DR.Dr.Tb.Rachmat Sentika Sp.A.,MARS

Size: px

Start display at page:

Download "DR.Dr.Tb.Rachmat Sentika Sp.A.,MARS"

Merry Holt
6 years ago
Views:

1 Curriculum Vitae DR.Dr.Tb.Rachmat Sentika Sp.A.,MARS Place & Date of Birth: Sukabumi, February 9 th 1956 Rank Pembina Utama gol IV E / PNS/ Kem.Kesehatan NIP Position : DEPUTY COORDINATING FOR HEALTH, POPULATION AND FAMILY PLANNING, COORDINATING MINISTRY FOR PEOPLE S WELFARE Job Experience (Head of Puskesmas Pagaden, Subang , PPDS , Pediatrician in Tangerang Hospital , Member of Parliament & , Deputy of Child Protection Ministry of Women Empowerment , KPAI ) Education : MD in FK Unpad 1982, Paediatrician in Unpad 1990, Magister for Hospital Administration in UI 1997, Lemhanas KRA 32/1999, Doctor for Child Protection Policy, Unpad Organization Position Head of Indonesian Paediatrician Child Protection Task Force, (PP.IDAI / ) Head for Population and MCH, PB IDI , Head for Advocacy PKBI Alamat Jl Mandar VII DC 7 No. 7, Sec 3A, Bintaro Jaya, Tangerang, Banten.tlp , rsentika@yahoo.com Motto: DEDICATIO PRO HUMANITATE

2 Solo, 22 Oktober 2014

decrease of national meat and egg consume economic lost *Public untrust regarding avian influenza information *Lack of

3 *First case in poultry : 2004 *First case in human : 2005 *Largest number cases and cluster of avian influenza Fearness of animal origin consume (poultry meat & egg) *Million of poultry was culling *75 human + Cases with 58 death panic syndrome decrease of national meat and egg consume economic lost *Public untrust regarding avian influenza information *Lack of multi-sector coordination, information and national capacity to control the threat of avian influenza / bird flu as emerging infectious diseases (EID)

* 13 march 2006, GOI was establish national committe of avian influenza control and influenza pandemic preparedness (presidential decree 7/2006) * 12 February 2007, President ROI instruct to

control : a. Governor and Mayer lead the multi sector avian influenza control and prevention; b.

4 * 13 march 2006, GOI was establish national committe of avian influenza control and influenza pandemic preparedness (presidential decree 7/2006) * 12 February 2007, President ROI instruct to coordinating minister fo people welfare, minister of health, minister of agriculture, ministry of finance, Indonesia National Force (TNI) and all Governor & Mayer to conduct avian influenza control : a. Governor and Mayer lead the multi sector avian influenza control and prevention; b. MOH and MOA, handle and control virus spread with involved Indonesia National Forces (TNI) and Indonesia Red Cross; c. TNI Commander perform besides war operation; d. Coordinating minister for peoples welfare (CMPW) as Chair to coordinate multi sector intervention,sharing information and risk communication.

Road Map of: Avian influenza prevent and control

Avian influenza was controled at source (in poultry

Risk communication; 6. Information and Public; 7.

5 Road Map of: Avian influenza prevent and control strategy 1. Avian influenza was controled at source (in poultry and traditional market); 2. Protection of high-risk groups; 3. Case management observations in animals and human development; 4. Restructuring the poultry industry; 5. Risk communication; 6. Information and Public; 7. Strengthening law enforcement; 8. Strengthening basic policy / regulation; 9. Strengthening the capacity of resources; 10. Making a plan of action, and; 11. Monitor and evaluation.

6 Impact: Indonesia poultry industry impact and trend of human-animal H5N1 ( ) ,200, ,000, , , , , human cases human death animal cases * : Average case human cases Average case animal cases meat consump broiler product layer pop milk and egg consump egg product broiler pop At least 450 million USD Economic lost impact to poultry industry in 2006

BASIC KNOWLEDGE : DISASTER MANAGEMENT RISK = THREAT + VULNERABILITY CAPACITY 3 Key Points: Capacity to detect Capacity to inform Capacity to respond *Threat = zoonoses

7 BASIC KNOWLEDGE : DISASTER MANAGEMENT RISK = THREAT + VULNERABILITY CAPACITY 3 Key Points: Capacity to detect Capacity to inform Capacity to respond *Threat = zoonoses (MERSCoV, Ebola, H5N1 ect) *Vulnerability = public (social activity, culture, limited information) *Capacity = GOV and all stake holder Capability to mitigate and response the threat

Leadership, plan, strategy and standby resources is main variable to fight avian influenza and other emerging zoonoses; c.

8 SOURCE : MOH, 2014 SOURCE : MOA, 2014 Lesson Learned a. The incidence of Bird Flu relatively decrease (human and animal case), but still needs to control, regarding outbreak potentially; b. Leadership, plan, strategy and standby resources is main variable to fight avian influenza and other emerging zoonoses; c. coordination, communication, information and public education is the main keys to success of avian influenza fight; d. Indonesia has greatest number case and also highest case fatality rate, due to late diagnosis (86,9%); e. Bird Flu was spreaded to 33 province (based on animal health report), but only 15 province that human case occure; f. 2 clade of H5N1 was found H5N1 clade and H5N1 lade

9 * *Multi aspect impact of zoonoses outbreak; *More than 80% indonesia is endemic area; *Establish coordination of national commission of zoonoses control on central gov level, and mandate to governoor, regent and mayor to establish provincial commission of zoonoses control on prov gov level and city/district commission of zoonotic control on district/city gov level; *Implement the 8 national strategy of zoonoses control. 9

10 METAMORPHOSIS MULTI-SECTOR COORDINATING FORUM OF ZOONOSES MOU between DG of CDC-MOH with DG of Livestock-MOA on zoonoses control (9 August 1972) Joint Ministrial Decree between MOH, MOA and MOIA on rabies control (15 january 1978) Coordinating team on rabies Presidential Decree 7/2011 on Avian Influenza and Pandemic Preparedness national committee of AI and pandemic preparedness Presidential Decree 30/2011 on zoonoses control establish KNPZ, strategy, coordination mechanism, command and control.

11 SECRETARIATE EXECUTIVE TEAM NATIONAL COMMISSION EXPERT PANEL EXPERT PANEL (MULTI DICIPLINARY EXPERT) EXECUTIVE TEAM (MULTI SECTOR DIR-GEN AND DIRECTOR) SECRETARIATE (COORDINATING MINISTRY UNIT) ASSIGNMENT 1) provide scientific and strategic considerations for acceleration and strengthening control of zoonoses to the chairman of the national commission of zoonoses control 2) carry out other duties assigned by the chairman of the national commission 1) brief to province, district and city coordinate, syncronize, monitoring and evaluation of zoonoses control 2) implement Zoonosis Control Center Operational Command in the event of exceptional circumstances / outbreaks and pandemics due Zoonoses 3) implement institutional working relationship Zoonoses control 4) prepare a report to the President of the National Zoonosis Control 5) carry out other duties assigned by the chairman of the national commission 1) prepare materials to arrange coordination plan program 2) prepare materials cross-sectoral policy development 3) facilitate national commission 4) facilitate the preparation of the report of the national commission

12 INTEGRATED ZOONOSES CONTROL STRATEGY (PRESIDENTIAL DECREE 30/2011) 8. Public partnership 1. prevent zoonoses spillover to human 2. Coordination and synergize of resources 7. Research and development 8 (eight) zoonosis control strategy 3. Community based Integrated surveilance 6. Sthrenghtening resource capacity 5. Public protection Free zoonoses are protection 12

13 * * Recommendation from Chair of the National Development Planning Agency to arrange national strategic plan for integrated zoonoses control * Coordinating Ministry Decree as head of national commission no. 28 / 2012 * Substance : National, regional and global trend of zoonoses; The principles; The objective; The goals; Information n budget sharing; Monitoring and evaluate * The goals : 1) To reduce cases in human and animal; 2) To reduce zoonoses endemic areas (free areas) gradually; 3) To reduce impact of zoonoses outbreak. 13

14 No Strategy National Player Local Player 1 Prioritization on prevention principles of transmission to human by increasing efforts to control the source of zoonotic transmission 2 Strengthening cross-sectoral coordination to develop zoonoses control system, synchronization, development, supervision, monitoring and evaluation of policies, strategies and programs 3 Integrated planning and accelerated control 4 MULTI SECTOR INVOLVED TO IMPLEMENT THE ZOONOSES INTEGRATED STRATEGY Strengthening protection of areas that are free of new zoonotic transmission Ministry of Agriculture, MOH, Ministry of Tourism and Creative Economics, Indonesian Armed Forces (TNI), Indonesian National Police (POLRI), Ministry of Defense, Ministry of Forestry, National Intelligence Board (BIN), Ministry of Foreign Affairs, Cabinet Secretariat, Ministry of transportation Coordinating Ministry for People s Welfare/ Kemenkokesra, Ministry of National Development Planning/ National Development and Planning Agency, KNPZ Secretariate, TNI, POLRI, Ministry of Forestry, BIN, Ministry of Home Affairs, Ministry of Environment National Development and Planning Agency, Ministry of Forestry, POLRI, Ministry of Agriculture, MOH, Ministry of Communication and Informatics, Ministry of Home Affairs, Ministry of National Education Ministry of Agriculture, MOH, POLRI, Ministry of Forestry, Ministry of Home Affairs, Ministry of transportation Local Government, Bappeda/Local Planning Office, Health Office, Tech. Implementing Unit of the Ministry of Agriculture and Local Commission for Zoonoses Local Government, Bappeda, Local Commission for Zoonoses Local Government, Bappeda, Government work unit for Animal Health (SKPD), Health Office, Tech. Implementing Unit of the Ministry of Agriculture, National Education, and Media Local Government, Health Office, Government unit for Animal Health, Health Quarantine and animal Quarantine in airports and seaports

15 MULTI SECTOR INVOLVED TO IMPLEMENT THE ZOONOSES INTEGRATED STRATEGY No Strategy National Player Local Player 5 Increased efforts to protect the public from the threat of zoonotic transmission 6 Strengthening the capacity of resources including human resources, logistics, implementation guidelines, technical control procedures, institutional and budget for zoonoses control 7 Strengthening research and development on zoonoses 8 Community mobilization involving businesses, universities, non-governmental organizations, and professional organizations, as well as other stakeholders Ministry of Health, Ministry of Agriculture, Kemenkokesra, POLRI, Ministry of Forestry, PMI, Ministry of Communication and Informatics, Ministry of Foreign Affairs, Cabinet Secretariat, Ministry of transportation Ministry of Agriculture, MOH, Kemkokesra, Ministry of Home Affairs, TNI, POLRI, PMI, Ministry of Defense, Ministry of Forestry, BIN, Ministry of Finance/MoF MOH, Ministry of Agriculture, Ministry of Research and Technology, Ministry of Forestry, Ministry of Education and Culture, Indonesian Institute of Sciences/LIPI Kemkokesra, Ministry of Agriculture, Ministry of Forestry, PMI, POLRI, Ministry of Education and Culture, Ministry of Women Empowerment & Child Education, Ministry of tourism, MoHA, MoF Local Government, Bappeda, Local Commission for Zoonoses, Health Office, PMI, and Tech. Implementation Unit of Ministry of Agriculture Local Government, Health Office, Tech. Implementing Unit of Ministry of Agriculture and PMI Local Government, LIPI Tech. Implementing Unit, MOH Tech. Implementing Unit for Research and Development Body (Balitbang), MoA Tech. Implementing Unit for Research and Development Body, Local Universities, Health Office, Government Work Unit for Animal Health Local Government, Tech. Implementing Unit of Ministry of Agriculture, Tech. Implementing Unit of MoH, PMI

16 positif Flu Burung 184 Rabies (Lyssa) Anthraks fatal leptospirosis 0 plaque MULTI SECTOR (ONE HEALTH) APPROACH ON ZOONOSIS CONTROL RESULT : 1. decrease incidence in human zoonoses (Base line 2011) province was establish province zoonoses control commission 3. zoonoses center was establish in IPB, UGM and UNAIR 4. Contigency budget for rapid response zoonoses outbreak, as un-natural disaster 0

17 THANK YOU

INSIGHT OF A MEMBER STATE OF ASEAN TECHNICAL WORKING GROUP ON PANDEMIC PREPAREDNESS AND RESPONSE (An Indonesia Lesson learnt)

INSIGHT OF A MEMBER STATE OF ASEAN TECHNICAL WORKING GROUP ON PANDEMIC PREPAREDNESS AND RESPONSE (An Indonesia Lesson learnt) Dr Emil Agustiono Deputy Minister Coordinator for People s Welfare In Population