VECTOR AND PEST CONTROL IN FIELD HOSPITALS IN DISASTER

SITUATIONS

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DATE PUBLISHED DITETAPKAN:

Kepala Pusat Kesehatan TNI Angkatan Darat
STANDARD
PROCEDURE
OPERATIONAL
Dr. dr. Sukirman, Sp.KK.,M.Kes., FINSDV., FAADV
Mayor Jenderal TNI
1. Insects are nuisance animals that exist and are found in the hospital
environment and can cause or transmit disease.
2. Nuisance animals are animals that are found, and their presence is not expected
because it will cause health problems and disease transmission.
3. Control is an activity to reduce and control the population of insects and
nuisance animals in the hospital environment.
DEFINITION
4. Vectors are arthropods that can transmit, transfer and/or become a source of
disease transmission to humans.
5. Vector control is all activities or actions aimed at reducing vector populations as
low as possible so that their presence is no longer a risk for vector-borne
disease transmission in an area or avoiding public contact with vectors so that
vector-borne disease transmission can be prevented.
As a guideline for the implementation of measures to control the population/density
PURPOSE of insects and nuisance animals to minimize the spread of infectious diseases and
provide comfort for patients, staff and visitors to the hospital.
1. Undang-Undang Nomor 34 Tahun 2004 tentang Tentara Nasional Indonesia
2. Peraturan Menteri Kesehatan NO. 75/2019 tentang Krisis Kesehatan
3. Peraturan Menteri Kesehatan Republik Indonesia Nomer 47 tahun 2018
tentang pelayanan Kegawatdaruratan
POLICY
4. Nota Kesepahaman antara Menteri Kesehatan dan Panglima TNI Nomor
NK/26/XI/2023/TNI tentang Sinergitas Penyelenggaraan Kerja Sama Bidang
Kesehatan
5. Blue Book WHO 2021 tentang klasifikasi dan Minimum Standar untuk
Emergency Medical Team
PROCEDURE 1. Equipment / Supplies
a. Materials:
1) Insecticide
2) Disinfectant
3) Alcohol
4) Larvicide
5) Larvicide plastic
 6) Rat bait (roasted coconut)
7) Observation instrument

b. Equipment:
1) Fooger
2) Mist Blower
3) Spray can
4) Santer
5) Cup
6) Aspirator
7) Trapp
8) Fly grill
9) Counter
10) Stopwatch

2. How fly density measurement works:

a. Determine the location of the fly density measurement
b. Flygrills are placed in predetermined places.
c. The number of flies that landed for 30 seconds was counted with a counter
on each flygrill box for ten counts and recorded the number of flies that
landed.
d. The five highest counts were averaged and recorded on a recording card.
e. Interpretation of measurement results at each location or flygrill block is as
follows:
1) 0 - 2: low (not a problem)
2) 3 - 5: medium (observation of fly breeding sites is needed)
3) 6 - 20: high/dense (need to be controlled)
4) > 20: Very high (the population is thick and must be secured against fly
breeding places and control measures.

RELATED UNITS Environmental health field