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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 5 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 6 selected innovations that received funding for one year project work. I 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

INDOHUN News No. 5  

INDOHUN News No. 5  
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