and Integrated Pest Management - part - usaid

302 PESTICIDE MANAGEMFrNT AND IPM INSOUTMEAST ASIA
Program Organization
The program has four hierarchical levels:
I. At the central level is the Sub-Directorate of Pesticide Safety, the
Directorate of Environmental Health, and the Directorate General of
Communicable Disease Control and Environmental Health (CDC & EH). in
2. Jakarta, all with shared responsibility for the program;
At the provincial level are the Environmental Health Section (Ministry of
Health, Regional Office) and the Sub-Service of Ervironmental Health
(Local Health Services) in 27 provinces;
3. At the regency level are the Environmental Health Section (Regencial
4. Health Services) in298 regencies; and
At the sub-district level are health centers in 3550 sub-districts.
Surveillance units of the Directorate General of CDC & EH and the
Provincial Health Services are also involved in the management of the program,
especially when pesticide paisoning outbreaks occur. If laboratory confirmations
are needed, this work is done by the Provincial Health Laboratory. In this case
the Provincial Health Laboratory is under the technical direction of the
"Pharmacological Research Center, Institute for Health Research and
Development" in Jakarta.
As part of' program implementation, 35 personnel (Public Health Officers
and doctors) were trained as program managers at the central and provincial
levels, and 295 personnel (Public Health Officers) were trained as regency
managers during 1980-1984. Training on the Pesticide Safety Program for
program managers in the sub-districts has not been conducted due to the lack of a
budget. Apart from the training aspects, success of the whole program depends
on close coordination of pesticide conirol in general, especially among the
Ministry of Industry, the Ministry of Trade, and the Ministry of Home Affairs
(Anonymous 1983b).
PESTICIDE POISONING CASES IN INDONESIA
Acute pesticide poisoning cases in Indonesia are treated as "unusial events."
Tais means that every case of pesticide poisoning is reported within 24 hours to
the Directorate General of CDC & EH in Jakarta, and an epidemiological
investigation is done to determine the source and cause of the poisoning
(Anonymous 1984b). The main performers in acute poisoning control in th.
field are doctors and sanitarians of the Health Centers and Public Health Officers
of the Regencial Health Services.
Suspected pesticide poisoning cases that commonly seek medication in the
lealth Center are those that show symptoms of severe and moderate poisoning.
It is rare that those with symptoms of mild poisoning, particularly rural
inhabitants, seek medication at the Health Center or the local hospital. By
interviewing some farmers during field visils in seven villages in Java, it was
found that, generally, the farmers experienced some symptoms and signs of r-iild
poisoning such as healache, dizziness, fatigue, and malaise. Some of :.hem
believed that the symplons resulted from working too hard. Others considered