2020 Annual Report on the Human Rights Situation in the Philippines 45 urinary ailments are the next highest, although at much lower levels, with all below 13%. In all, more than half (58%) of older Filipinos have at least one of the risky comorbidities for COVID-19.192 The vulnerability of some older persons to the COVID-19 is not entirely inherent to the consequences of an aging body. Some older people are also more vulnerable because of social and economic reasons. This includes older people’s socioeconomic status and source of income, living arrangements, dependency on daily support, and access to basic needs, health care, and useful information, among others.193 As older persons are a heterogeneous group, the disease disproportionately affects the older poor who are women, indigenous peoples, and persons with disabilities, among others. Even without the current pandemic, some older Filipinos are economically vulnerable.194 144 Some older persons also have isolation and mobility challenges. In the Philippines, a survey shows that a considerable proportion of older persons (13%) live alone.195 The same survey shows that more than a fifth of older persons has difficulty performing at least one of the seven activities of daily living (ADL), which cover bathing and/or showering, dressing, eating, standing up from a bed or chair or sitting down on a chair, walking around the house, going outside or leaving the house, and using the toilet. With the suspension of mass transport, mobility to procure food and medicines or to visit the hospital for regular checkups for these older persons become especially challenging. Also, older persons who live alone may not receive updated information on what to do and how to protect themselves against the disease.196 145 The imposition of strict 24-hour mandatory quarantine for older persons is also a challenge, especially for older persons who head households. With the changing family dynamics brought by increasing labor mobility, some grandparents are left as guardians and caregivers to their grandchildren, whose parents work far from home. Older people who rely on daily income from work that necessitates going out of the house (such as a market vendor) 192 See Beyond the Numbers: COVID-19 and the Philippine population Research Brief No. 1 (COVID-19 and the Older Filipino Population: How many are at Risk?). 193 See CHR (V) A2020-007. 194 Christian Joy P. Cruz, Chapter 7: Economic Well-Being, Ageing and Health in the Philippines, at 108, available at https://www.eria.org/publications/ageing-and-health-in-the-philippines/, accessed 27 March 2020. 195 Christian Joy P. Cruz and Grace T. Cruz, Chapter 3: Filipinos Older Persons, in Ageing and Health in the Philippines, at 36, available at https://www.eria.org/publications/ageing-and-health-in-the-philippines/, accessed 27 March 2020. 196 See CHR (V) A2020-007.