated septic tank and sewage treatment plant effluent discharge into bodies of water;

Oversight of septic tank manufacturing to ensure compliance with established standards;

Approval of methods for sludge disposal from septic tanks or other treatment facilities, ensuring proper environmental handling.

Section 145. Septic Tanks. In areas without a public sewerage system, buildings such as residences and schools shall use septic tanks, constructed as follows:

Capacity. If multiple compartments are used, the first should hold one-half to two-thirds of the tank’s total capacity.

Material. Tanks shall be constructed from concrete, pre-cast or poured in place, or from approved materials as per the local health authorities.

Location. Tanks must be situated at least 25 meters from any water source and shall not be placed beneath any structure.

Section 146. Disposal of Septic Tank Effluent. Effluent from septic tanks should be managed as follows:

Effluent may be discharged into an absorption field, where applicable, or treated using an approved purification system;

Treated effluent may be released into bodies of water, provided it meets quality standards set by the National Water and Air Pollution Control Commission to protect public health and the environment.

Section 147. Sanitary Privies. Recommended sanitary privies must meet the following criteria:

Construction. Each privy should include an earthen pit, a secure floor and a water-sealed bowl to contain and isolate waste, making it fully fly-proof.

Pit Size. Pits shall measure a minimum of one square meter.

Floor and Seal. Floors shall be constructed of concrete or other impervious materials, with a water-tight and insect-proof joint where the bowl meets the floor.

Structure. A suitable enclosure should provide privacy and comfort for users.

Materials. Wooden floors or seat risers are prohibited to maintain sanitation and durability

Section 148. Drainage.

Local Government Units. Local government units are responsible for maintaining a sanitary and functional drainage system to handle wastewater safely in all populated areas, minimizing public health risks and community nuisances.

Connection Requirements. Buildings that produce wastewater must be connected to the municipal drainage system where available, ensuring proper waste management and environmental protection.

Section 149. Special Precautions for Radioactive Excreta and Urine of Hospitalized Patients. Patients undergoing high-dose radioactive isotope therapy shall have exclusive toilet facilities to avoid cross-contamination. Patients must use the same designated toilet consistently, flushing at least three times after each use to reduce radiation exposure to others.

Section 150. Prohibition of Untreated Sewage Disposal. The disposal of untreated sewage or effluent directly into open water sources, ground surfaces or drainage systems is strictly prohibited to prevent environmental contamination and health hazards. All effluent must undergo treatment in compliance with national standards before discharge.

Section 151. Installation of Grease Traps. Restaurants and similar establishments generating significant grease in their waste shall install grease traps. These must be regularly maintained to prevent blockages and contamination in the public sewerage system.

Section 152. Public Education and Information Campaign. The local health authorities shall conduct regular public education programs on proper waste management and sanitation practices. These campaigns aim to inform the public of sanitary toilet use, septic tank maintenance, and the hazards of improper waste disposal, ensuring community participation in safeguarding public health and the environment.

Rule 32: Refuse Disposal

Section 153. General Requirements.

Compliance with R.A. 9003. All business establishment owners and operators within the province of Capiz must dispose of waste in accordance with the provisions of the Ecological Solid Waste Management Act (R.A. 9003) and its Implementing Rules and Regulations.

Waste Segregation. Refuse shall be properly segregated into recyclable, residual, biodegradable, and special waste categories before disposal.

Waste Collection and Storage.

All business establishments shall ensure that proper waste collection and storage facilities are available. These facilities must include vermin-proof refuse containers with secure lids that are easily cleanable;

Refuse designated for collection should remain within premises and be moved outside only just before collection time by authorized haulers;
Prohibition on Open Burning

Open burning of refuse, trash, or any waste materials by any person or entity, whether natural or juridical, is strictly prohibited;

All industrial and commercial establishments must install adequate trash receptacles within their premises to ensure proper waste disposal and reduce litter.

Prohibition of Illegal Dumping. Disposal of refuse, animal carcasses or dead pets on sidewalks, streets, creeks, rivers, vacant lots, parks or any public place is strictly prohibited.

Waste Management in Public Utility Vehicles.

Public utility vehicles operating within the province of Capiz are required to have refuse receptacles on board. Passengers and drivers are prohibited from discarding trash onto streets or public spaces;

Refuse trucks and other vehicles carrying loose materials must cover the load securely to prevent littering on roads.

Section 154. Compliance and Monitoring. The local government, in coordination with the local health authorities, shall oversee compliance with these provisions. Violations may result in penalties as prescribed by R.A. 9003 and local ordinances to promote environmental protection, public health, and community sanitation.

Rule 33: Nuisances and Offensive Trades and Occupations

Section 155. Types of Nuisances. For the purpose of this Code, the following shall be considered nuisances:

Public or private premises maintained and used in a manner injurious to health;

Breeding places and harborages of vermin;

Animals and their carcasses that pose a health risk;

Accumulation of refuse that disrupts public health and sanitation;

Noxious matter or waste water improperly discharged onto streets, public places, or water bodies;

Improper storage or stockpiling of animals that threatens public health;

Excessive noise that disrupts public peace or causes harm to health;

Illegal shanties or unauthorized structures in public or private properties that pose health or safety hazards.

Section 156. Offensive Trades and Occupations. The following activities are considered offensive trades or occupations, and shall be subject to regulation:

Soap boiling;

Guts cleaning;

Boiling of offal, bones, fat, or lard (permissible only if performed in a public slaughterhouse under prescribed regulations);

Manufacturing of glue or fertilizer;

Skin curing;

Scrap processing;

Manure storage;

Lime burning;

Lye making;

Any manufacturing process using lead, arsenic, mercury, phosphorus, or other poisonous substances (exceptions may apply for their use in pharmacies and printing industries, where lead types are utilized in prescribed quantities and safety standards).

Section 157. Responsibilities of Owners, Managers or Operators. Owners, managers or operators of establishments engaged in offensive trades shall:

Secure a sanitary permit from the local health authorities prior to the establishment and operation of their business or trade;

Ensure the daily removal of all injurious by-products and waste materials;

Implement measures to prevent the escape of harmful industrial impurities and adopt methods to neutralize or safely dispose of them;

Maintain their establishments and premises in a clean, sanitary and orderly condition at all times to ensure public health and safety;

Properly store all materials and substances to prevent the emission of noxious, toxic or otherwise harmful substances into the environment.

Section 158. Enforcement and Compliance. The local health authorities shall conduct regular inspections of establishments engaged in offensive trades or those posing a health risk through nuisances. Violations of sanitary standards and environmental regulations shall be subject to penalties or closure of business operations.

Failure to comply with the provisions of this Code shall result in fines, suspension of operations, or revocation of permits, as determined by the local health authorities in accordance with applicable laws.

Rule 34: Cemeteries or Memorial Parks and Disposal of Dead Persons

Section 159. Requirements for the Opening of a Cemetery/Memorial Park. To establish a Cemetery or Memorial Park within the province of Capiz, the following requirements must be met:

Application. Submit an application for the opening of the Cemetery or Memorial Park to the appropriate LGU.

Sanggunian Resolution. A resolution from the Sangguniang Panlungsod or Sangguniang Bayan, endorsing the application, for submission to the Sangguniang Panlalawigan.

Zoning Ordinance. An ordinance prohibiting the construction of residential dwellings within a 25-meter radius, and the drilling of wells or establishment of any water sources within a 50-meter radius of the proposed cemetery or memorial park site.

Certificate from the Local Health Officer. A certificate from the Local Health Officer verifying that the proposed site complies with the required distance from dwelling places and drinking water sources, in accordance with Administrative Order No. 2021-0056 of the DOH.

Certificate from the MDRRMO. A certificate from the Municipal/City Disaster Risk Reduction and Management Office (MDRRMO) indicating the highest flood level, the direction of water runoff, and confirming the absence of rivers, creeks or other bodies of water that could lead to contamination.

Certificate from DPWH/NWRB. A certificate from the Department of Public Works and Highways (DPWH), the National Water Resources Board (NWRB), or other relevant government agencies attesting that the proposed burial site is not prone to flooding and providing details on the minimum depth of the water table in the area.

Certificate from the Provincial Health Officer. A certificate from the Provincial Health Officer confirming that the proposed land is suitable for use as a burial ground, meeting the criteria set by the aforementioned agencies.

Title of Ownership. The land title for the proposed cemetery or memorial park, duly registered with the Office of the Register of Deeds of Capiz. If the land is a donation, the Deed of Donation must also be registered. In cases where the land is public, a resolution from the Sangguniang Panlungsod or Sangguniang Bayan, addressed to the Office of the President through the Land Management Bureau, must be submitted for the site to be designated for cemetery use. If the land is owned by the City or Municipality, the Sangguniang Panlalawigan may allocate it for cemetery/memorial park purposes upon recommendation from the local Sangguniang Panlungsod or Sangguniang Bayan.

Section 160. Closure of a Cemetery/Memorial Park. A cemetery may be ordered closed if its continued use poses a public health risk, including situations where the required distances from the nearest dwelling house or source of water supply are no longer maintained, or when the cemetery has reached full capacity and no further burials can be made.

A resolution for the closure of the cemetery shall be passed by the Sangguniang Panlungsod or Sangguniang Bayan.

The closure of a cemetery/memorial park shall be in accordance with the existing rules and regulations.

Section 161. Burial Grounds Requirements.

It shall be unlawful for any person to bury human remains in locations other than those legally authorized in accordance with the provisions of this Chapter;

A burial ground must be located at least 25 meters from any dwelling house. Additionally, no dwelling house shall be constructed within 25 meters of any burial ground;

No burial ground shall be situated within 50 meters of either side of a river or within 50 meters of any source of water supply.

Section 162. Burial Requirements.

No remains shall be buried without a valid death certificate issued by the attending physician or the Health Officer;

The cost of burial shall be borne by the nearest kin of the deceased. If the kin is financially unable to cover the burial expenses, or if the deceased has no kin, the cost shall be shouldered by the city or municipal government;

The burial of remains in city or municipal burial grounds shall not be denied on the basis of race, nationality or political affiliation.

Section 163. Death due to Dangerous Communicable Disease.

The remains of a person who dies from a dangerous communicable disease shall be buried or cremated within 12 hours of death, without embalming;

The use of the remains for any medical research or study shall be strictly prohibited;

The remains shall not be taken to any public assembly. However, online viewing of the cremation or burial for family members and relatives shall be allowed;

Only family members aged 18 years and above may be permitted to attend the funeral;

The remains must be properly handled, and either cremated or buried according to health and safety protocols.

Section 164. List of Dangerous Communicable Diseases. For the purpose of managing the handling of remains from individuals who have died due to dangerous communicable diseases, two categories are established based on the severity and public health impact of the disease. These categories guide the necessary response, handling and precautions to ensure public safety.

Category 1 (Yellow Tag). Diseases in this category are considered to pose significant public health risks, though less immediate in nature compared to Category 2. While these diseases require precautionary measures, the urgency and scale of response are less severe.

Category 2 (Red Tag). Diseases in this category pose a higher and more immediate risk to public health. They require stricter controls and immediate actions for handling deceased individuals to prevent further transmission and safeguard the community.

The specific list of diseases for each category, along with detailed guidelines for handling remains, will follow the latest issuance from the Department of Health.

Section 165. Requirements for the Exhumation of Remains.

Exhumation of Remains (Non-Dangerous Communicable Diseases). A permit for the exhumation of bodies or remains of persons who died from causes other than dangerous communicable diseases may be granted after a burial period of three (3) years. The remains, upon exhumation, shall be disinfected, placed in a tightly sealed coffin, case, or box, and properly identified with the deceased’s name, cause of death, and place of origin.

Exhumation of Remains (Dangerous Communicable Diseases). The exhumation of bodies or remains of persons who died from any dangerous communicable disease may be granted after a burial period of five (5) years. The remains, upon exhumation, shall be disinfected, placed in a sealed container, and properly identified with the deceased’s name, date and cause of death, and place of origin.

Exhumation and Transfer Permits. Exhumation and transfer permits must be secured from the point of origin of the remains.

Death Certificate. A valid death certificate must be presented for the exhumation process.

Reburial Permit. A reburial permit must be obtained from the place of re-interment.

Exhumation for Medico-Legal Purposes. A permit for exhumation for medico-legal purposes may be granted subject to the following conditions:

The death of the deceased must be registered with the Office of the Civil Registrar;

Exhumation and transfer permits must be secured;

Only authorized authorities and persons involved in the exhumation and investigation may be present;

The remains, immediately upon exhumation, must be disinfected. After the necessary investigation, the remains shall be reburied in an authorized burial place.

Section 166. Requirements for Transfer of Cadavers from One Place to Another

Death Certificate. A valid death certificate must be provided for the transfer of the cadaver.

Transfer Permit. A transfer permit must be secured from the point of origin of the cadaver.

Embalming. The cadaver must be properly embalmed to ensure safe transport.

Burial Permit. A burial permit must be obtained at the destination for the burial of the remains.

International Shipments. Shipments of remains abroad shall comply with the rules and regulations set by the Bureau of Quarantine.

Section 167. Cadavers for Scientific Purpose.

Application for Use of Cadavers. All applications for the use of cadavers for scientific purposes shall be submitted to the Undersecretary for Health and Medical Services for approval.

Qualified Institutions. Only institutions authorized to establish schools of medicine, nursing, dentistry, and midwifery are eligible to apply for permission to use cadavers for scientific purposes.

Exclusion of Dangerous Communicable Diseases. Cadavers of persons who died from or with a dangerous communicable disease shall not be used for scientific purposes.

Donated Cadavers. If the cadaver has been donated for scientific purposes, an affidavit of donation must be secured from the nearest kin, witnessed by two individuals, and duly notarized.

Burial after Use. After serving its scientific purpose, the cadaver shall be given a decent burial by the institution, which will bear all costs associated with the burial.

Section 168. Funeral and Embalming Establishments. No funeral or embalming establishment shall operate without a valid sanitary permit issued by the Health Officer.

Section 169. Classification of Funeral Establishments. Funeral establishments shall be classified into three (3) categories as follows:

Category I. Establishments with chapels, embalming facilities and offering full funeral services.

Category II. Establishments with chapels and offering funeral services, but without embalming facilities.

Category III. Establishments offering only funeral services, providing transportation from the house of the deceased to the burial ground.

Section 170. Category Requirements

Only Category I funeral establishments are required to employ a Department of Health-licensed embalmer;

Category II and Category III funeral establishments may offer embalming services, provided they employ a licensed embalmer. Embalming must be performed in a Category I establishment located within a 50-kilometer radius, based on a Memorandum of Agreement;

Category II and Category III funeral establishments with a current and valid Memorandum of Agreement with a Category I establishment for embalming services must present the Memorandum of Agreement during the renewal of their sanitary permit;

Category I establishments providing embalming services to other establishments shall maintain a record of all bodies embalmed for each subscribing Category I or II establishment. These records must include the name, address of the deceased, and the date the body was embalmed. These records must be kept confidential and retained for a minimum of five (5) years.

Section 171. Site Requirements

Funeral establishments shall not be located in flood-prone areas;

The site must be accessible by a road and connected to public transportation routes;

Funeral establishments must be located in areas designated by zoning laws, ordinances, or policies. If no such laws exist, the local health authorities will determine the suitability of the location.

Section 172. Sanitary Requirements for Embalming and Dressing Rooms

Embalming and dressing rooms must be constructed using concrete or semi-concrete materials;

The floors and walls must be made of concrete or other durable, impervious materials to ensure hygiene and prevent contamination;

Adequate ventilation and lighting must be provided to ensure a safe and clean working environment;

Embalming shall be performed on a table made of a single marble slab or other impervious materials. The table must be designed so that all washings and body fluids flow directly into a drain connected to the building’s waste piping system.

Section 173. Licensing and Registration of Embalmers

Any individual wishing to practice embalming must obtain a license by passing the examination administered by the DOH;
An embalmer must apply annually for a registration certificate to maintain their professional status;

Licensed embalmers must display their licenses and registration certificates prominently in the establishment where they are employed.

Section 174. Autopsy/Post Mortem Examination of Remains

Persons Authorized to Perform Autopsies/Post Mortem Examinations
Health Officers;

Medical Officers of law enforcement agencies;

Members of the medical staff of accredited hospitals;

Circumstances Requiring Autopsies/Post Mortem Examinations

Whenever required by special laws

Upon orders of a competent court;

Upon written request of police authorities;

Whenever the Solicitor General, provincial or city prosecutor, or other authorized officials deem it necessary to disinter and examine remains to determine the cause of death;

Whenever the nearest kin requests in writing the authorities concerned to ascertain the cause of death;

All medico-legal deaths shall be subjected to autopsy/post mortem examination.

Section 175. Responsibilities of Local Government Units

Reserve Tracts of Land for Cemeteries. Local government units shall designate and reserve appropriate land areas under their jurisdiction for the establishment and development of cemeteries.

Utilize Grants, Gifts, Bequests or Financial Donations. LGUs shall actively seek and utilize grants, gifts, bequests of property, or financial donations to establish or improve cemetery facilities and operations.

Chapter 4: Metrics and Governance

Rule 35: Enforcing Bodies and their Tool

Section 176. Provincial Health Board (PHB). The Provincial Health Board is the governing body responsible for overseeing the health and well-being of the province. It establishes policies and strategic directions to improve public health. The provincial health board is composed in accordance with the Local Government Code of 1991. Its composition is endorsed by the Provincial Health Officer II and approved by the Governor through an Executive Order.

The PHB shall perform the following functions:

Propose an annual budget for the operation and maintenance of health facilities and services in line with the standards set by the Department of Health;

Advise the Sangguniang Panlalawigan on health matters, including local appropriations for public health;

Establish committees for health and sanitation Code-related tasks, ensuring adherence to DOH technical and administrative standards;

Set up a technical working unit to assist in the provincial health board’s functions;

Define strategic policy directions and develop and implement strategic and investment plans for public health;

Oversee and integrate health services delivery across all levels, ensuring compliance with the health and sanitation Code;

Manage the Special Health Fund, ensuring its optimal use to improve provincial health outcomes.
Supervise health facilities and human resources across the province;

Require the submission of reports, conduct audits, performance evaluations, and inspections to ensure compliance with health standards;

Oversee the health Code’s implementation, ensuring efficiency without interference in daily operations.

Section 177. Special Committees. The PHB may form special committees to address specific health issues and initiatives. They shall consist of members from relevant sectors, health professionals, and community stakeholders. These Committees will be instrumental in executing the Provincial Health Board’s strategic objectives. Committees will operate based on defined terms of reference and will be regularly reviewed to ensure effectiveness in achieving the province’s health goals. Their functions include:

Identifying pressing health needs and recommending necessary actions;

Developing policies and guidelines aligned with the health Code and DOH standards.

Collaborating with health agencies, community groups, and stakeholders to implement health initiatives;

Tracking the progress of health programs and evaluating their impact, providing regular reports to the PHB;

Acting as a liaison between the provincial health board and the community to raise awareness and promote engagement;

Identifying and securing resources needed for health initiatives;

Section 178. Provincial Health Office. The Provincial Health Office is tasked with the administrative supervision and enforcement of the health and sanitation Code throughout the province. The Provincial Health Office’s duties include:

Enforcing health and sanitation policies and regulations to ensure compliance across health facilities and services;

Developing initiatives to enhance health practices aligned with national health goals and provincial needs;

Monitoring compliance among local government units, health facilities and other partners, providing corrective guidance when necessary;

Partnering with LGUs and stakeholders to enhance the reach and effectiveness of health services;

Producing and distributing materials to support health and sanitation practices;

Assisting health facilities in identifying challenges and improving service delivery and compliance;

Advising health facilities and local government units on best practices and policies to strengthen compliance;

Coordinating preparedness and response to health emergencies, working with relevant agencies;

Developing training for health personnel and local stakeholders in health regulations, sanitation and emergency response;

Managing health and sanitation plans efficiently, ensuring proper resource allocation;

Regularly assessing health programs, identifying improvements and implementing corrective actions;

Collecting and analyzing health data to monitor compliance and health outcomes;

Preparing detailed reports for the PHB, utilizing insights from evaluations to guide strategic decisions.

Section 179. Local Health Offices. Local health offices are responsible for enforcing the health and sanitation standards within their jurisdictions to ensure public health and community well-being. Local health authorities shall perform the following duties:

Monitor compliance with the health and sanitation Code in private health facilities, schools, businesses and public spaces;

Organize vaccination drives, health screenings and sanitation campaigns to prevent disease outbreaks;

Regularly assess community health conditions and prioritize intervention areas;

Conduct health education programs to raise awareness about hygiene, nutrition and disease prevention;

Collaborate with LGUs and other stakeholders to develop and implement health policies and programs;

Collect, analyze and report health and sanitation data to higher authorities for informed decision-making;

Maintain communication with local hospitals and clinics for coordinated responses to health issues;

Lead local response efforts during health crises, in coordination with provincial and national health agencies;

Provide guidance to community leaders and facilities on best practices in health compliance and sanitation;

Conduct regular training for health staff to enhance their skills in health monitoring, sanitation and emergency response;

Initiate outreach programs targeting vulnerable populations to ensure equitable access to health services;

Evaluate existing health policies and recommend updates to improve health outcomes;

Support initiatives to reduce environmental health risks, such as waste management, clean water access and pollution control.

Section 180. Monitoring Metrics. Monitoring forms will be designed or adopted to systematically assess health and sanitation standards at all levels. These forms will support data collection, performance tracking, and continuous improvement in alignment with provincial and national health objectives. The monitoring forms shall include, but are not limited to, the following:

Local government unit health scorecard;

Seal of good governance;
Universal health care maturity level;

Forms from partners and stakeholders;

Custom forms developed by local health authorities.

Chapter 5: Prohibited Acts, Penalties, and Final Provisions

Rule 36: Prohibited Acts and Penalties

Section 181. Prohibited Acts

Operating without Permits or Certifications. Operating any establishment, including food establishments, food vending units, stalls, markets, industrial or commercial businesses, public swimming pools, bathing places, rest areas, bus terminals, service stations, camps, picnic grounds or other public areas, without the required sanitary permits, health certificates, or local environmental clearance from relevant authorities.

Food Safety and Sanitation Violations. Failing to submit water samples for regular testing, maintaining poor sanitation and hygiene in food establishments, neglecting vermin control, improper waste disposal, improper food handling and storage, inadequate sanitation of utensils, or failing to provide proper food protection, waste management, temperature control and hygiene practices. This also includes transporting substances that could contaminate food with food items, using non-sanitary or poorly maintained equipment, and failing to ensure proper hygiene practices, such as requiring proper bathing before service.

Employee and Health Compliance. Employing personnel handling food or meat products without valid health certificates, or failing to provide necessary safety training and personal protective equipment (PPE) for employees, particularly for those involved in food handling.

Waste Disposal and Environmental Standards. Improper waste disposal, including the failure to maintain required waste management systems, disposing of untreated sewage or effluent into open water sources, ground surfaces, or drainage systems, open burning of refuse, illegal dumping of waste or dead animals in public places, and discarding trash from public utility vehicles in public spaces.

Abattoir and Meat Processing Violations. Operating an abattoir without a sanitary permit or proper accreditation from relevant authorities, allowing slaughter without adequate supervision or inspection, failing to maintain proper sanitation, pest control, or meat inspection, using abattoirs for purposes other than meat processing or permitting the slaughter of non-designated animals, and employing personnel in meat handling without valid health certificates.

Construction and Market Violations. Constructing unauthorized partitions, sheds, or booths within market premises, and failing to comply with market or livestock farm location requirements, including necessary clearances.

Public Health and Disease Control Violations. Failing to report notifiable diseases or deaths within establishments, allowing animals or individuals with contagious diseases in swimming or bathing areas, neglecting proper conditions for offensive trades (including hygiene, pest control, and waste management), and failing to comply with health protocols, cooperate with inspections, or implement corrective actions.

Improper Burial and Funeral Practices. Unauthorized burial of human remains, improper exhumation, failure to comply with legal burial location requirements (including distance from dwellings and water sources), improper handling of remains from individuals who died from dangerous communicable diseases, using cadavers from such individuals for scientific purposes without proper authorization, and operating funeral or embalming establishments without a valid sanitary permit.

Section 182. Penalties. The following penalties shall be imposed for any violation of this Code:

Establishment

First Offense : Warning

Second Offense : Suspension of permit and Fine of One Thousand Five Hundred Pesos (P1,500.00)

Third Offense : Revocation of permit and Fine of Two Thousand Five Hundred Pesos (P2,500.00) and/or closure subject to the decision of the local chief executive
Individual

First Offense : Warning

Second Offense : Fine of One Thousand Pesos (P 1,000.00) or imprisonment of not more than fifteen

(15) days, or both, at the discretion of the

Court

Third Offense : Fine of Two Thousand Pesos (P 2,000.00) or imprisonment of not more than thirty (30)

days, or both, at the discretion of the court

Any person who interferes with, hinders or opposes any officer or member of the local health authorities in the performance of their duties related to the implementation of this provision shall be guilty of a misdemeanor and, upon conviction, shall be punished by imprisonment for a period not exceeding one (1) year, or a fine of no less than Two Thousand Five Hundred Pesos (P 2,500.00), or both, at the discretion of the court.

Rule 37: Final Provisions

Section 183. Appropriations. The funds required to implement this ordinance shall be sourced from each local government unit’s current year appropriations allocated to health facilities. Additional funding may also be drawn from the Special Health Fund and any other available funds as deemed necessary.

Section 184. Separability. If any part, section, or provision of this ordinance is deemed invalid or unconstitutional, the remaining provisions not affected shall continue to be in full force and effect.

Section 185. Repealing Clause. Laws, decrees, orders, issuances, rules and regulations or parts thereof that are inconsistent with the provisions of this ordinance are hereby repealed, amended or modified as necessary to align with this ordinance.

Section 186. Effectivity. This Ordinance shall take effect after posting at conspicuous places and three (3) consecutive weeks publication in a newspaper of general circulation in the province.

ENACTED: 02 June 2025.

– – – oOo – – –

I hereby certify to the correctness of the foregoing Ordinance No. 423, Series of 2025 (2022-2025).

ZOE G. HERRERA, JR.

Secretary to the Sangguniang Panlalawigan

ATTESTED AND CERTIFIED

TO BE DULY ENACTED:

APPROVED:

(Sgd.) JAIME O. MAGBANUA

Vice Governor

Presiding Officer

Date: ___________________ (Sgd.) FREDENIL H. CASTRO

Governor

Date: ______________

The Capiz Times Publishing OPC,

December 15, 22 & 29, 2025