Heny Arwati, Trilianty Lestarisa, Indria Augustina, Ainun Rohmah Etik, Sri Subekti, Soedjajadi Keman, Prijatna Dachlan Yoes
Department of Medical Parasitology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Department of Public Health, Faculty of Medicine, Universitas Palangka Raya, Palangka Raya City, Indonesia.
Afr J Infect Dis. 2022 Aug 17;16(2 Suppl):1-8. doi: 10.21010/Ajid.v16i2S.1. eCollection 2022.
Indonesia has demonstrated a significant progress in malaria elimination. Kapuas and Gunung Mas Districts in Central Kalimantan Province have not been freed from malaria and there is no information of malaria incidences in these areas. Palangka Raya city has been freed from malaria in 2018.
The total number of 140 samples consisting of 75 malaria Giemsa-stained blood smears and 65 RDT cartridges from both local and migrant populations. Both males and females aged15 years and above were included and their demographic data were recorded. The malaria trend in these areas was analyzed based on the number of cases, species of and the demographic characteristics of the enrolled subjects.
The study findings disclosed a yearly decrement of malaria trend in both local and migrant populations of the studied areas. The highest number of infection (8.76%)occurred in 2018 among migrant population in Gunung Mas district, while infection was found in 2017contributed by both population. The decreased number of cases was shown by very low number of cases among migrant population in almost every year. The observed significant decrease in malaria incidences indicated the success and effective implementation of the malaria control programs at the sub-district level.
To minimize malaria cases among gold miners, mosquito repellent, prophylactic administration of antimalarial drugs and enough enlightenment should be considered before and during their activities. From that standpoint, the effective collaboration between health officers and environmental authorities is recommended to control, prevent and eliminate malaria in these areas.
印度尼西亚在疟疾消除方面已取得显著进展。中加里曼丹省的卡普阿斯县和穆西河地区尚未摆脱疟疾困扰，且这些地区没有疟疾发病率的相关信息。帕朗卡拉亚市已于2018年消除疟疾。
共采集140份样本，包括75份来自当地和外来人口的疟疾吉姆萨染色血涂片以及65份快速诊断试剂卡。纳入年龄在15岁及以上的男性和女性，并记录其人口统计学数据。根据病例数量、疟原虫种类以及登记对象的人口统计学特征，分析这些地区的疟疾趋势。
研究结果显示，研究地区当地和外来人口的疟疾趋势均呈逐年下降。2018年，穆西河地区外来人口中疟原虫感染率最高（8.76%），而2017年当地和外来人口均出现疟原虫感染。几乎每年外来人口中的病例数都非常少，表明病例数有所减少。观察到的疟疾发病率显著下降表明，在社区层面实施的疟疾控制项目取得了成功且有效。
为尽量减少金矿工人中的疟疾病例，在其活动前和活动期间应考虑使用驱蚊剂、预防性给予抗疟药物以及进行充分的宣传。从这个角度来看，建议卫生官员与环境当局进行有效合作，以控制、预防和消除这些地区的疟疾。
