Leonardo Tedjaprasadja
Universitas Pembangunan Nasional "Veteran" Jawa Timur

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Integrating One Health into Food Systems: A Literature Review on Health Risks and Sustainability: A Literature Review Leonardo Tedjaprasadja
Journal of Diverse Medical Research : Medicosphere Vol. 3 No. 4 (2026): Journal of Diverse Medical Research : Medicosphere 2026
Publisher : Faculty of Medicine - Universitas Pembangunan Nasional Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v3i4.333

Abstract

Background: The food system is a complex network that shapes health outcomes across human, animal, and environmental domains. Increasing globalization, agricultural intensification, and environmental changes have amplified risks such as zoonotic diseases and antimicrobial resistance (AMR). The One Health approach provides an integrated framework to address these interconnected challenges. This study aimed to examine the role of One Health in food systems through a literature review of studies published between 2014 and 2025. Methods: Articles were retrieved from PubMed, Scopus, and Google Scholar using relevant keywords. Selected studies were analyzed using a thematic approach focusing on human, animal, and environmental health perspectives. Results: The findings indicate that food systems serve as important pathways for zoonotic disease transmission and the spread of AMR, particularly through intensive livestock production and inappropriate antibiotic use. In addition, food production contributes to environmental degradation, including pollution and greenhouse gas emissions, which further affect health outcomes. Conclusion: Despite increasing recognition of the One Health approach, its implementation remains limited, especially in developing countries. Strengthening interdisciplinary collaboration and integrated policies is essential to improve food system safety, public health, and environmental sustainability.
The Role of One Health Framework to Neglected Tropical Diseases in South East Asia: A Literature Review Leonardo Tedjaprasadja
Journal of Diverse Medical Research : Medicosphere Vol. 2 No. 5 (2025): J Divers Med Res 2025
Publisher : Faculty of Medicine - Universitas Pembangunan Nasional Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i5.179

Abstract

Neglected tropical diseases (NTDs) remain a significant public health challenge in Southeast Asia, disproportionately affecting marginalized communities and exacerbating cycles of poverty and poor health. These diseases often arise at the interface of human, animal, and environmental health, necessitating a transdisciplinary approach. The One Health framework, which integrates human, animal, and environmental health strategies, offers a holistic and sustainable solution to combat NTDs in the region. This article explores the application of One Health in addressing NTDs such as dengue, leptospirosis, schistosomiasis, and rabies across Southeast Asia. It highlights current regional initiatives, identifies challenges including fragmented surveillance systems and limited intersectoral coordination and underscores the importance of cross-border collaboration, community engagement, and policy integration. Emphasizing the need for sustained investment and capacity building, the article advocates for strengthening One Health systems as a pathway toward effective NTD control and elimination in Southeast Asia.
Early Warning System for Disaster Preparedness in Local Flood Management: A Literature Review Leonardo Tedjaprasadja
Journal of Diverse Medical Research : Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medicine - Universitas Pembangunan Nasional Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.187

Abstract

Background: Flooding remains one of the most recurrent and devastating natural hazards, disproportionately impacting low-lying and poorly drained areas, particularly in developing countries. Exacerbated by rapid urbanization, climate change, and inadequate infrastructure, flood-related disasters increasingly affect socioeconomically vulnerable populations. Despite the predictable nature of such events, local-level disaster preparedness remains insufficient, largely due to the absence or inefficiency of Early Warning Systems (EWS). Methods: This paper investigates the role of EWS in strengthening community-based flood preparedness by applying the United Nations Office for Disaster Risk Reduction (UNDRR) four-component framework: risk knowledge, monitoring and warning service, dissemination and communication, and response capability. Using a qualitative, framework-based methodology, the study assesses each component through case study analysis, technological review, and institutional mapping. Result and Discussions: Findings indicate that while EWS provides a robust conceptual tool for flood risk mitigation, their implementation is frequently hindered by technical, institutional, social, and financial barriers. These include unreliable monitoring infrastructure, fragmented governance, inequitable communication access, and unsustainable funding mechanisms. Moreover, the study reveals that the success of EWS hinges not merely on technological sophistication, but on their alignment with local contexts, community participation, and cross-sectoral coordination. Conclusion: This concludes that for EWS to be effective and equitable, they must be embedded within broader resilience strategies that emphasize localized governance, long-term capacity building, and inclusive risk communication. By reorienting EWS toward community-driven models, stakeholders can enhance flood preparedness and reduce disaster vulnerability amid escalating climate threats. Keywords: EWS, Disaster Preparedness, Flood Management, Local Context
Early Detection and Treatment of Pediatric Amblyopia: A Cost-Benefit Analysis in the Indonesia: A Literature Review Leonardo Tedjaprasadja
Journal of Diverse Medical Research : Medicosphere Vol. 2 No. 8 (2025): J Divers Med Res 2025
Publisher : Faculty of Medicine - Universitas Pembangunan Nasional Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i8.200

Abstract

Background: Amblyopia is a leading cause of preventable visual impairment in children. Despite effective treatment, delayed diagnosis limits visual recovery and may reduce lifetime productivity. In Indonesia, where pediatric vision screening is not yet universal, undiagnosed amblyopia may lead to lifelong productivity losses. This study evaluates the cost-effectiveness of early screening and intervention for amblyopia from a societal perspective. Methods: A Markov model simulated a cohort of 100,000 children aged 3 over a 70-year period. Two strategies were compared: (1) early vision screening and treatment through primary care (e.g., Puskesmas), and (2) no structured screening. Costs, utilities, productivity losses, benefit-cost ratio were estimated using local data where available and adjusted using purchasing power parity (PPP) and Indonesian-specific parameters from WHO-CHOICE, BPJS Kesehatan reimbursement rates, and labor market data. Results: The findings affirm that nationwide early screening and treatment for amblyopia in Indonesia are not only clinically effective but also economically justified. The estimated lifetime productivity gain per successfully treated child was USD 4,130, yielding a total indirect savings of over USD 11.3 million. The benefit-cost ratio was 7.8:1, The calculated ICER was USD 183.54 per QALY gained Conclusion: Universal amblyopia screening in Indonesia is cost benefit and highly cost-effective. Integration into school-based health programs and the Puskesmas system could optimize early detection, reduce visual disability burden, and improve long-term national productivity.