Publication | INDOHUN INDOHUN News No.3
Vol 3. 6/2014
INDOHUN NEWSLETTER
CONTENTS
Global Health True Leaders
International Symposium on One Health Approach
for Health Profession Education
Leptospiroris in Humans and Animals in Indonesia and Policy
Strategies of Disease Control in Animals and Human
Middle East Respiratory Syndrome
VOL. 3.
6/2014
INDOHUN NEWSLETTER
VOL. 3.
6/2014
GLOBAL HEALTH TRUE LEADERS
INDOHUN NEWSLETTER
VOL. 3.
6/2014
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.
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.
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
“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.
Following the success of GHTL in Indonesia,
Universitas Indonesia together with Mahidol
University (Thailand), Hanoi School of Public Health
(Vietnam), and Kunming Medical University (China)
under Field-building Leadership Initiative in
Southeast Asia with support from IDRC Canada have
continued to prepare young generation to be the
future health leaders through Global Health True
Leaders series that was held in Thailand (18-22 April
2014), Vietnam (25-29 April 2014), and China (5-9
May 2014). This series is purposed to create a
greater progress in nurturing the future generation
health leaders.
INDOHUN NEWSLETTER
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.”
“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
Prof. Dr. Burin T. Sriwong
“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
“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.”
Karis Lee Mallanao Del Castillo
VOL. 3.
6/2014
INDOHUN NEWSLETTER
INTERNATIONAL SYMPOSIUM ON ONE HEALTH APPROACH
FOR HEALTH PROFESSION EDUCATION
VOL. 3.
6/2014
INDOHUN NEWSLETTER
VOL. 3.
6/2014
International Symposium on One Health
Approach for Health Profession
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).
The speakers in this symposium consist of Jeein Chung,
DVM, MPH, Dipl ACVPM from University of Minnesota,
Dr. Kaylee Myhre Errecaborde from University of
Minnesota, Dr. Saengduen Monsoon from THOHUN,
Pham Duc Phuc, MD, PhD from VOHUN, Assoc. Prof.
Latiffah Hassan, DVM, PhD from MyOHUN, and drh.
Srihadi Agung Priyono, PhD, PAVet(K) from INDOHUN.
Resource persons in this symposium consist of dr.
Arida Oetami, MKes from provincial Health Office of
Yogyakarta, drh. Erry from Provincial Health Office and
Agriculture Health Office of Yogyakarta, Prof. Dr. drh.
Wayan Tunas Artama from Faculty of Veterinary
Medicine, Gadjah Mada University and Dr. drg. Indang
Trihandini, MKes from Faculty of Public Health
Universitas Indonesia
INDOHUN NEWSLETTER
VOL. 3.
6/2014
Leptospiroris in Humans and Animals in
Indonesia and Policy Strategies of Disease
Control in Animals and Human
•
•
•
•
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
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 multi-sector, multi-disciplinary and multiprofessional.
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
These include the lack of established surveillance systems and point-ofcare diagnostics at both national and local levels, which limits the
ability to detect cases and outbreaks. Long-term studies are needed to
evaluate various interventions and targeted control strategies in both
endemic and nonendemic areas. Because the epidemiology of
leptospirosis has a strong environmental component, and topographical
data would be beneficial for predicting outbreaks after flooding events
and occurrence of natural disasters. Public health entities should
coordinate with the veterinary sector to implement surveillance and
investigation of outbreaks with the goal of prevention and control as
envisioned by the “One Health” concept. (Written by INDOHUN Members:
Hamzah Hasyim, SKM, MKM; Prof. Dr. drh. Lucia Ratna Winata Muslimin, M.Sc.; Prof. Dr.
drh. Aulanni'am, DES)
INDOHUN NEWSLETTER
VOL. 3.
Middle East Respiratory Syndrome
Based on the phylogenetic analyses, MERS-CoV was close to the SARS
Coronavirus. MERS-CoV was first designated HCoV-EMC (Human Coronavirus
Erasmus Medical Center). However after global consensus, it was then
renamed as MERS-CoV. MERS-CoV has been found in camels in Qatar, Oman,
Egypt and Saudi Arabia, and also a bat in Saudi Arabia. Camels in several
other countries have also been tested positive for antibodies to MERS-CoV,
this finding indicates that the camels were previously infected with MERS-CoV
or another closely related virus. This might be the cause of MERS-CoV
infection in human. However, further information is still needed to clearly
figure out the possibility of camels, bats, and other animals’ role in the
transmission of MERS-CoV to human.
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 MERSCoV, and has history of travel to the Arabian Peninsula.
6/2014
INDOHUN NEWSLETTER
VOL. 3.
6/2014
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.
Indonesia 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.
Overall, there is no suspected case of MERS-CoV infection has been declared positive in
Indonesia. However, the Ministry of Health has created an awareness for Indonesian
citizens regarding MERS, especially for the next pilgrims that going to go for Hajj in the
Saudi Arabia this September.