Matagal natong pic nato, saw it first time via my England.com email add.

The first thing that I noticed was the truck is being driven by an army guy because of the camouflage outfit so this must have been a govt operation to help evac some people out of a calamity area, hence the volume of people on the truck.

If this is fake the graphic artist who altered this image must have been very very good considering the Photoshop technology available at that time.