38 Physicians, testified that “this Aedes aegypti vector came from the environment, which was brought about by Yolanda.”172 There are also documented cases of Schistosomiasis, an acute and possibly chronic disease caused by parasitic flatworms that are released by infected snails during floods.173 Rising temperatures have also led to heat-related illnesses such as heat exhaustion and heat stroke. The majority of the fisherfolk who participated in the KIIs and FGDs complained of the intense heat. Among them, Lowell Factor shared that he has to brave the intense heat and sun even if it causes extreme discomfort and severe sunburns.174 Extreme weather events have severely affected Filipinos’ mental health. Most survivors of extreme weather events suffer from psychological distress. During the Inquiry, Joy Tomes shared that her children were in a state of shock after Super Typhoon Haiyan (local: Yolanda) and did not want to go home from the evacuation center because of the trauma.175 Marinel Ubaldo, a survivor of the same typhoon, narrated: …We couldn’t also bear the thought of eating fish that may have fed on the dead bodies of our dead neighbors and the people we know… As time passed, my father [a fisherman] suffered from depression. He barely ate and slept. He couldn’t bear to go fishing anymore and he became suicidal. Knowing that your family is in that painful situation made things worse, but I had to remain strong. Five (5) years after, my nerves still get the best of me whenever I hear the crash of ocean waves. I get anxious and restless when it rains because I fear that another Haiyan will happen again. It took me three years before I was able to go to the ocean again. It’s sad because the ocean was our childhood friend.176 Climate change has also overwhelmed the Philippines’ public health systems. In Southern Mindanao, mental health services were exhausted after typhoons.177 172 T.S.N. of the Third Inquiry Hearing dated 29-30 August 2018, at 255-256. Dr. Jonathan Moses Jadloc, the National Chair of the Climate Change Committee of the Philippine College of Physicians (PCP) and the Foundation of PCP. 173 Focus Group Discussion, Northern Mindanao, at 45. 174 Lowell Factor, Case Study: Verde Island Passage, at 30. 176 T.S.N. of the Fourth Inquiry Hearing dated 27-28 September 2018, at 8. 177 Focus Group Discussion, Northern Mindanao, at 25. 175 Joy Tomes, Community Dialogue in Tacloban, at 11.