# Implementation of fireworks-related injury surveillance in Metro Manila, Philippines, 2023–2024

## TL;DR

This paper describes efforts to improve fireworks-related injury reporting in Metro Manila using digital tools, which reduced reporting times and increased efficiency.

## Contribution

The study introduces low-cost digital strategies that significantly improved the timeliness and quality of injury surveillance during fireworks events.

## Key findings

- Digital tools reduced report turnaround times from 31 minutes to 8 minutes during the 2023–2024 surveillance period.
- At least 80% of sentinel hospitals submitted timely reports on 11 out of 16 surveillance days.
- Staff commitment was crucial in overcoming resource constraints during implementation.

## Abstract

Many countries record high rates of fireworks-related injuries, especially during national celebrations. In the Philippines, increases in the number of injuries reported around the New Year period in recent years have highlighted the importance of continued strengthening of national fireworks-related injury surveillance. The Philippines’ regional epidemiology and surveillance units play a significant role in surveillance by linking its key stakeholders, the sentinel hospitals and the Department of Health’s Central Office. More specifically, these units promote compliance with reporting standards among sentinel hospitals and support case data validation. Approximately half of the sentinel hospitals that contribute data to the surveillance system are in the nation’s capital, Metro Manila. This concentrated coverage prompted the Regional Epidemiology and Surveillance Unit staff in Metro Manila to implement low-cost, digital strategies to improve the quality and timeliness of fireworks-related injury reporting. During the 2023–2024 surveillance period (21 December to 5 January), the use of virtual coordination spaces and data dashboards contributed to reducing turnaround times for generating surveillance reports from 31 minutes to 8 minutes. Moreover, at least 80% of sentinel hospitals provided timely reports on 11 of the 16 days of the surveillance period. Staff commitment was a major contributing factor in overcoming the time and human resource constraints encountered during implementation of these strategies. However, it is important to recognize that beyond these digital innovations, policy reforms that increase funding are needed to enhance fireworks-related injury surveillance and secure its long-term sustainability and scalability in the Philippines.