Public Health Initiatives

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PUBLIC HEALTH INITIATIVES
Knowledge is Key to Healthy Population

Awareness campaigns are critical to public health program success

Mimika is one of the fastest-growing regencies in all of Indonesia. The area that only three decades ago supported a few thousand individuals in scattered, isolated villages is now home to more than 200,000. New residents arrive daily in search of employment and opportunity. As a result of the rapid growth, fighting diseases such as malaria, tuberculosis and sexually transmitted infections including HIV/AIDS has become more complex.

A critical first line of defense against these diseases is public awareness of the problem, including education about prevention and treatment alternatives. PT Freeport Indonesia, through its Public Health and Malaria Control Department, has teamed up with the local government and the Health Bureau of the Amungme and Kamoro Community Development Organization (LPMAK) to educate the growing public on burgeoning public health issues.

The Public Health Malaria Control Department outreach initiatives begin “at home” with Freeport Indonesia employees and dependents. Disease awareness and prevention are a vital part of employee induction classes and ongoing education. The mining company’s information systems, including a closed-circuit cable television network, often publicize public health messages, workshops and advice on disease prevention.

The public program, which targets city and village residents in the larger community, often takes the form of high-profile public awareness activities in schools and public places, and special events such as the AIDS Candlelight Memorial and the recent commemoration of World AIDS Day. Health practitioners joined members of the general public in a parade through the heart of the city of Timika. It was a local version of a similar event on a much larger scale in the nation’s capital Jakarta. Freeport’s employee volunteer group “Freeport Cares” participated in the national event.

Dr. Niken Widyastuti, who manages the HIV/AIDS program for Freeport Indonesia, says “the programs have elicited a positive response from the community in Timika, with several churches, mosques, schools, army groups and community organizations often requesting additional HIV/AIDS classes.” She adds that public events, such as the parade that was held for World AIDS Day, serve as a catalyst to get people into the clinics. “There is an increase in the number of patient visits at our (Freeport-run) sexually transmitted disease clinics and the government clinics with regard to HIV testing,” she says.

Other public awareness campaigns include distribution of targeted information, clinic programs and village programs to educate the public about tuberculosis, avian flu, and malaria. Technical expertise for the Public Health Malaria Control program is provided by International SOS.
 


 
World AIDS Day Event, Timika
 
Drug Trial Offers New Hope in Battle against Malaria
Malaria kills more people in the world today than any other disease. It remains the leading cause of illness and death in Papua. The Freeport Public Health team, in coordination with the Indonesian government, has waged a long and successful battle against malaria for more than a decade with a multi-pronged effort to thwart the spread of the disease through controlling the mosquitoes that carry the malaria parasite, attacking the vector where the mosquitoes live, providing preventive medications, testing the population and providing state-of-the-science treatment.

As the local population grows, so do the challenges in fighting malaria. Some of the new residents are moving from remote regions with no natural resistance to malaria. The local health care infrastructure struggles to keep pace with an influx of new patients. Current drugs used to treat malaria in Indonesia have a 70 percent incidence of resistance development, which leads to recurrence and re-hospitalization.

One of the latest weapons in the local battle against malaria is showing great promise. Field trials are now complete in the Mimika area in a major study into the effectiveness of Duo-Cotecxin, an artemesinin combination therapy involving a fever treatment that has been used for centuries in China with another drug that makes it effective in malaria treatment. It is part of a joint program involving the Indonesian Institute of Health Research (LITBANGKES) in cooperation with the Menzies School of Health Research of Darwin, Australia, with Holly Pharmaceutical. The cure rate with this new therapy is as high as 85 percent.

Dr. Pasi Penttinen, Public Health Advisor for PT Freeport Indonesia, says “Due to the importance of malaria globally, this is one of the highest-impact studies I have seen. Malaria is being reduced, which is remarkable, considering the major population growth.” He adds, “We are rolling out this treatment in our affiliated hospitals in the region, and working in cooperation with the government to ensure that the private practitioners in town also have access to this drug combination.”

The researchers are now looking into the cost efficiency of the new treatment.
“On the surface, this treatment is more expensive,” says Dr. Penttinen. “However, in the long run, at the societal level you are saving a lot of money because you are also preventing the disease and saving on the treatment side,” Penttinen adds.

PT Freeport Indonesia participated in the program by providing the drugs free of charge as well as supporting with logistics, technical advice and infrastructure for the research team.

An article on the study has been peer-reviewed and published in the medical journal The Lancet in March 2007. 
 

Field trials conducted in Mimika
 and supported by Freeport
 Indonesia concluded the
drug Duo Cotecxin is highly effective in treating malaria
.

 
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