Studi Bio-Epidemiologi dan Analisis Spasial Kasus Malaria Daerah Lintas Batas Indonesia – Malaysia (Pulau Sebatik) Kabupaten Nunukan, Provinsi Kalimantan Timur  

Oleh:

Boewono, Damar Tri ; Widiarti ; Ristiyanto ; Widyastuti, Umi

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Buletin Penelitian Kesehatan: Bulletin of Health Studies vol. 40 no. 04 (Dec. 2012), page 171-180.
Topik: Malaria; Spatial distribition; Cases Distance Index; Sebatik Island
Fulltext: STUDI BIO-EPIDEMIOLOGI.pdf (453.15KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: B18.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Malaria remains to be a public health problem in Nunukan District (especially Sebatik island), East Kalimantan Province. Vector control programs using long lasting insecticide nets (LLINs), have been conducted by the Health Office. Yet malaria cases were still occurred on the previous years. Comprehensive research was conducted to determine the specific vector control strategies based on the vectors bionomic, spatial distributions of malaria cases and breeding habitats (GIS mapping and distance index analyses) and susceptible status of malaria vectors against insecticides. The study revealed that three mosquito species were remain as potential malaria vectors such as: An. balabacensis and An. maculatus, the breeding habitats were fresh water wells/ponds and streams. In the coastal areas brackish water ponds and lagoon were found as the breeding habitats of An. sundaicus was recognized as malaria vector. Both malaria vectors (An. balabacensis and An. maculatus), were found resistant to insecticides Permethrin and Lambdacyhalothrin and tolerance against Malathion. Alternative insecticide should be considered as a replacement. Spatial analysis found that malaria cases were distributed on clumped/cluster, buffer zones against breeding habitat (<400 meters), indicate local transmission (indigenous) due to vector behaviour. Integrated vector management by using indoors treatment and breeding habitats application by using bio-larvicides such as bacillus or insect growth regulator/IGR, is recommended. In an effort to maintain sustainability of the malaria programs, community participation should be developed.

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