Publication | INDOHUN INDOHUN News No.5

The Fifth Edition, April 2015

Prof. Srihadi Agungpriyono :
Recent Situation of Global
Health and The Universities
Role

Abdillah Farkhan :
GHTL Experience, Becoming
The True Leader!

INDOHUN UPDATE!
The Upcoming Trainings
The Upcoming Events
Avian Influenza Outbreak 2015 in Minnesota

INDOHUN Announcement

INDOHUN has already moved.
According to the agreement with Faculty of Public Health
Universitas Indonesia (FPH UI), INDOHUN is currently moving

to the new office. The previous office was on the 1st floor of
FPH UI’s G Building. Today, INDOHUN has moved already to
the 3rd floor but still in the same building. Related to this
office move, INDOHUN also made a little thanksgiving that
had been attended by INDOHUN Liaison Officer, Prof. Wayan
Tunas Artama and the representation of Faculty of Public
Health Universitas Indonesia, Dr. Pujiyanto.

INDOHUN is now legal.
At the beginning of April 2015, precisely on April 6, 2015, INDOHUN is incorporated as a
legal association. The Deed of Association has been signed by the INDOHUN Founding
Members, that are deans from Faculty of Public Health Universitas Indonesia, Faculty of
Veterinary Medicine Bogor Agriculture University, Faculty of Veterinary Medicine
Universitas Gadjah Mada, and Faculty of Medicine Universitas Gadjah Mada.

FROM INDOHUN

Communicable Disease, How to deal with?
by Prof. drh. Srihadi Agungpriyono, Ph.D., P.A.Vet.(K)


Recent situation of global health
Following the millennium years 2000,
countries in the world are borderless
due
to
the
advancement
of
transportations
and
information
technology and the increasing of
collaboration among countries. Many
positive impacts such as trading,
economy,
cultural
exchange,
academic atmosphere and others are
resulted, but in other hand, borderless
may also means the easy spreading of

infectious diseases.

“The diseases spread from one
person to another or from an
animal to a person (zoonosis)”
Infectious diseases may transmittable
between
human
and
become
communicable diseases, or come from
animal (zoonosis). The diseases spread
from one person to another or from an
animal to a person (zoonosis). The
spread often happens via airborne
viruses or bacteria, but also through
blood or other bodily fluid (Fig. 1). The
rapid transmission among human will
lead to a pandemic. Several infectious
diseases can be mentioned such as

HIV/AIDS, influenza, tuberculosis, ebola,
SARS, MersCoV, Avian flu, dengue,
malaria, polio, hepatitis, also rabies
and athrax etc. These diseases are
serious problem in many countries.

Fig 1. Spread of communicable diseases
source: howmed.net

The spreading of the infectious diseases
outside country is possible by people
travel to other countries, by animal or
animal products movement, by vectors
etc. Some diseases are specific in
certain region due to socio-culture and
behavior of local people or due to
ecological factors such as climate
(change) condition etc.

Some infectious diseases have already

been reported since long time ago and
are still found up to the present time.
Some diseases have been eradicated in
several countries but recently they
appear again (emerging diseases) in
those countries or in other countries, and
some diseases are only found recently
(new emerging diseases). The factors
are complicated and many factors
should be taken into consideration in the
control and eradication of the diseases.

“We could not just focus on
the giving medicine or
vaccination to the patient, but
also have to control the
diseases”
We could not just focus on the giving
medicine or vaccination to the
patient, but also have to control the

diseases in animal and vectors as
sources, good practice in hygiene and
sanitation,
environment
control,
training people to good and healthy
habit, advocacy to government etc.
Therefore a comprehensive approach
is needed. This means the approach
should be multi disciplines, cross sectors
and involve many people. Such
approach is called one health.

University Function
University has three main functions as
the center of excellent of academic,
research and community services (so
called Tri Dharma Perguruan Tinggi).
University train student with research
based knowledge and community

services experience to make a good
graduate with sufficient competency in
their specific field. Graduates in the
field of human and environment
(including
animal)
health
have
responsibilities to support and involve in
the control and eradication of
infectious diseases. Consider that the
diseases are very much complex,
graduate from one single field of
medicine may not able to fight the
diseases alone. One Health approach
is regarded as important tools.
Networking and collaboration among
universities should be made.

The South East Asia One Health

University Network (SEAOHUN) has
been established to facilitate mutual
collaboration among universities in
South East Asia region to facilitate
capacity building in one health. At
present, members of SEAOHUN include
10 universities in Thailand, Malaysia,
Indonesia, and Vietnam.
Capacity building is very important to
create new graduate species that has
good and sufficient understanding in
global health problems. Therefore, a
specific training and courses in one
health are needed to be developed.
In addition, many cases show that
people socio-culture, local tradition
and economic may of important
factors for the diseases in those areas.
It is becoming important to give also
training and explanation to the people

about health management, hygiene,
sanitation and about the diseases.
SEAOHUN will develop and provide
one health training modules and
curricula to facilitate these needs.

“A specific training and
courses in one health are
needed to be developed”

THE PUBLIC OPINION

GLOBAL HEALTH TRUE LEADERS Training
Initiating Partnership and become True-Future Leader
As young generation, having leadership skill
is a primary need for doing things in new
ways. Expanding capacity and role of
young generation is important to prepare
potential leaders in facing health transition,
especially addressed to emerging infectious

diseases where its development become
very dynamic. The Global Health True
Leaders (GHTL) training facilitate capacity
development of both leadership and
partnership skills, as well as enhance
understanding about global health issues in
holistic way using One Health approach.

The training was very
worthwhile, require critical
thinking but much more fun
GHTL is an international training for young
professionals and students. The first series
was successfully conducted in Makassar,
Indonesia in January 2014 but I took this
training at the second series in Koh Chang,
Thailand during 17 - 21 April 2014. The
training was very worthwhile, require critical
thinking but much more fun. The committee
has designed this training into a good

model where we can express ourself as a
future leader. The valuable rule during this
meeting is: there’s no randomize method to
select a leader because everyone have to
take role as leader for a day. This wasn’t
means that leaders are changeable but it
was an opportunity for everyone without
exception.

This days training has created
networks and relationship among
us, like an embryo to build global
partnership for the future

Working as a junior researcher for an
Ecohealth research project is like my free
ticket to attend GHTL. I met with other
young professionals comes from different
nations, i.e., Thailand, Vietnam, Myanmar,
Philippines, Lao PDR, and Nepal. Some of
them are researchers like me, and the other
are practitioners and postgraduate students
from different backgrounds but have
interest in the field of health. This 5 days
training has created networks and
relationship among us, like an embryo to
build global partnership for the future.
Although this training was done under the
tittle of Global Health True Leaders, but the
trending topic was predominantly by One
Health, than Global Health itself. One Health
is an approach but like our Indonesian
motto: unity in diversity. In addressing an
issue of ecosystem, animal and human
health, it require us use holistic approach
and decide collaborative strategy. The
major lesson from the course is about new
ways for working together. The GHTL has
change our disciplinary mindset into
transdiciplinary ones.

GHTL Training : Initiating Partnership and become TrueFuture Leader
Grouped in different countries,
different cultures, and different
languages as a team is not easy
but give positive impact, at least
gather new relationship
The session of group discussions were run
very exciting because we have integrate so
many
thought.
The
comprehensive
understanding about ‘how people and their
health relate to the ecosystem’ was built
through working group discussion in
multidisciplinary context. We have divided
into several groups that make we are
representing our own country, don’t think
we can find our friends from the same
nation in a group discussion. All of us have
to contribute thoughts, ideas, and solution
according in our own discipline; then have
to speak out.

by Abdillah Farkhan

Grouped in different countries, different
cultures, and different languages as a team
is not easy but give positive impact, at least
gather new relationship. Because we
grouped in, the lesson about culture, beliefs,
values, and ethics become important.
Although we are knowledgeable about
One Health itself: understanding system
thinking, and transdisciplinary but One
Health approach require us to translate
these into action. Therefore the lesson
about culture, values, and ethics were tools
for implementing our action where we play
role as a leader in the field.
As beginners which have less experience in
One Health practice, there’s needs much
more opportunities to develop our
leadership skill in problem solving. Courses
about build successful collaboration and
wining a proposal was delivered. The
introduction of prospective donors, what do
they need, and how to attract their
awareness, become the most interesting
topic during the training. In the last day, all
participants were expected to learn a lot of
One Health in daily life and activities
through field study. Koh Chang District
located in Trat Province was very suitable
for One Health setting. It was a tourist
hotspot like Bali in Indonesia, where the
complex relationship of socio-ecological
has changing environment and need to be
solve.

Junior Researcher, Center for Health Policy and Social Change Indonesia

One Health Leadership Project Chance to Renew Our Countryside
My proposal was one of
selected innovations that received
funding for one year project work.
) come in a real world
The chance came from GHTL committee
through proposal calls of seed funding. All
GHTL fellows were obliged to submit a
proposal, create a concept of problem
solving skill in the theme of One Health, gain
partnership and build a multidisciplinary
teamwork. If selected we will have an
opportunity to implement our concept and
act as leaders. My proposal was one of 6
selected innovations that received funding
for one year project work. I come in a real
world.
As the saying goes, living and working in
Bali is time to dive and drink water. We
could explore both nature and culture, as
well as improve the health status of
community. Bali is exotic, people called
‘Island of The Godness’. The Balinese has
their own philosophy which is representing
One Health concept. It is Tri Hita Karana,
tells that peace and liberty are obtainable
only if we respect with three harmonious
relationship, they are God of the almighty
(Parahyangan), the Nature (Palemahan),
and the People (Pawongan).

Put the lesson learn of our previous
Ecohealth research1 which also been
conducted in Bali, One Health concept
guide us to learn the complex relationship
of socio-ecological dimensions that
present in Denpasar City – The Heart of
Bali. Denpasar is a small city began as a
sub-district. The harmonious life was
bothered by development activities
occurred only in 2 decades. The problem
exist started by progressive urbanization
which has change Denpasar landmark
into an urban ecosystem. The emerging
health issues mapped by One Health
concept were demographic dynamism,
socio-economic disparities, vector borne
and zoonotic diseases, poor and slum
spots, pollution, water consumption,
waste production, land usage, and less
community participation.
1 The Application of an Eco-Bio-Social Approach to Emerging Infectious Diseases in
Southeast Asian Global Outreach Hotspot

One Health Leadership Project Chance to Renew Our Countryside
The main rule of this leadership project was
exercise and practice leadership and
problem solving skill. We are expected to
design the objective of the project by
ourself, as long as it contain several types
including capacity building, community
service,
or
policy
advocacy.
The
knowledges about what urban health
matters in Denpasar used to state our
project’s objectives, choose the type, and
learn expected outcome.
Our leadership project was a bottom up
activities. The focus was on empowering
marginalized groups, refers to they with less
access in receiving current information
(both local community and migrants),
people who take roles as implementers but
have unsent ideas (practitioner in village
level,
including
local
community
organizations), and they who have less
participation in sustaining environment
(migrants).

People who take roles as
implementers but have unsent
ideas (practitioner in village level,
including local community
organizations), and they who have
less participation in sustaining
environment migrants

by Abdillah Farkhan

The needs of behavioural change
communication and process to
develop strategic plan on micro
level (this process called as
communication for development)
were prioritized
The
civil
society,
meaning
active
community participation is essential which
could bring the action aimed at improving
healthy city. The needs of behavioural
change communication and process to
develop strategic plan on micro level (this
process called as communication for
development)
were
prioritized.
The
activities carried out were improving
village system for sanitation, providing
applicable
media
information,
and
facilitating aspirations among community
workers.
Model of collaboration was designed in
community-based organizations level. They
were came from community health
workers (currently responsible in diseases
prevention such Dengue and Rabies) and
community
environmental
workers
(currently responsible in waste and
pollution control). As a representative of
community that understand roots of the
problem, they were potentially actors to
contribute
visions
and
put
join
recommendation.

Junior Researcher, Center for Health Policy and Social Change Indonesia

INDOHUN UPCOMING
TRAININGS

GHTL 2015
(Global Health True Leaders)
Reflecting from the previous success in
training the pre-service One Health
Workforces in 2014, this year, INDOHUN
(Indonesia
One
Health
University
Network) will again conduct the Global
Health True Leaders (GHTL) for the
second time.
GHTL program it self is a leadership
program for students. The students will
be trained on One Health-specific
leadership and One Health approaches
for approximately 1 week to afterwards
manifest the One Health concept in
their community and work.
This year, GHTL will take place in Pontianak, West Kalimantan. GHTL is a-whole-week
training that will be conduct on the second week on August 2015.

ToT 2015
(Training of Trainers)
ToT or Training of Trainers is
one of INDOHUN training
program. This program has
two categories, that are the
training
that
will
be
conducted for the future
and current One Health
Workforces (OHW).
The difference between
these two trainings lies in the
training’s main objective.
The ToT for future one health
workforce is designed for
lecturers as prospective
participants that expected
to deliver the OHW training
matters for their student in
the university.

Meanwhile, the ToT for
current
one
health
workforce is designed for
person who already worked
professionally.
The
participants
will
be
equipped in delivering the
training matters in their
working
areas.
The
prospective participants will
be from the government
and
the
professional
organization related to One
Health.
ToT for future OHW will be
held in parallel with ToT for
current OHW in Balikpapan
on October 2015.

INDOHUN UPCOMING
EVENTS
We are now entering a new year. Reflecting from the INDOHUN previous activities in
2014 and combined by the objectives, goals, and priorities in 2015 which will be
focusing on strengthening the One Health Workforce’s capacity, there are several
activities that will be held. In previous page we have the upcoming trainings and the
rest of the activities are here.

Consolidation Meeting: One
Health Community-Empowerment

One Health Workforce Need
Analysis and Planning
Meeting
The meeting purposes are
identify the needs of one
health workforce and
establish the one health
workforce needs priority map
and planning. This meeting will
be conducted on May 2015

One Health Workforce Joint
Research Proposal Workshop
The workshop will gather
researchers from university
members to develop the
joint research proposal on
One Health. Workshop will
be held on September, 2015.

This meeting aims are consolidate
INDOHUN member that have
conducted community
empowerment program in their
university and develop the
community empowerment
program manual so it can be
used for other INDOHUN university
members. It will be held on June,
2015

Developing Collaboration
Center on One Health Issues
This event will be held as a
workshop and will be
attended by 34
representatives from
INDOHUN member. The
participants will be
encouraged to develop
collaboration center on One
Health issues.

INDOHUN NEWS UPDATE

An outbreak of avian flu
sweeping
through
the
western half of the United
States has hit Minnesota's
$800
million-plus
turkey
industry especially hard:
More than 4 million birds
have died from the disease
or were killed to prevent the
virus from spreading, mostly
in
the
southwestern
quadrant of the state.
Minnesota and the 2015 outbreak
Minnesota chicken producers haven't
escaped the disease. The latest news
was stated more than 1.5 million
commercial chickens have died. A
relative handful of birds in a backyard
mixed-poultry flock were also hit.
Nearly 5.6 million birds in Minnesota's
commercial and domestic poultry flocks
have died during the 2015 avian
influenza outbreak — killed by the flu
itself or euthanized to prevent the
spread of the disease.
The Avian Influenza virus is so virulent. It
possibly makes thousands of birds die
only in a few days.
Minnesota
declared
a
state
of
emergency on Thursday over a fastspreading strain of avian flu that has led
to the extermination of more than 7.3
million birds in the country. It followed
Wisconsin's action on Monday.
The highly pathogenic H5N2 strain of
bird flu has been identified on 46
Minnesota farms in 16 counties and
affected more than 2.6 million birds in
the state.

Bird deaths by county
The state has verified 82 outbreaks
among birds in 21 counties, many of
which lie in the heart of Minnesota's
turkey-producing country.
The Minnesota Board of Animal Health and
the U.S. Department of Agriculture are
tracking cases of avian flu across the state.
When an outbreak is confirmed, the
agencies note the size of each farm and
the county in which it's located.
Throughout the outbreak, officials have
emphasized that the food system is safe.
Still, about four dozen countries have
banned Minnesota poultry, including the
entire European Union and most of Central
America, according to the U.S. Department
of Agriculture.
So far, no human cases have been
reported in the United States or elsewhere,
according to the USDA. Although the risk of
transmission to humans is low, workers in the
state who have contact with the infected
flocks will be monitored for the illness

Source : Minnesota Health Department in reuters.com

INDOHUN
National Coordinating Office
Kampus Baru Universitas Indonesia
Faculty of Public Health,
G Building 3rd Floor, Room 316
Depok, West Java, Indonesia
16424