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Publication | INDOHUN INDOHUN News No.3

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CONTENTS

Global Health True Leaders

Leptospiroris in Humans and Animals in Indonesia and Policy

Strategies of Disease Control in Animals and Human

International Symposium on One Health Approach

for Health Profession Education

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Leading to A Better World: Global Health True Leaders

Multidisciplinary cooperation is essential in dealing

with global health problems. In order to solve such problems, health leaders should have strong leadership skills and work in a collaborative manner. Nevertheless, leadership is a quality that cannot be granted instantly and should be learned early, one must continuously learn and practice the leadership skills to be a true leader. Thus, Universitas Indonesia with support from International Development Research Center (IDRC) Canada, the U.S. Agency for International Development (USAID), & Indonesia National Armed Forces (TNI) vigorously organized the Global Health True Leaders (GHTL) program.

GHTL is leadership training on global health that was specifically aimed to build future generation of health leaders that can address and identify the best ways to solve global health issues. There were 92 university students and 22 young health professionals from Indonesia, Malaysia, Thailand, Vietnam, and Philippines actively participating in GHTL, from 18 to 25 January 2014 in South Sulawesi, Indonesia. A vibrant atmosphere existed during the training, as all of participants coming from diverse health fields, which are medicine, public health, veterinary sciences, pharmacy, nursing, and biomedical science.

GHTL equipped participants with key concepts on Global Health, Becoming a True Leader, Interpersonal Skills, Controlling Diseases, and Advancing Network & Partnership through a series of seminars. As a completion, in the end of training, all participants engaged in the field visits and community service activities in one of disadvantaged areas in South

Sulawesi. These activities were purposed to continue providing participants with hands-on experiences in practicing leadership skills and other key concepts obtained previously in seminar series.

“Being one of GHTL participants was one of the best experiences in my life. The program also gave me opportunity to meet such smart, talented, and inspiring people from Southeast Asia. I believe in the near future, the alumni will work together across professions and across nations to solve many health problems”, said Yunus Kuntawi Aji, a physician working in Dompu Regency, one of isolated regencies in Indonesia.

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Their testimonials on Global Health True Leaders

“It is worthwhile experience for me, in term of learning many new things, meeting many people, working together, and also having a change to go for community field trip. Especially, the best part of my experience from this program is that the networking and relationships among the participants that we have been creating will be very worthwhile and in the future if we can work together for the global health issues, it will be very powerful and sustainable.” Prof. Dr. Burin T. Sriwong

“The program provided a great environment where students and young professionals with different backgrounds from different countries in South East Asia could work together. Team work skill was highly appreciated during the training. Members of each group took turns to be the leader of the day. I believe the public speaking and presentation skills of many participants improved significantly.”

Le Thi Thu

“The GHTL training was a big privilege for me to be equipped with an effective system of approaching health issues in a holistic manner. I am very blessed to have been exposed and trained early in my career to an ideology and practice which, I'm convinced, is a very effective way to address many health issues that are faced by many developing countries, such as my country (the Philippines), in the world today. It was such a great opportunity to be in a training where us, young researchers, had an opportunity to learn not just from their writings, but also from the characters of these lecturers during the training.”

“All trainers in this workshop are very professional and they are willing to transfer their knowledge to participants. They have skill to convince us to express, discuss, and share among us. Finally, the most important thing is that I get the network, even though we are not senior, but would be nice and good opportunity for us to make a network and I think we can work together in the future.”

Suwit Chotinun

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Fifty participants and twenty-seven invited guests participated in the International Symposium on One Health Approach for Health Profession Education on 14 – 17 April 2014 in Yogyakarta. International Symposium on One Health Approach for Health Profession Education was one of INDOHUN activity implemented by dr. Titi Savitri P. MA., MMed.Ed., PhD of Faculty of Medicine, Gadjah Mada University, and was supported by USAID RESPOND. This symposium had 6 major components: (1) Grand Lecture on 14 and 16 April 2014, (2) Press Conference on 14 April 2014, (3) Workshop on 15 and 16 April 2014, (4) Oral presentation on 15 and 16 April 2014, (5) Poster presentation on 15 and 16 April 2014, and (6) IASHE meeting on 17 April 2014.

International Symposium on One Health Approach for Health Profession Education was opened by welcome speech from dr. Titi. In her welcome speech, dr. Titi Savitri said that she arranged this symposium with the

thought of collecting action and collaboration across disciplines and professions. The rapid and continued changes of the world in all aspects of life require One Health Approach to address. Therefore, the interaction among different professions, the passion to collaborate and work together need to be well maintained. She hope this symposium will boost the collective action across professions to promote and to facilitate the achievement of optimum health by the population, nationally and regionally. Another welcome speech was given by Prof.dr. Iwan Dwi Prahasto, M. Med. Sc., PhD as Vice Rector of Gadjah Mada University. Through his speech, he said that as one of the best university in Indonesia, Gadjah Mada University will give full support to One Health Approach.

First keynote speech was given by Prof. dr. Ali Ghufron Mukti, MSc, PhD from Ministry of Health Indonesia. Through his speech, he said that health is the basic right and the basic need of every person. However, health problems cannot be solved only by Ministry of Health. To overcome health problems, the Ministry of Health should develop intersectoral collaboration with other ministries, rehional, national, and international agencies. The second keynote speech was also given by Dr. Arsitawati Puji

Raharjo, MAHM from Health Professional Education Project (HPEQ).

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Leptospiroris in Humans and Animals in

Indonesia

and Policy Strategies of Disease

Control in Animals and Human

A zoonotic disease is world-widely distributed, particularly in the tropics, including Indonesia. Infected animals are the source of leptospirosis for humans, and these animals are secreting pathogens into the environment. According to the WHO, FAO and OIE (2009) 70% of new infectious diseases (NEW Emerging Infectious Diseases) is a zoonotic. Zoonoses become a global issue and requires handling sector, disciplinary and multi-professional.

In Indonesia, the spread of leptospirosis among others, in the province of West Java, Central Java, Yogyakarta, Lampung, South Sumatra, Bengkulu, Riau, West Sumatra, North Sumatra, Bali, NTB, South Sulawesi, North Sulawesi, East Kalimantan and West Kalimantan. Leptospirosis mortality rate in Indonesia is high, reaching 2.5 to 16.45 percent.

National strategy to control zoonotic

• intensification of coordination, synergy of resources, synchronization

of multi-sector policy implementation

• zoonotic risk reduction at the source ( Biosecurity ) • socialization prevention of zoonoses on public • prevention of transmission through vaccination

• strengthening research universities to establish research groups

and centers zoonotic

• strengthening regulations on animal health system • Build an integrated health system ( One Health System)

• District Community : using Natural Predator (snake, Owl,

Herpertes javanicus

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Middle East Respiratory Syndrome

Middle East Respiratory Syndrome (MERS) is the illness caused by MERS Coronavirus (MERS-CoV). Coronaviruses are actually a common virus that most of people get in their life some time. However, this MERS-CoV is different from any other coronaviruses that were found in people before. MERS is one of viral respiratory illnesses that cause severe illness and even death in people from several countries. MERS was first emerged in the Arabian Peninsula in 2012, particularly in Saudi Arabia. However the virus has spread globally. Countries with MERS cases are Saudi Arabia, United Arab Emirates (UAE), Qatar, Oman, Jordan, Kuwait, Yemen, Lebanon, and countries with travel-associated cases are the UK, France, Tunisia, Italy, Malaysia, Philippines, Greece, Egypt, USA, and Netherlands.

According to WHO on 16 June 2014, globally, there have been 701 laboratory-confirmed cases of infection with MERS-CoV, which includes at least 249 related deaths that have been reported officially. The cases show that people infected by MERS-CoV are in the range of 30-70 years old. The report of cases has also shown that majority of the patients has comorbidities, a history of exposure to a confirmed case of MERS-CoV, and has history of travel to the Arabian Peninsula.

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On the other hand, it is now shown that Dromedary camels have convincingly been related to the virus and also be able to shed MERS-CoV in high numbers in secretions from the upper respiratory tract. A study conducted in Dubai in 2005 found that the virus is not new in the Arabian Peninsula. Although it cannot be excluded that other animal reservoirs exist, however the fact that MERS-CoV cases primarily is reported from the Middle East region, particularly in the Arabian Peninsula, suggest that Dromedary camels in general are the main animal reservoir, where primary cases occur in areas camels are an important part of life. Unpasteurized camel milk might be a possible route of transmission, but so far there is no data on excreting of MERS-CoV into camel milk.

I

ndonesia and MERS

According to the Indonesia Ministry of Health on the media statement, 19 June 2014, there are 169 suspected cases of MERS-CoV in Indonesian citizens. Out of 169 suspected cases, 161 have been declared negative, while the other seven are being monitored, and an Indonesian citizen has tested positive for MERS-CoV. That one Indonesian who has been positively contracted the MERS-CoV is currently undergoing treatment in Abu Dhabi, said the official.

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Gambar

figure out the possibility of camels, bats, and other animals’ role in the transmission of MERS-CoV to human.

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