PROCEEDINGS
NEXPTORING REsEARCH POf ENTIALS'
a. Musllm (hdon€sia) sitrHerrinda (tndonesia)i ony6orar{Mataysia);
,irerani€ Boursnerl (ausir lia);
(.r. r:nrara.n.F
ohailand);rudhiasrury Fehruhart nty(ndonesta); Mi5naniarti(hdon6ia)i
Naimah ondon€sia, su.i Der$iabnia (ndorcsia)
Published
by
SriwiiayaUniversity
Cooperarion
with
The
Councilof
Rectorof lndonesian
StateUniversity
(cRtSU) and TheCouncilof University
Presid€ntofTh.itand
(CUpr)
rail
r
I
of
the
lnternational
Seminar
Thecoun.ilof
RectoroI
Indonesiqn
state
University
(cRtsu)
and The Council
of University
Presidentof
Thailand(cUpI)
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97lt-9?9-93913,5-72p
rsnN
973-979,9893897
I?OREWORD
Milisltr for Nalional Edu;adon, Ashlsados ofThait?nd for lndonBia. Amba$ado6
ol
Irdongia for Thrilan4 all delcgat6 ftom Thc Cou'cil of R'cror ol Indon6im Slaie U'ive6itv
ic
iu
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n"
c-*lr
"r-u.iveNn, ?rsidenr or Thail'nd
(cu?T)' Govclmmi or sou'r
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'ducalion
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thc Asan".*.;,,
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CRISUir,ri -,r.-..
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"i".llaboraiion and coopdaiion, for
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The 6'i CmSU_CrrT Co.fer6oe,Inrenuiiontl SmiMr ind Exhlbnio' is being atimded
b, ahou'bOO om
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Palmblns,
oct bd 201IPol
Dr. Badia ?*izade, M B.AR€tor of Sn*ijayr UnivdsirY
rsBN
978-979-98933.TABLE
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Cance : Oendic Ard lnynomenral Cau6 And Risk aactoh(P6tD'ro'
Dr. M,S. Ly., Univ6iiy pur6 Ma,aysir)5.
Accele.dbg Dihilicarion In FoddCo6lnlrion
Bas.d o! IndiAenosRsouB
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Lrbor U.rkct Darorliois
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Eror Coralion Model (ICNI) ApproachlDesy Adria trii. andy
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Pdlonunceof S.lerallliehLir6olTotmn{ldcatolrmToiciryi,,Tnhl
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I(TrinrdrnTlrinrhl
Rndy Soc,,cndi,wllulo
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EIlDBl05
II1LYSIS O[
DDTERMI]\.\\TS
OF TUBIRCULOSIS IN TIIE 1VORKERSAT
II,
PER(ERUNA]I NUSAT\TAI{AIIl
(PERSERO) OF JENIBER REGENCYanik Dsri Prrhdutisujoso"Ri,
Nui
[sb
Krisntr], trmr Prner.ros,rir'IrDepaneneDl
olID\iioinqi.l
Hdlrh md Occupdioial Sotuy LIqllhIacultyollublic11qlih, Univdsit! of Jdnbo
JL Kalnnldanl93 ImbtrIa&TnnuPh+62131116,112.lax +62131'122995
Mobilc:0313011'ill75.
cMil:
anira,lcwi [email protected]ABSTRACT
rlgournd ind trins :rubeulosis
6
one of the *orlds ladiDs canses oaillrc$
aDd d€rh lqlllosis spclhsrok.nd
run* tulo
y 1o individu:ls"nd fannlie bul
rto
io soci*i6 andia.
seriously sJ}ering sork produdivny. Lmily.oh6ivdq,
.nd greldy wekenii8n
ioml niirtrs d,ar areconelared airhI
dth\as.nc
e lonrrcl nudy Nilh quanlitxliveapprcach6ods: Based on
llt
period oa conduct, thn rsearch vasr
case clntol study. The uriabehi.n \ dc (hc ryo*placc (r ml ilnl ion, yo r rine. lish nrgi a.d job hisr ory), {hc conhcr his rory in
[}L:.eard itr rhc housc, envnoD.c r l \urlrr o t holsc (vcnr ilar i.n, ious c r.Drpd uq tierhdrs,
!idLty, a nd h abiranr densil y) Dah rverecolLec(ed using qustion.aneand obse3xlionsleeb wilh 9k ot52 \orkc6. l3 rrcrc1hc!.sc$hplcs. amll9 \o!rhcconlrol sr$ples
Elr : B:ssl on the sarntcrlanalysis losntic Es,tson \vith provision ofc (0,0i). n Nas Lund
I
la.roA.acDv oDmc,Ihahh
orhouse i',.ludDs: hoine leDrilxrion (p=00lr,
oR= 00r2)honseranDemrure (D= 0 016. OR= 0 06ll rvo c Drobrive la.lon ofubtrculosis i'rrhe sorkeE
s\lril!. xnod.rwirbel
\rs
nol sisnificanr virh Iuh culosis nrthe*orkc^Elusion.
r.s.n
o. rhc lads rlx[i
tuorced tr'buctr].lis aboLc, n ft sulgsrdrli(
lhcrl.lcd
d.nent
s.cialiTe'no'e
.M
rqlulxre berer rl,erre\e
lve proer.,n ol tubdculosis in rhe{TL.!c so rbxr
ill
oI$..l.mcft
suchrs No'lplscc, {.kchold.q \yorkmrbbou orFniz ionaLlollhc.omunrr nrc'nbcrs rc,Lblclo \ork rogerlu rosonclhis problcm
r
rhc liorkphccbercnlotis i', ll,e \orkplace
Trbercnlosi!
s
r
cl,mnLc miftrions dcmse thar rcmanr a ptrblic h!.lrh p$b1ft1h
ll1e 1d.i')dodin!l,
o.cn. (glob.lAid6ic)
throughour rhe \rorld. theie lvere appro\i'narely 9.2li
re\v ciserolrub*culosn., rpprorin
.l!
I TNlliordarhs dne ra iuber losG in2006.: llrimded ii,cdemes
Ie.e
9.2 D,illion D y cxsesol
lub{cullss nndl7
tull1on p.ople100.000) dicd 6!c,sc olt,brculosis i', :006, ududmg lhosc {ho.lso hi(l
IIIv
inletioN, ia al,im xnd l,nLo'sia coDtibnre more r][D 50% oa r11 tr$a.nlosis ms6 occnrirg in 12htrnle
ol
rtrbe(trlosn i,r lrdoiesixr.iks
rl,nJ xnc.l n
Dd ahiMorc ol ina.llna
J,sd'str thr{ rLill b.comesr
hdlLh probld, nrlarbq
R€cicy
is-olosn disq,s. D rnrid, lh. nun$r ol
rffqus
NnrusnE
erdy -\'er TDb.rnloris Pari.Drrcmbdir200?ndel67a)r.otrqin:l00lrD,rny.slS39ploplc.rrdii:0093smn''xslsll
I
rnlnr]
.l,
cir
erl,
planhtnrDrt
Pl
l'rkcbumnnnhr
xll
Jenird LhelichN
i,rlcln\isdn.dc
Lhd ocrtrcdir
(o'Lc\
rr\ Ji\di
oarub.rculosis.
llbmulcis
disqs. isvq
danqr@s ior ,rc\rork6
:airbome infetion thal
n
asily conragids anongrorkrs
due ror:E
Thd.fo.e'
..ee
D
o.
uo)ri.ror.,tu
.ctu
er
dmFo..:
The
Barch
on tubeculosis inlelion nr wor*e^n
md.
i
cotuiddi.g d,e hiEh Dumbcr oi incidencb of nosocomial
inierioc
:
F,'o.., r.o. m.n)
'e
d..\e.,
.-
be
ad !,@o
uoenuto.i.
.
rd.n'.fy
lrehe'
Tr
rmll sn.r ro'i! .6
Jsoi
' bu e o..e
!..plore.,.
!cu,.
rorer
4
.hellcp.rl.
lo..sr
or'\al)...o D..Iu.r o
lrbs
Nlsadam xII (Pdsdo) olJlrber Regflcy'.
h
rhn sudn rheB6dr
\vas a relarioGhip bdyeen No.k cond ions and \yolke6'housin!
co.rj-l.
Ass6sine thc work avnomeni factor i.cluding vhtilalion,lig;r=.
r.
o^'
!o.blr
iro')
dc'o',o
'eBi
tor ooololse rempckture, house liEhling.
d
lumidity anddsiry
ofecr:
PerkebuMn NDsamara xII (Pdsdo) orJcmber Resacy
2.
Analrzins rhe etled ol sork dvirommr facror, including md Borkfi*ory
thihei
idtuceolr'bs
bsn in strktrs(Pdero) or
Jdbd
Reqercv.Ansllzins thc olIed of lador ol contact hnbry
{i(h
theirciCe
\vdkcEorrr
Prkebumn Nus,nr,ra xII (Ptrs*o) ofrembrR€ar
a'
l)'
'3 .hcc
e.ru'
-1.io-m
il
hd.r
ot rhe -o le' snGq
bo- e\".
',
o.. ho 5Lrmour
'.e toi.e'.h
- S_,-
id'.d
idr
the
ieids.o
of tubtrculosis in workss ol PT. PskehumnNusr:r
RESEARCII NTTTHODS
Br.-n on
rl-.ond
,
-of,e-r
',Ee.('b('u.qlnr..,
B.sed on seondary drla aron, PT. Ptrkebunan NuMnlan xn
ersml
:;j
knoxr thar thc nunber ol etuployB rho lived in{ork$
housnre ara:z
pl-
L.o'.n.'.oro.pu.lin'h
.- -d
r.
people,o-.
.r"ied our by
D'uourio
tu.d",
s.p.'n.
..o'.
.'cF.
'om Kor:
!
,'rle see
p.,or.
l" \e.o n d' ,lh'!im
'
mi -g,.
l -+:
s.rhDlA
of
12 e'nployesrho
livedin
mployee hmsiDsara
in-!
plantations, rhe
ddmnrlion
ol rhe contol samplc srs rko based on a:5.
cotrtol sampls, so lolally the numLe. of case $D,pl$ was 13 pe.pl.
-sarplcs ob(nined Ms l9 respo,rd.Dt, mking rhe ior.l Miplc stc
ol5l.
Deperde
!shLc
r,
\6n.Lhefh'ch st.perde
oior:ra
\€rirbh
DepeDded y.dablc nr ihis ludy \Ms r,e incldd.c ofTub-:j
lI!.
u'b
r\r,, .ro
Le.q.e..te ..x
.,o1. t1.i,,oe!,4.d-
:b'e
:
l)
Cotrditions oI vork orvnonme.
nrchdi',g:\rorlpla!e $ork hoDr and iob l,isrory
rsBN 978-979-98938-i7
tri olrhs Envno'DHn of
wo**s
holri!
rra,
coveriN: sizc ol house !enril,do.,.Inr
1.
i
u../'!l
-p
o'!
"
tr lie..ol'I
_'
di'
'c..o.o
'ilrhnique
ol
dala collarion aEi
6ieN
bv qtr*(io'Nires to rhediu
ol6po&leDi.-dic\
andrh.
obs.rv ionad
nasremd
ol
ork envnoden I hnnidirv.nd antue
lnl
d,emoh,,lrodrcre':*rlrsive
,n
venril,rn,ilnn
'oJ
dor
ligh'i'rg wnnSI]LTS AND DISCI]SSION
rhenviroDme ir.tor
nrl
ing voDtil rt io n, lthd ng, renp.raturc, huDidi(v, densiqBrsed on the anallsis ol lvork enviromd facror, thc nze of vmtilation in tho
rspo'ddr
hla c a !a s mon ly nor el igible or u Mer the nandrrd in rhree pl.ntario6 N!tor I lidting nr the
hlacehadner the nandanl lhe $ork hous oli4pondm6 spMdalmos rhe srne, tha! is
$
noming.nd irrhe cvening
ltoi
ot(he rapondens $arcd thal rhev had no job hiiorv*hc!
la
risk of luba.ulosk. B.sol on rhe analysis of hiiorv of conhd tacror, the mjodivol
pndens 1[d ne'd hod a hislory oa conkcr wirh tubmulostu suJIsm both in tho workPlace and6id6rial
ara
Basd onrhe:
lysisolrsidenrial
vnoment'actor,
host rsponde's hnd ihe
I olhouse veDrihiion, house rempd.ruE, louse lightms, a.d ihe deNitv olrddenh Thd had
rdera.d.rd, while$ehouse
hu
diry oa mon of rhcrspoldc
s did Dor med halrh n'ndardTtrble LDisftjhulion ol Srdpl6 Bascd on work ENituDDe r.dor in Case and Contol
N r ot roDti,lrion !t N orlrPl'ce
13..16
1'
lsB.\
WorL ENnonnent Vnriabks lnnuenco F dors ol Tuberc Dsn
in'id&
r
ventil.lion in rhe workplrceb.
N,h.!l
Llghriry in thc worl?hceThe resulb ol mltiple Iosistic Esresion
1lr incidence olluberculosG in workds o6ixined (1 rhrt rhe
ui.ble
ol work (nne did ior siednQnllvlbe rsul$ of biurhie anRlvsls olrhe
hbddtosh h !vo&s obtalncd (p = 1 00) sincc
dtr mulh\Jrre
k\e
lhe
re\ul
orrDl)ris
sg!ifi(.irl)
rft{'
rh(m
dci'!
oltube (!lnsis 'he@d
.c01rlbe(u05 inqork6
rdnlrs ol m@sume ofmiual lishring in the
N'IE
NorlDla.e5lr,d EhInq! n
ln\
$ rh heal'h(qurd
,hr codrclerodp n
Gi
be(orcl'r ed rhrrhc\r-::
Engn
filrdh
nnuencet'n\'dci'eof
tubsculo'L:r
n\aue 0li.rh!
: s
Irclor
of\\'oik.r
RcsnkniilAru
E'Yiro'menlof PI. PerkebunD
N
.,nt!m XII Jemb'r'ISBN 9?3-979 9393A 5 7
:
Distribulion ol Srnpls!
cd on Frcro. olRsidcntial rta Envibrnror i'r Crsc rndl5 33
l.l
01 elilible (< I30 c or >30r' c)
29
1 l7
.t,
or eligible(<10% or >70%)
ll
01 eli!ible (210 fr Lindilidual)
1l
1hc rcnLlr of mulliple lognnc represion a,x'l)sis.lthc effer ol nze oIhous. vcndlrtion
able on rlre iDcideDce oftob.rcnlosis nr
vo
ss obhined (p = 0.011) \vnh Otld Lario (OR)ol
I
af,d thelo\v{
nt qpcr Co idencel'!en l
of 0.001 anJ 0.,166. Th. rsuh oa rnrl}ancaEd rbar rlrc sne
ol
hotrsc veDrilariorlrrirble
sigfi$nlly
atlededrlr
itid.trcc
.l
i.rlors
Ltr tro'k.E bccrule p \?lue< 0.l]tThe restrli .L N,lliple losistic rcgresloD xnal):is ol rhc eftlcr ol l,ouse kmpddutu
,blc od
nr
iudrn.c
oltrLhu.ulosis in Nork s obk ncd (p = 0.016) snh Odd Rario (OR)ol
il
.nd rhclo{d
drd upprCotrnd.m.l
.NxLol0006
d
0.592. Thc resuli ol amlrsis.dcd
rln
drc housc (.mpdantr vrrhhle sigiLfi.,nl)_ xftdedthe i,rcidencB oflubscubsni!
kEs bc.rose p{"lue <005. vrinble olho'sc rctupsdure wrs
ror,
isk
fado.,b
il Nas aTIE
rn,lr.antrlritlc
lo-qistic reg.e$ion nlyns orn,e effed ofhorsc lighringu..Nc
he
m
dereoltrLb.rNlosisinso'kr\
dhrxitr.d{p 01.11)rvirhOddRario(OR)oll07l7andILNIJ.(
rpD
Cor1idctr..l,n.!r1.r
0.155 sn] 25109.1 -lhe res,ll oIr..l-\sn shorven rharthe variable of hmse lighring did aot sienificantly
del
rhe incidm..i
lmrrhe'6..r.o.
lroD
do.I
or
'6po.dr'rd
_rL
:C1!
conrol ercup was l6s than good. In rhe c$egr
p, thdc rvsese\a:q
horsn"dpoo
r.ddi.
' dr
'0"0.
.l'e'e.iD'e.!.r{.*tr:E
(7r.7r). whosc house hunidiry was nore rhan stlndrrd The Gult oi
.nxlf."
o, rn_ elle.ro
'ou e hu''o'\
q;dole onrh'
rrida( i
l\c
'6'
I.r
" 0)..
ino.nrcdr.d'
l" rc'.
'sisnifican(ly alr{t the incidence ol rubmulosis in wo*e* b@aus. p
r:
>The rsuli
!f
house o@upant deNiiy nasuremenbsh!N-
jr
deisit, ol occuprds for flch house was moily
>
lom2/indiviiid:i-(51.35%), wlnle in rhe case
Fdp,
msr oi the rEpondhs i.
31pnT:.
5Arl..h'
d rhe.L.dd'd o' onLp.n.d
.N.
hr'!
20 pen+ 16664,. cftcc! ol@opa
dmiiy €riable on lhe hciddrce ol rubrculols m rri
Sincc p-value > 0 2s. rhe occupant donsiry
v!
ab1e ms mt iaken roI]-of analysis sho*ed il,at occtrpa,t dmsity variable did nor
siSnjlleil
Co.hcl flislorJ
'nd fts Efiect on Tnbcrculosis Incidonco iD
$orkd
ldo.e. D,''iLrr o' ol Scn p.s B'.cdo,.o'
d
H. Jo^ln.-
e,D' CI
i
conticl bnr did
no1o.cr
rhc Lvorlqlace or wirh lamly membds.t
I
I
'sBN
9?B-979-939r3-s-7T
hLrtoNs
rNn srrcersrrors
I
I
Bdci
onrre'6llr
oI r6€'ch
anod6..L.o'
or'bF
-6s 1,..
A,rh!.
u.lr
. or rhernlrJco(e
w"lr
d
PT.le\ebm
\
JnLz
xll
Erorhm6ii
Rcom.vk "",,"..,..".,"
.*,,.".,
;,...".
.
.ne o,.e
i,d. o,.1,,r
.6porcq,Flrit'
q"
mo'v'
e iJb.
orude
the{a
Ji
J in "'ee olJL
or.
\d
u,l
rJ..u'€ rn]".ry
".e n"a none",o-,.1TT o'l
iotr
o. r6ponomF.pred".mlr
rne ame. rharh,.,.
,e-a.
+n{Dc
Moro.h. apome;r.kred
i,rrq.rdmiobbro)
lnuo1. lor
ne.
1h$-othFro'l--
+
.
r,"a'e.qtuJ
srlroryor
--r-,..'",-u"
rlo.i!
r.ffflo.
bo'.r
h-1.101...",
d-'eioe
!lsr
Br.cdonr.edmlvs.or6dd.''"
\Lomm Ldo'
T.
le.
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*a
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*.*
..
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p*
.*
h.,
- '.dr,tr e "^d,hedN,r
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r-' -a."...
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a,,t
"r,r-
. " r,.*
i,,,
orv ormG. o..ne'6pond- s didl-*
r,*r,r'*.r",a
!-"..,.
,."
",
r,,*- **'
cr-d.s.7eo
.e'.,.ro--,h-FoL.e
Lsh'nB-
l.r
vorrph.e."ok
''oc
uJ Job tu.,oD,r'1,.T
rcrden.e orF. *,, -..*, b"-.*
be\
zhl6oI"onsc
".o
'n rne
tro'ill.ce
and..
rne[a-,*r
u. *.*,t"
.i,l*...1
uoe'rlol
rnlorlc,
o, P l. Peieoutu. Nu a.bExfl
pt-"r"-r*,o^.n.,ru,*rr
dIE'm
-be,-o.i.
id-
e,
uo..c.,
pF*.bLi,,r
\.vn',:
\-,Ps
so'
orrenoe Peee.".I
I
I
F
hePrP\.
mu'e. ren'.o. .'ould b-e
.n on"
,po)r\
aod
e\
om6.. spekuj
E
-. g,*p,"r,r* d .',,.,hr
d.e.n,
me,,t.
{a
ta.di,.s-,n
he....ore
o/h."1... r.,i.,p r,
erinqrre'cq.rr r,'rd
i, (uato I
t0o
r.eroo
..co'
I o ul.r-, "" .. -'k'otr.v.
-n In r.ero
oL..
-r0bebere
.rh.J$-pa'{
ropdl8.,",-,."p".
+-..p*,
"-,.
1ctrpq!-'ro-
.,-uu
F
"-hyer
oe-
rdio"
. Nl I oeo-'d'o
Le o'd"ono
oo .e vanrldrI o\.lrA!
kim!'r("in.o....
he.o-,
e" o
o,,lo..g.hmpc]ru0m./.
osuJ'uh.r,. ge.in'oLh.*.,.,r,r.r.,
r,.,h,-.
-"
F -
-" ".* *"
-.,arLD.prnnm.or\4?ooaddr.,n.,E{onJ,o
hrdr d
o
Hs \'
F*oe..e
h.r'
a.o- :
7"rd flL'ebe
e-Loa dro...o1'o
fosam in lhe wdlTlace, so rhd all elenrnt. anDng orhas, vorlqhcq hbor imperoriEkrs
asociarior d communiiis, crn \eo!* r.gelhtr ln olcrconin8 rhcrroblm oldisosc 56lulosis in rlE $orlqrlace.br tunhcr rsqrche$, resftrchs on conJnioN of louse remperatu'r, hn.iidiy, lnd lighi.g
hould b. done ar rlE Mm. iitue on ach hotrs. ftis G ro avoid bias in rh
548
REIERENCES
Adita
ljnd
'\o'" &}
:003 P dor"r
''-aics"
''cd"
Ir
nl*.n,
De!'nmo
KeseMlcn trLAlsegaff, fiood &
Mlkt
Abdul 2 AO2 lhI?ktifib&rlo!*
PatuDod'cr
fl
Ke ch4"I P"
ann-P'
t
'notP
aEJng tt1
K6ehoiin Reputhk lndonsd
*-"Til}:sff
$liH"i"'i:ffi
J[i:::::l:*"'"-ffirlJ;::1..]:'fil;;tr,
rn
r''
nlrhrk
2003
Lltnb'r*
*;,..
"""
n".''
'
'
"
'i'"*"
""a"*"
*'
t'
o"o'o::
,rr
a.H3.4 & Ll',r,\irtus'
-00!'/'J-'" 'rDdirSih
l_-SuEhoY'' Comrk
IK
r'iN Ai KMcMi6, DicL dkk 1995 tubercrlotx n )a
2l!'tuh
Cdte
*tt't
reLrruarD^kfl
PJaL'o-6h
2AOo 1D'h
4 " f'',t^"!
D:',"
,rodtn.
hfana ' PDPr'suma'mur. 2009,qrAe'aPznrsd' oar tlan Ksthotn
,(.lia (EiPntt:'
UG\
Dc?rrrne
ol I{BI1]' 2006' Wo'k)laceCt
tod
lttuaild't'
:
Retugec 1l€lth Progrrn'
WttO20O?
Irlg,!!,osis
hrp'lvw$sho'iN/ropi6lsbcrculosisd
--?*:jjjir##i'
:'i"
;!#
;
:n
::;:::
:;':":-Proee,linss af $c
Inkflatio
al
Scrlinot Pdleklbdne