Professional Documents
Culture Documents
Samsuridjal Djauzi
Satgas Imunisasi Dewasa PB PAPDI
Vaksin yang dianjurkan untuk
petugas kesehatan
Hepatitis B
Influenza
Varisela
History of Adult Imunization in
Indonesia
2003 : Consensus of Indonesia Health
Immunization
2003 : Adult Immunization Task Force (
Indonesian Society of Internal Medicine)
2003-2017 : collaboration with Obgy,
Dermatologist , Neurologist, Pulmunologist ,
Geriatrician, Public Health etc
2005 –now :Vaccinology training
2003,2009,2012,2017 Publish book on Adult
Immunization
ALV/PRN/22/16/07/11
Layanan Imunisasi di Masyarakat
“Every year, tens of thousands of
adults and hundreds of thousands
more are hospitalized due to
diseases that could be prevented by
vaccination.”
1.Zimmerman RK, et. al. ed.Vaccines Across the Life Span. 4th ed. 2007
2. AAP. Pickering LK, ed. Red Book:2003 Report og the Committee on Infectious
Diseases. 26th ed. Elk Grove Village,IL: AAP;2003:68
3. CDC. Pink Book, 10th ed, 2008
Key Vaccines: Adults
Influenza
Pneumococcal
Tetanus/Diphtheria
Human Papillomavirus
Hepatitis B (high risk groups)
Hepatitis A (travel to endemic areas)
Meningococcal (high risk groups)
Typhoid (travel to endemic areas)
MMR (catch-up)
Varicella (catch-up)
Herpes Zoster 1.Zimmerman RK, et. al. ed.Vaccines Across the Life Span. 4th ed. 2007
Dengue
2. AAP. Pickering LK, ed. Red Book:2003 Report og the Committee on Infectious
Diseases. 26th ed. Elk Grove Village,IL: AAP;2003:68
3. CDC, Pink Book, 10th ed. 2008
Use of Seasonal Influenza Vaccine
in Asia Pacific Region
Complications: Influenza
Hospitalization Rates
60
Hospitalisation rate/10,000 population
50
40
30
20
10
0
<5 5–9 10–19 20–34 35–44 45–54 55–64 65
Age (yrs)
Glezen et al. 1987
Angka Komplikasi pada Manula
Lebih Tinggi
80%
Persen dari semua
kasus imfluenza
70%
60%
50%
40%
30%
20%
10%
0%
40-49 50-59 60-69 >70
Kelompok umur
| 26
The Consequences of Healthcare-associated
Influenza are Significant
• Nosocomial outbreaks with illness and deaths
in vulnerable patients
• Extended hospital stays and increased costs
• Sick and exposed hospital staff furloughed from
work, creating staff shortages
• Damage to the reputation of the healthcare
facility
Doctors make the worst patients
Compliance with influenza vaccination among
health care workers (HCWs)1
◦ vary from 2 to 36% around the world
petugas kesehatan
1. Couto C, et al. Fighting Misconceptions to Improve Compliance with Influenza Vaccination among Health Care Workers:
An Educational Project. Plos One. February 2012 ;7(2 )
2. Antono SK, Raya RP. Occupational risk for human immunodeficiency virus, hepatitis B, and hepatitis C infection in
health care workers in a teaching hospital in Indonesia. American Journal of Infection Control. November 2010
Influenza vaccine coverage rates are still
insufficient (2010/11)
Korea
UK3 Spain2, 4 Poland 4, 5 USA 1 China4*
(south) 4
1) From Center of Disease Control and Prevention, Behavioral Risk Factor Surveillance System (BRFSS) and National
Immunization Survey (NIS). Coverage estimates 29by Nov 2010; CDC, USA 2011; 2) Gripometro, 2011; 3) NHS London;4)
Sanofi Pasteur internal data; 5) personal communication; * 3 main cities
30
Influenza Vaccination is an Ethical
Responsibility and Patient Safety Issue
Influenza vaccination of healthcare workers is a
personal issue, a professional issue and an institutional
concern
HCW vaccination builds public trust and credibility in
the healthcare facility by putting patient safety first
Vaccination is consistent with the ethical imperative to
“do no harm” by taking reasonable action to prevent
disease transmission in healthcare settings
“the welfare of patients is best served by very high
rates of staff immunity that can only be achieved
through mandatory vaccination…under voluntary
standards, institutional outbreaks occur”
(AM Stewart. N Engl J Med 2009; 361:2015-7)
Percent influenza vaccination in persons 65,
Australia, 1997, by state Source: IMS Australia
80
60
40
20
0
Australia NSW Vic Q’ld SA WA Tas
Langkah-langkah yang Harus Dilakukan
Meningkatkan informasi
Memperbanyak tempat layanan imunisasi
Harga vaksin yang lebih terjangkau
Upaya untuk terjun ke lapangan
Malaysian National Campaign
ONE MILLION INFLUENZA
SHOT IN INDONESIA IN 2014?
Langkah-langkah yang Harus Dilakukan
Meningkatkan informasi
Memperbanyak tempat layanan imunisasi
Harga vaksin yang lebih terjangkau
Upaya untuk terjun ke lapangan
Pengalaman Thailand
Jumlah tenaga kesehatan sekitar 400 ribu orang
Pemerintah menyediakan vaksin sebanyak
3.400.000
Penggunaan :
- 400 rb untuk petugas kesehatan (cakupan 93%)
- 3 Juta untuk ibu hamil, usia lanjut, penyakit kronik
Pengalaman Filipina
Telah mulai melaksanakan imunisasi
influenza pada petugas kesehatan (2015)
Kemungkinan imunisasi Influenza
pada petugas kesehatan di Indonesia
Dokter + Dokter Gigi : 157.393
Perawat : 237.181
Bidan : 124.948
Petugas Kesehatan : 576.634
Tenaga Penunjang : 195.444
TOTAL : 772.078
Persiapan
Kebijakan
Program
Anggaran
Pedoman pelaksanaan
Dana terutama untuk pengadaan vaksin
(Thailand)
Terima kasih