KALEIDOSCOPH NEWS
LOCAL
PEOPLE
Youth Collaboration Towards Action 2017
Milestone of SCOPH CIMSA
SMURF
by SCOPH UNAND
Volume 12
March - May 2017
STANDING COMMITTEE
ON PUBLIC
HEALTH
CONTENTS
NEWS Health Risks of E-cigarettes, Smokeless Tobacco, and Waterpipes Youth Collaboration Towards Action 2017 Milestone of SCOPH CIMSA
LOCAL AEDES by SCOPH UNAIR SMURF by SCOPH UNAND MELTED by SCOPH UIN
PEOPLE Meet SCOPH Regional Assistant for Asia Pacific
EDITORIAL PAGE Hi SCOPHeroes! First of all we would like to thank god for giving us an opportunity to publish the twelfth edition of Kaleidoscoph magazine. Then we would like to say thank you for all the parties which has involved in this magazine by sharing the media and information. As the previous edition, Kaleidoscoph is aimed for helping locals and also members by sharing informations around SCOPH and Health Issues through this magazine. In this edition, we would like to share some of the activities which has done by SCOPH CIMSA in this year. It has to be an end for our journey as the MCC and team in this term. Last but not least, we hope the next MC Team will make better Kaleidoscoph than we did. Orange Hugs! Best Regards, Raditya Widyo Ananto - Febri Anriyani Putri Media & Communication Coordinator Media & Communication Team
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NPO’S NOTE Dearest SCOPHeroes, Standing Committee on Public Health has always been a place for medical students to improve themselves as well as the quality of public health in the society. After almost one year of dedication from every SCOPHero, SCOPH CIMSA has developed significantly with more qualified activities done across the nation. Within a year, SCOPH CIMSA has gotten into a series of breakthrough. We have managed to change our activities from one day projects into community development and sustainable projects. We have held our first transnational campaign with MedSIN Sudan. We took part in actualizing the Ministry of Health’s program, GERMAS, in celebration of National Health Day 2016. We were involved in a collaborative act with AMSA-Indonesia in Youth Collaboration Towards Action 2017. Furthermore, I have also witnessed many more things have happened in the local level and the National Public Health Committees have never been so proud of our locals. We would never have reached this far without the support from our dearest members. With the same love, passion, and vision, I strongly believe we could make this Standing Committee into a place in which agents of change are born. With your help, SCOPHeroes, we can create more greater achievements in the nearest future. National Public Health Committee 2016/2017 proudly present KaleidoSCOPH #12, the last edition released in this term. For those of you who are called to be a part of SCOPH CIMSA’s improvement in the next few years, do not ever hesitate yourself to be a part of the change, because you will never know what you are capable of. Let’s Keep On Improving Nation’s Health, Shall We? Orange Hugs, Nathania Raphaeli Mulia National Public Health Officer CIMSA 2016/2017
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NEWS
KALEIDOSCOPH
Health Risks of
E-cigarettes, Smokeless Tobacco, and Waterpipes
Source: www.cancer.net
E-cigarettes Electronic cigarettes, also known as e-cigarettes or vapor cigarettes, are battery-operated devices that resemble traditional cigarettes. However, instead of burning tobacco, they generally contain cartridges filled with nicotine and other chemicals. When the e-cigarette is used, the liquid chemicals in the cartridge are turned into a vapor or steam that is inhaled by the smoker. E-cigarettes may contain harmful substances. However, the types or concentrations of chemicals, including nicotine, vary based on the brand. Because e-cigarettes have only been readily available in the United States since 2006, there is limited research on their health risks. The FDA started regulating e-cigarettes on August 8, 2016 and has not approved e-cigarettes as a way to quit smoking. People with cancer who want to quit smoking should use evidence-based methods for quitting smoking. Smokeless tobacco Smokeless tobacco products contain tobacco or tobacco blends that are either chewed, sucked, or sniffed. Most smokeless tobacco products are placed between the cheek or lips and gums for a few minutes to hours. They have many names, such as spit tobacco, chew, pinch, or dip, and fall into several categories. Chewing tobacco This is tobacco in the form of loose leaves, leaves pressed together that is commonly known as “plug”, or leaves twisted together to resemble a rope that is commonly known as “twist.” Chewing tobacco is held between the cheek and gum. Usually the tobacco juices are spit out, but long-time users tend to swallow some of the juices.
NEWS - Health Risks of E-cigarettes, Smokeless Tobacco, and Waterpipes
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KALEIDOSCOPH
Health Risks of
E-cigarettes, Smokeless Tobacco, and Waterpipes
Source: www.cancer.net
Snuff This is finely ground tobacco that comes in dry or moist forms and is sometimes packaged in ready-to-use pouches. Dry snuff is usually sniffed or swallowed, whereas moist snuff—similar to snus (see below)—is placed between the gum and the lip or cheek and slowly absorbed. Snus This is a tobacco product that originated in Sweden before being introduced to the United States. The moist tobacco powder is usually packaged in a pouch and placed in the mouth, inside the cheek, for absorption. It does not require the user to spit out tobacco juice; however, the pouch must be thrown away after use, not swallowed. Tobacco companies often market snus as a product that cigarette smokers can use in places where smoking is banned. Public health advocates worry that laws banning smoking in certain public places will not effectively encourage people to quit using tobacco products as long as snus is available. Dissolvable tobacco This is powdered tobacco that is compressed to resemble a small, hard candy that dissolves in the mouth. It does not produce any tobacco juice that needs to be spit out or leave behind any substance that the user must throw away. Prolonged use of smokeless tobacco products can lead to serious health issues, such as cancer and heart disease. Some smokeless tobacco contains greater amounts of nicotine—three to four times more—than cigarettes. These products also contain numerous substances that increase the risk of cancer of the mouth and throat. Chewing tobacco also may lead to white patches, called leukoplakia, on the gums, tongue, or lining of the mouth. Although most of these are noncancerous, some show early signs of cancer, and oral cancer often occurs near patches of leukoplakia. Chewing tobacco and other forms of smokeless tobacco can also cause gum disease and increase tooth decay.
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NEWS - Health Risks of E-cigarettes, Smokeless Tobacco, and Waterpipes
KALEIDOSCOPH
Health Risks of
E-cigarettes, Smokeless Tobacco, and Waterpipes
Source: www.cancer.net
Many people may claim that using these products is less harmful than smoking and can be effective in helping people to stop smoking, but this is not an evidence-based method to quit smoking and is not supported by the FDA as an appropriate method to quit smoking. Waterpipes Another popular alternative tobacco product in the United States is the waterpipe. Waterpipes, also called hookahs, among other names, have been smoked in regions such as the Middle East, Asia, and Africa for more than four centuries. Modern-day waterpipes, which are relatively inexpensive, are composed of four main parts: • A small bowl on top of the waterpipe, which holds a special mixture of shredded tobacco and sweetener • A broad base to hold water • A pipe connecting the bowl to the base • A rubber hose attached to a mouthpiece through which smoke is pulled Small packets of the tobacco mixture burned in waterpipes are sold in a variety of flavors, such as apple, mint, and cappuccino. People can smoke waterpipes alone, but waterpipes are often used in social settings, with multiple people sharing the same mouthpiece. Beyond their low cost and appeal as a traditional and communal activity, unfounded assumptions about their relative safety are driving the waterpipe trend, especially among college students and young people. According to one historical account of the waterpipe’s origin, an Indian physician created the device, believing that by having the smoke first pass through a small amount of water, it would be a less harmful method of inhaling tobacco. Even though there is no proof that water can “filter” tobacco smoke and make it less harmful, this misperception still persists today.
NEWS - Health Risks of E-cigarettes, Smokeless Tobacco, and Waterpipes
8
KALEIDOSCOPH
Health Risks of
E-cigarettes, Smokeless Tobacco, and Waterpipes
Source: www.cancer.net
Because of the potential health risks of waterpipes, the FDA will start regulating these like other tobacco products on August 8, 2016. Many of the effects of waterpipe use are the same as cigarette smoking. These effects include the following: Exposure to the same toxins as cigarettes but in higher quantities The smoke produced by a waterpipe contains high levels of many of the same toxic compounds found in cigarettes, including carbon monoxide, heavy metals, and chemicals linked to cancer. These toxins and chemicals are associated with lung, stomach, bladder, and esophageal cancers and have been known to clog arteries and cause heart disease and respiratory diseases, such a lung disease called emphysema that causes difficulty breathing. In most cases, waterpipe smoking sessions, which typically last up to one hour, expose smokers to much higher levels of these toxins than cigarettes. For example, a smoker may inhale 100% to 200% more smoke during a waterpipe session, compared with a single cigarette. Potential to spread infectious disease Sharing a waterpipe with other people can increase the risk of contracting or transmitting diseases, such as tuberculosis, and viruses, such as herpes and hepatitis, especially if the mouthpieces are not cleaned properly. Nicotine addiction The tobacco used in waterpipes contains about the same amount of nicotine as cigarettes, which often leads to addiction.
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NEWS - Health Risks of E-cigarettes, Smokeless Tobacco, and Waterpipes
KALEIDOSCOPH
Youth Collaboration Towards Action (YCTA) Written by: Vina Dyah P
Since 25th September 2015, Sustainable Development Goals (SDGs) have been set by the United Nations to end poverty, fight inequality and injustice, and tackle climate change by 2030. WHO Director-General stated that Climate Change already claims ten thousand lives a year from diseases, heat and extreme weather, while air pollution, largely from the same sources as climate change, claims 7 million lives annually. This fact is becoming the core reason for Center for Indonesian Medical Students’ Activities (CIMSA) and Asian Medical Students’ Association (AMSA) to once again collaborate and held our biennial program, Youth Collaboration Towards Action (YCTA), in order to educate and increase awareness of the society regarding the effect of climate change to health. With this opportunity, we settled our focus on infectious diseases and their transmissions which are facilitated by climate and weather change.
NEWS - YCTA 2017
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KALEIDOSCOPH
Youth Collaboration Towards Action (YCTA) Written by: Vina Dyah P
YCTA consists of three series of events which was held on 12th, 18th, 19th March 2017 in Jakarta, starting from educative campaign and funwalk at CFD Sudirman, seminar and talkshow at Gajah Museum, and social program at a village in Jakarta. YCTA targets common society, medical and health science students, and especially young people. We invited experts such as dr. Ronald Irwanto Natadidjaja, Sp. PD-KPTI, FINASIM and Lathifah Al Hakimi the President of Youth for Climate Change, guest stars featuring Sandra Dewi, Miss Earth 2015 Belinda Pritasari, dr. Gamal Albinsaid, and moderated by Ledi Marina to educate and empower the audience towards the issues of climate change, diseases related to it, and youth contribution to minimalize the negative impact of it. This event was surely served in a fun and youth-friendly way.
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NEWS - YCTA 2017
KALEIDOSCOPH
Youth Collaboration Towards Action (YCTA) Written by: Vina Dyah P
Also, the Organizing Committees of YCTA conducted a social program to a village in Jakarta, where we gave an educative seminar to the people regarding the efforts that can be done to face dengue fever and malaria which are caused by climate change. Plus, the participants of the social program got a free medical checkup. We believe that real actions can be beneficial for the society. Therefore, we hope that what did can contribute in supporting the prevention of diseases’ transmission which are eased by climate change in Indonesia and to elevate the contribution of young people as future generation in tackling climate change. Also, we hope that our actions may be an inspiration for other parties to take part in combating the issues regarding climate change.
NEWS - YCTA 2017
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KALEIDOSCOPH
MILESTONE OF SCOPH CIMSA
1999
SCOPH was established in Semarang, Central of Java
2001
CIMSA was officialy formed on 6th May 2001 SCOPH CIMSA was officialy formed in that time 7 Universities joined CIMSA and also have SCOPH CIMSA
2002
8 Universities has joined CIMSA and also have SCOPH CIMSA
2003
9 Universities has joined CIMSA and 8 of them have SCOPH CIMSA
2004
12 Universities has joined CIMSA and 10 of them have SCOPH CIMSA
2005
12 Universities has joined CIMSA and 11 of them have SCOPH CIMSA
2006
15 Universities has joined CIMSA and 12 of them have SCOPH CIMSA
2007
15 Universities has joined CIMSA and 12 of them have SCOPH CIMSA
2008
15 Universities has joined CIMSA and 12 of them have SCOPH CIMSA Ferry Luvita Sari was elected as Asia Pacific SCOPH Regional Assistant for period 2008-2009
2009
15 Universities has joined CIMSA and 14 of them have SCOPH CIMSA
2010
15 Universities has joined CIMSA and 14 of them have SCOPH CIMSA Caludia Linaesti was elected as Asia Pacific SCOPH Regional Assistant for period 2010-2011
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NEWS - MILESTONE
KALEIDOSCOPH
2011
17 Universities have joined CIMSA and 16 of them have SCOPH CIMSA Briliansy Mulyanto was elected as Asia Pacific SCOPH Regional Assistant for period 2011-2012
2012
17 Universities have joined CIMSA and 17 of them have SCOPH CIMSA IDT 2012 was hosted in UGM with Dengue as the main topic
2013
18 Universities have joined CIMSA and 18 of them have SCOPH CIMSA IDT 2013 was hosted in UNS with Non Communicable Dissease as the main topic Shela Putri Sundawa was elected as Asia Pacific SCOPH Regional Assistant for period 2013-2014
2014
18 Universities have joined CIMSA and 18 of them have SCOPH CIMSA IDT 2014 was hosted in UKDW with TB as the main topic
2015
18 Universities have joined CIMSA and 18 of them have SCOPH CIMSA 2 universities became Observer of CIMSA
2016
22 Universities have joined CIMSA and 21 of them have SCOPH CIMSA IDT 2016 was hosted in UKDW with Leprosy as the main topic IDT 2016 announced as the Best Project of The Year CIMSA 2015-2016
NEWS - MILESTONE
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LOCAL
KALEIDOSCOPH
AEDES (Ayo Berantas Dengue dengan CIMSA UNAIR)
by: SCOPH UNAIR
On April, 2nd ,9th ,23rd ,30th 2017 SCOPH Airlangga University held a community development called AEDES (Ayo Berantas Dengue dengan CIMSA UNAIR) in Pucang Sewu, Gubeng, Surabaya. We are focusing on infection of virus Dengue by its vector which is Aedes Agypti, that could cause dengue fever. As it’s known, On 2015, Surabaya is one of the highest city with dengue fever case in East Java with CFR 2,03% and Pucang Sewu’s CFR itself is 9,5% which is the highest percentage in Surabaya. Our main goal is to increase the role of cadres for awareness of mosquito larvae in the environment and prevention through counseling. After we got some resources from public health office about dengue fever cases and deciding Pucang Sewu is our target, we start approaching the cadres of kelurahan Pucang Sewu. We have some discussion about what they need and the condition from their view and set off the bounding. We did some bounding on April 2nd and 23rd 2017, with purpose to get closer with the cadres and to get some evaluations of our event.
LOCAL - AEDES SCOPH UNAIR
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KALEIDOSCOPH
AEDES (Ayo Berantas Dengue dengan CIMSA UNAIR)
by: SCOPH UNAIR
Because we want to ‘bound’ CIMSA and the cadres, so on these days we did some relaxing and fun activities such as games, gymnastics competition between some cadres and CIMSA, having breakfast together and a lot more fun activities. On 9th of April, we did a focus group discussion about dengue fever and its vector, each group supervised by two CIMSA facilitators to prevent a biased discussion. The activities continued with some material about dengue infections from CIMSA and how to differentiate between dengue and malaria vectors by the student executive board of Airlangga University, but still keep them fun with some games in between. On 30th we are planning to cooperate with parasitology department of Airlangga University for giving off some advanced material about dengue. So far the cadres are so welcoming and easy to cooperate with, from our pre and post-test we could see the improvement of their knowledge about hoax issue and the truth of dengue infections.
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LOCAL - AEDES SCOPH UNAIR
KALEIDOSCOPH
SMURFS
by: SCOPH UNAND
SMURFS (SCOPH Increasing Immunization and Motoric Development Awareness for Moms) is a community development that held by SCOPH CIMSA UNAND that held form February until March 2017 in Kelurahan Olo Padang. SMURFS take issue for immunization and children motoric. Based on Health Profile of Padang year 2012, there was not addition of Poskeskel. Even though Poskeskel is an integrated public-based health facility which underneath with Puskesmas. Many programs from Ministry of Health that held by Poskeskel, included immunization. Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine.
LOCAL - SMURFS SCOPH UNAND
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KALEIDOSCOPH
SMURFS
by: SCOPH UNAND
SMURFS has a goal to increasing community awareness in RW 2 Kelurahan Olo about immunization and children’s motoric. Dinas Kesehatan Sumatera Barat said that in last 5 years immunization rate was decreased. Before that, immunization program reached target. So, the outbreak of disease may occur in the next time. There are 3 interventions of SMURFS. For the first (11th of February 2017), we had to make an engagement with the community by Bonding Activities, such as exercises together, coloring competition for under 5 years old children, and have a play together. Besides that, the Scopehroes also did an assement for the community by a questionnaire which consulted with RsD CIMSA Unand. On second intervention (25th of February 2017), the Scopehoes with the moms reminded about immunization. But before the day, the Scopheroes had briefed by Dinas Kesehatan Sumbar about immunization in West Sumatera and some important informations which had to delivered on the second intervention. And on third intervention (24th of March 2017), Scopheroes had sharing with the moms about children’s motoric and its diseases if the children had absence of vaccination. The intervention ended by ice breaking and election of SMURFS’ Cadre.
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LOCAL - SMURFS SCOPH UNAND
KALEIDOSCOPH
MELTED
by: SCOPH UIN
Mental health disorder is still a major problem in the medical world, including Indonesia. Based on the Riset Kesehatan Dasar (Rikerdas) Kemenkes 201, the prevalence of mental and emotional disorder with signs such as depression and anxiety on teenagers fifteen years and above is 6% of the total population of Indonesia. Meanwhile, the prevalence of severe mental health disorder such as schizophrenia is 1,7% in 1000 people. Therefore, SCOPH CIMSA UIN for the first time held this MELTED “Mental Health Education� to raise awareness about mental health disorder and to remove stigma of people with mental health disorder.
LOCAL - MELTED SCOPH UIN
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KALEIDOSCOPH
MELTED
by: SCOPH UIN
MELTED focused on people with Schizophrenia and Bipolar disorder, this event held twice. The first one was held in partnership with Dinas Sosial Pemerintah Provinsi DKI Jakarta at Panti Sosial Bina Laras 3 Daan Mogot. There we met 50 schizophrenic patients that has been controlled and soon ready to be out patient. First we are being introduce to the environment of the Panti Sosial by Ibu Sarimah who is in charge of the patient, followed by dr Isa Multazam Sp.KJ (K). next, we play games that enhance their cognitive abilities such as role playing, cake estafet, and guessing the pictures. MELTED 1.0 was closed with performance by SCOPH CIMSA UIN and all of the patients and we sing together. We are so glad to see them entertained. The very last thing we did is, interviewing the patients, we ask about their experiences during their stay in here, struggles and also expactation for the future.
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LOCAL - MELTED SCOPH UIN
KALEIDOSCOPH
MELTED
by: SCOPH UIN
MELTED 2.0 was held at FKIK UIN Syarif Hidayatullah Jakarta, the 2nd series of MELTED was held in the form of talkshow and we invite dr Isa Multazam Sp.KJ (K) and Hana Al-Fikih as a bipolar survivor. First dr Isa Multazam Sp.KJ (K) explained about mmental health disorder and show us some videos to give better understanding about it. While Hana Al Fikih shared her life stories including her struggle in the past and her journey to reach the point where she is now. Many of the audiences find her inspiring. All series of the event went well and we hope to held another one like this next year. Hopefully next year will be more fun and interesting. “MELTED! Schizo is friend�
LOCAL - MELTED SCOPH UIN
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PEOPLE
KALEIDOSCOPH
“A very warm
ORANGE HELLO
from Pakistan”
Dearest CIMSA SCOPHeroes, I am, Nishwa Azeem, a 4th year year medical student from Pakistan and the Regional Assistant for SCOPH Asia Pacific. Asia Pacific is the most populous region of the world and with this comes a lot of diversity of cultures, social and demographic structures. Along with it comes a variety in it’s range of health issues. Current going through a disease burden shift from communicable diseases, mostly preventable i.e. Dengue Fever and Malaria to noncommunicable disease i.e. Hypertension and mental health, which we need to prepare for. Apart from diseases multiple factors influence public health in Asia Pacific, healthcare provision government policy and management, cultural and social practices, demographics and lack of resources.
PEOPLE
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KALEIDOSCOPH
Interestingly any intervention to improve any of these factors would be a Public Health intervention.Thus SCOPH has a varied yet integral role throughout Asia Pacific.15 of 18 NMOs of AP are SCOPH Active. CIMSA being one of the active and experienced SCOPH ones. SCOPH in Asia Pacific has carried out various projects, campaigns and activities, a lot of which have been nominated for the Rex Crossely Awards and won activities fair too. Some of the activities that got nominated for Rex Crossely Award and won the activities fair : - Indonesian Disease Today 2013 by Center for Indonesian Medical Students’ Activities (CIMSA) - Against Dengue by Center for Indonesian Medical Students’ Activities (CIMSA) - Smile a Mile 2016 by IFMSA-Pakistan - Green Living Campaign 2017 by AMSA-Hong Kong - The MVP Project by FMS Taiwan - Project Burans organized by the Australian Medical Students' Association (AMSA). - Seed of Hope Hospital- IFMSA Taiwan - Bond by IFMSA-Pakistan - IF Volunteer Team- IFMSA Taiwan - Maternal and Child and Healthcare Project 2016 by IFMSA Pakistan - Calcutta Village Project - Disaster Medicine Training ( IFMSA-Taiwan )
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PEOPLE
KALEIDOSCOPH
Apart from activities and campaigns, capacity building is a huge part of SCOPH. Capacity Building is to empower students to be Public Health Leaders and workers and one way we do it is through a PHLT (Public Health Leadership Training). Almost around 10 PHLTs have been conducted in SCOPH and next one, is due in Pre-GA, August Meeting 2017. Fortunately, we now will soon have 3 newly trained PHLT trainers including Nathania and myself. Some of the regional opportunities in SCOPH are; - APRM (Asia Pacific Regional Meeting) 2017 Tokyo, Japan - WHO SEARO (South East Asia Region) Regional Committee 2017
I wish you all a extremely productive and fun NGA
Stay Happy, Stay Healthy See you in Tokyo!
Orange Hugs and Love,
PEOPLE
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KALEIDOSCOPH
( SCOPH Sessions MM 2017, Montenegro )
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PEOPLE
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