1. INFLUENZA VIRUS BARU H1N1: EPIDEMIOLOGI, PENCEGAHAN & PENGENDALIAN, DAN PENANGGULANGAN PANDEMI AGUS SUWANDONO SEMINAR NASIONAL ANTISIPASI PENCEGAHAN PENYEBARAN “FLU BABI” SELASA, 19 MEI 2009 FAKULTAS KESEHATAN MASYARAKAT UNIVERSITAS DIPONEGORO SEMARANG

11. Causal agent virus Influenza A B & C MENYERANG MANUSIA MENYERANG HEWAN (walau beberapa bs menyerang manusia) Sumber: KOMNAS FBPI (2009), Tim Komunikasi

12. MAHLUK HIDUP DAN VIRUS INFLUENZA Sumber: KOMNAS FBPI (2009), Tim Komunikasi

13. Unggas air H1 – H15 N1 – N9 influenza Babi H1N1, H3N2 H1N2, H4N6 (2000) H5N1 (2004) influenza manusia H1N1 (1933,1979) H5N1 (1997,2003) H2N2(1957 ) H9N2(1999) H3N2(1968 ) H1N2(2002) H7N7(2003) Equine influenza H7N7 H3N8 influenza anjing laut H7N7, H4N5, H3N2 Influenza ikan paus H3N2 ,H13N9 Ferret influenza H10N4 Influenza ayam H4,5,7,9,10 N1,2,4,7 babi H1N1, H3N2 ayam H5N1 puyuh H9N2 Duck unggas manusia sapi (2002) Spektrum Inang Virus Influenza A Sumber: KOMNAS FBPI (2009), Tim Komunikasi

14. Source: WHO/WPRO, 2006 Perubahan virus pada babi Unggas peliharaan water birds Migratory birds Babi Manusia terinfeksi “ reassortment” (?)

15. POPULASI BABI YANG TINGGI & ENDEMIK H1N1-2009 PENDUDUK YANG PADAT HUMAN ANIMAL INTERFACE  A PLACE WHERE DYNAMIC INTERACTIONS BETWEEN VIRUS , HUMAN, ANIMALS AND ENVIRONMENT OCCURS FAKTOR RISIKO Sumber: KOMNAS FBPI (2009), Tim Komunikasi

17. Perkembangan Wabah Flu Baru H1N1: 18 Maret 2009 Sumber: Hudoyo, H. (2009) Perkembangan Wabah Flu Baru

18. Perkembangan Wabah Flu Baru H1N1: 13 April 2009 Sumber: Hudoyo, H. (2009) Perkembangan Wabah Flu Baru

19. Perkembangan Wabah Flu Baru H1N1: 21 April 2009 Sumber: Hudoyo, H. (2009) Perkembangan Wabah Flu Baru

20. Perkembangan Wabah Flu Baru H1N1: 25 April 2009 Public Health Emergency Sumber: Hudoyo, H. (2009) Perkembangan Wabah Flu Baru

21. Perkembangan Wabah Flu Baru H1N1: 29 April 2009 Naik menjadi Fase 5 Sumber: Hudoyo, H. (2009) Perkembangan Wabah Flu Baru

22. Perkembangan Wabah Flu Baru H1N1: 2 Mei 2009 Sumber: Hudoyo, H. (2009) Perkembangan Wabah Flu Baru

23. WHO – update (10 - 14 Mei 09) 2 Mei 2009: 16 negara Sumber: Samaan, G (2009). Daily Email Updated 6 Mei 2009: 23 negara, 1893 kasus, 41 mati 12 Mei 2009: 30 negara, 4694 kasus, 53 mati 14 Mei 2009: 33 negara (salah satunya tercatat Thailand), 6497 kasus, 55 mati 15 Mei 2009: NEGARA: KASUS: KEMATIAN: Meksiko 397 16 A.S. 160 1 Kanada 51 0 Spanyol 13 0 Inggris 15 0 Jerman 6 0 Selandia Br 4 0 Israel 3 0 Austria 1 0 Hong Kong 1 0 Denmark 1 0 Prancis 2 0 Belanda 1 0 Swis 1 0 Korea Sel 1 0 Costa Rica 1 0 TOTAL 658 17

24. WHO (2009): H1N1 Daily Update

39. KEY MESSAGE Wash hands often with soap and water Sumber: WHO (2009): H1N1 Daily Update

45. MASYARAKAT Puskeswan Puskesmas Rumah sakit Disnak Kab/Kota Dinkes Kab/Kota RSUD Rujukan Flu Disnak Prop Dinkes Prop Ditjen Peternakan/ Posko UPPAI Ditjen PP & PL / Posko KLB Kasus Manusia Kasus Babi Koordinasi KOMNAS FBPI KOMDA-I FB KOMDA-II FB BBV & BPPV PDSR Alur Pelaporan & Koordinasi DSO/ BIDAN DESA

47. Wisma ITC, Lt. 4, Jln. Abdul Muis No. 8 Jakarta Pusat - 10160 Phone : 021- 3854227 & 021- 3853515 Fax : 021-3858974 SMS Sentra : 081280000358 - 08197904919 Website : www.komnasfbpi.go.id http : // fluburung-indo.blogspot.com KOMNAS FBPI

49. WHO PANDEMIC PREPAREDNESS AND RESPONSE GUIDANCE 2009: PHASES Sumber: WHO (2009): H1N1 Daily Update Levels of influenza activity have returned to the levels seen for seasonal influenza in most countries with adequate surveillance. Post- pandemic period Level of pandemic influenza activity in most countries with adequate surveillance rising again. Possible new wave Levels of pandemic influenza in most countries with adequate surveillance have dropped below peak levels. Post-peak period In addition to the criteria defined in Phase 5, the same virus has caused sustained community level outbreaks in at least 1 other country in another WHO region. Phase 6 The same identified virus has caused sustained community level outbreaks in two or more countries in one WHO region. Phase 5 Human-to-human transmission (H2H) of an animal or human-animal influenza reassortant virus able to sustain community-level outbreaks has been verified. Phase 4 An animal or human-animal influenza reassortant virus has caused sporadic cases or small clusters of disease in people, but has not resulted in human-to-human transmission sufficient to sustain community-level outbreaks. Phase 3 An animal influenza virus circulating in domesticated or wild animals is known to have caused infection in humans and is therefore considered a specific potential pandemic threat. Phase 2 No animal influenza virus circulating among animals has been reported to cause infection in humans. Phase 1

55. ALAT PELINDUNG PERORANGAN (Protektive Personal Equipment) Pakaian kerja kacamata Masker Sepatu boots Sarung tangan Topi