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NORTH JAKARTA MUNICIPAL ADMINISTRATION

NORTH JAKARTA MUNICIPAL ADMINISTRATION. TB PERSPECTIVE At North Jakarta Municipal Administration in connection with Global Climate Change. By. M. Effendi Anas. Global Warming Effect. . The accurate prediction of scientist on negative effect of global warming

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NORTH JAKARTA MUNICIPAL ADMINISTRATION

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  1. NORTH JAKARTA MUNICIPAL ADMINISTRATION TB PERSPECTIVE At North Jakarta Municipal Administration in connection with Global Climate Change By. M. Effendi Anas File: P/Wlkt mkl Bangkok

  2. Global Warming Effect . The accurate prediction of scientist on negative effect of global warming . The occurrence of uncertain world climate . Severe flood in Jakarta year 2004 & 2007 inundated 50-65% of Jakarta area …> activities paralyzed On the field of farming . The farmers have difficulties to predict when the harvest season is ? . In Indonesia year 2003, 43.000 Ha paddy field was hit by flood, and the drought as wide as 21.705 Ha

  3. Global warming effect ....... On the field of fishery . The increase temperature of sea water…> coral reef was damaged . The damage of coral reef ….> plankton disappears ….> fish food chain was disturbed …..> fish population was decreasing ……> the result of fisherman was decreasing. North Jakarta Municipal Administration . The increasing of temperature …>ice melted on the poles ….> The sea level rose ….> threaten coastal area ….> flood

  4. Global warming effect ..... The spread of disease . The increasing of temperature …> incubation of mosquito growth shortened ….> the increasing of mosquito population ….> the increasing of DHF, malaria TBC disease . In Indonesia …> 1 -2 sufferer per 1.000 population . The third cause of the death after cardiovascular, upper respiratory system infection . In Jakarta ….> priority program since 2001 . Tend to increase ….>year 2003 (2.589 cases), year 2004 (3.437 cases), year 2005 (4.169 cases), year 2006 (4.653 cases). . Climate change ….> affect to the increasing of TB …..> it was worsened by geographical location of north Jakarta ….> many slum areas, prone to flood, many people resided in unhealthy housing residence.

  5. Climate change and TB in North Jakarta . Topography of North Jakarta ….> lower land area 0 – 2 M from the sea level …..> as estuary 13 rivers . Climate change ….> prone to flood as the sea level rises .…> Can increase humidity ….> the appropriate temperature for the growth of TB Bacteria. ….> prolonged dry season ..> increase air pollution (dust) ..> Bacteria grow on the dust …> prone to the transmission of the disease

  6. NORTH JAKARTA • NORTH JAKARTA BORDER • NORTH : KEP.SERIBU (THOUSAND ISLAND) • WEST : WEST JAKARTA BARAT AND TANGERANG • SOUTH : CENTRAL JAKARTA , EAST JAKARTA & WEST JAKARTA • EAST : EAST JAKARTA AND BEKASI THE POPULATION OF NORTH JAKARTA 2006 : 1.173.935 PEOPLE , THE WIDTH 142.3 Km2 SUB DISTRICTS : 6 VILLAGES : 31 HAMLETS : 414 NEIGHBORHOODS : 4.746 HOSPITALS : 16 SUB DISTRICT PHC : 6 VILLAGE PHC : 42

  7. CLIMATE CHANGE AND TB IN NORTH JAKARTA . Topography of North Jakarta ….> lower land area 0 – 2 M from the sea level …..> as estuary 13 rivers . Climate change ….> prone to flood as the sea level rises .…> Can increase humidity ….> the appropriate temperature for the growth of TB Bacteria. ….> prolonged dry season ..> increase air pollution (dust) ..> Bacteria grow on the dust …> prone to the transmission of the disease . Climate change worsens the quality of environment …….>bacteria grow……>the case is increasing.

  8. INDICATOR OF ENVIRONMENTAL HEALTH Aspects Result standard 1. Permanent house : 70.4 % : 95.0 % 2. House and occupancy rate : 34.6 % : 5.0 % 3. House and ventilation : 68.1 % : 95.0 % 4. House and the light : 74.4 % : 95.0 % 5. House and plantation : 62.3 % : 75.0 % Survey .2003)

  9. TB prevention in North Jakarta . Prevention approach ….> Host intervention - Agent ….> CDR …> searching of sufferer …> in Jakarta target up to 2006 is 70%, North Jakarta has reached the target .…> DOTS …> short term medication by inspection ….> Indicator is CR /cure rate ….> In north jakarta ….> CR 2006 was 63.9 % >> still under target which was 85% .…> DOTS evaluation (year 2006) ..> CR was 63.9 %, complete medication 17.5% ….> 10.4% neglected /DO ..> 7 % migrate ..> 0.9% died ..>0.2% fail

  10. THE DATA OF HEALTH FASILITIES IN NORTH JAKARTA MUNICIPAL ADM.

  11. TB prevention in North Jakarta .... . DOTS APPROACH …> supported by all Health Facilities in North Jakarta ….> Networking …> medicating and reporting on the same place .…> Internal networking …> all units from Health service division. handle TB sufferer by DOTS .…> External networking …> all units from Health Service division coordinate with Public Health Division. . DOTS …> supported by LABORATORY…> as referral for recovered sufferer, fail …> Verify germ Resistance against drugs.

  12. TB Prevention in North Jakarta .... . IDEALLY …> TBC Prevention should be comprehensive ….> consider environmental aspect. …..> the theory of Biology law (John Gardon) and the theory of - Health Status (HL. Blum) . Climate change …> can change strengths and weaknesses of environmental factors effecting the growth of TB bacteria …> the significant influence is the increasing of case prevalence

  13. TB Prevention post climate change . Harmonization …> TB prevention approach by Jakarta Province Health Dept. / Public Health Sub Division from North Jakarta Municipal Administration - with, . Infrastructural development …> physical aspect ..> Long term : Infrastructure; realization of BKT (East canal flood project), Healthy storey house (Rusunawa 1000 towers), slum area management , re plantation at RTH (Green space management), Reclamation & management of coastal area by planting mangrove ..> Mid term : build secondary and tertiary networking, prepare urban drainage system, relocate slum housing under toll road. build Voder (water canal) & provide water pump, consistent space management, etc

  14. TB Prevention post climate change …> short term : residential area managemen, renovation TB suferrer’s house, Put TB suferrer into storey house, etc . Climate change …> can hamper the objective of TB prevention program either in the environmental perspective or the approach of TB prevention prgram by Jakarta Province Health Dept or North Jakarta Municipal Administration. . Climate change …> can hamper the achievement of MDG’S commitment declared by 180 countries which is reduce poverty and world retardation

  15. Conclusion . Climate change brings into bad effects on Health Program . The effects on health program : …>hamper the succes of Communicable disease control program. . We supprot the action of efforts to curb green house effect. …>reduce the use of chemical substances effecting the depletion of ozone layer. . We are ready to cooperate in responding the effects of global warming.

  16. POPULATION PER SUB DISTRICT PENJARINGAN : 176.586 PEOPLE PADEMANGAN : 121.839 PEOPLE TANJUNG PRIOK : 311.440 PEOPLE K O J A : 221.631 PEOPLE KLP. GADING : 105.699 PEOPLE CILINCING : 236.740 PEOPLE --------------------------- North JAKARTA 1.173.935 PEOPLE

  17. THE NUMBER OF TB SUFERRERS BY GENDER NORTH JAKARTA YEAR 2003 UP TO SEPT 2007

  18. THE NUMBER OF TB SUFERRER IN NORTH JAKARTA YEAR 2003 UP TO Sept 2007

  19. CDR OF TB SUFERRERS (+ SPUTUM SMEAR) IN NORTH JAKARTA YEAR 2006 Target 70%

  20. CDR OF PULMONARY TB SUFERRERS (+ SPUTUM SMEAR) IN NORTH JAKARTA JANUARY - SEPTEMBER 2007 Target 70%

  21. CDR OF PULMONARY TB SUFERRERS (+ SPUTUM SMEAR) IN NORTH JAKARTA YEAR 2000 UP TO SEPT 2007 Target 70%

  22. PULMONARY TB SUFERRERS (+ SPUTUM SMEAR) 2OO6 EXPERIENCING CONVERSION IN NORTH JAKARTA Target 80%

  23. CONVERSION OF TB (+SPUTUM SMEAR) IN NORTH JAKARTA YEAR 2000 UP TO 2006 Target 80%

  24. RECOVERED TB SUFERRERS (+ SPUTUM SMEAR) IN NORTH JAKARTA Target 85%

  25. CR OF PULMONARY TB (+SPUTUM SMEAR) IN NORTH JAKARTA YEAR 2000 - 2006 Target 85%

  26. TB CASES FOUND AND MEDICATED AT PUBLIC HEALTH CENTER IN NORTH JAKARTA YEAR 2002 - SEPT 2007

  27. EVALUATION OF TB SUFERRERS (+SPUTUM SMEAR) IN NORTH JAKARTA YEAR 2006

  28. The flow of diagnose of TB patient in hospital General clinic Microbilology Lab. Patient Specialist clinic Radiology Emergency unit Patology clinic DOTS Unit Hospital Pharmacy Other Health Service units Medical Record Promotion services Treatment

  29. Patients The flow of implementation Anamnesis,PF,Sputum 3x,Ro,Lab TB Diagnose  Therapy Kat.I,II,III Follow up every 2 weeks Control Control late 2 days F e e d b a c k Hospital call supervisor Supervisor call PHC On the same day House visit The following day

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