How smoking affects your mental health

A middle-aged cigarette smoker who has smoked for decades is two to three times more likely to die early than someone similar who has never smoked. Tobacco smoking is well known to be a major risk factor for various cancers, lung and cardiovascular problems, and is also linked to other health problems, such as complications in pregnancy, low sperm count in men, oral problems, and increased likelihood of cataracts.

Little wonder then that the World Health Organisation (WHO) sees tobacco smoking as the number one avoidable cause of death in the world. US statistics reveal that smoking causes more deaths each year than HIV, illegal drug use, alcohol misuse, motor vehicle injuries and homicides combined. Similar comparisons can be found in UK statistics.

However, while there can be few today who are unaware of the toll smoking takes on the body, the effects of long-term tobacco smoking on other areas such as learning and memory are less well known.

Although some studies have shown that the nicotine in cigarettes can improve concentration and attention (making smokers feel more alert), there’s more to cigarettes than just nicotine. They contain over 4,000 chemicals – over 50 of which are known to be toxic in nature: the carbon monoxide also found in car exhaust fumes, butane found in lighter fluid, and arsenic, ammonia, and methanol found in rocket fuel, for example.

What’s in your cigarette?

  • Nicotene: Insecticide
  • Butane: Lighter fluid
  • Methanol: Rocket fuel
  • Arsenic: Poison
  • Methane: Sewer gas
  • Acetic acid: Vinegar
  • Carbon monoxide
  • Ammonia: Toilet cleaner
  • Cadmium: Batteries
  • Hexamine: Barbecue lighter
  • Stearic acid: Candle wax
  • Toluene: Industrial solvent
  • Paint

It’s thought that a long-term build-up of these toxic chemicals can damage the brain, leading to deficits in learning and memory. Long-term smoking has been linked with reductions in working memory, prospective memory – that used for everyday tasks such as keeping an appointment or taking medication on time – and executive function, which helps us plan tasks, pay attention to current activities, and ignore distractions. These three underpin our everyday ability to remember and learn, without which independent living would be much more difficult.

In the first study of its kind, our team of researchers from Northumbria University reported in the journal Frontiers in Psychiatry our findings that those who smoke and drink heavily show greater deficits in their everyday prospective memory. More so, in fact, than those who smoke but do not drink heavily and those who drink heavily but do not smoke combined. This suggests there’s a “double whammy” effect to combining smoking and drinking.

Recent studies of smoking-related health problems and memory deficits has included the effects of “second-hand” or “passive” smoking, where non-smokers inhale tobacco smoke from smokers. Research here has found the same range of health-related problems linked to passive smoking as found in smokers, including lung and cardiovascular disease and cognitive and memory problems. These could affect a passive smoker in a number of spheres of life, not just health but educational and occupational, given the universal requirement and use for everyday remembering.

Quitting smoking improves health and leads to improvements in cognition. This may be linked to an increase in the thickness of the brain’s cortex – the outer layer of the brain which plays a critical role in information processing and memory. The cortex naturally thins with age, but smoking can worsen this effect causing the cortex to thin at an accelerated rate.

Stopping smoking can help partially to reverse this effect on the cortex, but not to the levels found in a non-smoker. Traditional methods of quitting smoking have focused on nicotine replacement therapy (NRT), such as nicotine chewing gum, patches, inhalators and nasal sprays. This typically takes around eight to 12 weeks before producing demonstrable health improvements.

An increasingly popular form of NRT is the e-cigarette: a battery-powered electronic nicotine delivery device resembling a cigarette that does not contain tobacco. The use of e-cigarettes over smoking tobacco recently has been found to improve everyday prospective memory (memory for future activities), but we presently know little about what long-term impact e-cigarettes may have upon health, mood and cognitive functions.

http://www.nzherald.co.nz/

 

Kesehatan Modal Kemajuan Bangsa

Kesehatan menjadi salah faktor yang paling penting dalam membangun peradaban bangsa dan memajukan ekonomi negara. Tanpa kesehatan yang memenuhi standar, manusia tidak akan bisa menjadi sumber daya yang berkualitas dan produktif.

Wakil Gubenur Jawa Barat Deddy Mizwar mengatakan, penting bagi Indonesia untuk memperhatikan dan mengutamakan kesehatan warganya menjelang bonus demografi yang secara data BPS akan dimulai sejak tahun 2020-2035 nanti.

Deddy menjelaskan, tantangan kesehatan pada saat ini bukanlah penyakit-penyakit menular seperti zaman dahulu. Melainkan penyakit tidak menular yang banyak diidap masyarakat seperti kolesterol, jantung, dan sebagainya.

“Maka dari itu penting bagi warga untuk menjaga kesehatannya,” kata Deddy dalam perayaan Hari Kesehatan Nasional (HKN) ke-52 Tingkat Provinsi Jabar di jalan parkir Gedung Sate, Bandung, Minggu (27/11/2016).

Deddy melanjutkan, sebagai wilayah yang masuk dalam sembilan provinsi prioritas kesehatan, Jawa Barat memiliki tugas dan kewajiban untuk memberikan berbagai pelayanan kesehatan dasar kepada warganya yaitu program Keluarga Berencana (KB), mengikutsertakan ibu mendapatkan pelayanan persalinan di fasilitas kesehatan, imunisasi dasar lengkap kepada bayi, dan bayi mendapatkan ASI eksklusif.

Selain itu, balita juga berhak mendapatkan pemantauan pertumbuhan, pengertian standar terhadap tuberculosis paru, pengertian hipertensi mendapatkan pengobatan secara teratur, penderita gangguan jiwa mendapatkan pengobatan dan tidak ditelantarkan, tidak ada anggota keluarga yang merokok, keluarga mendapatkan jaminan kesehatan nasional, dan sarana Ari bersih bagi keluarga.

Berdasarkan ketetapan itu, Deddy mengajak kepada seluruh masyarakat untuk membiasakan diri berperilaku hidup sehat sehingga menjadi gaya hidup baik di lingkungan masyarakat, anggota keluarga, lingkungan kerja dan sekolah, komunitas dan lain-lainya.

Jika lingkungan kesehatan sudah terbangun dengan baik maka diyakini derajat hidup sehat masyarakat akan semakin meningkat dari sebelumnya. Ini akan menjadi modal yang penting bagi Indonesia dalam menghadapi tantangan bonus demografi.

“Apabila ini dijalankan, dengan bonus demografi yang kita miliki, maka diperkirakan pada tahun 2030 Indonesia akan masuk ke dalam jajaran lima negara dengan kekuatan ekonomi terbesar di dunia,” kata Deddy.

“Tapi syaratnya warganya harus sehat. Salah satu kunci agar menjadi negara dengan tingkat ekonomi yang besar adalah menjaga kesehatan. Mari kita terapkan hidup sehat dari sekarang,” pungkas Deddy.

Ditemui di tempat yang sama, pelaksana tugas (Plt.) Kepala Dinas Kesehatan Provinsi Jawa Barat Ahmad Hadadi mengatakan, ada banyak hal yang sederhana yang bisa dilakukan masyarakat untuk mewujudkan gaya hidup sehat.

Melalui metode yang sederhana ini maka paradigma gaya hidup sehat yang identik dengan biaya mahal akan sirna. Sehingga seluruh masyarakat bisa melakukannya setiap hari demi terhindar dari tantangan penyakit tidak menular yang menjadi penghalang saat ini.

“Salah satunya bisa dengan melakukan gerakan minimal selama tiga puluh menit. Selain itu juga bisa dengan mengonsumsi yang sehat seperti sayuran dan tidak lupa rutin mengecek kesehatan secara berkala,” kata Hadadi. [jek]

http://www.inilahkoran.com/

 

 

Smoking harms not just your physical health, but your mental health too

A middle-aged cigarette smoker who has smoked for decades is two to three times more likely to die early than someone similar who has never smoked. Tobacco smoking is well known to be a major risk factor for various cancers, lung and cardiovascular problems, and is also linked to other health problems, such as complications in pregnancy, low sperm count in men, oral problems, and increased likelihood of cataracts.

Little wonder then that the World Health Organisation (WHO) sees tobacco smoking as the number one avoidable cause of death in the world. US statistics reveal that smoking causes more deaths each year than HIV, illegal drug use, alcohol misuse, motor vehicle injuries and homicides combined. Similar comparisons can be found in UK statistics.

However, while there can be few today who are unaware of the toll smoking takes on the body, the effects of long-term tobacco smoking on other areas such as learning and memory are less well known.

Although some studies have shown that the nicotine in cigarettes can improve concentration and attention (making smokers feel more alert), there’s more to cigarettes than just nicotine. They contain over 4,000 chemicals – over 50 of which are known to be toxic in nature: the carbon monoxide also found in car exhaust fumes, butane found in lighter fluid, and arsenic, ammonia, and methanol found in rocket fuel, for example.

It’s thought that a long-term build-up of these toxic chemicals can damage the brain, leading to deficits in learning and memory. Long-term smoking has been linked with reductions in working memory, prospective memory – that used for everyday tasks such as keeping an appointment or taking medication on time – and executive function, which helps us plan tasks, pay attention to current activities, and ignore distractions. These three underpin our everyday ability to remember and learn, without which independent living would be much more difficult.

In the first study of its kind, our team of researchers from Northumbria University reported in the journal Frontiers in Psychiatry our findings that those who smoke and drink heavily show greater deficits in their everyday prospective memory. More so, in fact, than those who smoke but do not drink heavily and those who drink heavily but do not smoke combined. This suggests there’s a “double whammy” effect to combining smoking and drinking.

Recent studies of smoking-related health problems and memory deficits has included the effects of “second-hand” or “passive” smoking, where non-smokers inhale tobacco smoke from smokers. Research here has found the same range of health-related problems linked to passive smoking as found in smokers, including lung and cardiovascular disease and cognitive and memory problems. These could affect a passive smoker in a number of spheres of life, not just health but educational and occupational, given the universal requirement and use for everyday remembering.

Quitting smoking improves health and leads to improvements in cognition. This may be linked to an increase in the thickness of the brain’s cortex – the outer layer of the brain which plays a critical role in information processing and memory. The cortex naturally thins with age, but smoking can worsen this effect causing the cortex to thin at an accelerated rate.

Stopping smoking can help partially to reverse this effect on the cortex, but not to the levels found in a non-smoker. Traditional methods of quitting smoking have focused on nicotine replacement therapy (NRT), such as nicotine chewing gum, patches, inhalators and nasal sprays. This typically takes around eight to 12 weeks before producing demonstrable health improvements.

An increasingly popular form of NRT is the e-cigarette: a battery-powered electronic nicotine delivery device resembling a cigarette that does not contain tobacco. The use of e-cigarettes over smoking tobacco recently has been found to improve everyday prospective memory (memory for future activities), but we presently know little about what long-term impact e-cigarettes may have upon health, mood and cognitive functions.

http://theconversation.com/

 

Fasilitas Kesehatan di Indonesia Belum Ramah Disabilitas

Kementerian Kesehatan (Kemenkes) berjanji akan memperluas akses bagi penyandang disabilitas di fasilitas kesehatan seluruh Indonesia. Hal ini mengingat masih banyak kaum difabel yang masih tergantung pada orang lain akibat fasilitas bagi orang dengan kebutuhan khusus tersebut yang terbatas.

“Perlu bagi kami untuk meningkatkan akses pelayanan bagi sebagian besar penyandang disabilitas yang tidak mampu mengakses pelayanan kesehatan. Ke depan perlu kami tingkatkan aksesnya,” kata Direktur Jenderal Pencegahan dan Pengendalian Penyakit Kemenkes HM Subuh di kantornya Jakarta, Kamis (24/11/2016).

Dia mengatakan banyak infrastruktur di fasilitas kesehatan belum ramah penyandang disabilitas seperti tidak adanya jalur khusus bagi pengguna kursi roda atau penyandang tunanetra. Peta jalan sudah ada yaitu lewat struktur yang dibentuk pada Januari 2016 di Kemenkes yang fokus untuk disabilitas.

“Hingga 2017, target kami melakukan sosialisasi advokasi penyandang disabilitas ke seluruh komponen pemerintah dan swasta sampai kota/kabupaten. Unit masih relatif baru maka harus terus didorong,” kata dia.

Sosialisasi, kata dia, juga ditujukan bagi para petugas kesehatan agar tidak ada dari mereka yang tidak dapat melayani penyandang disabilitas.

Pemerintah, lanjut Subuh, juga berusaha memastikan pelayanan kesehatan terjangkau oleh penyandang disabilitas. Beberapa cara yang ditempuh adalah dengan menghilangkan setiap hambatan masyarakat untuk menjangkau fasilitas kesehatan, melatih tenaga kesehatan agar mereka memahami masalah disabilitas termasuk hak penyandang disabilitas dan melakukan investasi pada pelayanan spesifik seperti rehabilitasi.

Badan Kesehatan Dunia (WHO) pada 2010 menyebutkan lebih dari satu miliar anggota masyarakat dunia adalah penyandang disabilitas dan diperkirakan 50 persen dari mereka tidak mampu membiayai pelayanan kesehatannya sendiri.

Sementara, hasil Riset Kesehatan Dasar (Riskesdas) tahun 2013 menunjukkan bahwa prevalensi disabilitas pada penduduk Indonesia yang berusia kurang lebih atau sama dengan 15 tahun mencapai 11 persen. “Maka kami bertekad mewujudkan peningkatan akses penyandang disabilitas pada pelayanan kesehatan yang komprehensif dan bermutu serta mewujudkan ketersediaan pelayanan publik lainnya,” kata dia.

http://www.harianterbit.com/

 

Demi Keberlangsungan Program JKN, BPJS Kesehatan Jalankan Skema Endowment Fund

24novBadan Penyelenggara Jaminan Sosial (BPJS) Kesehatan menggandeng 3 manajer investasi untuk menjalankan skema endowment fund. Hal itu dilakukan untuk menjaga keberlangsungan program Jaminan Kesehatan Nasional (JKN)-KIS.

“Lewat skema endowment fund diharapkan BPJS Kesehatan bisa lebih mandiri di masa depan,” kata Direktur Keuangan dan Investasi BPJS Kesehatan, Kemal Imam Santoso usai penandatangan kontrak dengan 3 manajer investasi tersebut di Jakarta, Kamis (24/11).

Ketiga manajer investasi itu adalah PT Mandiri Manajemen Investasi, PT Bahana TCW Investment Management dan PT Danareksa Investment Management.

“Ketiga manajer investasi itu telah mendapat pernyataan efektif pendaftaran Reksa Dana Pendapatan Tetap Indonesia Sehat dari Otoritas Jasa Keuangan (OJK) dengan fitur/skema endowment fund,” ujar Kemal.

Menurut Kemal, skema endowment fund yang dijalankan BPJS Kesehatan selaras dengan peraturan OJK Nomor 1 Tahun 2016. Dengan demikian, BPJS Kesehatan wajib menempatkan investasi pada Surat Berharga Negara (SBN) paling rendah 30 persen dari seluruh jumlah investasi.

“Adapun penempatan investasi pada SBN tersebut melalui reksadana,” katanya.

Dijelaskan, endowment fund atau dana abadi adalah reksadana yang diterbitkan oleh manajer investasi melalui kerja sama dengan pihak tertentu. Hasilnya bisa digunakan untuk mendanai kegiatan-kegiatan sosial dan bersifat non-profit.

“BPJS Kesehatan selaku badan hukum publik yang memiliki prinsip nirbala, bekerja sama dengan manajer investasi untuk menjalankan konsep endowment fund ini dalam Reksa Dana berbentuk Kontrak Investasi Kolektif (KIK),” kata Kemal menegaskan.

Ditambahkan, endowment fund bertujuan sebagai wadah penghimpun dana jangka panjang yang diharapkan dapat memberikan dukungan finansial terhadap program-program sosial yang dijalankan investor. Para investor dapat memilih jenis partisipasi dalam skema endowment fund ini.

“BPJS Kesehatan sendiri telah menandatangani Nota Kesepahaman sebagai komitmen menjadi sponsor atau investor awal dalam endowment fund Reksa Dana Pendapatan Tetap Indonesia Sehat,” ucapnya.

Sebagai informasi, hingga 18 November 2016, tercatat ada sebanyak 170.954.111 jiwa penduduk Indonesia terdaftar sebagai peserta JKN-KIS. Untuk sarana pendukung ada 20.593 Fasilitas Kesehatan Tingkat Pertama (FKTP) yang bermitra dengan BPJS Kesehatan.

Mereka terdiri atas 9.814 Puskesmas, 4.589 Dokter Praktik Perorangan, 1.157 Dokter Praktik Gigi Perorangan, 568 Klinik Polri, 710 Klinik TNI, 3.741 Klinik Pratama, dan 14 RS tipe D Pratama.

Selain itu, BPJS Kesehatan juga telah bekerja sama dengan 5.020 Fasilitas Kesehatan Rujukan Tingkat Lanjutan (FKRTL) yang terdiri atas 1.999 Rumah Sakit (termasuk di dalamnya 135 Klinik Utama), 2.063 Apotek, serta 958 Optik. (TW)

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136 Kabupaten/Kota Diminta Segera Integrasikan Jamkesda ke JKN-KIS

23novHingga saat ini tercatat masih ada 136 dari 514 kabupaten/kota di Indonesia yang belum mengintegrasikan program Jaminan Kesehatan Daerah (Jamkesda) ke program Jaminan Kesehatan Nasional (JKN)-KIS. Proses integrasi menjadi penting agar seluruh rakyat Indonesia terjamin kesehatannya.

“Diharapkan proses integrasi itu bisa dilakukan secepatnya. Sehingga pada 1 Januari 2019 seluruh masyarakat Indonesia bisa terjamin kesehatannya,” kata Menteri Dalam Negeri (Mendagri) Tjahjo Kumolo dalam acara Bincang JKN-KIS bertema “Menuju Rakyat Sehat dan Sejahtera Melalui Program JKN-KIS” di Jakarta, Senin (21/11).

Menurut Tjahjo Kumolo, pengintegrasian program Jamkesda ke dalam program JKN-KIS merupakan amanat Undang-Undang (UU) Nomor 23 Tahun 2014 pasal 67. Hal itu sebagai bagian dari pelaksanaan program strategis nasional.

Sejak diluncurkan program JKN pada 1 Januari 2014 lalu tercatat baru ada 378 kabupaten/kota yang mengintegrasikan program Jamkesdanya ke JKN-KIS. Padahal hampir seluruh kampanye politik kepala daerah menawarkan program jaminan kesehatan.

“Hampir 91 persen janji kampanye politik calon kepala daerah, bupati, dan wali kota salah satunya memberi pengobatan gratis pada warganya. Jika sebelumnya dana kesehatan dikelola sendiri, sekarang saatnya diserahkan ke program JKN-KIS,” tutur Tjahjo.

Tjahjo menambahkan, dirinya sudah memberikan instruksi kepada kepala daerah untuk mengalokasikan 10 persen dari APBD untuk menunjang suksesnya JKN-KIS. Selain, upaya peningkatan akses kesehatan di berbagai daerah. Sehingga masyarakat bisa mendapat layanan kesehatan yang memadai.

Sementara itu, Direktur Kepesertaan dan Pemasaran Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, Andayani Budi Lestari pada kesempatan yang sama menyatakan dukungan pemda sangat menentukan optimalisasi program JKN-KIS.

“Tiga peran penting pemda dalam program JKN-KIS adalah memperluas cakupan kepesertaan, meningkatkan kualitas pelayanan dan menguatkan tingkat kepatuhan,” ujar Andayani Budi.

Selain itu, ditambahkan Andayani, pelaksanaan sistem kendali mutu dan biaya serta sistem pembinaan dan pengawasan merupakan sejumlah isu yang tidak kalah pentingnya untuk ditangani Pemda.

Jumlah peserta integrasi Jamkesda sampai dengan November 2016 adalah 15.151.350 jiwa. Dari 34 provinsi sudah 32 provinsi telah mengintegrasikan sebagian atau seluruh Jamkesda Kabupaten/Kota di wilayahnya.

“Terdapat 15 provinsi yang berkontribusi melalui sharing iuran/peserta dalam pembiayaan integrasi Jamkesda dengan pola yang bervariasi, misalkan 40 persen iuran dibayar oleh pemerintah provinsi atau 60 persen oleh Pemkab/kota,” katanya.

Disebutkan 15 provinsi itu adalah Aceh, Sumatera Utara, Riau, Sumatera Barat, Bengkulu, Bangka Belitung, Jakarta, Banten, Jawa Tengah, Jawa Barat, Kalimantan Tengah, NTB, Sulawesi Barat, Gorontalo, Sulawesi Selatan.

“Ada 4 provinsi yang sudah masuk kategori Universal Health Coverage (UHC) atau kepesertaan JKN-KIS dari penduduknya diatas 95 persen yaitu DKI Jakarta, Aceh, Papua Barat dan Gorontalo,” ucapnya.

“Peran Pemda yang tak kalah penting adalah mengadvokasi masyarakat dan badan usaha untuk menjadi peserta JKN-KIS di Badan Pelayanan Terpadu Satu Pintu (BPTSP),” kata Andayani menandaskan. (TW)

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WHO: Microcephaly-Causing Zika Virus No Longer a World Health Emergency

In an official agency advisory, the World Health Organization said on Friday, Nov. 18, that Zika virus, which is believed to have caused the rise in microcephaly and other notable defects in infants in Brazil, is no longer a global health emergency.

Although emphasizing that the crisis is not yet over, the WHO says it will not identify Zika virus an emergency, or a Health Emergency of International Concern, but rather as an ongoing threat like other known mosquito-related illness, such as malaria or yellow fever.

In an article by the New York Times, Dr. Peter Salama, executive director of the WHO’s health emergencies program said, “We are not downgrading the importance of Zika. We are sending the message that Zika is here to stay and the WHO response is here to stay.”

On other hand, experts pursuing the birth defect-causing pandemic expressed dismay and concern that the WHO’s declaration might impede the support from international organizations and mislead people living in at-risk environments that they are no longer in danger.

According to Dr. Anthony S. Fauci, immunologist and director of the National Institute for Allergy and Infectious Diseases, which is funding efforts to find a Zika vaccine, WHO’s emergency lift is rather premature and untimely as summer is only about to start in the Southern hemisphere, which indicates a possibility of resurgence of Zika virus cases in countries like Brazil and Colombia. For his part, Dr. Fauci says his agency would continue its vaccine efforts for the Zika virus despite WHO’s statement.

In February, WHO declared a state of emergency for Zika virus following the spread of the infection across almost every country in the Western Hemisphere, save for Canada. Babies by the thousands suffered physical deformities due to the infection.

Last September, President Barack Obama approved a $1.1 billion for the fight against Zika virus, $400 million of which dedicated solely to the development of a vaccine and diagnostic tests.

http://www.natureworldnews.com/

 

Alokasi APBD untuk Kesehatan di RI Capai Rp 126,89 Triliun di 2016

Alokasi Anggaran Pendapatan dan Belanja Daerah (APBD) di setiap daerah di Indonesia untuk bidang kesehatan mencapai Rp 126,89 triliun. Alokasi dana tersebut sekitar 15,1% dari total belanja APBD secara nasional sebesar Rp 1.073 triliun.

Hal ini disampaikan oleh Menteri Dalam Negeri Tjahjo Kumolo dalam acara Bincang JKN-KIS bertema “Menuju Rakyat Sehat dan Sejahtera Melalui Program JKN-KIS” di Hotel Grand Mercure Kemayoran, Jakarta, Senin (21/11/2016).

“Total belanja APBD nasional Rp 1.073 triliun untuk tahun anggaran sekarang. Kesehatan mencapai 15,1% atau Rp 126,89 triliun. Terbesar di Jawa Barat karena sangat padat,” kata Tjahjo.

Selanjutnya, total belanja Pemerintah Kabupaten di seluruh Indonesia untuk belanja kesehatan mencapai Rp 79,1 triliun dari total anggaran Rp 629,3 triliun. Sedangkan untuk Pemerintah Kota dalam hal belanja kesehatan mencapai Rp 19,2 triliun.

“Kedua total belanja untuk Pemerintah Kabupaten di seluruh Indonesia sudah mencapai Rp 629,3 triliun dan kesehatan saja 16,84% Rp 79,1 triliun termasuk juga kota seluruh Indonesia 17,21% rata-rata Rp 19,2 triliun khusus untuk belanja di urusan kesehatan,” kata Tjahjo.

Dana yang dialokasikan untuk belanja kesehatan tersebut digunakan untuk meningkatkan kualitas layanan kesehatan. Selain itu, kemudahan akses fasilitas kesehatan oleh masyarakat juga menjadi tantangan yang terus dikejar.

“Memperbaiki kualitas layanan kesehatan masyarakat yang mudah dijangkau, nyaman, dan mudah diterima,” tutup Tjahjo. (dna/dna)

https://finance.detik.com/

 

Menkes Minta Rumah Sakit Kurangi Ketergantungan Alkes Impor

18novMenteri Kesehatan (Menkes) Nila FA Moeloek meminta rumah sakit untuk mengurangi ketergantunhan pada alat kesehatan (alkes) impor. Mengingat saat ini, Indonesia memiliki 211 industri alat kesehatan dalam negeri yang mampu menghasilkan berbagai jenis produk.

“Minat rumah sakit menggunakan alat kesehatan produk lokal masih rendah, baru sekitar 10 persen. Sisanya masih menggunakan produk impor,” kata Nila FA Moeloek saat membuka “Pameran Pembangunan Kesehatan dan Produksi Alat Kesehatan Dalam Negeri” di Kemayoran, Jakarta, Jumat (18/11).

Menkes menambahkan, produksi alkes dalam negeri sebenarnya telah mampu memenuhi 46 persen kebutuhan rumah sakit tipe A. Namun sayang minat penggunaannya masih rendah.

“Saya berharap ketergantungan kita pada produk impor segera diganyi dengan produk dalam negeri,” ucapnya menegaskan.

Begitupun pada penggunaan obat dan produk farmasi. Salah satu produk lokal seperti garam farmasi buatan Kimia Farma diharapkan mampu menurunkan ketergantungan impor produk tersebut.

“Kalau produksi kan menggunakan rupiah, sehingga kita tak tergantung nilai tukar dolar yang turun naik,” kata Nila.

Guna mendorong kebutuhan industri farmasi dan alkes dalam negeri, Kemkes menggelar Pameran Pembangunan Kesehatan dan Produksi Alat Kesehatan Dalam Negeri pada 18-20 November 2016 di JI Expo Kemayoran.

“Pameran tersebut sekaligus menunjukkan kemampuan Indonesia dalam memproduksi alat kesehatan di dalam negeri,” tutur Menkes.

Ia berharap pameran semacam ini dapat dilaksanakan tahunan dan diperluas cakupannya agar bisa dimanfaatkan berbagai pihak, terutama untuk tujuan kemandirian farmasi dan alat kesehatan. (TW)

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WHO: Influenza Pandemic Remains Global Threat

The World Health Organization has warned that a global influenza pandemic remains a real threat despite progress made over the past 10 years in increasing the worldwide supply of flu vaccines.

In 2006, the World Health Organization acknowledged that countries around the world were ill-prepared to tackle an influenza pandemic. At the time, there were concerns about an H5N1 bird flu pandemic spreading globally.

In response, the WHO launched the Global Action Plan (GAP) for influenza vaccines with three main objectives. It aimed to increase evidence-based seasonal vaccine use; increase vaccine production as a protection against pandemics and improve regulatory capacity in developing countries; and promote research and development for better vaccines.

That initiative has now ended, but Marie-Paule Kieny, WHO assistant-director general for health systems and innovation, observed that global preparation for an influenza pandemic had vastly improved over the past decade.

“We are certainly better prepared for an influenza pandemic than we were 10 years ago,” Kieny said, “but,we must not lose the momentum and we are still facing the threat of an influenza pandemic in 2016.”

More vaccine production

The WHO said global production capacity for pandemic vaccines increased from an estimated 1.5 billion doses in 2006 to 6.2 billion last year. While it’s an impressive achievement, Kieny said, it “still falls short of the GAP goal to immunize 70 percent of the population with two doses of vaccine, potentially for which we would need 10 billion doses.”

She noted that only rich countries were producing vaccines in 2006, whereas today, 14 mostly upper-middle-income countries were making strides toward manufacturing their own vaccines.

In addition, she said, the number of countries that have national influenza immunization policies in place has increased from 74 to 115 today, “including lower-middle-income countries and one low-income country.”

William Ampofo, a professor at the University of Ghana and an advisory group member of the GAP, said he was encouraged by the progress made, but he told VOA he was disappointed that the creation of the GAP had not resulted in increased vaccine production capacity in Africa.

“As part of the GAP, technology transfer was provided for developing countries, and South Africa and Egypt were part of this initiative,” he said. “Unfortunately, the tech transfer has not resulted in influenza vaccine production capacity as of now.”

He added, however, that the Ebola epidemic in West Africa had shown that vaccination is an effective tool against a dangerous virus and that the manufacture of a flu vaccine on the continent should be seriously considered.

“Because of what happened with Ebola, now the countries — in West Africa, especially — the ministers of health are now giving attention to vaccine production capacity on the African continent,” he said. “They recognize, however, that it is very difficult, but they feel that something must be started.”

Flu season

The flu season in the Northern Hemisphere is set to start in December, peak in late January or early February and run its course by April or May. The WHO estimates every year there are between 3 million and 5 million forensic cases of influenza, resulting in 150,000 to 500,000 deaths.

A large variety of viruses or subtype influenza viruses are circulating in wild and domestic birds. Only three viruses currently are circulating in humans: influenza A (H1N1), an influenza A variant (H3N2) and an influenza B virus. Traditional flu vaccines, called “trivalent” vaccines, are made to protect against those three flu viruses.

Wenqing Zhang, a scientist in WHO’s Department of Pandemic and Epidemic Diseases, said the influenza viruses are constantly changing. She said one type of change, “antigenic drift,” results in small changes in the genes of influenza viruses. A second way, “antigenic shift,” involves an abrupt, major change.

“With the antigenic drift, it will cause an epidemic, and if there is an antigenic shift, then there will be a pandemic,” she said. “Because the virus is constantly evolving, the threat of influenza pandemic is real. It is very real. It could be tomorrow or in five years’ time. It could be mild like the 2009 H1N1 pandemic, or it could be a very severe one, like in 1918.”

During the 1920s, scientists estimated that 21.5 million people had died as a result of the 1918-19 influenza pandemic. More recent estimates have put the death toll at between 50 million and 100 million.

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