NORTH JAKARTA MUNICIPAL ADMINISTRATION

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NORTH JAKARTA MUNICIPAL ADMINISTRATION
TB PERSPECTIVE At North Jakarta Municipal
Administration in connection with Global Climate
Change
By. M. Effendi Anas
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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 gt 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
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Global warming effect .......
On the field of fishery . The increase
temperature of sea watergt coral reef was
damaged . The damage of coral reef .gt plankton
disappears .gt fish food chain was disturbed ..gt
fish population was decreasing gt the result of
fisherman was decreasing. North Jakarta
Municipal Administration . The increasing of
temperature gtice melted on the poles .gt The sea
level rose .gt threaten coastal area .gt flood

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Global warming effect .....
The spread of disease . The increasing of
temperature gt incubation of mosquito growth
shortened .gt the increasing of mosquito
population .gt the increasing of DHF, malaria
TBC disease . In Indonesia gt 1 -2 sufferer per
1.000 population . The third cause of the death
after cardiovascular, upper respiratory system
infection . In Jakarta .gt priority program
since 2001 . Tend to increase .gtyear 2003
(2.589 cases), year 2004 (3.437 cases), year 2005
(4.169 cases), year 2006 (4.653 cases). . Climate
change .gt affect to the increasing of TB ..gt
it was worsened by geographical location of north
Jakarta .gt many slum areas, prone to flood,
many people resided in unhealthy housing
residence.
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Climate change and TB in North Jakarta
. Topography of North Jakarta .gt lower land area
0 2 M from the sea level ..gt as estuary 13
rivers . Climate change .gt prone to flood as
the sea level rises .gt Can increase humidity
.gt the appropriate temperature for the growth
of TB Bacteria. .gt prolonged dry season ..gt
increase air pollution (dust) ..gt
Bacteria grow on the dust gt prone to the
transmission of the disease
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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
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CLIMATE CHANGE AND TB IN NORTH JAKARTA
. Topography of North Jakarta .gt lower land area
0 2 M from the sea level ..gt as estuary 13
rivers . Climate change .gt prone to flood as
the sea level rises .gt Can increase humidity
.gt the appropriate temperature for the growth
of TB Bacteria. .gt prolonged dry season ..gt
increase air pollution (dust) ..gt
Bacteria grow on the dust gt prone to the
transmission of the disease . Climate change
worsens the quality of environment .gtbacteria
growgtthe case is increasing.
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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)
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TB prevention in North Jakarta
. Prevention approach .gt Host intervention -
Agent .gt CDR gt searching of sufferer gt in
Jakarta target up to 2006 is 70, North
Jakarta has reached the target .gt DOTS gt
short term medication by inspection .gt
Indicator is CR /cure rate .gt In north
jakarta .gt CR 2006 was 63.9 gtgt still
under target which was 85 .gt DOTS
evaluation (year 2006) ..gt CR was 63.9 ,
complete medication 17.5 .gt 10.4 neglected
/DO ..gt 7 migrate ..gt 0.9 died
..gt0.2 fail
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THE DATA OF HEALTH FASILITIES IN NORTH JAKARTA
MUNICIPAL ADM.
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TB prevention in North Jakarta ....
. DOTS APPROACH gt supported by all Health
Facilities in North Jakarta .gt Networking
gt medicating and reporting on the same place
.gt Internal networking
gt all units from Health service division.
handle TB sufferer by DOTS
.gt External networking gt all units from
Health Service division
coordinate with Public Health Division. . DOTS
gt supported by LABORATORYgt as referral for
recovered sufferer, fail gt Verify germ
Resistance against drugs.
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TB Prevention in North Jakarta ....
. IDEALLY gt TBC Prevention should be
comprehensive .gt
consider environmental aspect.
..gt the theory of Biology law
(John Gardon) and the theory
of -
Health Status (HL. Blum)
. Climate change gt can change strengths and
weaknesses of environmental factors effecting
the growth of TB bacteria gt the significant
influence is the increasing of case prevalence
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TB Prevention post climate change
. Harmonization gt TB prevention approach by
Jakarta Province Health Dept. / Public Health
Sub Division from North Jakarta Municipal
Administration - with, . Infrastructural
development gt physical aspect ..gt 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 ..gt 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
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TB Prevention post climate change
gt short term residential area managemen,
renovation TB suferrers house, Put TB suferrer
into storey house, etc . Climate change gt 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 gt can hamper
the achievement of MDGS commitment declared by
180 countries which is reduce poverty and world
retardation
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Conclusion
. Climate change brings into bad effects on
Health Program . The effects on health program
gthamper the succes of Communicable disease
control program. . We supprot the action of
efforts to curb green house effect. gtreduce the
use of chemical substances effecting the
depletion of ozone layer. . We are ready to
cooperate in responding the effects of global
warming.
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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 --------------------------- No
rth JAKARTA 1.173.935 PEOPLE
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THE NUMBER OF TB SUFERRERS BY GENDER NORTH
JAKARTA YEAR 2003 UP TO SEPT 2007
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THE NUMBER OF TB SUFERRER IN NORTH JAKARTA YEAR
2003 UP TO Sept 2007
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CDR OF TB SUFERRERS ( SPUTUM SMEAR) IN NORTH
JAKARTA YEAR 2006
Target 70
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CDR OF PULMONARY TB SUFERRERS ( SPUTUM SMEAR)
IN NORTH JAKARTA JANUARY - SEPTEMBER 2007
Target 70
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CDR OF PULMONARY TB SUFERRERS ( SPUTUM SMEAR)
IN NORTH JAKARTA YEAR 2000 UP TO SEPT 2007
Target 70
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PULMONARY TB SUFERRERS ( SPUTUM SMEAR)
2OO6 EXPERIENCING CONVERSION IN NORTH JAKARTA
Target 80
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CONVERSION OF TB (SPUTUM SMEAR) IN NORTH JAKARTA
YEAR 2000 UP TO 2006
Target 80
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RECOVERED TB SUFERRERS ( SPUTUM SMEAR) IN NORTH
JAKARTA
Target 85
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CR OF PULMONARY TB (SPUTUM SMEAR) IN NORTH
JAKARTA YEAR 2000 - 2006
Target 85
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TB CASES FOUND AND MEDICATED AT PUBLIC HEALTH
CENTER IN NORTH JAKARTA YEAR 2002 - SEPT 2007
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EVALUATION OF TB SUFERRERS (SPUTUM SMEAR) IN
NORTH JAKARTA YEAR 2006
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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
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The flow of implementation
Patients
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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