Transcript 2.4EVD_DIR_Bangkok_Indonesiax

INDONESIA PREPAREDNESS AND RESPONSE
ON EBOLA VIRUS DISEASE
Directorat General of Disease Control
and Environmental Health
MoH of Republic of Indonesia
Bangkok, 1 – 3 Desember 2014
Outline
About Ebola Virus Disease
Indonesia Situation
Control Plan and Preparation
Gap Identification
Ebola Virus Disease (EVD)
 Ebola virus disease, previously known as Ebola hemorrhagic fever, is a rare and
deadly disease caused by infection with one of the Ebola virus strains (Zaire,
Sudan, Bundibugyo, or Tai Forest virus).
 Signs of Ebola include fever (≥38°C) and additional symptoms, such as severe
headache, anorexia/ loss of appetite, lethargy, breathing difficulties, muscle pain,
vomiting, diarrhea, abdominal (stomach) pain, difficulty swallowing, hiccup, or
unexplained hemorrhage (bleeding or bruising).
 The incubation period of Ebola virus disease (EVD) varies from 2 to 21 days but
the average is time 8 to 10 days.
 No vaccine available yet, no specific treatment. Supportive therapy is given
based on patient condition.
 The Ebola virus is transmitted among humans through close and direct physical
contact with infected bodily fluids, the most infectious being blood, faeces and
vomit.
Indonesia Situation
No confirmed case found yet
Five suspected cases was detected :
1. a male Ghana citizen who visited Indonesia and presented with symptoms
aligned with EVD. He was tested negative for Ebola, positive for malaria.
2. Indonesian male who returned from Nigeria for work and presented with
symptoms aligned with EVD. He was tested negative for Ebola, positive
for malaria cerebral and DHF.
3. Indonesian male who returned from Liberia for work and presented with
symptoms aligned with EVD. He was tested negative for Ebola.
4. Indonesian male who returned from Liberia for work and presented with
symptoms aligned with EVD. He was tested negative for Ebola, positive
for malaria and DHF.
5. Indonesian male who returned from Liberia for work and presented with
symptoms aligned with EVD. He was tested negative for Ebola.
Indonesia Situation Continue
There were 29 Indonesian who returned from Liberia for work.
Two of them developed symptoms on their 21 days followed up
and tested negative for Ebola virus disease.
The 29 Indonesian was completed their 21 days followed up. No
one has develop symptoms, except two persons who tested
negative while they have symptoms.
Control Plan and Preparation
Improving early case detection at PoE
Improving early warning in all regions of Indonesia
to detect suspect cases. This is done through
provincial health office and district/city eventbased surveillance.
Continue coordination between Health programs
and sectors.
Prepare referral hospitals and Laboratory
Control Plan and Preparation Continue
Share information and health promotion materials
to the public, in particular risk groups such as
travelers to endemic areas.
Provide SOP for case management, surveillance,
laboratory,
infection
control
and
risk
communication.
Conduct simulation of preparedness and response
on Ebola Virus Disease (table top and field
simulation).
Case Detection at PoE and Province/ District
Gap Identification
 Limited number of isolation room.
 Ebola Treatment Center not available yet.
 No
train conducted yet for health worker on case management, risk
communication, and public health response at both national and subnational /
district levels including on contact tracing and data management.
 No train conducted yet for burial teams.
 SOP for implementing exit screening in the event of a confirmed EVD outbreak
not available yet.
Health Promotion Materials on EVD
Simulation on Ebola Outbreak Response at PoE
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