Emerging - Issue 2

Page 46

Features

As happened in the the H5N1 virus outbreak which turned out to originate in poultry among the community. Complete and uniform baseline data on clinical epidemiology is the main determinant in virologist surveillance activities so that it can be known when a person is exposed to the H5N1 virus, the time taken for a person to start from contracting the virus until the victim gets help at the hospital. These things form the basis for the government and policy holders in the effort to tackle outbreaks. In addition to the results of the surveillance, being able to develop research that is currently underway in relation to the discovery of new H5N1 strains that are resistant to vaccines currently available, research has been conducted to find a vaccine that can provide resistance to various H5N1 strains. The new H5N1 strain and genetic information of new strains are combined in DNA-based vaccines that can be used to produce the new vaccine.7 Outbreak’s Impact on Policy The Ebola outbreak that occurred in 2014-2015 not only had a large impact on many sectors but also provided several opportunities in the West African region. Ebola also provides an opportunity with the emergence of policies on improving logistics, quality standards and efforts to develop local research and training capacity in countries affected by Ebola, as well as being able to increase public awareness of health threats and increase commitment to health which has an impact on strengthening the system itself.8 Meanwhile, other things occurring in the region of Guinea that have been designated as one of the priority countries in Belgian cooperation and scientific collaboration between the institutes of tropical medicine Antwerp and Guinea that will start immediately in 2017-2021. It opens up new

“..We need to cooperate globally on epidemic preparedness and prevention” – BILL GATES

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Emerging

opportunities to develop training programs and open opportunities for hundreds of young health professionals. Local people from these countries are the highest priority to be involved and deployed in the field to support international efforts to stop the epidemic and rebuild the health system, as well as bringing greater public interest and paying more attention to public health.8

While in Indonesia, the outbreak of Avian Influenza (AI) occurred in 2014 which initially received a long response from the government, finally resulted in several policies including the decision 332 by the Director General of Animal Husbandry No. 17 / Kpts / PD.640 / F / 02.04 dated February 4, 2004 concerning Guidelines for Prevention, Control and Eradication of Influenza Infectious Diseases in Poultry, Avian Influenza (AI). The guidelines include (i) increasing biosecurity, (ii) vaccination programs. (iii) depopulation, (iv) control of livestock traffic, (v) surveillance and tracing (tracing), (vi) restocking, (vii) stamping out, (viii) public awareness and (ix) reporting, monitoring and evaluation. A year after the outbreak, the guidelines for poultry maintenance in settlements were issued as a reference for the government apparatus in the effort of fostering and supervising the maintenance of poultry in settlements and also the community in an effort to maintain poultry.9


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