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Ministry of Health Wary of Bird Flu Infecting Humans
Report by Billy Patoppoi
Monday, February 27, 2023
| 13:44 WIB
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The Indonesian Ministry of Health (Kemenkes) is wary of the tendency of New Clade Avian Flu 2.3.4.4b to infect humans, following the finding of a case that attacked poultry in a farm in South Kalimantan.
"Currently there are no reports of transmission to humans, but we still have to be vigilant," said Director General of Disease Prevention and Control of the Indonesian Ministry of Health, Maxi Rein Rondonuwu, as reported by Antara, Monday (27/2/2023).
Maxi said that although the risk of infection in humans is still relatively low, the government has increased early vigilance, bearing in mind that zoonotic virus mutations are fast and take place consistently in mammals.
He said the Ministry of Health had issued a Circular Letter of the Director General of Disease Prevention and Control (P2P) Number PV.03.01/C/824/2023 concerning Precautions for Extraordinary Events (KLB) Bird Flu (H5N1) New Clade 2.3.4.4b which was established on 24 February 2023.:magnify:
The circular contains requests from provincial, district/city health offices and heads of Port Health Offices (KKP) throughout Indonesia to coordinate and cooperate with agencies in charge of animal health functions and other related sectors in efforts to prevent and control bird flu in humans.
Regional governments are also asked to prepare health facilities for the management of suspected cases of bird flu in accordance with established guidelines. As well as increasing the capacity of the Public Health Laboratory (Labkesmas) to examine samples from cases with symptoms of suspected bird flu.
"Surveillance activities and the Fast Action Team (TGC), especially in detecting epidemiological signals in the field, also need to be improved," he said.
For areas that are sentinel surveillance for Influenza-Like Illness (ILI) and Severe Acute Respiratory Infection (SARI) to increase early awareness for the detection of suspected cases of Avian Influenza in areas where outbreaks of Avian Influenza have occurred in poultry.
Whenever a suspected case of bird flu is found, the Puskesmas immediately reports it in less than 24 hours to the District/City Health Office (Dinkes) through the Incident-Based Surveillance system and the Early Alertness and Response System (SKDR).
Provincial and District/City Health Offices should immediately report in less than 24 hours to the PHEOC Directorate General of P2P. Coordinate with agencies in charge of local animal health functions.
As a form of vigilance, Director General Maxi also instructed the KKP to increase supervision of domestic and foreign travellers at seaports, airports and state land border crossing posts.
“Carrying out inspections and handling cases if travel behavior is found that has symptoms of ILI according to applicable guidelines. Conduct socialization and coordination with all cross-sectors in the KKP work area," he said.
Director General Maxi also appealed to the public to always practice Clean and Healthy Behavior (PHBS), report to the Animal Husbandry Service if there are sudden and large numbers of poultry deaths in their environment, immediately go to a health facility if they experience symptoms of bird flu and have a history of contact with other factors. risk.
Siti Nadia Tarmizi, Head of the Bureau of Communication and Public Services of the Indonesian Ministry of Health, added that mitigating the transmission of New Clade Avian Flu 2.3.4.4b in Indonesia is prioritized in areas related to poultry and wild animals.
"The focus of mitigation is on poultry farms or wildlife conservation areas that need strict monitoring of the possibility of bird flu transmission to humans," he said.
He said the Ministry of Health had coordinated with the Ministry of Agriculture (Kementan) and the Ministry of Environment and Forestry (KLHK) for the prevention of Bird Flu.
The Ministry of Agriculture has positively identified the H5N1 clade 2.3.4.4b virus through PCR testing and sequencing at non-vaccinated Peking duck commercial farms in South Kalimantan.
"We have coordinated with the Ministry of Agriculture and the Ministry of Environment and Forestry to anticipate this situation by holding a coordination meeting on 15 February 2023 to respond to SE Director General of Livestock and Animal Health - Ministry of Agriculture Number 16183 of 2023 concerning Raising Awareness of Highly Pathogenic Avian Influenza subtype H5N1 Clade 2.3.4.4b, he said. (ant/ihz):tiphat:https://www.suarasurabaya.net/kelana...
Report by Billy Patoppoi
Monday, February 27, 2023
| 13:44 WIB
Share
The Indonesian Ministry of Health (Kemenkes) is wary of the tendency of New Clade Avian Flu 2.3.4.4b to infect humans, following the finding of a case that attacked poultry in a farm in South Kalimantan.
"Currently there are no reports of transmission to humans, but we still have to be vigilant," said Director General of Disease Prevention and Control of the Indonesian Ministry of Health, Maxi Rein Rondonuwu, as reported by Antara, Monday (27/2/2023).
Maxi said that although the risk of infection in humans is still relatively low, the government has increased early vigilance, bearing in mind that zoonotic virus mutations are fast and take place consistently in mammals.
He said the Ministry of Health had issued a Circular Letter of the Director General of Disease Prevention and Control (P2P) Number PV.03.01/C/824/2023 concerning Precautions for Extraordinary Events (KLB) Bird Flu (H5N1) New Clade 2.3.4.4b which was established on 24 February 2023.:magnify:
The circular contains requests from provincial, district/city health offices and heads of Port Health Offices (KKP) throughout Indonesia to coordinate and cooperate with agencies in charge of animal health functions and other related sectors in efforts to prevent and control bird flu in humans.
Regional governments are also asked to prepare health facilities for the management of suspected cases of bird flu in accordance with established guidelines. As well as increasing the capacity of the Public Health Laboratory (Labkesmas) to examine samples from cases with symptoms of suspected bird flu.
"Surveillance activities and the Fast Action Team (TGC), especially in detecting epidemiological signals in the field, also need to be improved," he said.
For areas that are sentinel surveillance for Influenza-Like Illness (ILI) and Severe Acute Respiratory Infection (SARI) to increase early awareness for the detection of suspected cases of Avian Influenza in areas where outbreaks of Avian Influenza have occurred in poultry.
Whenever a suspected case of bird flu is found, the Puskesmas immediately reports it in less than 24 hours to the District/City Health Office (Dinkes) through the Incident-Based Surveillance system and the Early Alertness and Response System (SKDR).
Provincial and District/City Health Offices should immediately report in less than 24 hours to the PHEOC Directorate General of P2P. Coordinate with agencies in charge of local animal health functions.
As a form of vigilance, Director General Maxi also instructed the KKP to increase supervision of domestic and foreign travellers at seaports, airports and state land border crossing posts.
“Carrying out inspections and handling cases if travel behavior is found that has symptoms of ILI according to applicable guidelines. Conduct socialization and coordination with all cross-sectors in the KKP work area," he said.
Director General Maxi also appealed to the public to always practice Clean and Healthy Behavior (PHBS), report to the Animal Husbandry Service if there are sudden and large numbers of poultry deaths in their environment, immediately go to a health facility if they experience symptoms of bird flu and have a history of contact with other factors. risk.
Siti Nadia Tarmizi, Head of the Bureau of Communication and Public Services of the Indonesian Ministry of Health, added that mitigating the transmission of New Clade Avian Flu 2.3.4.4b in Indonesia is prioritized in areas related to poultry and wild animals.
"The focus of mitigation is on poultry farms or wildlife conservation areas that need strict monitoring of the possibility of bird flu transmission to humans," he said.
He said the Ministry of Health had coordinated with the Ministry of Agriculture (Kementan) and the Ministry of Environment and Forestry (KLHK) for the prevention of Bird Flu.
The Ministry of Agriculture has positively identified the H5N1 clade 2.3.4.4b virus through PCR testing and sequencing at non-vaccinated Peking duck commercial farms in South Kalimantan.
"We have coordinated with the Ministry of Agriculture and the Ministry of Environment and Forestry to anticipate this situation by holding a coordination meeting on 15 February 2023 to respond to SE Director General of Livestock and Animal Health - Ministry of Agriculture Number 16183 of 2023 concerning Raising Awareness of Highly Pathogenic Avian Influenza subtype H5N1 Clade 2.3.4.4b, he said. (ant/ihz):tiphat:https://www.suarasurabaya.net/kelana...