9.Infeksi Parasit Dlm IKK 2012
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Transcript of 9.Infeksi Parasit Dlm IKK 2012
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Masalah kesehatan akibat
infeksi parasitdalam kedokteran komunitas
Silvia Fitrina Nasution
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Pangandaran, August 2005
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ngandaran, August 2005
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Kubangan ditepi pantaiSalinitas 3
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INTERMEDIATE HOST
Oncomelania sp
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LYMPHATIC FILARIASIS
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Masalah Kesehatan dan
Lingkungan Hidup
Status kesehatan dipengaruhi oleh faktor :
Pelayanan Kesehatan
Status KesehatanPerilaku Lingkungan
Biologik
H.L. Bloem (1974)
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Perilaku hidup seseorang mempengaruhi
keseimbangan faktor lain yg berperan
dalam status kesehatan
Host
Environment
Agent
Host
Environment
Agent
Multiple caution of disease
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Pelayanan Kesehatan
Untuk mencegah berjalannya penyakit ke tahap yg
lebih lanjut, diperlukan pelayanan kesehatan yg
menyeluruh, melalui pendekatan :
1. Holistik (jasmani, mental, sosial)
2. Faktor lingkungan (home, environment, social care)
3. Pencegahan penyakit (Five level of prevention)
4. Pelayanan rujukan
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Five Level of Prevention
Health promotion & education
Rehabilitation
Special Protection
Early Diagnosis & prompt treatment
Disability limitation
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Masalah kesehatan lingkungan
Point of view
A. Diagnosis
B. InterventionC. Evaluation
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Diagnosis/EARLY DETECTION
Peran petugas KesLing
Langkah diagnosis masalah Kesehatan
komunitas termasuk Rapid diagnosis penyakit
Menentukan jenis & sumber masalah
kesehatan komunitas
Menentukan prioritas masalah kesehatan
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Intervention
Menentukan prioritas pemecahan masalah
kesehatan komunitas
Menentukan cara intervensi masalah
kesehatan komunitas
Menyusun rencana intervensi masalah
kesehatan komunitas
Menentukan faktor-faktor yg berperan &
perlu diperhatikan pd rencana intervensi
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Program evaluation
Problem solving cycle
Evaluation of Intervention
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CASE
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Rapid Assessment Parasit yg masih menjadi
masalah kesehatan di Indonesia
Vs
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WHY IDENTIFY PARASITES ?
for subsequent treatment
understanding epidemiology
implementation of control measures
fundamental research
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A DIAGNOSIS PROBLEM?
Traditionally diagnosis of infection
based on finding parasite
someparasites morphologically
indistinguishable
parasites hidden in various hosttissue
l l
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Traditional diagnosis of Malaria
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THE SOLUTION ?
Current laboratory techniques
not entirely satisfactory
Need trained staff, equipment,
slow throughput
Rapid molecular tests being
developed
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RAPID DIAGNOSIS
Rapid diagnosis of infection used as a screeningtool should meet some criteria :
High prevalence of the disease case
Cause significant morbidity or mortality
Effective therapy required
Early therapy result a significant effect to
prevent a chronic disease
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ANTIBODY based DIAGNOSIS
Disadvantagescannot distinguish past/ present
infectionscannot distinguish morphologically
similar parasites
expensive to develop significant
research prior to commercialization
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Antibody based Diagnosis
Advantages
rapid easy field based tests can bedeveloped
useful for both individual & mass
population screening
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Antigen Detection Test forMalaria & Filariasis
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CASE
Dari gambaran foto kejadian diatas, Rapid
assessment apa yang anda dapatkan ttg:
Perilaku ?
Biologik atau agent / vector of disease ?
Masalah lingkungan ?
Intervensi ?
Evaluasi ?
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