Pathfinder
Editor, Senior Moderator
Translation Indonesian-English
TEMPO Interactive, Tangerang - Kawasaki disease experienced a trend of increase in recent years.
"The trend to increase high enough case," said Chairman Kawasaki Center, Dr. Advani Najib SpA (K). MMed (Paed), told Tempo, today (6 / 12).
Najib expressed, the number of cases increased each year Kawasaki increased many fold. Year 1996 since this case began it was revealed five cases handled. The numbers continue to grow until 2007 cases of Kawasaki which detected 50 cases, in 2008 recorded 60 cases in 2009, and it identified 70 more cases.
"Increasing cases does not mean the disease is endemic. But because many people are aware of the disease that can be detected, "said Najib.
Najib's estimates Kawasaki cases in Indonesia over 5000 cases per year. Newly detected and 100 to 200 cases each year. "The question remains where it was undetectable. That is very worrying, "he said. These calculations, Najib said, based on average figures demographic events in neighboring countries such as Japan, China, and Malaysia.
In Indonesia, of Chinese descent Kawasaki likely to suffer about 50 per 100 thousand population, while indigenous people 25 per 100 thousand inhabitants. Unfortunately, cases of Kawasaki in Indonesia is still very common in both the public and among physicians. "90 percent of doctors in Indonesia do not know Kawasaki disease, so often the case wrong diagnosis," he said.
Public ignorance and physicians that causes 50 percent of Kawasaki cases handled too late resulting in heart defects in the patients who generally are the children. Kawasaki disease, Najib explained, causes inflammation in the body that cause blood vessels of the heart (coronary) have dilation, long time until the blockage has refinements that make the disruption of blood flow to the heart.
"The process of inflammation begins when the fever started to attack," he said. The second week, if the patient is not treated immediately, the disease had a heart attack.
According to Najib, although the cause is unknown, the disease is already known cure. Kawasaki quite expensive drug because only 1 gram worth USD 1.2 million. Each patient should be given the drug twice the weight. "Reaching 30 million, depending on the patient's weight," said the doctor who claimed many a good deed in helping treatment for patients with Kawasaki from these families.
Worse yet, even though the patient was declared cured, treatment continued for though had recovered the opportunity to get back around three percent.
According to Najib, the current government's role is needed in socializing and handling short-term and long-term illness. "So far the government had no concern," he said. Supposedly, he said, the Ministry of Health to socialize and help treat classified as very expensive. "The condition now is very worrying," said Najib.
Najib urged the public to guard against this disease. If the child has a high heat for more than five days, the eyes, red lips and skin is suspect as Kawasaki disease.
http://www.tempointeraktif.com/hg/layanan_publik/2009/12/06/brk,20091206-212072,id.html
TEMPO Interactive, Tangerang - Kawasaki disease experienced a trend of increase in recent years.
"The trend to increase high enough case," said Chairman Kawasaki Center, Dr. Advani Najib SpA (K). MMed (Paed), told Tempo, today (6 / 12).
Najib expressed, the number of cases increased each year Kawasaki increased many fold. Year 1996 since this case began it was revealed five cases handled. The numbers continue to grow until 2007 cases of Kawasaki which detected 50 cases, in 2008 recorded 60 cases in 2009, and it identified 70 more cases.
"Increasing cases does not mean the disease is endemic. But because many people are aware of the disease that can be detected, "said Najib.
Najib's estimates Kawasaki cases in Indonesia over 5000 cases per year. Newly detected and 100 to 200 cases each year. "The question remains where it was undetectable. That is very worrying, "he said. These calculations, Najib said, based on average figures demographic events in neighboring countries such as Japan, China, and Malaysia.
In Indonesia, of Chinese descent Kawasaki likely to suffer about 50 per 100 thousand population, while indigenous people 25 per 100 thousand inhabitants. Unfortunately, cases of Kawasaki in Indonesia is still very common in both the public and among physicians. "90 percent of doctors in Indonesia do not know Kawasaki disease, so often the case wrong diagnosis," he said.
Public ignorance and physicians that causes 50 percent of Kawasaki cases handled too late resulting in heart defects in the patients who generally are the children. Kawasaki disease, Najib explained, causes inflammation in the body that cause blood vessels of the heart (coronary) have dilation, long time until the blockage has refinements that make the disruption of blood flow to the heart.
"The process of inflammation begins when the fever started to attack," he said. The second week, if the patient is not treated immediately, the disease had a heart attack.
According to Najib, although the cause is unknown, the disease is already known cure. Kawasaki quite expensive drug because only 1 gram worth USD 1.2 million. Each patient should be given the drug twice the weight. "Reaching 30 million, depending on the patient's weight," said the doctor who claimed many a good deed in helping treatment for patients with Kawasaki from these families.
Worse yet, even though the patient was declared cured, treatment continued for though had recovered the opportunity to get back around three percent.
According to Najib, the current government's role is needed in socializing and handling short-term and long-term illness. "So far the government had no concern," he said. Supposedly, he said, the Ministry of Health to socialize and help treat classified as very expensive. "The condition now is very worrying," said Najib.
Najib urged the public to guard against this disease. If the child has a high heat for more than five days, the eyes, red lips and skin is suspect as Kawasaki disease.
http://www.tempointeraktif.com/hg/layanan_publik/2009/12/06/brk,20091206-212072,id.html
