• 3 weeks ago
SAY ni DOK | Drug abuse prevention and control

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Transcript
00:00The 3rd week of November is declared as Drug Abuse Prevention and Control Week.
00:06This is to promote and expand public awareness against the bad effects of the use of illegal drugs.
00:12We will talk about this this Wednesday in SainiDoc.
00:16We will be joined by Dr. Marwin Velio from the Department of Health.
00:21Dr. Marwin.
00:31Good morning, RST.
00:33I am Dr. Marwin Velio from the Department of Health.
00:38Today, we will know what SainiDoc is when it comes to various health topics.
00:44Did you know that the 3rd week of November is declared as Drug Abuse Prevention and Control Week?
00:55This is because of the Presidential Proclamation No. 124 that was approved on November 26, 2001.
01:04Even though it is not yet the 3rd week of November,
01:08we will talk about the effects of drug abuse,
01:13not only in health, but also in social, economic, and political development of our country.
01:21We will be joined by Dr. Jose Bienvenido-Liabrez from DAT TRC Las Pinas.
01:29Good morning, Dr. Liabrez. Welcome to SainiDoc and Rise and Shine Philippines.
01:35Good morning, Dr. Marwin Velio.
01:38My first question is, what is the current situation of drug abuse in the Philippines?
01:45Drug abuse, or medically, is a substance use disorder.
01:51It is a big problem not only in the Philippines, but also in other countries,
01:56including the first world countries.
02:00Our partner agency, Dangerous Drugs Board, conducts a study every 3 years.
02:07This study is called the National Household Survey on the Patterns and Trends of Substance Abuse.
02:14Here, we will find out how big the problem is in the Philippines.
02:18According to their latest study,
02:21we have 1.67 million Filipinos that are currently using drugs at this point in time.
02:29That's a lot.
02:30That's a lot. That's around 2% of those aged between 12 to 64.
02:36So, that is a huge health problem that we need to address here.
02:42For you, Dr. Labrez, what are the drugs that are commonly used by people here in the Philippines?
02:50There are two major drugs that are used.
02:54In our streets, the first one is marijuana, followed by methamphetamine,
03:00or what we call shabu-shabu.
03:03That shabu, those are the two.
03:05But there are also other drugs that are included, although only a few.
03:09This is cocaine, ecstasy, and to some extent, our pain relievers, or what we call opiates.
03:16Those are expensive.
03:17Yes, but those are just small.
03:20But our biggest problem is marijuana and shabu.
03:25That's because it's a bit cheap, right?
03:28Correct.
03:29So, how can we know if a person is addicted to drugs?
03:34That's a good question.
03:36It's not easy, right?
03:39Basically, we do not make a diagnosis immediately,
03:42but there are things that we can see so that we can suspect that they are using drugs.
03:48The first thing that we notice is the change in behavior.
03:52Changes in behavior.
03:54Because when we use drugs that are prohibited,
03:57our behavior changes.
03:59So, when they get addicted,
04:02or what they call nalolobat,
04:10So, it becomes like a cycle.
04:13High, they will shoot.
04:15High, the body will fall.
04:16When the addiction is gone, you will see the pattern of changes in behavior.
04:20As time goes by, you will also see that there is a change in the body.
04:25Especially here in our shabu.
04:27Yes.
04:28As you can see, it's getting thinner.
04:30The face is drooping.
04:32The skin is drying.
04:34The eyes are drooping.
04:36Sometimes, their teeth are broken.
04:39We call it meth mouth.
04:42And also, we can see other symptoms that their body is neglecting.
04:48There are a lot of effects of drugs on the body.
04:52Aside from what happens to the human body,
04:54what other effects does it have on the family, society, and others?
04:59Okay.
05:00So, a drug user,
05:02of course, he is an experimenter from the beginning
05:04until his substance use disorder gets worse and worse.
05:10He neglects his obligations to life.
05:14He neglects his family.
05:15Number two, sometimes,
05:17when he becomes a bit messy during high,
05:19it can be a nuisance to our community.
05:23It's not always like that.
05:25But sometimes, we can see a drug user
05:28who becomes a problem
05:30when he comes to the barangay.
05:32Sometimes, our law enforcement comes to them.
05:36So, it can have a very big effect on family
05:40and also on the community
05:43and also on our factories.
05:45Work.
05:46You are high.
05:47You are driving a bus, for example.
05:50Yes.
05:51You are prone to accidents.
05:53You have a lot of people around you.
05:54You might get hit by someone.
05:56So, the problem with the use of prohibited drugs
06:01is not only for the human being,
06:03but also for the family,
06:04for the community,
06:05and also for work.
06:07It will make you feel good in the beginning,
06:09but it will slowly destroy you.
06:11There will be changes in your brain,
06:14especially in the chemicals of your brain,
06:17which we call neurotransmitters.
06:19When those are destroyed,
06:21you will gradually deteriorate.
06:23When a person is addicted to drugs,
06:27what should he do
06:29or what service should he receive
06:32to reduce his condition?
06:35That's a very good question.
06:37There are many ways
06:39to help a drug dependent.
06:42First of all,
06:43we need to assess
06:45how addicted he is to drugs.
06:47So, first of all,
06:48that is mild
06:49or sometimes what we call experimenters
06:51or occasional users.
06:54It can be called community-based drug rehabbing.
06:59It can also help them
07:01in different types of counseling,
07:02psychotherapy,
07:03community-based psychotherapy.
07:04Now, higher up,
07:05the moderate substance use disorders,
07:08we have outpatient programs.
07:10You can usually see that
07:11in our drug rehab centers
07:13in the Department of Health.
07:15So, they have regular visits
07:18where they are monitored
07:20and they have a program for rehabilitation.
07:23At the same time also,
07:25while they are in the outpatient program,
07:27they remain productive.
07:31So, we hope that they can continue to work,
07:33they can continue to study,
07:35but they have to report regularly
07:37for outpatient treatment.
07:39Now, when we say severe substance use disorder,
07:43this is what we call dysfunctional patients.
07:47Everything is neglected.
07:49Since they are dysfunctional already,
07:51they need a deeper program of rehabilitation.
07:54This is what we admit to the rehabilitation center.
07:58They go through behavioral therapies,
08:01family therapies,
08:02intensive counseling,
08:04and many other programs.
08:06Based on what you said,
08:08is there hope for a person
08:11who is addicted to drugs
08:13to return to his normal state
08:16before he becomes a drug addict
08:18after his rehabilitation?
08:20Drug abuse, our drug users,
08:24still have hope.
08:26They are taking drugs.
08:27We have helped many people
08:30to return to a better life,
08:32to become productive members of the society
08:35and very helpful to the family.
08:37So, once we are able to fix it,
08:40once we teach them how to handle things,
08:43once we strengthen their psychological defense mechanisms,
08:48then they can go back to society
08:50and be very helpful,
08:52not just for the family,
08:53but also for the community and our society.
08:57So, substance use is treatable.
09:02Wow.
09:03So, for example, Doc,
09:05you are in the DRC of Las Piñas.
09:10Do people who access drug rehabilitation pay?
09:15So, our payment is socialized.
09:18So, if you are financially incapacitated
09:22or if you are an indigent,
09:24we give it for free.
09:26Our rehabilitation is paid by the government.
09:29However, if we are able to afford it,
09:32we have what we call cost-sharing
09:34for a very minimal amount.
09:40But the bulk of the cost of the rehabilitation of our patient
09:44is paid by our government.
09:47Prevention is best if we improve our knowledge
09:51about the prohibition of drugs
09:53through the legitimate sources of information.
09:58Once again, we are joined by Dr. Jose Bienvenido Liabrez.
10:02Thank you very much, Doc, for sharing your knowledge with us.
10:06Once again, I am Dr. Marwin Belio,
10:09your health advisor.
10:11See you next week, RST.

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