Influenza Indonesia Factsheet National Influenza Programme 2018
Basic information (2018) Total population 261 890 8721 Children <5 years 23 848 2831 Under-5 mortality rate 26.41 (per 1000 LBa) Life expectancy at birth 69.3 (years)2 Provinces/divisions/regions 34 Districts 514 Total health expenditure 51 (% of GDP) Lower middle Income level (World Bank) income3 alive births 1http://www.searo.who.int/immunization/data/indonesia_2018.pdf 2https://www.who.int/gho/publications/world_health_statistics/2018/en/ Population pyramid (by age and sex) 3 https://data.worldbank.org/country/indonesia Source: https://population.un.org/wpp/Graphs/ DemographicProfiles/ Influenza surveillance Surveillance systems System Site type System type Sample collection National SARI surveillance Hospitals Sentinel Yes National ILI surveillance Primary health centres Sentinel Yes
National Disease surveillance (epidemiological) Surveillance system Characteristics SARI ILI Case definition WHO2014 WHO2014 Target population <50% <50% Number of municipalities 6 27 Number of sites 6 27 Selection for sampling All All Sampling frequency - - Reporting frequency Weekly Weekly
Influenza factsheet – INDONESIA | 2020 Sentinel surveillance (virological) Virological surveillance Yes National or sentinel surveillance Sentinel Epidemiological case information collected Yes Weekly average no. of samples processed 65 Sample collection from both surveillance systems Yes
ILI Sentinel Sites SUMATERA 1. Aceh 2. Medan (Sumut) 3. Babel 4. Batam (Kepri) 5. Jambi 6. Padang (Sumbar) 7. Bengkulu 8. Palembang (Sumsel) 9. Lampung 10. Riau JAWA 11. Malang (Jatim) 12. DI Yogyakarta 13. Semarang (Jateng) 14. Bandung (Jabar) 15. Tangerang Selatan (Banten) BALI & NUSA TENGGARA 16. Denpasar (Bali) 17. Kupang (NTT) 18. Mataram (NTB) SULAWESI 19. Palu (Sulteng) 20. Makassar (Sulsel) 21. Mamuju (Sulbar) PAPUA & MALUKU 22. Jayapura (Papua) 23. Merauke (Papua) 24. Ambon (Maluku) SARI Sentinel Sites 1. RSUD Deli Serdang, Sumatera Utara 2. RSUD Wonosari, DIY 3. RSUD Kanujoso Djatiwi- bowo, Balikpapan 4. RSUD Bitung, Sulawesi Utara 5. RSUD Provinsi NTB 6. RSUD Haulussy Ambon, Maluku
* SARI and ILI surveillance are conducted in the same district although at different locations within the district.
Influenza factsheet – INDONESIA | 2020 National Influenza Centre (NIC) Number of NICs 1 Year of establishment as NIC 1976 Routine assays performed at NIC/national laboratory PCR, isolation, sequencing 100% - all 23 laboratories in the Percentage of laboratories with RT-PCR capacity EID laboratory network* Detection of other respiratory virus by PCR method Yes Which viruses Rhinovirus, MERS-CoV, parainfluenza virus and RSV Availability of a quality control plan Yes Sending samples to a WHO CC Yes Tokyo, Japan; Atlanta, USA; Which WHO CC? Melbourne, Australia (since 2018) Frequency 1-2 times per year (seasonal influenza isolates) * Unknown for laboratories outside EID network
Reporting Frequency of published national reports Annually Does it include sentinel data? Yes Integration of epidemiological and Yes virological information Reporting through a website Not yet, the website under development http://www.pusat1.litbang.depkes.go.id/index.php/ Website link surveilans-etc/nat-influenza-center Reporting to FluNet Yes Frequency Weekly since 2009 Reporting to FluID Yes Frequency Weekly since 2015
Virological data (FluNet)
Plotted in R (ggplot2). Data source: FluMART, available at http://apps.who.int/flumart/
Influenza factsheet – INDONESIA | 2020 Epidemiological data (FluID)
Plotted in R (ggplot2). Data source: FluID, available at http://apps.who.int/flumart/Default?ReportNo=16
Influenza vaccination Availability of a formal national seasonal influenza policy No, current recommendation only for Hajj and Umrah Pilgrims Year of introduction N/A Recommended risk groups Hajj and Umrah Pilgrims Vaccination period September or before Hajj Season for pilgrimages Vaccination type Southern/Northern Vaccine production capacity in 2014 200 000 seasonal influenza vaccines/year
Pandemic preparedness Availability of a national influenza preparedness plan Yes
Year developed 2007
Year updated 2015
For technical information, please contact: Dr Pushpa Ranjan Wijesinghe, Programme Area Manager (Infectious Hazard Management). Email: [email protected]
Influenza factsheet – INDONESIA | 2020