|
1
|
- SARDIKIN GIRIPUTRO
- PRESENTED AT
- 3RD BIRD FLU SUMMIT
- GENEVE 14-15 NOVEMBER 2006
|
|
2
|
|
|
3
|
|
|
4
|
- 25 JAN 2004 : HPAI OUTBREAK IN POULTRY
- 5 MARCH 2005 : H5N1 IN PIGS IN
TANGERANG
- 9 JULY 2005 : FIRST HUMAN CASE,
-
FAMILY CLUSTER
-
(3 CASES, ALL DIED)
- 16 SEPT 2005 : SECOND FAMILY
CLUSTER
-
(2 CONFIRMED CASES, 1 DIED)
- 19 SEPT 2005 : DECLARATION OF
HPAI
-
OUTBREAK IN HUMAN
|
|
5
|
|
|
6
|
|
|
7
|
|
|
8
|
|
|
9
|
|
|
10
|
|
|
11
|
|
|
12
|
|
|
13
|
|
|
14
|
|
|
15
|
|
|
16
|
|
|
17
|
|
|
18
|
|
|
19
|
- Develop 12.000 “alert village” in 2006 to early
detect AI cases and strengthening integrated surveillance through
Participatory Disease Surveillance(PDS) and Participatory Disease
Response(PDR)
- Avian Flu campaign and exercise (orientation, drill and table-top)
- Oseltamivir stockpile and distribution (12 million caps as of the end
2006)
- Seeking interpandemic H5N1 vaccine (in collaboration with Baxter)
and H5N1 rapid antigen test for
humans (in Collaboration with Temasek Life Science Lab. etc)
- Clinical Research under South East Asia Influenza Clinical Trial Network
in collaboration with Thailand, Vietnam, US National Institute of
Health, Oxford University, Welcome trust, US CDC etc
|
|
20
|
- All Avian Influenza cases should be taken care and hospitalized at
designated AI referral hospitals free of charge
- Currently there are 44 designated referral hospital, the number of
referral hospital will be expanded until 100. And 3 existing
confirmatory laboratories (NIfHRD, Namru-2, Eijkmann Institute for Bio
molecular) in Jakarta, and will be expanded into 10
regional center in other provinces
- Satellite hospitals may conduct an initial assessment before referring
to referral hospitals as long as isolation room is available and
universal precaution is applicable
|
|
21
|
|
|
22
|
|
|
23
|
|
|
24
|
- Over 700 cases have been investigated: most of them were excluded by
lab-based examination
- As of November 3, 2006 = 72
confirmed cases/55 fatality (CFR=76,4%)
- Time between onset and notification = 5 days
- Time between notification and lab results: available within 3 days for
70% of cases
- Urban/semi urban > rural
- Over 72% confirmed cases were in Java island
- Majority of cases were in advanced stage
|
|
25
|
- Indonesia is currently in WHO pandemic alert phase 3
- Primarily animal infection
- Some human infections
- Clusters due to self-limited human-to-human transmission does NOT change
phase 3 to 4
- No identified changes in functional characteristic so far
|
|
26
|
|
|
27
|
|
|
28
|
|
|
29
|
|
|
30
|
|
|
31
|
|
|
32
|
|
|
33
|
|
|
34
|
|
|
35
|
- GINA SAMAAN & WHO TEAM,
- JAKARTA OFFICE
|
|
36
|
|
Notes
