Size 2.0 application on mobile device

Three out of five Emerging/Re-emerging Infectious Diseases (EID) are zoonotic, which means they can be transmitted from animals to humans. Indonesia, as a country with rapid population growth, high globalization and rich biodiversity is regarded as one of the EID and zoonoses hotspots in Asia. In the past few decades, Indonesia has faced serious zoonotic disease outbreaks, such as highly pathogenic avian influenza (Bird Flu), rabies and anthrax, which have threatened public health and the economy.
It takes early and rapid action to detect and control all EID and zoonotic disease cases using the One Health approach, which integrates responses by the public health, animal health and wildlife health sectors. An effective tool to prevent and control diseases is real-time information-sharing and data integration, so that timely, efficient and accurate responses to diseases may be conducted by each and every sector.

The Ministry of Agriculture through the Directorate General of Livestock and Animal Health Services (DGLAHS) together with the UN Food and Agriculture Organization (FAO), supported by the United States Agency for International Development (USAID) have initiated a One Health information sharing platform called SIZE 2.0 (Sistem Informasi Zoonosis dan EID versi 2.0 – Zoonosis and EID Information System version 2.0) as a major collaborative achievement under the Emerging Pandemic Threats Project (EPT-2).

The Director General of Livestock and Animal Health Services of the Ministry of Agriculture, I Ketut Diarmita states that SIZE 2.0 will facilitate data sharing and communication amongst surveillance/information systems of all sectors, thus enabling early disease detection and response.

“SIZE 2.0 is a health surveillance information system that connects three other systems: 1) Ministry of Health’s Sistem Kewaspadaan Dini dan Respon - SKDR (Early Warning, Alert, and Response System – EWARS); 2) Animal Health’s Sistem Informasi Kesehatan Hewan Nasional – iSIKHNAS (National Animal Health Information System); and 3) Sistem Informasi Kesehatan Satwa Liar – SehatSatli (Wildlife Health Information System). SIZE 2.0 is coordinated by the Coordinating Ministry for Human Development and Cultural Affairs (Kemenko PMK) whereas previously surveillance information systems were managed sectorally,” he added.

The Team Leader of the FAO Emergency Centre for Transboundary Diseases (ECTAD) in Indonesia, James McGrane said that SIZE 2.0 answers the need for a cross-sectoral integrated health surveillance information system.
“SIZE 2.0 underlines and supports the roles of field officers from the three different sectors. This platform also facilitates cross-sectoral collaboration and coordination from field officers to decision-makers, to share data that may be analyzed to produce information to prevent and control EID and zoonoses,” he added.

SIZE 2.0 is still undergoing refinement and is being piloted in four One Health districts in Indonesia: Minahasa in North Sulawesi, Ketapang in West Kalimantan, Boyolali in Central Java and Bengkalis in Riau.

“Data and information-sharing is now made easier by SIZE 2.0. One click and we can see cases from other sectors,” said the Head of Animal Health of Boyolali District Livestock Services, Drh. Afiani Rifdania, one of the SIZE 2.0 users in Boyolali.

SIZE 2.0 is still a work in progress, but it is expected that this One Health information platform will be used all across Indonesia so that the Government is better prepared to prevent and control emerging and zoonotic diseases