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EHRC UGM Dyah Ayu Widiasih Presented on EcoHealth -One Health Short Course, Hanoi 27-30 May 2013

EHRC UGM Dyah Ayu Widiasih Presented on EcoHealth -One Health Short Course, Hanoi 27-30 May 2013. CASE STUDY OF LEPTOSPIROSIS : USING AN ECOHEALTH APRROACH FOR BETTER MANAGEMENT OF LEPTOSPIROSIS IN KULONPROGO DISTRICT, YOGYAKARTA SPECIAL PROVINCE, INDONESIA. Background .

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EHRC UGM Dyah Ayu Widiasih Presented on EcoHealth -One Health Short Course, Hanoi 27-30 May 2013

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  1. EHRC UGM DyahAyuWidiasih Presented on EcoHealth-One Health Short Course, Hanoi 27-30 May 2013 CASE STUDY OF LEPTOSPIROSIS:USING AN ECOHEALTH APRROACH FOR BETTER MANAGEMENT OF LEPTOSPIROSIS IN KULONPROGO DISTRICT, YOGYAKARTA SPECIAL PROVINCE, INDONESIA

  2. Background ECOHEALTH CONCEPT APPROACHES INTEGRATIVE RESEARCH In 2009, there were outbreaks of leptospirosis in Yogyakarta Leptospirosis = ZEID Ministry of Agriculture NEED NEW APPROACHES FOR BETTER CONTROLLING Priority of controlliing EID Priority zoonoses in Indonesia: Leptospirosis 3 rank (MOH)

  3. EcoHealth Approaches to Solve Risk Factors of Leptospirosis Progo river

  4. EcoHealth Approaches to better control Leptospirosis EcoHealth Aspects of Leptospirosis Research Focus on the following: • Collaboration with transdisciplinary team • Articulation of an EcoHealth conceptual framework • Understanding Leptospirosis risk factors & policy issues • Understanding cultural landscape & policy context of Leptospirosis • Engaging in regional exchange /work on Leptospirosis

  5. Groups involved - Framework Farmers (dairy cattle, goat, sheep) & pet owners Public health authorities (municipal health services) The problem: Leptospirosis in Yogyakarta Livestock services Head of District UGM (implementing the project) 7 faculties: Vet Med, Animal Science, Social Science (Anthropology) & Medicine, Geography, Biology,

  6. Boundary Partners • Some faculties at UGM • Municipal Health of Yogyakarta Special Province • Livestock services of Yogyakarta Special Province • Community

  7. Materials and Methods Phase 2 • Exploring risk factors: • Knowledge of zoonotic diseases & leptospirosis • Behavior of people • Control & prevention • Stakeholder policy Phase 1 • Surveillance and screening agents from animals • Questionnaires for demographic data and potential risks from animals • Spatial analysis

  8. Materials and Methods (Phase 1) • High human cases area • along the watershed of Progo • River • KulonProgo, Bantul, Sleman • Leptospirosis prevalence • Risk factors: • hosts • environments • socio-economics • Mapping disease • Cattle sera: • Sampling design KulonProgo district

  9. Preliminary Results – Leptospirosis Serology • Prevalence observed: • Cattle : 10% (out of 500 cattle sera analyzed • so far 50 have been tested positive) • Sheep & goat : 1.6% (1/60) • Dog & cat : 0% (0/60)

  10. Preliminary Results – Leptospirosis Serology Leptospirosisserovars

  11. Positive Areas Based on MAT Analysis

  12. Results - Demographic Data of Farmers Involved in the Study (QX) Age Education Occupation

  13. Potential Human - Risk Factors for Leptospirosis

  14. Potential Risk Factors for Leptospirosis in Animals (MAT currently applied) • Grazing at pasture • Bath in the river • Work in the rice field • Feed (grass) from the field have many wild mice • Many mice at the ware house • Number of sick cattle and tested positive for leptospirosis

  15. The distribution of leptospires in KulonProgo in animals. Positive cases distributed around the river and carried buffer (distance positive leptospirosis cases with watershed) :1. At a distance of 50 meters 2. At a distance of 100 m 3. At a distance of 200 m4. Distances greater than 300 m

  16. Phase 2: Results of FGD and IDI • Knowledge of zoonotic disease and leptopsirosis • Behaviour of people • Control and measure • Stake holder policy

  17. Knowledge of Zoonotic Disease and Leptospirosis • Mostly people understand • Familiar zoonotic disease: AI, Rabies • Rat disease • Distribution

  18. Behaviour of People • Unhealthy behaviour through garbage outside house, no washing hand • No protective cloth (boot, etc) during work • Ignore to the death rats

  19. Control and Prevention • Natural predator: snake, owl, garangan (Herpertesjavanicus) • Killing • Burning • Bombing (being burned by traditional fireworks)

  20. Control and Prevention • Obstacles : • The natural predators are caught and sold by people • The boots often stuck in the mud of paddy field makes the farmers not eager to wear them • The rats ate motorcycles and other various cables

  21. Stakeholder Policies • Socialization • Free medication service program • Eradication program

  22. CONCLUSION The synthesis from the qualitative & quantitative surveys data will contribute to a better integrated understanding of disease emergence and the basis for a more effective addressing of public health policy concerns in order to better management of the disease.

  23. Acknowledgement This work was supported by International Livestock Research Institute (ILRI) and International Development Resource Centre (IDRC). We are grateful to all ILRI representatives in South East Asia, the head of KulonProgo districts and all staff of KulonProgo Livestock Services and Municipal Health Services of KulonProgo for providing the fascilities and secondary data. The grateful thanks to all member of Working Group of EHRC-UGM for being a good collaboration team in this study. For more information pleasevisit: www.ilri.org/ecozd www.ilriasia.wordpress.com/tag/ecozd www.ecohealth.fkh.ugm.ac.id

  24. THANK YOU

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