1. INDONESIA PREPAREDNESS AND RESPONSE ON EBOLA VIRUS DISEASE Bangkok, 1 – 3 Desember 2014 Directorat General of Disease Control and Environmental Health MoH of Republic of Indonesia

2. About Ebola Virus DiseaseIndonesia Situation Control Plan and PreparationGap Identification Outline

3. Ebola virus disease, previously known as Ebola hemorrhagic fever, is a rare and deadly disease caused by infection with one of the Ebola virus strains (Zaire, Sudan, Bundibugyo, or Tai Forest virus). Signs of Ebola include fever (≥38°C) and additional symptoms, such as severe headache, anorexia/ loss of appetite, lethargy, breathing difficulties, muscle pain, vomiting, diarrhea, abdominal (stomach) pain, difficulty swallowing, hiccup, or unexplained hemorrhage (bleeding or bruising). The incubation period of Ebola virus disease (EVD) varies from 2 to 21 days but the average is time 8 to 10 days. No vaccine available yet, no specific treatment. Supportive therapy is given based on patient condition. The Ebola virus is transmitted among humans through close and direct physical contact with infected bodily fluids, the most infectious being blood, faeces and vomit. Ebola Virus Disease (EVD)

4. No confirmed case found yet Five suspected cases was detected : 1.a male Ghana citizen who visited Indonesia and presented with symptoms aligned with EVD. He was tested negative for Ebola, positive for malaria. 2.Indonesian male who returned from Nigeria for work and presented with symptoms aligned with EVD. He was tested negative for Ebola, positive for malaria cerebral and DHF. 3. Indonesian male who returned from Liberia for work and presented with symptoms aligned with EVD. He was tested negative for Ebola. 4.Indonesian male who returned from Liberia for work and presented with symptoms aligned with EVD. He was tested negative for Ebola, positive for malaria and DHF. 5.Indonesian male who returned from Liberia for work and presented with symptoms aligned with EVD. He was tested negative for Ebola. Indonesia Situation

5. There were 29 Indonesian who returned from Liberia for work. Two of them developed symptoms on their 21 days followed up and tested negative for Ebola virus disease. The 29 Indonesian was completed their 21 days followed up. No one has develop symptoms, except two persons who tested negative while they have symptoms. Indonesia Situation Continue

6. Improving early case detection at PoE Improving early warning in all regions of Indonesia to detect suspect cases. This is done through provincial health office and district/city event- based surveillance. Continue coordination between Health programs and sectors. Prepare referral hospitals and Laboratory Control Plan and Preparation

7. Share information and health promotion materials to the public, in particular risk groups such as travelers to endemic areas. Provide SOP for case management, surveillance, laboratory, infection control and risk communication. Conduct simulation of preparedness and response on Ebola Virus Disease (table top and field simulation). Control Plan and Preparation Continue

8. Case Detection at PoE and Province/ District

10. Gap Identification Limited number of isolation room. Ebola Treatment Center not available yet. No train conducted yet for health worker on case management, risk communication, and public health response at both national and subnational / district levels including on contact tracing and data management. No train conducted yet for burial teams. SOP for implementing exit screening in the event of a confirmed EVD outbreak not available yet.

11. Health Promotion Materials on EVD

13. Simulation on Ebola Outbreak Response at PoE

14. POSKO KLB Telp: 0214257125 – 02142877588 - 081219241850 SMS: 021-36840901 Fax: 021- 42802669 Surel: poskoklb@yahoo.composkoklb@yahoo.com HALO KEMKES Telp : (kode lokal) 500567 SMS : 081281562620 Faks : (021) 52921669 Email : kontak@depkes.go.idkontak@depkes.go.id WEBSITE www.infopenyakit.org www.promkes.depkes.go.id

15. Thank You