International on One Health and INDOHUN Annual Meeting
INDOHUN had organized I ter atio alSymposium on One Health and INDOHUN AnnualMeeti g in Surakarta, Central Java, Indonesia. It was expected that after attending this workshop, the participants would be updated with One Health issues and be able to implement One Health approach on their work environment. The program was held for two days, from October 22nd– 23rd, 2014, featuring keynote speeches, seminar series, as well as oral and poster presentation, followed by One Health collaborative workshop, leadership training and youth forum. The participants are professionals, researchers, students, and government stakeholders from faculty of medicine, public health, veterinary medicine, nursing, biology, and social science in Indonesia. Altogether, there were around 200 participants come from 31 faculties and 20 universities, 7 government institutions, 3 international organizations, and 1 NGO across Indonesia.
On the first day, welcoming remark was performed by Sebelas Maret University‘e tor s representative and followed by opening speech conveyed by INDOHUN coordinator, Prof. Wiku Adisasmito. Next, three keynote speakers delivered their speech, including Prof. Hassim Ismail as the Chairman of SEAOHUN (Southeast Asia One Health University Network), Prof. Mohd. Hair Bedjo as the Chairman of MYOHUN (Malaysia One Health University Network), and Prof. Saul Tzipori as representative of Tufts University.
Following the keynote speeches, there were two seminar sessions. The first seminar sessions discussed about Update on One Health facilitated by Dr. Denny Widaya Lukman, a Division Head of Veterinary Public Health, Faculty of Veterinary Medicine, Bogor Agricultural University. This seminar session invited three prominent speakers which consist of Prof. Agus Purwadianto as Director General of Disease Control and Environmental Health, Ministry of Health Republic of Indonesia, Dr. Pudjiatmoko as Director of Animal Health, Directorate General of Livestock and Animal Health Services, and Prof. Wiku Adisasmito as INDOHUN Coordinator. This session mainly discussed about the current situation on zoonotic and infectious disease in Indonesia, challenges on animal health and agricultural development in Indonesia as well as One Health s update and implementation in Indonesia.
The second seminar sessions was performed within 90 minutes led by Dr. Marc Baril, an international trainer from Stelerix Strategic Management Inc. This session discussed about One Health Best Practices and invited three distinguished speakers including Dr. Rachmat Sentika from The National Committee of Zoonoses Control, Dr. Phuc Pham Duc from Center for Public Health and Ecosystem Research, Hanoi School of Public Health Vietnam, and Prof. Saul Tzipori from Tufts University. The seminar talked about Indonesia success story in fighting avian influenza, application of integrated farming and its relation to improve human, animal and ecosystem health and a brief introduction of Emerging Pandemic Threat (EPT) 2 program.
After lunch, six panel of symposiums was held to explore several strategic issues on One Health namely Co trolli g infectious & zoonoticdiseases , E ergi gand re-emerging pandemic threats , E iro e tal health & e ology , Cli atechange & populationhealth , Beha iorchange & policy ad o a y , and Capa ity building on education & communityser i e . A total of 44 submitted abstract have been reviewed and the selected participants conveyed their research result through 12 oral presentation and 9 poster presentation.
INDOHUN Annual Meeting
The oral presentation (symposium) was back to back with INDOHUN Annual Meeting conducted on separate room near the ballroom. Fifty eight deans or its representatives from 32 faculties and 21 universities across Indonesia were attended the INDOHUN Annual Meeting, including Universitas Indonesia, Bogor Agricultural University, Gadjah Mada University, Airlangga University, Andalas University, Brawijaya University, Cendrawasih University, Diponegoro University,
On the second day, the participants are divided into two outstanding
orkshops, a ely O e Health Colla orati e Workshop a d
Leadership Trai i g a d O e Health Youth Foru .
One Health Workshop
One Health Collaborative Workshop engaged professionals, researchers, and government stakeholders to develop a winning proposal and build successful collaboration. This workshop led by Prof. Saul Tzipori from Tufts University, Dr. Katey Pelican from University of Minnesota and Prof. Amin Soebandrio from The National Committee of Zoonoses Control. In the beginning of workshop, Prof. Saul explained about how to write a good research proposal and followed by Dr. Katey who explained about how to make a winning project proposal.
Hassanudin University, Sriwijaya University, Mulawarman University, North Sumatera University, Nusa Cendana University, Prof. Buya Hamka University, Sam Ratulangi University, Sebelas Maret University, University of Mataram, Padjajaran University, University of West Nusa Tenggara, Syiah Kuala University, and Udayana University. The 2014 INDOHUN Annual Meeting discussed INDOHUN by laws, strategic plan, and sign of agreement between university to strengthen their network and INDOHUN governance. It is hoped through this annual program an established national agenda of INDOHUN priority programs were developed to accelerate the improvement of human, animal and environment health in Indonesia.
Leadership and Youth Forum
Leadership Training and One Health Youth Forum engaged 63 students and young professionals to further discuss global health and zoonotic disease as well as develop their leadership skills. This workshop led by Dr. Marc Baril from Stelerix Strategic Management Inc and facilitated by 4 Global Health True Leader Fellows. At the beginning of workshop, participants were divided into several groups across faculties, universities, and background. It was expected that they could create a positive collaboration by combining their best potential and expertise. After short introduction between groups, drh. Andri Jatikusumah explained about Glo alHealth, Global Issues and Challe ges then followed by a Jeopardy Quiz. Next, Dr. Marc Baril delivered modules on Be o i ga TrueLeaders to underlying the concept of leadership, including value, beliefs and ethic, help understanding ethical aspect of leadership, association between morality and leadership as well as help determining parti ipa t slife values, vision and mission in order to be true leaders. The next module conveyed was Interpersonnal“kills to improveparti ipa t sinterpersonal skills which were needed for One Health communication, to work multi-disciplinarily and cross-sectorally to solve complex problem and enhancedparti ipa t spresentation skills and public speaking. By the end of the day, participants were exposed on how to build networks, partnership and collaboration in order to solve the global health challenges. This session was closed by performing the marshmallow exercise which found as the most interesting part of the workshop. Participants were trained to reach an objective by working together.
Value of the event
Participants acknowledge that the ISOOH 2014 is the right place to develop new opportunities in collaboration with other people across the world and increase their leadership skills. They were enlightened that One Health approach is a proper approach in tackling emerging and reemerging disease so they are willing to implement it in their work environment.
Many participants admitted that the event was attractive, however they suggested that it would be great if the duration of symposium and workshop were extended as they claim this event was useful for them. Moreover, the participants were delighted about the workshop content which provides the information regarding how to write a winning proposal and list ofdo or srequirements. Besides, this symposium and workshop equip the participants with the knowledge and skill on collaboration and working with multidisciplinary knowledge. Most of the participants were very exciting about the event and topics. They are expecting to have this event annually as well as there will be another related event following up the ISOOH 2014. However, the participants claimed that game session and outdoor activities need to be increased.
The i for atio the ethods to
collaborate human, animal, and
e iro e t reati g etter life
The sy posiu a aged so ell, the
speakers so informative and so competent
a out the topi , the aterial are good
The speakers are professio als a d ery
well about their subject, the place is convenient, the variety of food, and all the
EBOLA
Host: fruit bat, primate (apes and monkey)
The 2014 Ebola epidemic is the largest in history and is affecting multiple countries. The first
outbreak in West Africa. This outbreak is the first Ebola epidemic the world has ever known.
1 in 2 people who get Ebola have died. 4.960 persons deaths probable, confirmed and
suspected in West Africa, includes one death in US and one in Mali.
Ebola is a serious infectious illness which often proves fatal. The virus, which is thought to have
originated in fruit bats, was first detected in 1976 in an outbreak near the Ebola River in what
is now the Democratic Republic of Congo.
How do you get the Ebola virus?
Direct contact with:1. Body fluids (blood, vomit, pee, poop, sweat, semen, spit, other fluids) of a person who is sick with of died from Ebola
2. Objects contaminated with the virus (needles, medical equipment)
3. Infected animals (by contact with blood or fluids or infected meat)
Early symptoms:
Fever, Headache, Fatigue, Diarrhea, Vomiting,
Stomach pain, Unexplained bleeding or bruising,
Muscle pain, Weakness, Abdominal (stomach) pain
Ebola can only be spread to others after symptoms
begin. Symptoms can appear from 2 to 21 days
after exposure, but average is 8 to 10 days.
Ebola is not spread through the air and water.
Recovery from Ebola depends on good supportive
clinical care and the
patie t s
immune response.
People who recover from Ebola infection develop
antibodies that last for at least 10 years.
When is someone able to
spread
the
disease
to
others?
Countries with cases of Ebola
If you travel to or are in an area affected
by an Ebola outbreak, make sure to do the
following:
Practice careful hygiene. For example,
wash your hands with soap and water
or an alcohol-based hand sanitizer and
avoid contact with blood and body
fluids.
Do not handle items that may have
come in contact with an infected
perso s
blood or body fluids (such as
clothes, bedding, needles, and medical
equipment).
Avoid funeral or burial rituals that
require handling the body of someone
who has died from Ebola.
Avoid contact with bats and nonhuman
primates or blood, fluids, and raw
meat prepared from these animals.
Avoid facilities in West Africa where
Ebola patients are being treated. The
U.S. embassy or consulate is often able
to provide advice on facilities.
After you return, monitor your health
for 21 days and seek medical care
immediately if you develop symptoms
of Ebola.
Healthcare workers who may be
exposed to people with Ebola
should follow these steps:
Wear
appropriate
personal
protective equipment (PPE).
Practice
proper
infection
control
and
sterilization
measures.
For
more
information, see Information for
Healthcare
Workers
and
Settings.
Isolate patients with Ebola from
other patients.
Avoid
direct,
unprotected
contact with the bodies of
people who have died from
Ebola.
Notify health officials if you
have had direct contact with
the blood or body fluids, such as
but not limited to, feces, saliva,
urine, vomit, and semen of a
person who is sick with Ebola.
The virus can enter the body
through
broken
skin
or
unprotected
mucous
How is Ebola being treated on the ground?
The
equipment
includes
waterproof overalls, gloves,
medical
face
masks
and
goggles.
All
parts of the
clothing must be completely
impermeable since Ebola is
spread in bodily fluids such as
sweat, urine and blood.
Marburg Hemorrhagic Fever (Marburg HF)
Marburg hemorrhagic fever (Marburg HF) is a rare but severe hemorrhagic fever which affects both humans and non-human primates. Marburg HF is caused by Marburg virus, a genetically unique zoonotic (or, animal-borne) RNA virus of the filovirus family. The five species of Ebola virus are the only other known members of the filovirus family.
Marburg virus was first recognized in 1967, when outbreaks of hemorrhagic fever occurred simultaneously in laboratories in Marburg and Frankfurt, Germany and in Belgrade, Yugoslavia (now Serbia). Thirty-one people became ill, initially laboratory workers followed by several medical personnel and family members who had cared for them. Seven deaths were reported. The first people infected had been exposed to imported African green monkeys or their tissues while conducting research.
The reservoir host of Marburg virus is the African fruit bat,Rousettus aegyptiacus.
Fruit bats infected with Marburg virus do not to show obvious signs of illness. Primates (including humans) can become infected with Marburg virus, and may develop serious disease with high mortality. Marburg HF typically appears in sporadic outbreaks throughout Africa; laboratory confirmed cases have been reported in Uganda, Zimbabwe, the Democratic Republic of the Congo, Kenya, Angola, and South Africa. Many of the outbreaks started with male mine workers working in bat-infested mines.
Cases of Marburg HF have occurred outside Africa, such as during the 1967 outbreak, but are infrequent. In 2008, a Dutch tourist developed Marburg HF after returning to the Netherlands from Uganda, and subsequently died. Also in 2008, an American traveler developed Marburg HF after returning to the US from Uganda and recovered. Both travelers had visited a well-known cave inhabited by fruit bats in a national park.
Signs and Symptoms
After an incubation period of 5-10 days, symptom onset is sudden and marked by fever, chills, headache, and myalgia. Around the fifth day after the onset of symptoms, a maculopapular rash, most prominent on the trunk (chest, back, stomach), may occur. Nausea, vomiting, chest pain, a sore throat, abdominal pain, and diarrhea may then appear. Symptoms become increasingly severe and can include jaundice, inflammation of the pancreas, severe weight loss, delirium, shock, liver failure, massive hemorrhaging, and multi-organ dysfunction.
2014 Outbreaks
On October 6, 2014, the Ministry of Health (MoH) of Uganda reported a single confirmed, fatal case of Marburg hemorrhagic fever (MHF). The patient was treated in Mengo Hospital in Kampala. Investigations of contacts are ongoing and testing of suspect cases is being conducted at the Uganda Virus Research Institute with support from CDC.
UNMEER
The first-ever UN emergency health mission, the UN Mission for Ebola Emergency Response (UNMEER) is being set up in response to the unprecedented outbreak. The Mission will be temporary and will respond to immediate needs related to the fight against Ebola.
Rapid action
Under the strategic guidance of the SG's Special Envoy, David Nabarro, and the operational direction of the SG's Special Representative, Anthony Banbury, the mission will harness the capabilities and competencies of all the relevant United Nations actors under a unified operational structure to reinforce unity of purpose, effective ground-level leadership and operational direction, in order to ensure a rapid, effective, efficient and coherent response to the crisis. The singular strategic objective and purpose of the Mission will be to work with others to stop the Ebola outbreak. To achieve this, the strategic priorities of the Mission will be to stop the spread of the disease, treat the infected, ensure essential services, preserve stability and prevent the spread to countries currently unaffected. Advance teams were immediately deployed to Guinea, Liberia and Sierra Leone as well as to the mission headquarters in Ghana.
In partnership
UNMEER will work closely with governments and national structures in the affected countries, regional and international actors, such as the African Union (AU) and the Economic Community of West African States (ECOWAS), and with Member States, the private sector and civil society.
