Prevalence and distribution of schistosomiasis in Indonesia: a review.

The prevalence and distribution of schistosomiasis in Indonesia is given, with the emphasis on the current data. An extensive investigation was started in 1971. Control measures became desirable because of development schemes in and around the endemic areas, thus increasing the possibility of the spread of the infection. This investigation consisted of: a study of prevalence, distribution, and intensity of the infection in man and animals; clinical studies, treatment and follow-up; and epidemiological studies. A comparison was made between the results of different workers. In addition to the only known endemic area at Lake Lindu, another endemic area was discovered recently at Napu Valley, situated 50 km southeast of Lake Lindu at an altitude of 1200 meters. Surveys in other areas gave negative results. Nine species of wild and domestic animals were found positive. The intermediate host was discovered in 1971 and described as Oncomelania hupensis lindoensis. This snail is widely distributed in the endemic areas.