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ENVIRONMENT

EXPOSURE & CANCER


Policy and Action Plan in
Indonesia

Directorate of Environmental Health


DG of Diseases Control & Environmental Health
Ministry of Health 1
INTRODUCTION

Risk Factor of Cancer in Environment

Air : dust, gases, metals


Water : metals
Soil : radon, metals
Food : metals, toxin
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Source of Environmental Risk
Factor of Cancer

 Emission of vehicle fuel


 Mining
 Industry
 Food additives and flavor enhancer
 Pesticides

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OBJECTIVES OF EH

To reach a healthier life


environment quality through the
development of healthy area
system to facilitate development
with health insight.

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LEGAL ASPECT

• Act No 23/1992 about Health

• Act No 23/1997 about Management of


Environment

• Act No 22/1999 about District


Government
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POLICY
To improve the Environmental Health by
control the risk factors in environmental

Regulation
Standard
Guidelines

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ENVIRONMENT
Technical guideline for Analysis of
Environmental Health Impact
(No.876/MENKES/VIII/2001)

Draft-regulation of MoH about Human


Health Aspects in Environmental Impact
Assessment collaborate with Ministry of
Environment (National Team)

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ENVIRONMENT …

• Standards of Environmental Health in


Hospitals (Kepmenkes No. 1204/2004)

• Taskforce Team for Waste Management in


Health Service Center (Kepmenkes No.
661/2005)

• Guidelines for Implementation of Healthy


Market (Kepmenkes No. 519/2008)

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OCCUPATIONAL SITE
Standards for Occupational Environment
Health in Office and Industry
(No.1405/MENKES/SK/XI/2002)

Building & Control for Safety on Nuclear


Power Usage in Health Aspect (Joint
Regulation with Head of Nuclear Control
Board, No. 1193/MENKES/SKB/VIII/2000
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AIR …

Guideline for Control of Air Pollution


Health Impact cause of Forest Fire
(No.289/MENKES/SK/III/2003)

Guideline for Protection of Radiation


Health Impact
(No.1217/MENKES/SK/XI/2001)

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WATER

Standard & Control of Drinking Water


Quality (No.907/MENKES/SK/VII/2002)

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SOIL

Regulation of Minister of Health about


Pesticide Management
(No.1350/MENKES/XII/2001)

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PROBLEM
• Lack of environmental & behavior risk
factors management

• The responsible on health risk


management is not clear.

• Lack of public awareness on management


of environmental risk factor.
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ACTION PLAN

1. Improve the monitoring of environmental


risk factors in:

• the sub unit office of DC & EH :


 Technical Office of Environmental Health &
Disease Control (BTKL & PP) : 10 regional offices
 Port Health Service Office (KKP) : 45 offices

• Health office in province & district level


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ACTION PLAN …

2. Enhance the surveillance of non


communicable & communicable
diseases.

3. Increase the number of studies on


environmental risk factors of cancer in
the sub unit of MoH and stimulate to
compose the district regulation.
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ACTION PLAN …

4. Improve cooperation and partnership


with other sector and non government
organization on environmental risk
factors.

5. Develop and dissemination the new


regulation, guidelines, and standard of
the environmental risk factors.
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ACTION PLAN …

 Develop the surveillance of


environmental risk factors.

7. Improve the building capacity in


environmental risk factors management.

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Thank you for your attention

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