Indonesia Communicable Disease Profile
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COMMUNICABLE DISEASE TOOLKIT WHO/CDS/2005.30_REV 1 Indonesia Communicable disease profile Communicable Diseases Working Group on Emergencies, WHO/HQ WHO Regional Office for South East Asia, SEARO Communicable disease profile for INDONESIA: JUNE 2006 © W orld Health Organization 006 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the e)pression of any opinion whatsoever on the part of the W orld ealth Organi$ation concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent appro)imate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers, products does not imply that they are endorsed or recommended by the W orld ealth Organi$ation in preference to others of a similar nature that are not mentioned. Errors and omissions e)cepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been ta-en by W O to verify the information contained in this publication. owever, the published material is being distributed without warranty of any -ind, either e)press or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the W orld ealth Organi$ation be liable for damages arising from its use. The named authors alone are responsible for the views e)pressed in this publication. .urther information is available at: CDS Information Resource Centre, W orld ealth Organi$ation, 1211 1eneva 22, Swit$erland3 fa): 45417 22 281 4222, e9mail: cdemergencies: who.int or cdsdoc: who.int W orld ealth Organi$ation iii Communicable disease profile for INDONESIA: JUNE 2006 CONTENTS Contents ..............................................................................................................................................................iv Acknowledgem ents .............................................................................................................................................v Introduction.........................................................................................................................................................vi 1. Acute lower respiratory infections .ALRI0........................................................................................1 . Bacillary dysentery .shigellosis0.......................................................................................................1 2. Cholera.................................................................................................................................................6 1. Diarrhoeal diseases .others0............................................................................................................10 3. Diphtheria...........................................................................................................................................12 6. Dengue fever and Dengue haem orrhagic fever..............................................................................17 7. Influenza .seasonal0.......................................................................................................................... 1 8. HI67AIDS.............................................................................................................................................22 8. Leptospirosis .....................................................................................................................................10 10. Malaria................................................................................................................................................12 11. Measles...............................................................................................................................................18 1 . Meningococcal disease .m eningitis and septicaem ic form 0.........................................................32 12. Pertussis .whooping cough0............................................................................................................37 11. Plague.................................................................................................................................................61 13. Rabies .................................................................................................................................................66 16. Soil-transm itted helm inthiases.........................................................................................................76 17. Tetanus and tetanus neonatorum ....................................................................................................80 18. Tuberculosis ......................................................................................................................................83 18. Typhoid fever.....................................................................................................................................83 APPENDIX 1: Map of Indonesia........................................................................................................................88 APPENDIX : Situation m ap of tsunam i affected areas - deaths, injuries and m issing. ............................88 APPENDIX 2: Situation m ap of tsunam i affected areas - destruction and population displacem ent. ....100 APPENDIX 1: Map of displaced people in Aceh province. ..........................................................................101 APPENDIX 3: Map of healthcare agencies providing services in Aceh. ....................................................10 APPENDIX 6: W HO7MOH outpatient weekly surveillance reporting form . .................................................102 APPENDIX 7: W HO recom m ended case definitions.....................................................................................103 APPENDIX 8: Flowcharts for the laboratory confirm ation of com m unicable diseases ..........................107 APPENDIX 8: Steps in outbreak m anagem ent..............................................................................................112 APPENDIX 10: Safe water and sanitation......................................................................................................111 APPENDIX 11: Injection safety. ......................................................................................................................113 APPENDIX 11: Injection safety. ......................................................................................................................113 APPENDIX 1 : Key contacts for Indonesia...................................................................................................116 APPENDIX 12: List of W HO guidelines on com m unicable diseases...........................................................118 APPENDIX 11: Im m unization schedule for Indonesia..................................................................................1 APPENDIX 13: Dem ographic profile of Indonesia, 003 - 0 3...................................................................1 2 APPENDIX 16: Population rates for Indonesia, 003 - 0 3. .......................................................................1 1 APPENDIX 17: Basic health indicators in Indonesia, 003..........................................................................1 3 APPENDIX 18: W HO recom m ended vaccinations and other prophylactic reAuirem ents. .......................1 6 W orld ealth Organi$ation iv Communicable disease profile for INDONESIA: JUNE 2006 ACKNOW LEDBEMENTS Edited by Dr Pamela Mbaba$i, Dr Michelle 1ayer and Dr M=ire Connolly of the Programme on Diseases Control in umanitarian Emergencies W O/CDS and Dr. Jai Narain of the Department of Communicable Disease Prevention and Control at W O/SEARO 4CDS/SEARO7. This communicable diseases profile is a collaboration between the Communicable Disease W or-ing 1roup on Emergencies 4CD9W 1E7 at W O/ Q, with input from some disease focal points in the W O South9East Asia Region. CD9W 1E provides technical and operational support on communicable disease issues to W O regional and country Offices, ministries of health, other Unted Nations agencies, nongovernmental organi$ations and international organi$ations. This wor-ing group includes the departments of Epidemic and Pandemic Alert and Response 4EPR7, Neglected Tropical Diseases 4NTD7, 1lobal Malaria Programme 41MP7, Stop TB 4STB7, IA/AIDS 4 IA7, Child and Adolescent ealth and Development 4CA 7, Immuni$ations, Aaccines and Biologicals 4IAB7, Sustainable Development and ealthy Environments 4SDE7 and ealth Action in Crises 4 AC7. The following individuals at SEARO and Q contributed to the development of this document, and their technical input is gratefully ac-nowledged: enrietta Allen 4CDS/NTD7, Andrew Ball 4 TM/ IA7, Jorge Castilla 4CDS/NTD7, Claire9Lise Chaignat 4CDS/NTD7, Claire Chauvin 4.C /IAB7, Alice Crosier 4CDS/EPR7, Renu Dayal9Drager 4CDS/EPR7, Juerg Draeyer 4CDS/NTD7, Dir- Engels 4CDS/NTD7, Marta 1acic Dobo 4.C /IAB7, Pascale 1ilbert9Miguet 4W O/ MS7, Tom 1rein 4CDS/EPR7, .red ayden 4CDS/EPR7, Bradley ersh 4.C /IAB7, Mar- Ceim 4W O Aceh/1OARN7, Thimasarn Crongthong 4W O/SEARO7, DominiDue Legros 4CDS/EPR7, Su$i Lyons 4CDS/EPR7, Steve Martin 4CDS/EPR7, .ranEois9Favier Meslin 4SDE/.OS7, Alan Moren 4W O Aceh/1OARN7, Mi-e Nathan 4CDS/NTD7, JosG N-uni 4 TM/1MP7, Cathy OHNeill 4CDS/1IS7, Salah9Eddine