Indonesia issues MERS-CoV advisory

The Indonesian government is warning pilgrims about a viral respiratory disease that spread rapidly in Saudi Arabia in recent weeks.

With an outbreak of the deadly Middle East Respiratory Syndrome coronavirus (MERS-CoV) reported in Saudi Arabia, Indonesian health officials are moving to prevent the infectious disease from spreading to the archipelago.

Hajj pilgrims from Indonesia in particular, could be exposed to the virus in crowds at Mecca and at other sites in the kingdom and then bring it home, officials warn.

On Friday (May 2nd), the Indonesian government announced it would work with Saudi Arabia and other nations to contain the health threat, state-run Antara reported.

The Health Ministry also notified Indonesians travelling to Saudi Arabia– particularly those going on minor Hajj pilgrimages– to take precautions against the disease, Antara quoted Health Minister Nafsiah Mboi as saying. Its symptoms are similar to bird flu or avian influenza.

As many as 138 cases of MERS-CoV were identified in Saudi Arabia between April 11th and 26th, according to the World Health Organisation (WHO). As of April 26th, WHO counted 261 lab-confirmed cases worldwide since September 2012, including 95 fatal ones.

Getting the word out

No MERS-CoV cases have been reported in Indonesia, but a 61-year-old Indonesian man living in Saudi Arabia died of the disease in a Jeddah hospital on April 27th, Tjandra Yoga Aditama, disease control and environment health director for the Health Ministry, told reporters April 29th.

The Indonesian government will follow up by tracking down people who interacted with this man, Tjandra said.

“We will continue this process for the next two weeks with the Indonesian Consulate in Saudi Arabia, as well as with the World Health Organisation. We will also have a meeting with future Muslim pilgrims from Indonesia to ensure their safe travel,” he told Khabar Southeast Asia.

Because as many as 250,000 pilgrims from Indonesia go on Hajj every year, the government is now busy informing those travellers about the risks of exposure to MERS-CoV, Religious Affairs Minister Suryadharma Ali said.

“With this huge number of people, every citizen must be aware of this virus. Every citizen is responsible to look after [his] health and resilience while performing Hajj,” he told reporters.

Despite the health scare, Jakarta resident Farida Manti plans to join the throngs of Muslims from across the globe converging on Mecca for the Hajj in early October.

“I only can take preventative measures to avoid this virus. However, I will not cancel the pilgrim trip. I have been planning this for years,” Farida, who plans to attend with seven relatives, told Khabar.

source: khabarsoutheastasia.com

 

Superbugs a global threat to public health, WHO warns

Antibiotic-resistant “super bugs” have become a major threat to public health around the world, the United Nations says in a report released this week.

The U.N. World Health Organization report focuses on bacteria that have evolved to the point where current antibiotics no longer can combat them to treat the infections they’re responsible for.

The report is not a warning for a future time, U.N. officials say, because the threat is here today and puts persons of any age living in any country in the world at risk.

The time to act is now, they say.

“Without urgent, coordinated action by many stakeholders, the world is headed for a post-antibiotic era, in which common infections and minor injuries which have been treatable for decades can once again kill,” said Keiji Fukuda, WHO Assistant Director-General for Health Security.

The United Nations’ concern over the issue is shared by a number of world health entities.

The U.S. Centers for Disease Control and Prevention has predicted “potentially catastrophic consequences” that could prevail if bacteria continue to evade treatment, noting super bug infections are involved in the deaths of around 23,000 in the United States annually.

Elevated resistance rates have been found globally in common bacteria involved in infections of the bloodstream, wounds, and the urinary tract.

Drug-resistant strains of bacteria that cause pneumonia and tuberculosis have also been seen worldwide, the U.N. report noted.

Pneumonia bacteria that are increasingly resistant to penicillin are now showing up in more than 50 percent of pneumonia cases in some areas of the world, it said.

In some parts of the Americas, the reported noted, as many as nine out of 10 infections involving Staphylococcus aureus are proving resistant to the antibiotic methicillin, a situation garnering its own acronym, MRSA.

As more bacteria show signs of antibiotic resistance, it raises the specter of diseases spreading more quickly and a corresponding higher death rate, Fukuda said.

“Effective antibiotics have been one of the pillars allowing us to live longer, live healthier, and benefit from modern medicine,” he said.

Changes are needed in the way in which antibiotics are produced, prescribed and used or more and more of them will become ineffective with disastrous implications for the future, he said.

source: www.techtimes.com

 

Menkes: Tenaga Kesehatan Butuh Payung Hukum

Tenaga kesehatan merupakan bagian yang tidak bisa dipisahkan dalam dunia kesehatan. Perannya pun sangat dibutuhkan masyarakat untuk mendapatkan pelayanan kesehatan yang memuaskan.

Menteri Kesehatan (Menkes), Nafsiah Mboi mengatakan, RUU ini sangat dibutuhkan dalam menunjang dan mensukseskan pelayanan kesehatan bagi masyarakat di Indonesia. Sebab itu, lanjut Menkes, RUU yang merupakan inisiatif Kemenkes ini, diharapkan dalam waktu dapat segera disahkan menjadi UU.

“Semua harus ada payung hukum untuk semua tenaga kesehatan sebagai amanah dari UU Kesehatan. Makanya kita susun sesuai dengan jiwa UU Kesehatan tersebut,” kata Nafsiah kepada Harian Terbit di kantor Kemenkes, Kuningan, Jakarta Selatan (Jaksel), akhir pekan lalu.

Menkes menjelaskan, RUU ini terdiri dari 14 bab, dengan isinya antara lain pengelompokan nakes, hak dan kewajiban nakes, penyelenggaraan keprofesian, pembinaan dan pengawasan, serta ketentuan pidana bagi nakes. “Jadi mulai dari rekrutment, pendidikan, pembinaan, penempatan dan lainnya di atur dalam RUU ini,” jelas Menkes.

Menkes menambahkan, RUU ini nantinya juga akan mengatur seluruh Nakes yang saat ini statusnya masih belum jelas, seperti tenaga manajemen kesehatan seperti manajemen Rumah Sakit, manajemen asuransi kesehatan dan juga tenaga riset kesehatan.

“Ada 17 kategori, mulai dari rekrutment, pembagian peran sektor pendidikan, distribusi dan pembinaannya,” ujarnya.

sumber: www.harianterbit.com

Pemerintah Segera Buat Vaksin Virus Corona

Pemerintah melalui Kementerian Kesehatan (Kemenkes) menyatakan sampai saat ini belum ada vaksin agar tidak tertular virus sindrom pernapasan Timur Tengah atau Middle East Respiratory Syndrome Corona Virus (MERS-CoV) yang bersumber dari binatang onta ini. Namun, saat ini Kemenkes sudah bekerjasama dengan World Health Organization (WHO) untuk membuat vaksin virus tersebut.

“WHO sudah akan bekerjasama untuk bikin faksin virus ini, tapi memang belum ada (vaksin virus corona sampai saat ini di Indonesia),” kata Menteri Kesehatan (Menkes), dr. Nafsiah Mboi, SpA, MPH, seusai melantik pejabat eselon I di lingkungan Kemenkes dan Majelis Tenaga Kesehatan Indonesia (MTKI) di kantor Kemenkes, Kuningan, Jakarta Selatan (Jaksel), Sabtu (3/5).

Menkes mengaku, belum mengetahui kapan vaksin virus tersebut ada di Indonesia, namun ia memastikan vaksin tersebut segera dibuat oleh WHO dan pemerintah segera menggungakannya. Sebab, sebut Menkes, vaksin suatu virus biasanya dikeluarkan oleh WHO, bukan pemerintah. “Tapi biasanya, vaksin flu (pernapasan) ditetapkan dari WHO,” ujarnya.

Menkes mengungkapkan, sebenarnya Indonesia mampu membuat vaksin virus itu sendiri dengan memanfaatkan perusahaan farmasi yang ada di Indonesia. Namun, tegas Menkes, hal terbentur kebijakan dari WHO bahwa vaksin itu dikeluarkan oleh WHO. “Kita mampu membuat. Kita harapkan Kalbe Farma kemampuannya lebih ditingkatkan lagi,” ungkapnya.

sumber: www.harianterbit.com

 

 

WTO Case on Australia Tobacco Law Could Have Vast Impact

Geneva: A landmark challenge to Australia’s plain-packaging law for cigarettes and cigars at the WTO could have vast implications for how governments square the rules of trade with radical public health measures.

The case against Canberra has been spearheaded by cigar-producing nations Cuba, the Dominican Republic and Honduras, which say brandless packaging is an assault on their trading rights.

World Trade Organization chief Roberto Azevedo is expected within days to name a three-member panel of independent experts on the laws of commerce, who will then have six months to issue a ruling on whether Australia is out of line.

“Resolution of this dispute is critical because it will go a long way toward indicating whether the WTO will allow countries to take reasonable actions that are intended to protect the public’s health in an equitable and non-discriminatory fashion”, Michael Siegel, a professor at the Boston University School of Public Health, told AFP.

The WTO panel was authorised in late April by a closed-door meeting of its dispute settlement body.

The Geneva-based WTO ensures that its 159 member economies respect the rules of global commerce and its panels have the power to authorise counter-measures by the wronged countries, such as raising import tariffs on the guilty party’s goods.

An initial ruling would not be the end of the story, however, as the WTO dispute settlement process can grind on for years, amid appeals, counter-appeals and assessments of compliance with rulings.

Australia’s law was fought tooth and nail by the tobacco industry before and since its entry into force in December 2012.

But it is lauded by the World Health Organization and campaigners around the globe, who appreciate Canberra’s longstanding vanguard role in the fight against tobacco use — the leading global cause of preventable death, claiming six million lives a year worldwide.

– Key anti-smoking measure –

The legislation requires all tobacco products to be sold in drab green boxes, use the same typeface and contain graphic images of diseased smokers.

Canberra and its supporters argue that by hitting the industry’s branding power and by pushing stark messages, the law will help curb the number of smokers, notably young people who might otherwise take up the habit and thereby replenish the industry’s customer base.

“Tobacco plain packaging is a legitimate measure designed to achieve a fundamental objective: the protection of public health,” a spokesperson for Australia’s Department of Foreign Affairs and Trade told AFP.

“Australia will vigorously defend the challenges to tobacco plain packaging in the WTO. Australia is confident the tobacco plain packaging measure is consistent with WTO obligations,” the spokesperson said.

“Introducing tobacco plain packaging was the next logical step to restrict promotional material on tobacco products, closing one of the few remaining avenues for tobacco advertising in Australia.”

Australia maintains that because plain packaging treats all players equally, it does not constitute discrimination under the so-called TRIPS agreement covering trade and intellectual property rights.

The argument that the law breaches trademark rules also failed to convince the Australian High Court in a case brought by tobacco firms.

Canberra also accuses its rivals of dragging out the process of filing WTO complaints, thus discouraging other countries from adopting similar legislation until their compatability with trade rules is clear.

Plans to bring in plain packaging rules across the 28-nation European Union have been sluggish, but Britain, Ireland and New Zealand have now said they plan to forge ahead.

– ‘Detrimental to fair competition’ –

Honduras, Cuba and the Dominican Republic say the legislation harms their traditional cigar brands, thereby hurting farmers and hundreds of thousands of cigar-sector employees in the three countries.

“We will do everything we can in order to protect the jobs, export revenues and intellectual property rights that are invaluable to our developing economy,” said the Dominican Republic’s WTO ambassador, Luis Manuel Piantini.

“Plain packaging is not only an ineffective health policy, but also one that is detrimental to fair competition in the marketplace,” he added.

Fellow plaintiffs Indonesia and Ukraine, meanwhile, are both leading raw tobacco and cigarette exporters.

Analysts say the case tests the balance between TRIPS rules and measures that government argue are in the public interest, meaning a ruling could open a Pandora’s box of other cases.

TRIPS public interest exemptions have in the past been interpreted as being related to security or morals, rather than health or the environment, said Fredrik Erixon, director of the European Centre for International Political Economy.

“This is going to set a precedent,” he told AFP.

“What we’re talking about here is the extent to which a government actually can deny a company the right to communicate its own trademark, to distinguish its own goods from other goods.”

source: www.ndtv.com

 

Kebal antibiotik ancaman kesehatan dunia

Organisasi Kesehatan Dunia, WHO memperingatkan bahwa kekebalan terhadap antibiotik menjadi ancaman global bagi kesehatan masyarakat.

Badan dunia ini menganalisa data dari 114 negara dan mengatakan kekebalan antibiotik terjadi “di hampir setiap wilayah di dunia.”

WHO mengatakan bahwa dunia menuju era di mana manusia dapat meninggal karena infeksi biasa dan luka-luka ringan karena beberapa obat-obatan utama tidak dapat lagi menyembuhkan.

Organisasi dunia ini menunjuk pemberian resep obat berlebihan dan penyalahgunaan antibiotik yang mempercepat penyebaran bakteri super.

Laporan WHO dipusatkan pada tujuh bakteri yang dianggap menyebabkan penyakit parah seperti pneumonia, diare dan infeksi darah.

Disebutkan pula bahwa dua antibiotik utama tidak lagi ampuh pada lebih dari setengah jumlah orang yang dirawat di sejumlah negara.

WHO juga mengatakan antibiotik baru perlu segera dikembangkan, dengan sistem pengawasan penggunaan yang lebih baik.

Dalam laporannya, WHO mengatakan kekebalan antibiotik misalnya termasuk untuk infeksi saluran kencing akibat E.coli misalnya yang menjadi tidak efektif dalam lebih setengah kasus dewasa ini.

sumber: www.bbc.co.uk

 

Antibiotic-Resistant Bacteria Spreading Across The World, Doctors Fear Deadly Infections

Bacteria resistant to antibiotics have now spread to every part of the world and might lead to a future where minor infections could kill, according to a report published Wednesday by the World Health Organization.

In its first global survey of the resistance problem, WHO said it found very high rates of drug-resistant E. coli bacteria, which causes problems including meningitis and infections of the skin, blood and the kidneys. The agency noted there are many countries where treatment for the bug is useless in more than half of patients.

WHO’s report also found worrying rates of resistance in other bacteria, including common causes of pneumonia and gonorrhea.

Unless there is urgent action, “the world is headed for a post-antibiotic era in which common infections and minor injuries which have been treatable for decades can once again kill,” Dr. Keiji Fukuda, one of the agency’s assistant director-generals, warned in a release.

WHO acknowledged it couldn’t assess the validity of the data provided by countries and that many had no information on antibiotic resistance available.

Health experts have long warned about the dangers of drug resistance, particularly in diseases such as tuberculosis, malaria and flu. In a report by Britain’s Chief Medical Officer last year, Dr. Sally Davies described resistance as a “ticking time bomb” and said it was as big a threat as terrorism.

In 1928, Alexander Fleming’s discovery of penicillin revolutionized medicine by giving doctors the first effective treatment for a wide variety of infections. Despite the introduction of numerous other antibiotics since then, there have been no new classes of the drugs discovered for more than 30 years.

“We see horrendous rates of antibiotic resistance wherever we look…including children admitted to nutritional centers in Niger and people in our surgical and trauma units in Syria,” said Dr. Jennifer Cohn, a medical director at Doctors Without Borders, in a statement. She said countries needed to improve their monitoring of antibiotic resistance. “Otherwise, our actions are just a shot in the dark.”

WHO said people should use antibiotics only when prescribed by a doctor, that they should complete the full prescription and never share antibiotics with others or use leftover prescriptions.

source: latino.foxnews.com

Indonesian allegedly contracts MERS-CoV in Saudi Arabia

The Health Ministry says an Indonesian citizen is suspected to have contracted the Middle East Respiratory Syndrome Corona Virus (MERS-CoV) and is now receiving a medical treatment at King Saud Hospital in Jeddah, Saudi Arabia.

“The Indonesian citizen has long been domiciled in Saudi Arabia and is not on an umroh (minor haj) pilgrim. The patient allegedly infected with the corona virus is being treated at King Saud Hospital, Jeddah, since April 20,” said the ministry’s director general of disease control and environmental health, Tjandra Yoga Aditama, in a statement in Jakarta on Tuesday, as quoted by Antara news agency.

There are no details on the current condition of the Indonesian, identified only by the initials NA, 61.

Tjandra said however, the ministry had continued to coordinate with related Saudi Arabian authorities to monitor the case.

“I talked directly to the Foreign Ministry’s director general for Asia-Pacific and Africa last night and have just been contacted by the Indonesian Ambassador in Saudi Arabia, confirming that there is a MERS-CoV-infected patient from Indonesia,” said Tjandra.

He said the ministry was closely monitoring the MERS-CoV cases that had been spreading in several Middle Eastern countries.

The World Health Organization (WHO) reported that a number of MERS-CoV cases were found in Mecca and Medina, two main cities for hajj and umroh pilgrims in Saudi Arabia.

“For Indonesia, this becomes very crucial because many umroh pilgrims from Indonesia visit those two cities during the pilgrimage season,” said Tjandra.

Saudi Arabia’s Health Ministry said Sunday that eight more people have died after contracting the lethal virus related to SARS as the kingdom grapples with the rising number of cases, The Associated Press reported.

It said it had detected a total of 16 cases of the MERS-CoV over the past 24 hours. The latest cases bring the number of people who have died after contracting the disease in Saudi Arabia since September 2012 to102. To date a total of 339 cases have been recorded in the kingdom. (ebf)

source: www.thejakartapost.com

 

Hello Doctor, Aplikasi Solusi Kesehatan Berbasis Teknologi

Hello Doctor merupakan perusahaan dari Afrika Selatan yang bermitra dengan Ikatan Dokter Indonesia (IDI) dan Telkomsel untuk menawarkan solusi berbasis teknologi melalui smartphone dengan memberi akses langsung bagi masyarakat Indonesia yang ingin mendapatkan saran dari dokter, kapan dan di mana pun.

“Hello Doctor percaya bahwa penawaran yang inovatif ini akan menjadi langkah yang nyata untuk menyediakan pelayanan kesehatan dengan tarif yang terjangkau dan dapat diakses semua kalangan,” kata Michael Mol, global director of Hello Doctor saat jumpa pers di Jakarta, Selasa (29/4).

Menurutnya, dalam pelayanan kesehatan tradisional, sering kali pasien harus mengalami sakit dahulu sebelum diberi tindakan. Dengan mengatasi permasalahan yang umum dihadapi untuk bertemu dokter, Hello Doctor dapat mendeteksi dan melakukan penanganan dini melalui akses langsung yang nyaman dan terjangkau. Pasien bisa mendapatkan saran yang tepat dari dokter.

Aplikasi Hello Doctor dapat diunduh gratis di www.hellodoctor.co.id dan berfungsi dengan baik pada smartphone serta secara efektif memberikan layanan dokter 24 jam. Layanan berbayar ini meliputi layanan pesan dokter (digital doctor) dan layanan telepon dokter (house call).

Aplikasi ini mendapat tanggapan positif dari Menteri Kesehatan, Nafsiah Mboi. “Sebanyak 59 persen kematian saat ini disebabkan oleh penyakit tidak menular, seperti jantung dan stroke. Jadi, Hello Doctor ini diharapkan dapat membantu masyarakat Indonesia mendapat kemudahan berkonsultasi dengan dokter,” ujarnya.

Hello Doctor telah bermitra dengan IDI untuk meyakinkan para pelanggan mengakses serta bisa mendapatkan saran kesehatan dari dokter dalam bahasa Indonesia. Hello Doctor juga segera meluncurkan acara televisi di Indonesia.

“Untuk menjadi sehat bukanlah suatu hal yang otomatis hadir, tetapi merupakan tujuan yang harus dikejar secara aktif. Kami ingin mendidik, memberdayakan, dan mengilhami semua orang untuk menjalani hidup lebih baik dengan melakukan pola hidup sehat,” tutup Michael.

sumber: www.beritasatu.com

 

SARS-Like MERS Virus Spreads to New Countries

Cases of the MERS Coronavirus have significantly increased in the last few months, and in recent weeks there have been reports of the virus in new countries including Egypt, Malaysia, the Philippines, and Indonesia, leaving officials struggling to figure out why infections have increased.

See How The MERS Coronavirus Affects the Body

The MERS Coronavirus, which stands for Middle Eastern Respiratory Coronavirus, was first identified in late 2012 and causes acute respiratory illness, shortness of breath and in severe cases kidney failure. The virus is related to the SARS virus and the common cold.

There have been 350 cases and more than 100 deaths reported worldwide from the virus, although the World Health Organization (WHO) has laboratory-confirmed only 254 cases with 93 deaths. Most of the reported infections have come from Middle East countries including Saudi Arabia, Jordan and the United Arab Emirates.

While public health experts have been tracking the disease for nearly two years, in recent weeks health officials are reporting a sharp rise in cases. The WHO reported at least 78 confirmed cases since the beginning of the year, and that diagnosed cases sharply increased in mid-March.

This week the WHO released a report, which said that among newly diagnosed cases up to 75 percent could be human-to-human transmission, since a large number of health workers were infected with the disease. However there is evidence that the reason for the increase could be related to increased testing for the virus and a seasonal increase in the disease rather than virus mutation.

Dr. Ian Lipkin, an epidemiologist and professor of Epidemiology at the Mailman School of Public Health at Columbia University, has been investigating the virus and said 75 percent of camels in Saudi Arabia have had the disease. Lipkin points out that as camels are born in the spring the virus can spread from the young animals to people who interact with them.

“The younger animals have the virus and become infected and become little virus factories,” said Lipkin, who explained that camels are extremely common in Saudi Arabia and surrounding countries.

“It’s almost like dogs in the U.S. Except they eat the camels … there’s so much opportunity,” for the virus to spread, he said.

Lipkin also pointed out that when patients are treated with invasive pulmonary measures, the virus “deep in the lungs” can come to the surface and infect health care workers treating these patients. Lipkin said to combat the spread, more oversight will be needed to both regulate people’s interactions with camels and to protect healthcare workers from infection.

Currently there is no vaccine for the MERS Coronavirus. There have been no reported cases in the U.S. and the CDC has not issued any travel advisories related to the disease.

source: abcnews.go.com