Publication | INDOHUN INDOHUN News No.6
The Sixth Edition, September 2015
Training the Future True Leaders
In
Global Health
To Prevent and Control
Travel advice on MERS-CoV for pilgrimages
As of May 2014, more than 635 cases of Middle East
respiratory syndrome coronavirus (MERS-CoV) have
been reported to WHO. The virus appears to be
circulating widely throughout the Arabian Peninsula
and most MERS cases have been reported by the
Kingdom of Saudi Arabia. While most cases have
occurred among residents, some cases have occurred
among visitors. Based on currently available
information, the overall risk for visitors to acquire
MERS infection appears to be low.
A typical case of MERS includes of
fever, cough, and/or shortness of
breath. Gastrointestinal symptoms,
including diarrhoea, have also been
reported. The virus appears to cause
more severe disease in people with
weakened immune systems, older
people, and those with such chronic
diseases as diabetes, cancer and
chronic lung disease.
It is important for countries to use all
practical and effective means possible to
communicate information on a range of
issues before.
During and after Umra and Hajj to all key groups, including the following:
travellers to Umra and Hajj, particularly vulnerable groups within this population;
public health officials;
health care staff responsible for the care of ill pilgrims;
transportation and tourism industries; and
the general public.
Source: WHO, SaudiMOH
1
Travel advice on MERS-CoV for pilgrimages
Actions for countries to take in preparation for Umra and Hajj
Countries should advise travellers that people with pre-existing major medical conditions
(e.g. diabetes, chronic lung disease, chronic renal disease, immunodeficiency etc.) are more
likely to develop severe infection for MERS if they are exposed to the virus. Pilgrims should
be advised to consult a health care provider before travelling to review the risk and assess
whether making the pilgrimage is advisable.
Countries should advise travellers and travel organizations on general travel health
precautions, which will lower the risk of infection in general, including influenza and
tra eller’s diarrhoea. Specific emphasis should be placed on:
hand hygiene and respiratory hygiene (covering mouth and nose when coughing or
sneezing, washing hands after contact with respiratory secretions, and keeping a
distance of one metre with other persons when having acute febrile respiratory
symptoms);
adhering to good food-safety practices, such as avoiding undercooked meat or food
prepared under unsanitary conditions, and properly washing fruits and vegetables
before eating them;
maintaining good personal hygiene.
Source: WHO, SaudiMOH
2
Travel advice on MERS-CoV for pilgrimages
Actions for countries to take in
preparation for Umra and Hajj
Countries should make health related advice
available to all travellers departing for Umra or Hajj
by working with the travel and tourism sectors and
placing such materials at strategic locations (e.g.
travel agent offices or points of departure in
airports). Different kinds of communication, such as
health alerts on board of planes and ships, and
banners, pamphlets and radio announcements at
international points of entry, can also be used to
reach travellers. Travel advice should include current
information on MERS-CoV and guidance on how to
avoid illness while travelling. Countries should ensure
that they have access to adequate laboratory services
for testing for MERS-CoV and that information on
how to obtain laboratory services and clinical referral
is known to health care providers and facilities.
Countries should advise travellers to delay their
travel if they develop a significant acute respiratory
illness with fever and cough.
Countries should provide medical staff
accompanying pilgrims with up to date
information and guidance on MERS-CoV,
ensuring that:
• they are alert to the early signs of a
developing respiratory infection and
pneumonia:
• they know who is considered to be in a
high-risk group;
• they know what to do when a suspected
case is identified;
• they are aware of simple health measures
to reduce transmission.
Source: WHO, SaudiMOH
Travel advice on MERS-CoV for pilgrimages
Infection prevention and control measures are critical to prevent the possible spread of
MERS-CoV in health care facilities. Health care facilities that provide care for patients
suspected or confirmed to be infected with MERS-CoV infection should take
appropriate measure to decrease the risk of transmission of the virus from an infected
patient to other patients, health care workers, and visitors. Health care workers should
be educated, trained, and refreshed with skills on infection prevention and control.
Actions to take during Umra or Hajj
Countries should advise travellers that if they develop a significant acute respiratory
illness with fever and cough (severe enough to interfere with usual daily activities)
during Umra or Hajj, they should:
report to the medical staff accompanying the group or to the local health
services;
cover their mouth and nose when coughing or sneezing, wash hands afterwards,
or if this is not possible, cough or sneeze into upper sleeves of their clothing;
avoid attending crowded places and preferably isolate themselves until the end
of the respiratory symptoms and, if isolation is not possible, use a tissue for
covering nose and mouth or a surgical mask when in crowded places.
Countries should advise travellers to avoid close contact with camels, visit farms and
consume unpasteurized camel milk, urine or improperly cooked meat.
Source: WHO, SaudiMOH
4
Travel advice on MERS-CoV for pilgrimages
WHO advise travellers who develop a
significant acute respiratory illness with
fever and cough (severe enough to
interfere with usual daily activities) to:
minimize their contact with others to keep
from infecting them; cover their mouth and
nose with a tissue when coughing or
sneezing, then discard the tissue in the
trash after use and wash hands afterwards,
or, if this is not possible, to cough or sneeze
into the upper sleeves of their clothing, but
not into their hands; and report to medical
staff as soon as possible.
Actions to take after Umra or Hajj
Countries
should
advise
returning
travellers that if they develop a significant
acute respiratory illness with fever and
cough (severe enough to interfere with
usual daily activities) during the two weeks after their return, they should:
seek medical attention, informing health attendants of their recent travel for
Umra or Hajj;
immediately notify their local health authority;
take precautions when coughing or sneezing;
minimize their contact with others to keep from infecting them.
Countries should alert health practitioners and facilities to test returning travellers
with a clinical presentation that suggests the diagnosis of MERS-CoV to be tested for
MERS-CoV and to implement infection prevention and control measures. Confirmed
cases of MERS-CoV must be reported to WHO. Clinicians should also be alerted to the
possibility of atypical presentations in patients who are immunocompromised.
5
Source: WHO, SaudiMOH
Rabies W rld Day
September 28 is World Rabies Day, a global
health observance that seeks to raise
awareness about rabies and enhance
prevention and control efforts.
Dogs are also victims of rabies.
Not only are they subject to the disease's
horrific clinical symptoms, estimates
suggest millions of dogs are killed in culls
every year in misguided attempts to
control the disease
Rabies is a viral disease that is transmitted
through the saliva or tissues from the
nervous system from an infected mammal
to another mammal, usually through a bite.
Needless deaths It is currently responsible
for an estimated 59,000 human deaths a
year, almost all transmitted via dog bites.
Up to 60% of all rabies deaths are children
under the age of 15. Very few victims have
access to the palliative care that would
alleviate the suffering of their final days.
However, despite its almost 100% case
fatality rate, canine rabies is completely
preventable with modern vaccines. Nobody
need die of rabies.
The rabies virus infects the central nervous
system, ultimately causing disease in the
brain and death. The early symptoms of
rabies in people are similar to that of many
other illnesses, including fever, headache,
and general weakness or discomfort. As the
disease progresses, more specific symptoms
appear and may include insomnia, anxiety,
confusion, slight or partial paralysis,
excitation,
hallucinations,
agitation,
hypersalivation (increase in saliva), difficulty
swallowing, and hydrophobia (fear of water).
Death usually occurs within days of the onset
of these symptoms.
How is Rabies Transmitted?
Transmission of rabies virus usually begins
when infected saliva of a host is passed to
an uninfected animal. The most common
mode of rabies virus transmission is
through the bite and virus-containing saliva
of an infected host. Though transmission
has been rarely documented via other
routes such as contamination of mucous
membranes (i.e., eyes, nose, mouth),
aerosol transmission, and corneal and
organ transplantations.
Source: CDC, GARC
6
Rabies W rld Day
What to do if you’re bitten?
What is the risk for my pet?
Unvaccinated dogs, cats, and ferrets exposed
to a rabid animal should be euthanized
immediately. If the owner is unwilling to
have this done, the animal should be placed
in strict isolation for 6 months and
vaccinated 1 month before being released.
Animals with expired vaccinations need to be
evaluated on a case-by-case basis. Dogs and
cats that are currently vaccinated are kept
under observation for 45 days.
1. Wash the wound. Wash the bite wound
throughly with soap and water for 15
minutes. Apply ethanol or a similar
antiseptic to prevent secondary infection.
2. Seek urgent medical attention. Postexposure prophylaxis (PEP) is the course
of vaccines that prevent the onset of
clinical symptoms of rabies in people.
Modern vaccines are the only way to
prevent the onset of rabies after
exposure. Traditional remedies, such as
jackfruit gum and chilli powder, will not
protect you against the rabies virus.
3. Watch the animal. Where possible, watch
the biting animal for signs of illness for 14
days. Do not kill the animal. If they animal
dies, report the incident to the veterinary
authorities.
How to Prevent Rabies?
Dog vaccination is the most reliable,
sustainable, and cost effective way to
prevent rabies in people. Although dogs are
the primary source of rabies, rabies can
affect other animals too and it is wise to
vaccinate all your animals against rabies,
particularly livestock. Vaccinate your family's
animals against rabies to protect them and
help protect you and your family too.
7
Preventing and controlling rabies begins at
the community level, where people can
take the necessary steps to keep
themselves, their family, and their pets
free from rabies. Community health
officials play an instrumental role in making
sure people have the ability to take action
and learn just how deadly rabies can be.
Source: CDC, GARC
One Health Community-Empowerment
In order to control zoonotic disease,
INDOHUN need to collaborate with all
stakeholders across sector, One of
the most important part is
community, particularly community
that located in area with high rate of
zoonotic disease. Empowering the
community can be done by university
students.
In order to enhance student capacity in
empowering community on One Health,
this program need to be implemented
under faculty and university program.
Thus, INDOHUN conduct CommunityEmpowerment Workshop on One Health
to facilitate faculties implementing this
program.
This workshop was conducted in Surabaya, East
Java, Indonesia on July 29, 2015, by bringing
together deans from selected faculty member
represent 3 disciplines of medicine, public
health, and veterinary medicine.
The aims of this workshop were to develop
manual of community- empowerment on
One Health.
Total participants are 14 persons from 14
faculties member. The participants were
put into 3 groups consist of 5 persons with
3 different disciplines each group with
manual template given. Each group was
assigned to develop guidance, one group to
develop
community-empowerment
program manual for medicine faculty, one
group for public health, and one group for
veterinary medicine faculty.
This workshop shows that One Health approach
in conducting community empowerment program
was very welcome and the participants were
very delighted to develop the manual and eager
to implement this program in their faculty.
8
Global Health True Leaders BATCH 5
Global Health True Leaders (GHTL) is a leadership
training that aim to address the lack of leadership skill as
well as collaboration across sector and profession within
One Health Workforce in tackling zoonotic disease.
Global Health True Leaders Batch 5 involving 74
participants 17 universities around Indonesia
GHTL Batch 5 was conducted with 5-days-in class
training followed by 2-days field work and leadership
initiative program in Pontianak, West Kalimantan,
Indonesia on August 19-25, 2015. Involving number of
74 participants from students from 17 universities all
over Indonesia and young professional represent
10 disciplines of Medicine, Veterinary Medicine, Public
Health, Nutrition, Nursing, Pharmacy, Biochemistry,
Molecular Biology, Dentistry, and Engineering.
GHTL Batch 5 invited five distinguished trainers from
Tufts University, INDOHUN member faculties, and
Coordinating Ministry of Human Development and
Culture - National Commission for Zoonoses Control
The trainers share their knowledge and experience for
enhancing parti ipa t’s capacity, they are Prof. Wiku
Adisasmito, DVM, M.Sc., Ph.D; Prof. Stanley Fenwick,
BVMS, M.Sc., Ph.D; Prof. Adik Wibowo, MD, MPH,
Dr.PH; Dr. Ni Nyoman Sri Budayanti, MD, Sp.MK(K).; and
Rama Prima Syahti Fauzi, DVM, M.Si.
9
Global Health True Leaders BATCH 5
Leadership
Important
Values
Participants were trained to be true leaders who have strategic skills
including effective communication and dealing with the wide range of
leadership action from high-level in intellectual setting by conducting
simulation of national coordination meeting about outbreak that must
give strong argumentation using English to the ground-level by serving
district community as front liner health professionals through fieldwork.
During GHTL Batch 5, INDOHUN set
the agenda strictly so that participant
learned that discipline is the
important element as true leaders. In
collaboration with Regional Police
Command of West Kalimantan, an
outbound of leadership initiative
program on August 25, 2015 was held
as a field experience to build and
strengthen parti ipa ts’ team work,
self-resilience, and problem solving
skill through various challenges of
military obstacles, such as mud run,
raffling from 20 meters height, stairs
obstacle, log wall, rope climb, and
cargo nets.
Global Health True Leaders BATCH 5
Global
Perspective
Working
Multi-sectoral
and Across
Professions
11
Important
Values
Participants were exposed and taught to build global perspective
inside their mind through materials and the role play. In one of GHTL
role play, participant played a role as a stakeholder who tried to
deliver a press release on given problem about outbreak which
required them to give strong opinion and position in addressing
journalist interrogatory.
The Global Health True Leaders was designed to enhance interaction
between participant through case study, role play, and group
assignment that required solution from multi-sectoral perspective
from across profession. During GHTL, participants were grouped in
small group that consist of various profession and every participants
had opportunity to be a group leader since the leader should change
each day.
Global Health True Leaders BATCH 5
Culture
Important
Values
Subsequent to in-class training, participants skill particularly on
community engagement were built up since they had to perform health
promotion for children, youth, local community, and cattleman in a
remote area in West Kalimantan. The fieldwork had strengthened their
unity within their diversity (Bhineka Tunggal Ika) to achieve their
common goal.
GHTL also taught participant to respect the diversity of Indonesia
cultures through group performance including traditional dance, poem,
and theatricals in GHTL culture night.
12
Global Health True Leaders BATCH 5
GHTL Batch 5 has provided new true leaders with global perspective, uphold strong
leadership value to collaborate across sector and profession, and apprise culture value
within both community and health regulatory hierarchy.
The successful execution of GHTL this year, multi-sectoral contribution, and support from all
parties involved will become strong inspiration to us in continuing and bringing this program to
the new level in the upcoming year.
So that, the benefits of this ‘Global Health True Leaders’
program can be shared and expand to as many potentials
health workforces as possible and to national, regional, and
international level.
Global Health True Leaders BATCH 5
Glo al Health True Leaders Bat h 5 i Po tia ak as a ra d e
experience for me, maybe most of us. The fact that the chosen
participants were from various major/subjects made it even more
meaningful, which led us to broaden our networking and the programs
had just tightened our bonds.
Ratih Setiawati, Undergraduate Student-Faculty of Medicine, Airlangga University
Glo al Health True Leader Bat h 5 is o e of the ost a azi g progra s I' e e er
joined. It gives so many experiences and precious values, like leadership,
friendship, love, patient, discipline, family! MILLION THUMBS UP!
Antony Halim, Undergraduate Student-Faculty of Medicine, Tanjungpura University
Curre tly, Glo al Health issues i lude i the ore u resol ed. I the
future, Indonesia needs a dedicated leader in the health and education
support. This program can train young people become a leader and can
be solving health problem in the world. This program facilitates the
younger generations who are competent in their fields manage and
became true leaders. IT’S GREAT TO BE US!
Nuke Annisa Nasution, Research Student-Eijkman Institute
I as ery tha kful o e ti g to a great people arou d I do esia to dis uss health
problems and share their experiences. I believe, GHTL alumni would create such a
great networking and planning for better Indonesia. From GHTL to a shining future....
Yuni Dwi Setiyawati, Dietitian-Primary Health Care of Penimbung, West Nusa Tenggara
Glo al Health True Leaders progra is a ust progra to e
participated by all health young practitioners or students. It did not only
enhance your capabilities in One Health issues but also strengthen your
networks among the global health young professional. Three words for
GHTL are acknowledging, inspiring, and fun.
Annisa Ika Putri, Research Assistant-Center of Epidemiological Research & Surveillance
14
Global Health True Leaders ?
BATCH 5 !
Indonesia One Health University Network
(INDOHUN)
Faculty of Public Health University of Indonesia,
G Building, 3rd Floor, Room G316
Depok – West Java (16424)
Phone & Fax
: 6221 2930 2084
E-mail
: nco@indohun.org
Website
: www.indohun.org
Training the Future True Leaders
In
Global Health
To Prevent and Control
Travel advice on MERS-CoV for pilgrimages
As of May 2014, more than 635 cases of Middle East
respiratory syndrome coronavirus (MERS-CoV) have
been reported to WHO. The virus appears to be
circulating widely throughout the Arabian Peninsula
and most MERS cases have been reported by the
Kingdom of Saudi Arabia. While most cases have
occurred among residents, some cases have occurred
among visitors. Based on currently available
information, the overall risk for visitors to acquire
MERS infection appears to be low.
A typical case of MERS includes of
fever, cough, and/or shortness of
breath. Gastrointestinal symptoms,
including diarrhoea, have also been
reported. The virus appears to cause
more severe disease in people with
weakened immune systems, older
people, and those with such chronic
diseases as diabetes, cancer and
chronic lung disease.
It is important for countries to use all
practical and effective means possible to
communicate information on a range of
issues before.
During and after Umra and Hajj to all key groups, including the following:
travellers to Umra and Hajj, particularly vulnerable groups within this population;
public health officials;
health care staff responsible for the care of ill pilgrims;
transportation and tourism industries; and
the general public.
Source: WHO, SaudiMOH
1
Travel advice on MERS-CoV for pilgrimages
Actions for countries to take in preparation for Umra and Hajj
Countries should advise travellers that people with pre-existing major medical conditions
(e.g. diabetes, chronic lung disease, chronic renal disease, immunodeficiency etc.) are more
likely to develop severe infection for MERS if they are exposed to the virus. Pilgrims should
be advised to consult a health care provider before travelling to review the risk and assess
whether making the pilgrimage is advisable.
Countries should advise travellers and travel organizations on general travel health
precautions, which will lower the risk of infection in general, including influenza and
tra eller’s diarrhoea. Specific emphasis should be placed on:
hand hygiene and respiratory hygiene (covering mouth and nose when coughing or
sneezing, washing hands after contact with respiratory secretions, and keeping a
distance of one metre with other persons when having acute febrile respiratory
symptoms);
adhering to good food-safety practices, such as avoiding undercooked meat or food
prepared under unsanitary conditions, and properly washing fruits and vegetables
before eating them;
maintaining good personal hygiene.
Source: WHO, SaudiMOH
2
Travel advice on MERS-CoV for pilgrimages
Actions for countries to take in
preparation for Umra and Hajj
Countries should make health related advice
available to all travellers departing for Umra or Hajj
by working with the travel and tourism sectors and
placing such materials at strategic locations (e.g.
travel agent offices or points of departure in
airports). Different kinds of communication, such as
health alerts on board of planes and ships, and
banners, pamphlets and radio announcements at
international points of entry, can also be used to
reach travellers. Travel advice should include current
information on MERS-CoV and guidance on how to
avoid illness while travelling. Countries should ensure
that they have access to adequate laboratory services
for testing for MERS-CoV and that information on
how to obtain laboratory services and clinical referral
is known to health care providers and facilities.
Countries should advise travellers to delay their
travel if they develop a significant acute respiratory
illness with fever and cough.
Countries should provide medical staff
accompanying pilgrims with up to date
information and guidance on MERS-CoV,
ensuring that:
• they are alert to the early signs of a
developing respiratory infection and
pneumonia:
• they know who is considered to be in a
high-risk group;
• they know what to do when a suspected
case is identified;
• they are aware of simple health measures
to reduce transmission.
Source: WHO, SaudiMOH
Travel advice on MERS-CoV for pilgrimages
Infection prevention and control measures are critical to prevent the possible spread of
MERS-CoV in health care facilities. Health care facilities that provide care for patients
suspected or confirmed to be infected with MERS-CoV infection should take
appropriate measure to decrease the risk of transmission of the virus from an infected
patient to other patients, health care workers, and visitors. Health care workers should
be educated, trained, and refreshed with skills on infection prevention and control.
Actions to take during Umra or Hajj
Countries should advise travellers that if they develop a significant acute respiratory
illness with fever and cough (severe enough to interfere with usual daily activities)
during Umra or Hajj, they should:
report to the medical staff accompanying the group or to the local health
services;
cover their mouth and nose when coughing or sneezing, wash hands afterwards,
or if this is not possible, cough or sneeze into upper sleeves of their clothing;
avoid attending crowded places and preferably isolate themselves until the end
of the respiratory symptoms and, if isolation is not possible, use a tissue for
covering nose and mouth or a surgical mask when in crowded places.
Countries should advise travellers to avoid close contact with camels, visit farms and
consume unpasteurized camel milk, urine or improperly cooked meat.
Source: WHO, SaudiMOH
4
Travel advice on MERS-CoV for pilgrimages
WHO advise travellers who develop a
significant acute respiratory illness with
fever and cough (severe enough to
interfere with usual daily activities) to:
minimize their contact with others to keep
from infecting them; cover their mouth and
nose with a tissue when coughing or
sneezing, then discard the tissue in the
trash after use and wash hands afterwards,
or, if this is not possible, to cough or sneeze
into the upper sleeves of their clothing, but
not into their hands; and report to medical
staff as soon as possible.
Actions to take after Umra or Hajj
Countries
should
advise
returning
travellers that if they develop a significant
acute respiratory illness with fever and
cough (severe enough to interfere with
usual daily activities) during the two weeks after their return, they should:
seek medical attention, informing health attendants of their recent travel for
Umra or Hajj;
immediately notify their local health authority;
take precautions when coughing or sneezing;
minimize their contact with others to keep from infecting them.
Countries should alert health practitioners and facilities to test returning travellers
with a clinical presentation that suggests the diagnosis of MERS-CoV to be tested for
MERS-CoV and to implement infection prevention and control measures. Confirmed
cases of MERS-CoV must be reported to WHO. Clinicians should also be alerted to the
possibility of atypical presentations in patients who are immunocompromised.
5
Source: WHO, SaudiMOH
Rabies W rld Day
September 28 is World Rabies Day, a global
health observance that seeks to raise
awareness about rabies and enhance
prevention and control efforts.
Dogs are also victims of rabies.
Not only are they subject to the disease's
horrific clinical symptoms, estimates
suggest millions of dogs are killed in culls
every year in misguided attempts to
control the disease
Rabies is a viral disease that is transmitted
through the saliva or tissues from the
nervous system from an infected mammal
to another mammal, usually through a bite.
Needless deaths It is currently responsible
for an estimated 59,000 human deaths a
year, almost all transmitted via dog bites.
Up to 60% of all rabies deaths are children
under the age of 15. Very few victims have
access to the palliative care that would
alleviate the suffering of their final days.
However, despite its almost 100% case
fatality rate, canine rabies is completely
preventable with modern vaccines. Nobody
need die of rabies.
The rabies virus infects the central nervous
system, ultimately causing disease in the
brain and death. The early symptoms of
rabies in people are similar to that of many
other illnesses, including fever, headache,
and general weakness or discomfort. As the
disease progresses, more specific symptoms
appear and may include insomnia, anxiety,
confusion, slight or partial paralysis,
excitation,
hallucinations,
agitation,
hypersalivation (increase in saliva), difficulty
swallowing, and hydrophobia (fear of water).
Death usually occurs within days of the onset
of these symptoms.
How is Rabies Transmitted?
Transmission of rabies virus usually begins
when infected saliva of a host is passed to
an uninfected animal. The most common
mode of rabies virus transmission is
through the bite and virus-containing saliva
of an infected host. Though transmission
has been rarely documented via other
routes such as contamination of mucous
membranes (i.e., eyes, nose, mouth),
aerosol transmission, and corneal and
organ transplantations.
Source: CDC, GARC
6
Rabies W rld Day
What to do if you’re bitten?
What is the risk for my pet?
Unvaccinated dogs, cats, and ferrets exposed
to a rabid animal should be euthanized
immediately. If the owner is unwilling to
have this done, the animal should be placed
in strict isolation for 6 months and
vaccinated 1 month before being released.
Animals with expired vaccinations need to be
evaluated on a case-by-case basis. Dogs and
cats that are currently vaccinated are kept
under observation for 45 days.
1. Wash the wound. Wash the bite wound
throughly with soap and water for 15
minutes. Apply ethanol or a similar
antiseptic to prevent secondary infection.
2. Seek urgent medical attention. Postexposure prophylaxis (PEP) is the course
of vaccines that prevent the onset of
clinical symptoms of rabies in people.
Modern vaccines are the only way to
prevent the onset of rabies after
exposure. Traditional remedies, such as
jackfruit gum and chilli powder, will not
protect you against the rabies virus.
3. Watch the animal. Where possible, watch
the biting animal for signs of illness for 14
days. Do not kill the animal. If they animal
dies, report the incident to the veterinary
authorities.
How to Prevent Rabies?
Dog vaccination is the most reliable,
sustainable, and cost effective way to
prevent rabies in people. Although dogs are
the primary source of rabies, rabies can
affect other animals too and it is wise to
vaccinate all your animals against rabies,
particularly livestock. Vaccinate your family's
animals against rabies to protect them and
help protect you and your family too.
7
Preventing and controlling rabies begins at
the community level, where people can
take the necessary steps to keep
themselves, their family, and their pets
free from rabies. Community health
officials play an instrumental role in making
sure people have the ability to take action
and learn just how deadly rabies can be.
Source: CDC, GARC
One Health Community-Empowerment
In order to control zoonotic disease,
INDOHUN need to collaborate with all
stakeholders across sector, One of
the most important part is
community, particularly community
that located in area with high rate of
zoonotic disease. Empowering the
community can be done by university
students.
In order to enhance student capacity in
empowering community on One Health,
this program need to be implemented
under faculty and university program.
Thus, INDOHUN conduct CommunityEmpowerment Workshop on One Health
to facilitate faculties implementing this
program.
This workshop was conducted in Surabaya, East
Java, Indonesia on July 29, 2015, by bringing
together deans from selected faculty member
represent 3 disciplines of medicine, public
health, and veterinary medicine.
The aims of this workshop were to develop
manual of community- empowerment on
One Health.
Total participants are 14 persons from 14
faculties member. The participants were
put into 3 groups consist of 5 persons with
3 different disciplines each group with
manual template given. Each group was
assigned to develop guidance, one group to
develop
community-empowerment
program manual for medicine faculty, one
group for public health, and one group for
veterinary medicine faculty.
This workshop shows that One Health approach
in conducting community empowerment program
was very welcome and the participants were
very delighted to develop the manual and eager
to implement this program in their faculty.
8
Global Health True Leaders BATCH 5
Global Health True Leaders (GHTL) is a leadership
training that aim to address the lack of leadership skill as
well as collaboration across sector and profession within
One Health Workforce in tackling zoonotic disease.
Global Health True Leaders Batch 5 involving 74
participants 17 universities around Indonesia
GHTL Batch 5 was conducted with 5-days-in class
training followed by 2-days field work and leadership
initiative program in Pontianak, West Kalimantan,
Indonesia on August 19-25, 2015. Involving number of
74 participants from students from 17 universities all
over Indonesia and young professional represent
10 disciplines of Medicine, Veterinary Medicine, Public
Health, Nutrition, Nursing, Pharmacy, Biochemistry,
Molecular Biology, Dentistry, and Engineering.
GHTL Batch 5 invited five distinguished trainers from
Tufts University, INDOHUN member faculties, and
Coordinating Ministry of Human Development and
Culture - National Commission for Zoonoses Control
The trainers share their knowledge and experience for
enhancing parti ipa t’s capacity, they are Prof. Wiku
Adisasmito, DVM, M.Sc., Ph.D; Prof. Stanley Fenwick,
BVMS, M.Sc., Ph.D; Prof. Adik Wibowo, MD, MPH,
Dr.PH; Dr. Ni Nyoman Sri Budayanti, MD, Sp.MK(K).; and
Rama Prima Syahti Fauzi, DVM, M.Si.
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Global Health True Leaders BATCH 5
Leadership
Important
Values
Participants were trained to be true leaders who have strategic skills
including effective communication and dealing with the wide range of
leadership action from high-level in intellectual setting by conducting
simulation of national coordination meeting about outbreak that must
give strong argumentation using English to the ground-level by serving
district community as front liner health professionals through fieldwork.
During GHTL Batch 5, INDOHUN set
the agenda strictly so that participant
learned that discipline is the
important element as true leaders. In
collaboration with Regional Police
Command of West Kalimantan, an
outbound of leadership initiative
program on August 25, 2015 was held
as a field experience to build and
strengthen parti ipa ts’ team work,
self-resilience, and problem solving
skill through various challenges of
military obstacles, such as mud run,
raffling from 20 meters height, stairs
obstacle, log wall, rope climb, and
cargo nets.
Global Health True Leaders BATCH 5
Global
Perspective
Working
Multi-sectoral
and Across
Professions
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Important
Values
Participants were exposed and taught to build global perspective
inside their mind through materials and the role play. In one of GHTL
role play, participant played a role as a stakeholder who tried to
deliver a press release on given problem about outbreak which
required them to give strong opinion and position in addressing
journalist interrogatory.
The Global Health True Leaders was designed to enhance interaction
between participant through case study, role play, and group
assignment that required solution from multi-sectoral perspective
from across profession. During GHTL, participants were grouped in
small group that consist of various profession and every participants
had opportunity to be a group leader since the leader should change
each day.
Global Health True Leaders BATCH 5
Culture
Important
Values
Subsequent to in-class training, participants skill particularly on
community engagement were built up since they had to perform health
promotion for children, youth, local community, and cattleman in a
remote area in West Kalimantan. The fieldwork had strengthened their
unity within their diversity (Bhineka Tunggal Ika) to achieve their
common goal.
GHTL also taught participant to respect the diversity of Indonesia
cultures through group performance including traditional dance, poem,
and theatricals in GHTL culture night.
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Global Health True Leaders BATCH 5
GHTL Batch 5 has provided new true leaders with global perspective, uphold strong
leadership value to collaborate across sector and profession, and apprise culture value
within both community and health regulatory hierarchy.
The successful execution of GHTL this year, multi-sectoral contribution, and support from all
parties involved will become strong inspiration to us in continuing and bringing this program to
the new level in the upcoming year.
So that, the benefits of this ‘Global Health True Leaders’
program can be shared and expand to as many potentials
health workforces as possible and to national, regional, and
international level.
Global Health True Leaders BATCH 5
Glo al Health True Leaders Bat h 5 i Po tia ak as a ra d e
experience for me, maybe most of us. The fact that the chosen
participants were from various major/subjects made it even more
meaningful, which led us to broaden our networking and the programs
had just tightened our bonds.
Ratih Setiawati, Undergraduate Student-Faculty of Medicine, Airlangga University
Glo al Health True Leader Bat h 5 is o e of the ost a azi g progra s I' e e er
joined. It gives so many experiences and precious values, like leadership,
friendship, love, patient, discipline, family! MILLION THUMBS UP!
Antony Halim, Undergraduate Student-Faculty of Medicine, Tanjungpura University
Curre tly, Glo al Health issues i lude i the ore u resol ed. I the
future, Indonesia needs a dedicated leader in the health and education
support. This program can train young people become a leader and can
be solving health problem in the world. This program facilitates the
younger generations who are competent in their fields manage and
became true leaders. IT’S GREAT TO BE US!
Nuke Annisa Nasution, Research Student-Eijkman Institute
I as ery tha kful o e ti g to a great people arou d I do esia to dis uss health
problems and share their experiences. I believe, GHTL alumni would create such a
great networking and planning for better Indonesia. From GHTL to a shining future....
Yuni Dwi Setiyawati, Dietitian-Primary Health Care of Penimbung, West Nusa Tenggara
Glo al Health True Leaders progra is a ust progra to e
participated by all health young practitioners or students. It did not only
enhance your capabilities in One Health issues but also strengthen your
networks among the global health young professional. Three words for
GHTL are acknowledging, inspiring, and fun.
Annisa Ika Putri, Research Assistant-Center of Epidemiological Research & Surveillance
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Global Health True Leaders ?
BATCH 5 !
Indonesia One Health University Network
(INDOHUN)
Faculty of Public Health University of Indonesia,
G Building, 3rd Floor, Room G316
Depok – West Java (16424)
Phone & Fax
: 6221 2930 2084
: nco@indohun.org
Website
: www.indohun.org