TB in Indonesia

[Gert van der Hoek]

machine translation:


TBC in Indonesia causes approximately 100.000 deaths each year or 300 deaths in a day because of TBC.

Pointers Menkes Welcome the TB Day A the World 2007,

on March 23 2007

Every Time on March 24, by WHO was commemorated as World TB Day or the Day TB A the World (HTBS) in honour of ilmuan Germany Robert Koch that was born on March 24 1882, the discoverer of germs of “Mycobacterium Tuberculosis” the cause of the Tubercolosis illness that in Indonesia was known with the TB.

This year the theme of the HTBS warning from WHO was “TB Anywhere Is TB Everywhere “.

In view of the fact that the tb was the problem that could not be resolved by the health rank personally, but with all of the community's component then Indonesia determined the theme “Siapa and Anywhere cared about the TB.

The intention was chosen by him this theme was as the momentum to warn at the same time asking us together to carry out the action or the action that konkrit in the control of the TB in Indonesia.

Penyelenggaran the HTBS warning was since 2003 carried out by the institution that was different.

Last year by the Association of the Eradication of Tuberkulose Indonesia (PPTI) the Centre and this year his organiser was the tertiary institution, with General Chairman Dr. Sudianto Kamso from FKM-UI and the Chairman I, Dr. Irawan Yusuf, the Ph.D, the Dean FK-Unhas Makassar.

The peak of the HTBS warning was centred on in Makassar on March 24 2007 and his plan will be attended by Vice President Mr H. Jusuf Kalla with the agenda Lounching the National Campaign the Control of the TB, Lounching Right Charter and the Patient's Obligation the TB, and the Declaration of the Student cared about the TB.

The TB situation in Indonesia and his progress:

The DOTS strategy (Directly Observe Treatment Shortcourse = short-term medical treatment with the supervision) the first time being introduced in Indonesia during 1995 and has diimplementasikan in a manner spread in system the health service of the Discovery community of the case of the TB in Indonesia (CDR=Case Detection Rate) during 2005 was 68%, approached the global target for the discovery of the case during 2005 of 70% and the target 2007 became 74%.

Whereas the success figure of medical treatment (Success Rate = SR) reached 89.7% exceeded the WHO target of 85%.

The number of cases of the TB that was found increased obviously in several last years.
The discovery figure of the BTA case positive just increased from 38% in 2003 to 54% in 2004 as results of the DOTS expansion that was speeded up with the international donor support that increased like (GF the ATM, USAID (TBCTA), CIDA, DFID et cetera and technical help from the partners stopped the TB especially WHO and KNCV. the real Progress was achieved in reducing

The prevalence of the TB in Indonesia.

The Java-Bali territory showed the decline in the prevalence figure half of it, whereas for territories that were difficult to be covered also showed the decline that was significant despite his progress was slower.

The discovery of the case of the TB in Indonesia (CDR=Case Detection Rate) during 2005 was 68%, approached the global target for the discovery of the case during 2005 of 70% and the target 2007 became 74%.

Whereas the success figure of medical treatment (Success Rate = SR) reached 89.7% exceeded the WHO target of 85%.

The number of cases of the TB that was found increased obviously in several last years.

The discovery figure of the BTA case positive just increased from 38% in 2003 to 54% in 2004 as results of the DOTS expansion that was speeded up with the international donor support that increased like (GF the ATM, USAID (TBCTA), CIDA, DFID et cetera and technical help from the partners stopped the TB especially WHO and KNCV. the real Progress was achieved in reducing the prevalence of the TB in Indonesia.

The Java-Bali territory showed the decline in the prevalence figure half of it, whereas for territories that were difficult to be covered also showed the decline that was significant despite his progress was slower.

The impact of epidemiology showed trend the decline insidens the TB in the community that is 128/100.000 inhabitants during 1999 to 107/100.000 inhabitants during 2005.

Nevertheless be based on survey pravalensi National the TB by the Litbangkes Body in 2004, showed the distribution insidens the TB per 100.000 inhabitants that variatif in 4 regional, namely Yogya/Bali (64/100.000 inhabitants), Java (107/100.000 inhabitants), Sumatra (160/100.000 inhabitants) and KTI (210/100.000 inhabitants) since 1999/2000, 98% Community Health Centre were developed to carry out DOTS, but in a manner the quality was increased in stages through the intensification like the training, the apprentice and the technical guidance.

The expansion that was fast through all the involvement BP4 and RS the lungs as well as approximately 30% RS in the TB service with the DOTS strategy.

The TB challenge in Indonesia

The TB was spread through the sprinkling sputum the sufferer when the cough, sneezed, spoke or spat. A TB sufferer with the BTA status positive could spread to 10-15 people each year.

The burden of the TB in Indonesia still was very high, especially concerning the available recovery figure.

The total new patient (BTA positive and BTA negative) the TB in Indonesia more than 600.000 people per the year.

Gotten by the big difference from the tb figure in the Sumatran territory, Java-Bali, and the East Indonesian region.

Insidens the BTA case positive (spread) in 2005 was estimated by 107 cases baru/100.000 inhabitants (246.000 new cases every year) and the prevalence 597.000 cases in all the cases.

The TB was the killer of the number of one around infectious diseases and was the third level in the list of ten illnesses that were highest in Indonesia that caused approximately 100.000 deaths each year or in a day happened 300 deaths because TBC.

Most sufferers the productive age TB (15-55 years) the Intervention together TB-HIV: the HIV increased the TB incident and the death rate in the territory with the prevalence of the high HIV (11-50 % the patient the HIV/the AIDS died because of the TB).

Indonesia had the epidemic of the HIV that was focussed.

The prevalence to the adult (15-49 years) was estimated <0,2% with the biggest incident in Prov.Bali, East Java, Papua, Riau, Jakarta and West Java.

Surveilans the HIV to the patient the TB was not yet carried out in Indonesia.
The territory with the high risk of the HIV of must receive the priority in the TBC. Surveilans program immunity of TB medicine was not yet carried out in Indonesia.

Limited surveys that were carried out in Jakarta found the existence of the case of immunity of TB medicine to more than 4% of cases that was not treated beforehand.

Some survey that representative was needed to know the situation in Indonesia (the National estimate from WHO was 1.6%).

Gotten by the population's special groups that were susceptible to the TB that is the woman, the child, manula and people with the risk of the high spread like the prisoners (the prisoner) and immigrants.

The TB was very influential against the poor.

According to the world Bank, 53% the inhabitants have an income less than US$ 2 per capita per the day, and 37 million people of the life were supervised by the poverty line (2003), because that treated the significant TB handled poverty.

In this case the government gave DOTS therapy free.
For the inspection sputum in the Community Health Centre, the government gave the subsidy for Reagensia (chemicals that were needed for the TB test in the laboratory) that was enough for all the areas of the Global Target/the World of the TB.

Towards the target 70% the discovery of the case, globally the discovery figure of the case of the world in 2005 was 59%.

Indonesia succeeded in achieving the detection of the case 68% during 2005 this also medapat the appreciation in the international level when attending

Executive's meeting Board stopped TB last year in Nigeria.

If the acceleration could be in the discovery of the case maintained, then the DOTS program will detect more than 70% case during 2006.

75% from BTA positive in addition that was reported by the DOTS program during 2005 was in China, India and Indonesia.

The three countries pushed the global acceleration in the detection of the case.

The national strategy in line with the International guidance (WHO DOTS and the strategy just stopped TB), as well as consistent with the global plan penangulangan the TB that was aimed to reach the global TB target 2005 and the aim of the Millennium Development 2015.

I hoped for the real contribution from the Government of the Province, the Regency/the City and the wider community to mecapai the National target and indicators that were maintained by WHO.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2520

[Gert van der Hoek]

Re: TB in Indonesia

TB the First Cause of the Death in Indonesia

The report on the Kompas Reporter of Sonya Helen Sinombor

The SOLO, Kompas - the Health of the lungs was still becoming the problem of the health in the Motherland.

Moreover at this time, tuberculosis (TB) occupied the 3rd level biggest in the world after India and China.

This illness was the first cause of the death in Indonesia for the group's illness of the infection.

Was like this was sent by Health Minister Siti Fadilah Supari in the appointment of the Serious Installation Building the Emergency, the One Day Care Building and the Big Hall mosque the Health of the Community's lungs (BBKPM) Surakarta, on Monday (9/4).

By being declared by him BBKPM Surakarta then at this time Indonesia had 30 medical clinics of the Community's lungs (BKPM) in 11 provinces and 6 regencies.

Three among them berstatus the big hall namely BBKPM Surakarta, Bandung and Makassar.

In view of the fact that the health of the lungs became the problem of the health in the Motherland, then must be guarded against by the complication that was caused by the illness TB. Moreover bird flu that also attacked the lungs was the new infection to humankind also to the following threat.

Indonesia with the case 93 positive infected by bird flu that 72 people among them died, was criticised as the country with the number of AI cases (Avian influenza) and the highest death rate in the world.

Likewise with the case of asthma and the pulmonary disease obsruktif.

http://kompas.com/ver1/Kesehatan/0704/09/174219.htm

[Gert van der Hoek]

Re: TB in Indonesia: first cause of death

Concerted efforts 'urgently needed' to combat TB in Lampung

Oyos Saroso H.N., The Jakarta Post, Bandarlampung

As many as 60 percent of the 11,174 suspected tuberculosis sufferers in Lampung have not been diagnosed due to the relaxed attitude of medical authorities there, a medical practitioner in Lampung says.

"We need to have innovative (methods of diagnosis) in the future and count on the roles of relevant agencies to jointly overcome the disease. We will enhance the role of the national integrated movement at the provincial, regency and mayoralty levels," said Elvi Suryati, coordinator of the Lampung Tuberculosis Eradication Program.

She said the Directly Observed Treatment Short Course (DOTS), a short-term treatment program directly monitored by medication attendants at community health centers, had not run as well as expected.

Lampung Health Office data show that in 2005, 30 percent of the patients stopped using the DOTS approach. The reported number of TB deaths in Lampung in 2006 stood at seven.

The Lampung capital of Bandarlampung alone has three TB-endemic subdistricts. A study conducted by the local health office and the World Health Organization (WHO) indicates that 10 out of every 11 people examined in the respective villages were diagnosed with the disease -- the highest figure in the country.

Coordinator of the Coalition for a Healthy Lampung (KULS), Herdimansyah, said the exact number of TB sufferers in Lampung could be higher than that recorded by the health office, because many of those who suffered TB-related deaths and those still under medication have still not been registered.

Lampung is included in the national TB red zone, which incorporates areas with the highest rates of infection with the disease. A recent WHO study shows Lampung ranked third in the country after north and south Sumatra.

Surveys conducted by a number of subdistrict offices in Bandarlampung have shown there are at least 10 TB patients per block in the respective subdistricts.

Multiplying government figures tenfold, KULS data argues there are in fact 111,739 people currently suspected of TB infection in Lampung, 75 percent of whom are still in their productive ages from 15 to 49 years of age.

According to Herdimansyah, lax coordination between the health office and medical workers continues to be a major setback in TB prevention. Additionally, he said, many regional leaders pay insufficient attention to the risks posed by the disease.

"The WHO findings show that TB is the most fatal disease after heart failure and acute respiratory illness. In Lampung, many of the regencies and cities set aside less than Rp 50 million per year from their budget to fight the disease," he said.

"The population of Bandarlampung is now around 850,000, but the budget set by the municipality to fight TB is only Rp 30 million per year, while South Lampung, with 1.5 million people, has allocated Rp 200 million for the purpose."

There are currently 548,000 reported cases of TB in the country, from which an average of 384 people die of the disease daily.

The TB virus is incapable of spreading to others after two months of routine medication, though complete rehabilitation requires six months of treatment.

The most effective method available for controlling the TB epidemic is through the DOTS program.

http://www.thejakartapost.com/detailnational.asp?fileid=20070608.G02&irec=1

[Gert van der Hoek]

Re: TB in Indonesia: first cause of death

INDONESIA WORLD’S 3RD BIGGEST WITH TUBERCULOSIS PATIENTS

Denpasar 19/11/2007 (Kominfo-Newsroom) – With a total of 583,000 tuberculosis (TB) patients, Indonesia is the third biggest in the world.

Of the total, 140,000 or more than 20 per cent died, making TB the third major killer after cardiovascular and respiratory ailments, according to B. Wiradana, chief of South Denpasar sub-regency, here Friday (16/11).

South Denpasar, he said, is cooperating with the Indonesian Tuberculosis Eradication Association (PPTI) to combat the deadly disease.

He told the socialization program that residents should know the dangers of TB and how to avoid it.

Chairman of PPTI I Wayan Darna said the organization was set up in Jakarta in 1968. It is the only Non Government Organization cooperating with the Health Department to Eradicate Tuberculosis.

The Bali chapters of PPTI were set up in 1971 and l996.
He voiced the need for preventive measures to fight the disease.

TB drop-outs and those who have not been detected suffering from consumption are a hazard because one, if not medically treated, could infect 10 to 15 people a year. (www.denpasar.go.id/hsn/id/ton)

http://www.bipnewsroom.info/index.php?_language=Indonesia&_mainNo=32&_cmsType=INGGRIS&_contentShow=Ascending&_contentType=Content&#37;20News&_pageBreak=0&_loginID=&_password=&catid=87&&newsid=29701&_link=loadnews.php