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ASEAN+3: Indonesia Control of Diarrhea and Cholera Outbreaks in Papua

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  • ASEAN+3: Indonesia Control of Diarrhea and Cholera Outbreaks in Papua

    Indonesia Control of Diarrhea and Cholera Outbreaks in Papua

    Monday, 25 August 2008

    Epidemiological surveillance on disease outbreaks has been conducted in Papua Province after receiving a report from the Papua Provincial Health Office (POH).

    Data on cases from week-14 (April 2008) till week-31 (August 2008) show the followings:

    ? In Paniai District (Obano and Yatamo Sub-districts): 52 cases, including 8 death (CFR = 15.4). The last case happened on 13 July 2008.

    ? In Nabire District (Kammu and North Kammu Sub-districts): 666 cases, including 97 death (CFR = 14.6). The outbreaks were taking place in Igebutu and Boobutu Villages of Kammu Sub-district until 28 July 2008.

    ? Totally, there were 718 cases, including 105 death.

    The high death rate was caused by:

    (i) an incorrect habit [local people consider that someone is not sick until he/she is not able to do anything];

    (ii) late to access medical care from Public Health Centers due to a long distance and only by taking a walk for 4 hours; and

    (iii) limited capability of the nearest clinics and village midwives.

    Rectal swab samples taken from patients and their families making contacts with the patients show Ogawa-type Vibrio cholera positive infection in 44.4% samples.

    Samples of water taken from springs and rainwater tanks show positive of Coliform.

    Existing risk factors are the lack of hygienic and healthy attitudes and a local habit to hug and kiss sick or dead persons.

    The Crisis Control Center of the Ministry of Health (MOH) sent a team to carry out epidemiological surveillance, give mass medical care in Public Health Centers, take samples for laboratory analysis, and provide logistics and extension to communities.

    The Provincial and District Health Offices (DOH) station medical doctors in several villages.

    Religious and community leaders limit local villagers? mobility temporarily.

    MOH, POH, and DOH are still monitoring the situation on site.

    Source :

    Submitted by: Hari Santoso, Indonesia