Situasi Diare di Pasigala. dr. Ridwan Gustiana Emergency Health Specialist/Team Leader UNICEF Palu

Transcription

1 Situasi Diare di Pasigala dr. Ridwan Gustiana Emergency Health Specialist/Team Leader UNICEF Palu

2 Jumlah Kasus Period Diare Acute < 5 thn - Kasus Diare Acute >= 5 thn - Kasus Diare Acute Berdarah < 5 thn - Kasus Diare Acute Berdarah >= 5 thn - Kasus November October Total kasus terlapor : 4044 kasus, 1251 (45%) kasus pada balita Diare Akut Berdarah 135 kasus, 27 (25%) kasus pada balita dilaporkan dari 63 reporcng sites dengan completeness rate 63.9%. yang melaporkan adalah puskesmas dan 11 Rumah Sakit di daerah terdampak of Palu, Sigi and Donggala There is possibility that data from Mobile Medical Team is not included (Underreported) Sumber : SKDR Harian Dinkes Sulteng 04 Oktober - 05 November 2018 TOTAL

3 Kasus per kabupaten

4

5 trend 14 hari (05 Nov)

6 Acute Diarrhoea Cases <5yo, based on Health Facilities

7 Possible Cause Based on observation in some IDP camps - Pasigala

8

9

10 The Risk of High Cases of Diarrhoea among children<5 in Disasters KENAPA PENTING????

11 FIGURE 2 Diarrhoea is the second most common cause of child deaths worldwide Proportional distribution of cause-specific deaths among children under five years of age, % Pneumonia 31% Prematurity and low birthweight 16 % DIARRHOEA 37% Neonatal causes 25% Neonatal infections (mostly sepsis/ pneumonia) 13 % Other 23% Birth asphyxia and birth trauma 7% Malaria 9% Other 7 % Congenital anomalies 3% Neonatal tetanus 3% DIARRHOEAL DISEASES 4% Measles 2% AIDS 4% Injuries Figure 2 shows that 17 per cent and 16 per cent of deaths among children under five are due to pneumonia and diarrhoea, respectively. But these figures do not include deaths during the neonatal period (the first four weeks of life). Diarrhoea causes 3 per cent of neonatal deaths (or an additional 1 per cent of total under-five deaths), while 25 per cent of neonatal deaths are due to severe infections (of which one third are caused by pneumonia, adding another 3 per cent to under-five deaths). Therefore, pneumonia and diarrhoea actually cause about 20 per cent and 17 per cent, respectively, of total under-five deaths when estimates from the post-neonatal and neonatal periods are combined. Source: World Health Organization, Global Burden of Disease estimates, 2004 update. Note: Neonatal causes do not add up to 100 per cent due to rounding. Globally, more than one third of deaths among children under five are attributable to undernutrition.

12 Diare pada Bencana Penyebab kematian utama pada Bayi pada keadaan Bencana..!!!!!! in 1994, between 500,000 and 800,000 Rwandan refugees flooded into areas around Goma in what is now the Democratic Republic of the Congo. An estimated 50,000 deaths occurred in the first month alone, with 85 per cent of them attributed to diarrhoea

13 FIGURE 5 Nutrition, health and environmental factors all play a role in preventing and treating childhood diarrhoea REDUCE RISK FACTORS Prevent stunting TREATMENT Oral rehydration therapy Zinc Continued feeding (including breastfeeding) Key actions to reduce the burden of childhood diarrhoea PREVENTION Primary prevention (to reduce disease transmission) Rotavirus and measles vaccines Handwashing with soap Improved drinking water supply Community-wide sanitation Source: Adapted from the Child Health Epidemiology Reference Group, Secondary prevention (to reduce disease severity) Promote breastfeeding Vitamin A supplementation Zinc

14

15 Key Messages to be communicated to IDPs Cuci Tangan Pake Sabun Asi Ekslusif pemberian susu formula yang aman Safe Drinking waters - memasak air minum Pengelolaan sampah rumah tangga di camp