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Dengue fever cases still on the rise despite seasonal change!

We care a lot of Dengue cases, especially in poor villages

A Covid-19 patient can also get dengue fever, which is also caused by a virus and for which there is no known cure

Vaccines are not effective against dengue fever.

Extract | Dengue is a severe, flu-like illness that affects infants, young children, and adults, but seldom causes death. Symptoms usually last for 2–7 days, after an incubation period of 4–10 days after the bite from an infected mosquito. Dengue is widespread throughout the tropics, with local variations in risk influenced by rainfall, temperature, relative humidity, and unplanned rapid urbanisation.The COVID-19 pandemic is putting enormous pressure on the health and management systems of Dengue and tens of thousands of cases have not been managed properly, increasing mortality from this viral disease. Fair Future deals a lot with cases of Dengue, especially in poor villages, where no waste management is in place.

Beyond Corona: Dengue Fever Cases in Indonesia, how can we interact?

However, symptoms of dengue fever are different from those of Covid-19.

Dengue occurs is spread by mosquito bites and is due to the infection by a flavivirus which is transmitted by the bite of the ***Aedes aegypti mosquito. This mosquito bites during the daytime.

General information

In 2020, there were 35,315 reported cases of dengue fever and dengue hemorrhagic fever in Indonesia. This was a steep increase from the number of cases reported in 2019, which was 15,998. The reported cases do not reflect by far the real number of Dengue cases because a huge part of the population living in rural areas do not all have a birth certificate, identity card or family record book!

Dengue fever is typically a self-limited disease with a mortality rate of less than 1% when detected early and with access to proper medical care. When treated, severe dengue has a mortality rate of 2%-5%, but, when left untreated, the mortality rate is as high as 20%. This mortality rate of 20% is that in force in the most rural and poorest regions. Those where access to care is almost inexistent, economic resources at the lowest.

Dengue fever is most common during the rainy season (November-May) as Aedes mosquitos require clean standing water to reproduce. The peak of the season is usually from March through May.

Dengue haemorrhagic fever (DHF) was first recognised in Indonesia in the cities of Jakarta and Surabaya in 1968. There is no vaccine against dengue fever, though several are in development. This mortality rate of 20% is that in force in the most rural and poorest regions. Those where access to care is almost inexistent, economic resources at the lowest.

Key facts about Dengue

  1. There is no specific treatment for dengue/severe dengue;
  2. Dengue isn’t spread from person to person;
  3. Dengue is spread by infected mosquitoes, usually the Aedes aegypti and Aedes albopictus varieties;
  4. These mosquitoes bite during the day, usually early in the morning or in the early evening before dusk. They’re often found near still water in built-up areas, such as in wells, water storage tanks or in old car tyres;
  5. The global incidence of dengue has grown dramatically in recent decades. About half of the world’s population is now at risk. There are an estimated 100-400 million infections each year;
  6. Dengue prevention and control depends on effective vector control measures. Sustained community involvement can improve vector control efforts substantially;
  7. Dengue fever can cause spontaneous bleeding, such as nosebleeds, red spots, and bleeding gums. Only around 10 to 15 percent of patients develop a cough and, unlike Covid-19 patients, they don’t experience respiratory problems;
  8. Dengue fever symptoms also include eye pain, headache, continuous vomiting, increased red blood cells, and a low platelet count (under 100,000 platelets*);
  9. The disease can infect people of all age groups, but most dengue fever patients in Indonesia this year in 2020, have been teenagers;
  10. A lot of teens suffering from dengue fever come to the hospital already in critical condition. Many of them are in hypovolemic shock or lacking fluid. They refuse drinks because it makes them vomit so they suffer from dehydration.

Dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS)

A rare complication of dengue fever, DHF occurs most often in small children and elderly adults. If DHF occurs, it will usually do so by day 3-5 of infection. The relationship between DHF and previous dengue infection has not been clearly established, but previous exposure to dengue is correlated with subsequent DHF. Uncontrolled bleeding distinguishes DHF from fever accompanying a dengue infection. Bleeding can occur from the gums, nose, intestine, or under the skin as bruises or spots of blood, especially under a tourniquet.

In children, the progression of the disease is not always characteristic. A relatively mild first phase with an abrupt onset of fever, malaise, vomiting, headache anorexia, and cough is succeeded 2-5 days later by weakness and, sometimes, physical collapse. Frequently, spots appear on the forehead, arms, and legs, along with spontaneous bruises and bleeding from punctures where blood was taken. A seriously ill child may breathe rapidly and with considerable effort; the pulse may be weak, rapid, and thready.

The criteria for DHF are a platelet* count of less than 100,000 and a **hematocrit 20% greater than normal. Children with similar blood indicators should be hospitalised immediately and managed for potential DSS. The syndrome can be lethal and requires rapid in-hospital management with assiduous correction and replacement of fluid, electrolytes, plasma, and sometimes fresh blood/platelet transfusions. Mortality due to DHF and DSS ranges from 5-30% in the untreated Indonesian population, with the highest risk category being infants under one year of age.

Symptoms of dengue – Usually develop suddenly, about 5 to 8 days after you become infected

  • A high temperature, or feeling hot or shivery
  • A severe headache
  • Pain behind the eyes
  • Muscle and joint pain
  • Feeling or being sick
  • A widespread red rash
  • Tummy pain and loss of appetite
  • The symptoms normally pass after about 1 week, although you may feel tired and slightly unwell for several weeks afterwards.

Treatment

  • There is no preventative treatment for the dengue virus. Its symptoms can and should be treated, but there is no medicine or commercially available vaccine for the virus. Vaccine candidates are going through clinical trials in many countries, but a safe vaccination protocol is not expected for some time.
  • It has been suggested that DHF is more likely if the patient has previously been infected by dengue fever within the last 8-12 months and that the likelihood of DHF relates to this previous “sensitization”.
  • To avoid getting dengue fever or DHF, you must avoid getting bitten by day-biting mosquitos.
  • Convalescence can take weeks, and bed rest and antipyretics and analgesics are required. An attack produces immunity for a year or more, but only to one of the four flavivirus strains responsible for the initial illness.
  • In an epidemic, the emergency control measure is mosquito insecticide applied outside by vehicle-mounted or portable ultra-low-volume generators a minimum of twice a day at ten-day intervals;
  • Take paracetamol to relieve pain and fever. Do not take aspirin or ibuprofen, as these can cause bleeding problems in people with dengue;
  • Drink plenty of fluids to prevent dehydration – if you’re currently abroad, only drink bottled water from a bottle that was properly sealed;
  • Get plenty of rest

Prevention

  • There are currently no vaccines;
  • The best method of prevention is to avoid mosquito bites;
  • Use insect repellent – products containing 50% DEET are most effective, but a lower strength (15 to 30% ****DEET) should be used on children, and alternatives to DEET should be used on children younger than 2 months;
  • Treatment is possible if diagnosis occurs before the patient develops DSS or DHF;
  • If you live in Indonesia, have your home sprayed. If you’re visiting Indonesia, hati-hati (be careful);
  • Common sense precautions can protect you from this day-biting mosquito;
  • Be aware of your environment – Mosquitoes that spread dengue breed in still water in urban areas;

Fair Future and its teams make a lot of prevention. Give explanations to communities in order to avoid illness, especially for young children.

DHF: Dengue Hemorrhagic Fever – DSS: Dengue Shock Syndrom;
*Platelets, or thrombocytes, are small, colorless cell fragments in our blood that form clots and stop or prevent bleeding. Platelets are made in our bone marrow, the sponge-like tissue inside our bones. Bone marrow contains stem cells that develop into red blood cells, white blood cells, and platelets;
**Hematocrit is the percentage by volume of red cells in your blood. Blood is made up of red blood cells, white blood cells and platelets, suspended in plasma. Together, those included about 45% of the volume of our blood, but the specific percentages of each can vary;
***Aedes Aegypti is a genus of mosquitoes originally found in tropical and subtropical zones but now found on all continents except Antarctica. Can spread dengue fever, chikungunya, Zika fever, Mayaro, and yellow fever viruses.
****DEET: N, N-Diethyl-meta-toluamide, also called DEET or diethyltoluamide, is the most common active ingredient in insect repellents. It is a slightly yellow oil intended to be applied to the skin or to clothing and provides protection against mosquitoes, ticks, fleas, chiggers, leeches and many biting insects.
Donate for a cause of your choice

Donate to programs initiated by Fair Future and be on the ground with us. We are committed to ensuring that as many people as possible have access to medical care (basic and emergency care), Covid-19 screening and testing, access to school and knowledge, drinking and clean water, sanitation, women's rights, and minorities living in rural and ultra peripheral areas.

Going where no one ever goes is one of our priorities, see Truck Of Life program.

**Click here to make a donation

Donate for Clean Water Access in East Sumba

Do you want to participate in the drilling of a well for 40 families and 250 people? Provide clean and potable water to all those who no longer have access to it, or who have never had access to it. Water is life, water makes you feel good!

To do this, Fair Future and the Indonesian Red Cross are launching a program to build wells, toilets and provide access to drinking water to 42 villages and communities in East Sumba.

**Click here to make a donation

Donate for healthcare, to improve health and save lives

Whether it is to fight against famine, diseases linked to the lack of clean water, the lack of sanitation system, the fight against the Covid-19 pandemic, respiratory diseases linked to air pollution, tuberculosis, or any other form of recurrent illness, Fair Future does what it can to best help populations in need.

Help us to provide us with medicines, medical equipment, logistics, my indispensable faith also to get us where no one ever goes. Help us to heal, to give a better life, to help us to save lives!

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COVID-19 in Indonesia, a dramatic situation

Take care of people, do what the state does not! Fair Futur acts to detect, test, treat and vaccinate the victims of the Pandemic. No Antigen tests, no vaccine (here in Sumba for example, hardly anyone is vaccinated). Also, the health centers are closed because they are infected and the medical staff is sick.

There are very few doctors and other medical personnel who are still at work. This is linked to medical and infectious factors, but also and above all because the staff is no longer paid, therefore they no longer come to work.

**Click here to make a donation

Donate for East Indonesia disaster

After the Sumba natural disaster in April 2021, Fair Future is the only foreign organization there. We commit ourselves every day to rebuild, to improve...

We are confronted with health problems, social challenges. We need infrastructural and human resources. They need to eat, drink, have access to healthcare and a roof to protect themselves!

**Click here to make a donation

Action for Fair Future Plateforme

The Fair Future donation platform focuses on the fundraising needs of nonprofit organizations

More than yesterday and even less than tomorrow, Fair Future and Kawan Baik Foundations continue to develop projects with humanitarian, positive, and virtuous objectives.

Our organizations get involved every day, in a concrete way on the ground. They are men and women, mostly volunteers, who work to find solutions and implement them so that everyone can have a better life.

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Sometimes, it is not possible to make a donation via modern solutions, by what is called "e-banking".

From then on, you can participate in one of our projects or programs by making a bank transfer, via one of our two bank accounts in Switzerland.

**Click here to make a donation

Some more Information

Medical assistance – Malaria in Indonesia, what we are doing?

Risk is present throughout the country, excluding urban areas, and excluding the areas specified: J akarta, Surabaya, Denpasar (Bali), and other large cities are risk-free, including the beach resorts in southern Bali. Sporadic cases of malaria in travelers have been reported from rural areas of Java, Bali (Padangbai area), Bintan, and Lombok islands. The WHO data does not take into account the situation in eastern Indonesia, which is linked to the lack of existing data. Nevertheless, malaria in the regions of Flores, Sumba Timur and Kupang is important in rural villages.

Dengue fever cases still on the rise despite seasonal change

The COVID-19 epidemic has not slowed the onset of seasonal dengue fever across the country. The country has been battling dengue fever since early this year, at a time when state resources have been spent on curbing the COVID-19 outbreak. The similarities between dengue fever and COVID-19 symptoms have also complicated efforts to mitigate the annual spike in cases. The island of Java has contributed the highest average number of dengue hemorrhagic fever cases each year. In recent years, Bali and Borneo (Kalimantan) have had the highest incidence.

Impact of air pollution on health in Indonesia

Outdoor air pollution is a mix of chemicals, particulate matter, and biological materials that react with each other to form tiny hazardous particles. It contributes to breathing problems, chronic diseases, increased hospitalization, and premature mortality. In Indonesia, this is the cause 50% of morbidity nationwide. How is air pollution affecting Indonesia? More than 80% of the Indonesian population of more than 260 million inhabitants, is exposed to annual average concentrations of pollution, well above the WHO guideline. The country has the fifth-highest loss of years of life in the world due to particulate matter pollution.

Assistance to people in case of malnutrition problems

Social consequences of malnutrition. Undernourished children have weaker immune systems and are thus more susceptible to infections and illnesses. Long-term insufficient nutrient intake and frequent infections can cause stunting, whose effects in terms of delayed motor and cognitive development are largely irreversible.

Medical Assistance for Children’s in pandemic time

Fair Future notes that children are certainly the most affected by the indirect impact of the pandemic than by the viral infection itself. Indeed, we have noticed that the COVID-19 pandemic is having an impact on the health of children, but through the increase in poverty, the loss of education and the closure of schools -here in Indonesia the closure of schools since March 2020-, food insecurity, violence as well as increased pressure on health systems and reduced access to personal health care services.

Rumah Kambera Base Camp – Covid-19 fight and Clean Water updates

Management of the pharmacy, water supply, Covid-19 program, infrastructures, and day-to-day organizations.
Facing the crisis linked to the pandemic, the lack of water and vital resources, managing the organizational structure in order to optimize the social and medical assistance that we offer. The 24 hours that a day counts are not enough to do everything!

Covid-19 fight – Free vaccination day for 500 registered people – 26.09.21.

Vaccination is still not accessible to everyone! Fair Future and Kawan Baik Indonesia, in collaboration with Denpasar City Youth Organization, Denpasar City Covid Task Force, Health Office, Social Service, and several medical personnel volunteers, have the opportunity to be able to carry out free vaccinations. This day of free vaccination will be held on September 26, 2021, at Rumah Sanur Creative Hub, Fair Future Foundation and Kawan Baik Indonesia foundations Base camp in Denpasar.

Tomorrow 31.08.21, a 3rd team will join forces already present in eastern indonesia

After having sent the 2nd team on-site last week, Fair Future will leave on August 31, 2021, in reinforcement to join the Base Camp of Rumah Kambera in Sumba East. A 3rd team made up of Kawan Ayu, Kawan Hasto and Kawan Alex. The mission is clearly defined in what we have been doing for months on the spot, namely: To fight as best as possible the devastation linked to the Covid-19 pandemic on the spot.

COVID-19 fight. An additional team is leaving for the territories of eastern Indonesia

On August 25, 2021, an additional team will reinforce the staff already on-site, in the fight against the pandemic in the territories of eastern Indonesia. A truck has already left for the provinces of southern Indonesia. It is filled with drugs, antigen tests, masks, disinfectants, and other first-aid equipment to help this population of nearly 300,000 inhabitants who do not receive any form of aid, apart from that which Fair Future and Kawan Baik Foundations bring on site.

Latest Corona Virus News & Updates, for Indonesia

Indonesian Borders are closed for tourism. However, visitors with Single-Entry Business Visas 211, can currently enter. Indonesian citizens from abroad, Holders of Diplomatic Visa, Duty Visa for Ministerial Level, KITAS, and KITAP are also allowed to enter Indonesia. Bali and Java are under Micro-Scale Social Restrictions to mitigate the spread of Covid-19, expect shorter operational hours on restaurants and attractions, also health protocols enforcements.

Common diseases we work on

Life-saving tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

Tuberculosis

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable.

A social disease, tuberculosis affects more particularly the poorest groups of the population, in particular the homeless people in whom the incidence (approximately 200 / 100,000) far exceeds that of other groups.

In Indonesia, tuberculosis is the leading cause of death in the category of infectious diseases. However, when one considers the general causes of death, tuberculosis ranks 3rd after heart disease and acute respiratory disease at all ages. The number of tuberculosis cases found in 2019 was around 645,000 cases. This figure has increased from the tuberculosis data recorded in 2018, which was in the order of 566.00 cases.

Meanwhile, the number of recorded deaths from tuberculosis based on WHO 2019 data is 98,000 people. This includes 5,300 deaths of tuberculosis patients with HIV / AIDS.

Life-saving anti-tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

In 2020, the 30 countries with a high TB burden accounted for 87% of new TB cases. Eight countries account for two-thirds of the total, led by India, followed by Indonesia, China, Philippines, Pakistan, Nigeria, Bangladesh, and South Africa.


More info: https://tbindonesia.or.id/pustaka-tbc/informasi/tentang-tbc/situasi-tbc-di-indonesia-2/

Tuberculosis

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable.

A social disease, tuberculosis affects more particularly the poorest groups of the population, in particular the homeless people in whom the incidence (approximately 200 / 100,000) far exceeds that of other groups.

In Indonesia, tuberculosis is the leading cause of death in the category of infectious diseases. However, when one considers the general causes of death, tuberculosis ranks 3rd after heart disease and acute respiratory disease at all ages. The number of tuberculosis cases found in 2019 was around 645,000 cases. This figure has increased from the tuberculosis data recorded in 2018, which was in the order of 566.00 cases.

Meanwhile, the number of recorded deaths from tuberculosis based on WHO 2019 data is 98,000 people. This includes 5,300 deaths of tuberculosis patients with HIV / AIDS.

Life-saving anti-tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

In 2020, the 30 countries with a high TB burden accounted for 87% of new TB cases. Eight countries account for two-thirds of the total, led by India, followed by Indonesia, China, Philippines, Pakistan, Nigeria, Bangladesh, and South Africa.


More info: https://tbindonesia.or.id/pustaka-tbc/informasi/tentang-tbc/situasi-tbc-di-indonesia-2/

Dengue virus (DENV) infection is a major cause of acute febrile illness in Indonesia.  And a high cause of death.

Dengue Fever

Dengue hemorrhagic fever is a disease caused by dengue virus infection (IVD) which is transmitted through the bite of the Aedes aegypti and Aedes albopictus mosquitoes.

Dengue virus infection is an endemic disease that appears throughout the year, especially in the rainy season in various tropical and sub-tropical regions including in Indonesia. The rainy season is an optimal condition for breeding mosquitoes, so there can be an increase in cases that are high and fast. According to WHO, Indonesia is the second-largest country with dengue cases among 30 endemic regions.

Dengue is a severe, flu-like illness that affects infants, young children, and adults, but seldom causes death. Symptoms usually last for 2–7 days, after an incubation period of 4–10 days after the bite from an infected mosquito. Dengue is widespread throughout the tropics, with local variations in risk influenced by rainfall, temperature, relative humidity, and unplanned rapid urbanisation.

The COVID-19 pandemic is putting enormous pressure on the health and management systems of Dengue and tens of thousands of cases have not been managed properly, increasing mortality from this viral disease. Fair Future deals a lot with cases of Dengue, especially in poor villages, where no waste management is in place.

The case fatality rate (CFR) has been estimated at more than 20% of those infected. Knowing that Dengue fever affects millions of people every year, this makes it one of the most important causes of death in Indonesia. Complications can lead to circulatory system failure and shock, and can be fatal (also known as Dengue Shock Syndrome).

In some cases, Dengue infection is asymptomatic – persons do not exhibit symptoms. Those with symptoms get ill between 4 to 7 days after the bite. The infection is characterised by flu-like symptoms which include a sudden high fever coming in separate waves, pain behind the eyes, muscle, joint, and bone pain, severe headache, and a skin rash with red spots. Treatment includes supportive care of symptoms.

There is no antiviral treatment available. The illness may progress to Dengue Hemorrhagic Fever (DHF). Symptoms include severe abdominal pain, vomiting, diarrhea, convulsions, bruising, and uncontrolled bleeding.

...

--> Read the dedicated page about Dengue Fever


More information: https://fairfuturefoundation.org/dengue-fever-cases-still-on-the-rise-despite-seasonal-change/

Dengue Fever

Dengue hemorrhagic fever is a disease caused by dengue virus infection (IVD) which is transmitted through the bite of the Aedes aegypti and Aedes albopictus mosquitoes.

Dengue virus infection is an endemic disease that appears throughout the year, especially in the rainy season in various tropical and sub-tropical regions including in Indonesia. The rainy season is an optimal condition for breeding mosquitoes, so there can be an increase in cases that are high and fast. According to WHO, Indonesia is the second-largest country with dengue cases among 30 endemic regions.

Dengue is a severe, flu-like illness that affects infants, young children, and adults, but seldom causes death. Symptoms usually last for 2–7 days, after an incubation period of 4–10 days after the bite from an infected mosquito. Dengue is widespread throughout the tropics, with local variations in risk influenced by rainfall, temperature, relative humidity, and unplanned rapid urbanisation.

The COVID-19 pandemic is putting enormous pressure on the health and management systems of Dengue and tens of thousands of cases have not been managed properly, increasing mortality from this viral disease. Fair Future deals a lot with cases of Dengue, especially in poor villages, where no waste management is in place.

The case fatality rate (CFR) has been estimated at more than 20% of those infected. Knowing that Dengue fever affects millions of people every year, this makes it one of the most important causes of death in Indonesia. Complications can lead to circulatory system failure and shock, and can be fatal (also known as Dengue Shock Syndrome).

In some cases, Dengue infection is asymptomatic – persons do not exhibit symptoms. Those with symptoms get ill between 4 to 7 days after the bite. The infection is characterised by flu-like symptoms which include a sudden high fever coming in separate waves, pain behind the eyes, muscle, joint, and bone pain, severe headache, and a skin rash with red spots. Treatment includes supportive care of symptoms.

There is no antiviral treatment available. The illness may progress to Dengue Hemorrhagic Fever (DHF). Symptoms include severe abdominal pain, vomiting, diarrhea, convulsions, bruising, and uncontrolled bleeding.

...

--> Read the dedicated page about Dengue Fever


More information: https://fairfuturefoundation.org/dengue-fever-cases-still-on-the-rise-despite-seasonal-change/

Each year, malaria kills thousands of people in Indonesia. 70% of all deaths are children under five years of age.

Malaria

Malaria is a life-threatening disease that spreads when an infected mosquito, bites a person. The mosquito transfers parasites into that person’s bloodstream. Symptoms of malaria include fever and shaking chills. Malaria is common in tropical countries such as Africa and Asia. Malaria is treatable if it’s caught early. The malaria trend in Indonesia is increasing dramatically in recent years. The disease is fairly easy to treat, but access to the most effective treatments remains insufficient. 

90% of all malaria deaths occur due to a lack of access to medical care. Mosquito nets are expensive and out of reach for many.

  • Malaria risk is present below the altitude of 2000 meters
  • High-risk months for Malaria are: January to December

The transmission of COVID-19 in Indonesia has continued unabated and has spread to malaria-endemic areas, in particular the eastern provinces of the country, such as East Nusa Tenggara (NTT) where Fair Future is working, Maluku, and Papua, forcing authorities to intensify their vigilance to avoid a double burden of disease.

According to data from the Indonesian Ministry of Health, an estimated 250,644 cases of malaria have occurred in Indonesia, 85% of which are in rural areas. The high level of malaria endemicity in some areas is a cause for concern, not least because there is no end in sight for the COVID-19 crisis. This figure should nevertheless be taken in the conditional because in a large number of regions of the country, people do not have an identity card or family record book, or people do not have access to medical care.

Plasmodium - a parasite that causes malaria in humans - can damage the immune system, which is why patients with malaria are prone to other infections, including COVID-19.

And there are no new drugs in the development pipeline, which means we may find ourselves without effective options in the future.

Read the full dedicated page here! It's really interesting.


More info: https://fairfuturefoundation.org/medical-assistance-malaria-in-indonesia-what-we-are-doing/

Malaria

Malaria is a life-threatening disease that spreads when an infected mosquito, bites a person. The mosquito transfers parasites into that person’s bloodstream. Symptoms of malaria include fever and shaking chills. Malaria is common in tropical countries such as Africa and Asia. Malaria is treatable if it’s caught early. The malaria trend in Indonesia is increasing dramatically in recent years. The disease is fairly easy to treat, but access to the most effective treatments remains insufficient. 

90% of all malaria deaths occur due to a lack of access to medical care. Mosquito nets are expensive and out of reach for many.

  • Malaria risk is present below the altitude of 2000 meters
  • High-risk months for Malaria are: January to December

The transmission of COVID-19 in Indonesia has continued unabated and has spread to malaria-endemic areas, in particular the eastern provinces of the country, such as East Nusa Tenggara (NTT) where Fair Future is working, Maluku, and Papua, forcing authorities to intensify their vigilance to avoid a double burden of disease.

According to data from the Indonesian Ministry of Health, an estimated 250,644 cases of malaria have occurred in Indonesia, 85% of which are in rural areas. The high level of malaria endemicity in some areas is a cause for concern, not least because there is no end in sight for the COVID-19 crisis. This figure should nevertheless be taken in the conditional because in a large number of regions of the country, people do not have an identity card or family record book, or people do not have access to medical care.

Plasmodium - a parasite that causes malaria in humans - can damage the immune system, which is why patients with malaria are prone to other infections, including COVID-19.

And there are no new drugs in the development pipeline, which means we may find ourselves without effective options in the future.

Read the full dedicated page here! It's really interesting.


More info: https://fairfuturefoundation.org/medical-assistance-malaria-in-indonesia-what-we-are-doing/

A real health emergency, resistance to antimicrobials. It threatens to make simple cuts & easily treatable diseases, are deadly again.

Antimicrobial resistance

Antimicrobial agents have played a vital role in reducing the burden of communicable diseases around the world. The WHO South-East Asia Region is no exception. On an Indonesian or "local" scale, antimicrobial drugs, including antibiotics, are very cheap, accessible, and very effective. It is with good reason that many have long considered them to be "miracle drugs".

The situation in Indonesia with this major health problem is absolutely catastrophic. Participating physicians prescribe antimicrobials on all counts, for infections for which any form of antimicrobial is unnecessary. Too large a proportion of sick patients simply no longer respond to the treatments they - sometimes very urgently - need.

The emergence of antimicrobial resistance (AMR) creates “superbugs” that make treatment of basic infections difficult (and in some cases impossible) and surgery risky. And while the emergence of resistance in microorganisms is an ongoing phenomenon, its amplification and spread are the results of one thing: human behavior.

The WHO South-East Asia Region is particularly affected. As the risk assessments conducted by WHO have shown, the Region is probably the most at-risk part of the world. Not only does AMR affect the health and well-being of people in Indonesia, it also has ramifications for public health and general well-being. This makes the problem of immense global importance.

 


More info: https://www.balimedicaljournal.org/index.php/bmj/article/viewFile/1386/pdf

Antimicrobial resistance

Antimicrobial agents have played a vital role in reducing the burden of communicable diseases around the world. The WHO South-East Asia Region is no exception. On an Indonesian or "local" scale, antimicrobial drugs, including antibiotics, are very cheap, accessible, and very effective. It is with good reason that many have long considered them to be "miracle drugs".

The situation in Indonesia with this major health problem is absolutely catastrophic. Participating physicians prescribe antimicrobials on all counts, for infections for which any form of antimicrobial is unnecessary. Too large a proportion of sick patients simply no longer respond to the treatments they - sometimes very urgently - need.

The emergence of antimicrobial resistance (AMR) creates “superbugs” that make treatment of basic infections difficult (and in some cases impossible) and surgery risky. And while the emergence of resistance in microorganisms is an ongoing phenomenon, its amplification and spread are the results of one thing: human behavior.

The WHO South-East Asia Region is particularly affected. As the risk assessments conducted by WHO have shown, the Region is probably the most at-risk part of the world. Not only does AMR affect the health and well-being of people in Indonesia, it also has ramifications for public health and general well-being. This makes the problem of immense global importance.

 


More info: https://www.balimedicaljournal.org/index.php/bmj/article/viewFile/1386/pdf

Plastic that burns, everywhere! Air pollution is responsible for almost 50% of mortality here.

Impact of air pollution on health

Globally, air pollution kills an estimated 7 million people annually in Indonesia according to the World Health Organisation (WHO). Current air pollution problems are greatest in Indonesia as they caused 50% of morbidity across the country.

Diseases stemming from vehicular emissions and air pollution include acute respiratory infection, bronchial asthma, bronchitis, and eye, skin irritations, lung cancer, and cardiovascular diseases.

In Indonesia plastic combustion is responsible for the majority of asthma cases in children. The culprits are "phthalates", those chemicals which give plastic its prized qualities (flexibility), and which are serious endocrine disruptors, associated with a plethora of health problems.

  • Burning plastics releases toxic gases such as dioxins, furans, mercury, and polychlorinated biphenyls into the atmosphere, and poses a threat to vegetation, as well as to the health of humans and animals;
  • When plastic is burned, it releases dangerous chemicals such as hydrochloric acid, sulfur dioxide, dioxins, furans, and heavy metals, as well as particulates. These emissions are known to cause respiratory ailments and stress human immune systems, and they're potentially carcinogenic;
  • Dioxins are deposited on crops, fruits, vegetables, and in waterways where they end up in our food and therefore in our bodies. These dioxins are potentially fatal persistent organic pollutants that can cause cancer and disrupt the respiratory and thyroid systems.
  • ...

Read the full page about this very serious matter

 


More info: https://fairfuturefoundation.org/air-pollution-and-plastic-waste-in-indonesia/

Impact of air pollution on health

Globally, air pollution kills an estimated 7 million people annually in Indonesia according to the World Health Organisation (WHO). Current air pollution problems are greatest in Indonesia as they caused 50% of morbidity across the country.

Diseases stemming from vehicular emissions and air pollution include acute respiratory infection, bronchial asthma, bronchitis, and eye, skin irritations, lung cancer, and cardiovascular diseases.

In Indonesia plastic combustion is responsible for the majority of asthma cases in children. The culprits are "phthalates", those chemicals which give plastic its prized qualities (flexibility), and which are serious endocrine disruptors, associated with a plethora of health problems.

  • Burning plastics releases toxic gases such as dioxins, furans, mercury, and polychlorinated biphenyls into the atmosphere, and poses a threat to vegetation, as well as to the health of humans and animals;
  • When plastic is burned, it releases dangerous chemicals such as hydrochloric acid, sulfur dioxide, dioxins, furans, and heavy metals, as well as particulates. These emissions are known to cause respiratory ailments and stress human immune systems, and they're potentially carcinogenic;
  • Dioxins are deposited on crops, fruits, vegetables, and in waterways where they end up in our food and therefore in our bodies. These dioxins are potentially fatal persistent organic pollutants that can cause cancer and disrupt the respiratory and thyroid systems.
  • ...

Read the full page about this very serious matter

 


More info: https://fairfuturefoundation.org/air-pollution-and-plastic-waste-in-indonesia/
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Fair Future Foundation

Fair Future Foundation

The Fair Future Foundation is a Swiss Foundation recognized of Pure Public Utility & State Approved by the Canton of Vaud and the Swiss Confederation.

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7 days ago
Fair Future Foundation

Even before the pandemic, millions of children and families suffered without clean water, 🚽sanitation and a place to wash their 👐hands... In Indonesia!

🤒Health problems are also increasing, as well as nutritional problems (famine and starvation), primarily affecting children and other so-called "vulnerable" people. The crisis linked to the lack of clean and consumable water here (but also elsewhere), is therefore an absolute priority to improve the health of people, the local economy as well.

Despite our impressive progress, alarming and growing needs continue to exceed our ability to meet. The 🇨🇭Swiss Fair Future is accelerating its efforts to provide 🧒children and 👪families with the most basic needs such as 💡solutions to produce healthy 🥙food for their health and well-being. Without 🚱water, let's try to grow something? 💨Dust maybe!

There is not a day on site during which our teams 🇨🇭@fairfuturefoundation and 🇮🇩@kawanbaikindonesia do not meet a family suffering from a lack of 💧water affecting their living conditions and their health. Our efforts to provide access to a source of 💦clean water and sanitation solutions are essential to improve the health of families.

We are happy to share with you some images taken a few days ago as part of the #RebuilMbinuDita and #CleanWaterConnections projects. There, in this poor region with no access to water or 🔌electricity, our two foundations will begin drilling a new well next week, 60/80 meters deep.

And in a 2nd step, we will proceed with the implementation of a clean water distribution 📢network, from this new access point to 💦clean water... In areas of the community where families live! Cool isn't?

This is what life looks like and sometimes the fight for and around water, in the eastern regions of Indonesia: Miles of 🚶‍♂️walking, for a few liters of often, 🤮unclean and dangerous water.

Nothing is thrown away: The water used for the laundry will be given to the farm 🐴animals to drink!... 😫

#water #cleanwater #waternetwork #healthierlife #fairfuturefoundation #kawanbaikindonesia #kawanbaikbebagi #NTT #sumbatimur #ruralareas #truckoflife #sanitation #takeashower #washingclothes
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