Leptospirosis Control

in Post-Flood Shelters
Presented by
Nurhisiyah Madya Jamil Putri

GO!
 MAIN
CONTEN
Table of Contents T

OVERVIEW CORRELATION HOW TO CONTROL

LEPTOSPIROSIS BETWEEN LEPTOSPIROSIS IN
LEPTOSPIROSIS AND POST-FLOOD
FLOODS SHELTERS
 01
Table of
contents
02

03
01
Overview
LEPTOSP
IROSIS
 what
Should we know about

LEPTOSPIROSIS
???
 “Leptospirosis is a
possibly fatal bacterial
disease that affect
human and animals
alike.”

—LEPTOSPIROSIS
 LEPTOSPIROSIS
Etiology
it is caused by spiral shaped bacteria of the genus Leptospira.
It is spread through the urine of infected animals
The source of Leptospirosis transmission are rodents (rats, squirrels),
pigs, cows, goats, sheep, horses, dogs, cats, insects, birds, insectivores
(hedgehogs, bats). rats are the main source of leptospirosis transmission
(especially in indonesia).
It is prevalents in fresh water, soil, and mud in tropical areas.
Example of rats leptospirosis
 leptospirosis

HOW DO HUMANS GET INFECTED ?

Contact with urine(or other
body fluids, except saliva)
from infected animals

Contact with water,soil, or food

contaminated of urine infected
animals
 leptospirosis

How does it spread ?

Rats and other rodents are the most
common carriers of the bacteria but it can
infect all kinds of wild and domestic
animals including humans.

The urine of these animals can

contaminate soil and mud and can be
spread rapidly to human populations
through fresh water or flooding.
 INCUBATION
PERIOD

-3 0 days,
e tw een 2 erage of
B an av s.
a ll y
usu day
7-10
 Symptoms
Rash
Headache
Vomitting
High fever
Abominal pain
Red eyes
Muscle pain
Jaundice
Diarrhea
cold
01 Flood
><
02 leptospirosis

03

02
l a ti on
e
Corr EPTOSPIROSI
S

WE EN L LOODS
F
BET AND
 Flood
><
leptospirosis

Environmental conditions
can be a risk factor for
leptospirosis, such as in
flood-prone areas. floods
increase the risk of
leptospirosis through
bacteria carried by reservoir
animals to humans.
 01 Flood
><
WHY ???
02 leptospirosis
Leptospira can survive in an environment
03 with a pH close to neutral (6.8 – 7.4).
Leptospira can live for months in a warm
environment (22◦C) and relatively neutral pH
(pH 6.2-8).
These bacteria can live in reminiscent water.
The characteristics of water in rice fields that
are suitable for Leptospira bacteria are
stagnant water with a height of 5-10 cm and a
pH between 6.7-8.5.
01
management
02

03

03
How to control
LEPTOSPIROSIS SHELTERS
 management

preventive curative

promotive rehabilitative
01
preventive
How to prevent ???
02

03 Increase early
districts/cities make alertness in the Improve health
preparedness preliminary health promotion efforts of
instructions at each center, especially in Leptospirosis
level. the flood prone areas

Control of risk Prepare sufficient Improve cross-

factors of personnel and logistics in sectoral coordination.
leptospirosis such as district/city and provincial
Keeping the health centers by forming
environment clean a Quick Action Team to
and ensuring the deal with leptospirosis
home environment is infections in flood prone
free from mice areas.
 management

preventive curative

promotive rehabilitative
 Therapy for mild Leptospirosis curative

n
p tio Alt
er
O nat
i ve

Doxycycline 2X100 mg for  Amoxicillin 3X500mg/day

7 days except in children,
pregnant women, or if there
are contraindications to
Doxycycline.
in adults
 Or 10-20 mg/kg every 8
hours in children for 7 days
 If allergic to Amoxicillin
can be given Macrolide.
 Treatment of severe curative
leptospirosis cases

● Penicillin
Prokaline 1.5
million units IM ● Supportive therapy is
● Ceftriaxone needed if there are
per 6 hours for 7 ● Ampicillin 4
1-2 grams iv complications.
days X 1 gram iv
for 7 days
per day for 7
days
 management

preventive curative

promotive rehabilitative
01
promotive
Health promotion
02

03
01 02 03 04

store food Consuming Avoid direct always wash hands and

or drinks clean contact with feet with soap after
properly to drinking contaminated cleaning the sediment left
avoid rats. water water, such as over from flooding at
swimming or home to the sewers.
bathing
01
promotive
Health promotion
02

03
05 06
Use personal protective clothing, eradicate mice at home
such as wear high rubber boots and clean floors or
and rubber gloves if you are areas touched by rats
active in puddles with disinfectant to
avoid leptospirosis.
01
promotive
Health promotion
02

03
07 08 09
Cover the wound with a Conduct outreach to Immediately report any
waterproof plaster, the community so that complaints of
especially before coming there is always Leptospirosis to the
into contact with the increased awareness of nearest health officer.
water in the post-flood disease prevention and
area. modes of transmission
 management

preventive curative

promotive rehabilitative
 01
rehabilitative management
02

03

Health promotion
Improving the quality activities regarding to the
of the environment as clean and healthy lifestyle,
a cause of transmission especially in vulnerable (at
of Leptospirosis risk) populations.
01
Table of
Photo Board contents
02

03
 01
Table of
Divide the Content contents
02

03

Mercury Venus
Mercury is the closest Venus has a beautiful
planet to the Sun and the name and is the second
smallest one planet from the Sun
 01
Table of
You Could Use Three Columns contents
02

03

Mars Jupiter Saturn

Despite being red, It’s a gas giant and the It is composed mostly
Mars is actually a biggest planet in the of hydrogen and also
cold place Solar System helium
01
Table of
Lists contents
02

03

● Write here a task! ● Write here a task!

● Write here a task! ● Write here a task!
● Write here a task! ● Write here a task!
● Write here a task! ● Write here a task!
 01
Table of
Four columns contents
02

03 Mars Jupiter
Despite being red, It’s a gas giant and the
Mars is actually a cold biggest planet in the
place Solar System

Saturn Venus
Saturn it’s composed Venus has a beautiful
mostly of hydrogen name and is the
and helium second planet
 01
Table of
contents
02

03 A Picture Always
Reinforces the
Concept
Images reveal large amounts of
data, so remember: use an
image instead of long texts
A Picture Is Worth a
Thousand Words
01
Table of
Photo Board contents
02

03
 01
Table of
contents
02

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Awesome words
01
Table of
Review of Concepts contents
02

03
Mercury Venus Mars
Mercury is the closest It has a beautiful name, Despite being red,
planet to the Sun but it’s very hot Mars is a cold place

Jupiter Saturn Neptune

It’s the biggest planet Saturn is the ringed It’s the farthest planet
in the Solar System one and a gas giant from the Sun
01
Table of
Percentages contents
02

03 35%

Mars
Despite being red, Mars is actually a
very cold place

80%
Venus
Venus has a beautiful name but is a
very hot place
01
Table of
This Is a Graph contents
02

03
36% Saturn
It’s a gas giant and
has rings

23% Mars
Despite being red,
is a cold place

41% Venus
The second planet
To modify this graph, click on it, follow the link, from the Sun
change the data and paste the new graph here
01
Table of
Maybe You Need Another Graph contents
02
Mercury
03
Mercury is the
smallest planet Mars
Despite being red,
Saturn it’s a cold place

It’s a gas giant and

has rings Neptune
Neptune is the
Venus farthest planet
The second planet
from the Sun
01
Table of
This Is an Infographic contents
02

03 36% 20% 80%

Mercury Mars Jupiter
Mercury is the Despite being red, Jupiter is the biggest
smallest planet Mars is a cold place planet

50% 75% 11%

Venus Saturn Neptune
Venus has a beautiful Saturn is the planet Neptune is the
name with rings farthest planet
01
Table of
Maybe You Need a Table contents
02

03
Surface
Mass Diameter
Gravity

Mercury 0.06 0.38 0.38

Mars 0.11 0.53 0.38

Saturn 95.2 9.4 1.16

01
Table of
This Is a Map contents
02

03 Venus
Venus has a beautiful
name and it’s hot

Mars
Despite being red, Mars is
a very cold place

Saturn
It’s the ringed one and a
gas giant
01
Table of
Timeline contents
02

03
01 02 03 04

Neptune Mars Jupiter Saturn

Neptune is the Despite being It’s a gas giant It’s the ringed
farthest from the red, Mars is a and it is the one and also a
Sun cold place biggest planet gas giant
01
Table of
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03
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Table of
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98,300,000
Big numbers catch your audience’s attention
01
Table of
contents
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50% in total

This is Jupiter’s rotation

30% period

Distance between the

20% Earth and the Moon
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Table of
Do It Yourself contents
02

03

02 04
01 Jupiter is the

Despite being red,

biggest planet
03 Saturn is the
ringed planet
Mars is cold
Neptune is very far
away
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