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MANAGEMENT STRATEGY OF

ANTHRAX TERROR
IN INDONESIA
Anthrax
• Anthrax is a disease caused by Bacillus anthracis
bacteria, it attacks all warm-blooded animals
including poultry and human (zoonotic).
• Anthrax spore is resistant and live up to 40 years in
the soil.
• It is included in Category A bioterrorism agent,
which is high-priority agents that pose a risk to
national security
Natural Situation

• In Indonesia, the total number


of confirmed cases from 2008
to 2017 reported officially by
MoH was 273 cases, with 8
deaths among the case
Bioterrorism
• In 2005. Indonesian embassy in Australia received a
suspicious letter addressed to the Indonesian
representative with ANTHRAX threatening message.
The suspect letter later turned out to be harmless.
• In April 2012, two French embassy staff in the
Indonesian capital are in isolated in hospital after
coming into contact with an envelope suspected of
containing anthrax because in the envelope written
ANTHRAX, turned out to be harmless.
Current Situation
• Currently, Indonesia does not have special organization nor national
biodefense strategy to manage bioterrorism.
• Indonesia does have Special Detachment 88 which is organization to
manage terrorism in Indonesia. Even so, it is currently designed to
become an anti terrorist unit that is capable of countering various
terrorist threats, from bomb threats to hostage situations more likely
to physical terrorism.
Management of Anthrax Terror
Prevention Detection
• Risk Assessment • Increased vigilance
• Legislation and Law Enforcement • Increased level of personal protection
• Intelligence and Laboratory • Patient must be immediately assessed
• Health Care Preparedness and • Prompt treatment is essential
Stockpiling • Environmental precaution must be
• Military Training observed under circumstances
• Authorities must be alerted
• Epidemiological assessment
Response

• First Responders
• Public Health Response and Law
Enforcement
• Investigation and Surveillance
• Public Policy Response
• Risk Communication
• Decontamination
Recommendation
• Indonesia should develop National Biodefence Strategy in preparation of
Bioterrorism
• Special department for anti-bioterrorism should established as part of Special
Detachment 88
• Healthcare training should be strengthen in bioterrorism preparedness
• Public Education should be done annually to prevent public panic