Abstract Filariasis (elephantiasis), huntut or tubab people lived in South Kalimantan often mentioned is an annual infectious disease and categorized as neglected tropical disease (NTD) caused by filarial worm. Filariasis is an endemic diseases in Tabalong District, especially Bilas Village. The selective and Mass Drug Treatment have been conduct in Bilas village but the village still decided as a filariasis endemic area, so it is necessary to study the compliance of the filariasis Mass Drug Assessment (MDA) consumption in the community to against filariasis incidences in Bilas Village. Study was held by Finger Blood Survey (SDJ) and interview using questionnaire about people’s obedience of filariasis MDA drug consumption. 341 responden have been interviewed and held by SDJ, 11 responden were positive filariasis B. malayi in Bilas village. The compliance of people consumed POPM drugs routinely of filariasis patients was only 20% and non patient were 21,64%. It was necessary to conduct a simultaneous MDA with district coverage area accompanied by medical illumination and socialization to the community. Medication supervisors placed at POPM posts or home-to-home visits was needed to ensure medication is actually consumed by the community, it will be better if the MDA was consumed immediately in front of cadres/health officers. Abstrak Filariasis atau kaki gajah atau sering disebut dengan huntut atau tubab oleh masyarakat Kalimantan Selatan adalah penyakit menular menahun yang merupakan penyakit tropis terabaikan disebabkan oleh cacing filaria. Filariasis endemis di Kabupaten Tabalong, khususnya Desa Bilas. Pengobatan selektif dan pengobatan massal telah dilakukan namun desa tersebut masih dinyatakan sebagai desa endemis sehingga perlu dilakukan penelitian terhadap kepatuhan masyarakat minum obat pencegah massal terhadap kejadian filariasis di Desa Bilas. Kegiatan yang dilakukan yaitu Survei Darah Jari (SDJ) dan kegiatan wawancara menggunakan kuesioner tentang kepatuhan meminum obat pencegah massal filariasis. Sebanyak 341 responden yang berhasil diwawancara dan dilakukan pemeriksaan darah jari, 11 orang diantaranya positif filariasis jenis parasit B. malayi di Desa Bilas. Kepatuhan masyarakat yang minum obat POPM secara rutin pada penderita hanya 20%, sedangkan pada non penderita sebanyak 21,64%. Perlu dilakukan pengobatan massal serentak sekabupaten disertai dengan sosialisasi dan penyuluhan tentang pengobatan massal kepada masyarakat. Kader pengawas minum obat yang ditempatkan di pos-pos pelaksanaan POPM atau kunjungan dari rumah ke rumah diperlukan untuk memastikan obat benar-benar diminum, akan lebih baik jika obat diminum langsung didepan kader/ petugas kesehatan.
Helminthiasis is a disease caused by intestinal parasite helminth with a high prevalence and spread throughout Indonesia, not deadly but secretly and slowly affect the health and productivity of patients through the decline in nutritional status. Slow and less symptom-prone effects cause the disease to be neglected among other diseases. This research is descriptive observational with cross sectional design, to know the description of nutritional status and risk factors of helminthiasis at elementary school children suffering from helminth in Meratus Dayak community, conducted in April 2017 at SDN Loksado and SDN Tanuhi, Loksado Subdistrict, Hulu Sungai Selatan Regency, South Kalimantan Province. The results showed 6.5% of helminthiasis occurred in the Dayak community in the Loksado Subdistrict. Helminthiasis consists caused by hookworm (58.33%), Enterobius (16.66), Hymenolepis (8.33%), Trichuris (8.33%), and mix infection of hookworm and enterobius (8.33%). However, this helminthiasis has not had an impact on the patient's nutritional status and progressed without symptoms, indicated by the nutritional status of patients who are mostly in the normal category until the fat. Although helminthiasis is not a deadly disease and is emergency, but the risk factor of helminthiasis in the patient can cause chronic infestation and transmission to other children. Keywords : helminthiasis, nutritional status, risk factors
Latar belakang: Soil Transmitted Helminth merupakan penyakit infeksi oleh nematode usus masih menjadi neglected diseases yang dapat menyebabkan kekurangan gizi, anemia, hambatan pertumbuhan dan perkembangan kognitif khususnya pada anak-anak. Penularan STH terjadi melalui kontak dengan telur parasit atau larva yang berkembang di tanah yang hangat dan lembab sehingga penelitian ini bertujuan untuk mengetahui keberadaan telur dan larva cacing usus yang ada di dalam tanah di Desa Juku Eja yang merupakan penyebab dari tingginya prevalensi kecacingan di SDN Juku Eja.Metode: Penelitian menggunakan desain cross sectional. Pengambilan sampel tanah dilakukan di 5 titik di SDN Juku Eja dan 17 titik di sekitar area pemukiman warga Desa Juku Eja. Pemeriksaan sampel tanah menggunakan metode pengapungan dan preparat kemudian diperiksa di bawah mikroskop. Hasil: Ditemukan 2 sampel positif larva cacing tambang (hookworm) di SDN Juku Eja dan satu titik positif telur cacing Trichuris trichiura di area pemukiman. Kondisi tanah pada kedua lokasi yaitu berpasir dipinggir pantai. Kontaminasi tanah oleh telur dan larva cacing STH disebabkan oleh kebiasaan BAB di tepi pantai oleh masyarakat, ketidaktersediaan jamban keluarga dan kebiasaan tidak menggunakan alas kaki di tanah.Simpulan: Kontaminasi tanah oleh telur dan larva cacing dapat menjadi sumber risiko penularan infeksi STH jika terjadi kontak manusia dengan tanah tanpa perlindungan diri dan kebiasaan hidup bersih dan sehat. ABSTRACT Title: Contamination Of Worm Egg And Larvae In Soil At Juku Eja Village Tanah Bumbu RegencyBackground: Soil Transmitted Helminth (STH) is an infectious disease by intestinal nematode. This neglected disease can cause nutritional deficiencies, anemia, growth barriers and cognitive development, especially in children. STH transmission occurs through contact with parasitic eggs or larvae that develop in warm and moist soils, so this study aims was determine the presence of intestinal helminth eggs and larvae in the soil of Juku Eja Village, which is the cause of the high prevalence of helminthiasis in SDN Juku Eja.Method: Research using cross sectional design. Soil sampling was carried out at 5 points at SDN Juku Eja and 17 points around the residential area of Juku Eja Village. Soil samples examination was using the flotation method and then the preparations are examined under a microscope.Result: Result was found 2 positive samples of hookworm larvae (hookworm) at SDN Juku Eja and 1 spot positive of Trichuris trichiura egg in the residential area. Soil conditions at both locations are sandy beach. Soil contamination by eggs and STH worm larvae is caused by the habit of defecating on the beach by the community, the unavailability of family latrines and the habit of not using footwear on the ground Conclusion: Contamination of soil by eggs and worm larvae can be a source of risk of transmission of STH infections if there is human contact with the soil without self-protection and clean and healthy living habits.
ABSTRAKLatar belakang: Filariasis merupakan penyakit menular menahun yang disebabkan oleh cacing filaria jenis Wuchereria bancrofti, Brugia malayi dan Brugia timori melalui nyamuk sebagai vektor. Penelitian ini bertujuan untuk mengetahui pengaruh iklim terhadap peluang hidup di alam nyamuk Mansonia spp. di daerah endemis filariasis di Kelurahan Mandomai, Kabupaten Kapuas Metode: . Koleksi nyamuk dengan metode human landing collection di dalam dan diluar rumah, nyamuk yang tertangkap setelah di identifikasi dilakukan pembedahan. Pembedahan abdomen nyamuk untuk mengetahui paritas. Data iklim dan curah hujan diambil dari data BMKG. Hasil: Hasil penelitian diketahui Aktivitas menghisap darah Ma. uniformis di luar rumah banyak tertangkap pada pukul 21.00-22.00 dan di dalam rumah pada pukul 22.00-23.00. Aktivitas Ma. dives banyak tertangkap pada pagi hari yaitu pukul 04.00-05.00 di luar rumah, sedangkan di dalam rumah paling banyak pukul 23.00-24.00. Aktivitas Ma. annulata di luar rumah paling banyak tertangkap pada pukul 18.00-19.00 dan di dalam rumah paling banyak tertangkap pada pukul 19.00-20.00. Kepadatan tertinggi per hari (MBR) dan perjam (MHD) pada Ma. annulata di luar rumah, sedangkan yang terendah pada Ma. dives. Berdasarakan data dari BMKG dan pengukuran di lapangan, suhu di daerah Kelurahan Mandomai dari bulan juli sampai desember berkisar antara 28° C, dimana kelembaban dan curah hujan tertinggi terjadi pada bulan Desember. Peluang hidup di alam nyamuk Ma. uniformis 4,4 hari, Ma. dives 1,3 hari dan Ma. annulata 32,2 hari. Hasil uji statistik diketahui ada pengaruh indeks curah hujan dan kelembaban dengan Peluang hidup di alam Ma. annulata Simpulan: Ditemukannya nyamuk Mansonia yang berperan sebagai vektor dengan peluang hidup di alam lebih dari 14 hari sehingga iklim di Kelurahan Mandomai mendukung perkembangan nyamuk sebagai vektor. ABSTRACT Title: Climate Influence on Mansonia spp Mosquito Age Spend in Endemic Filariasis Region in Kapuas District Background: Filariasis is a chronic infectious disease caused by filarial worms, i.e. Wuchereria bancrofti, Brugia malayi and Brugia timori species and transmitted by mosquitoes as vectors. Aim this study to determine the effect of climate on the chances of living in the nature of mosquito Mansonia spp. in the filariasis endemic area of Mandomai Village, Kapuas District Methods: Mosquitoes are collected by human landing collection of people in and out the home, abdominal surgery mosquitoes to know parity. Climate dan rainfall index are taken from BMKG. ranged from 28 ° C, while humidity and the highest rainfall occurred in December. Longevity of mosquito 4.4 days for Ma. uniformis, 1.3 days for Ma. dives and 32.2 days Ma. annulata. The results of statistical test known to have influence of temperature dan index of rainfall with longevity of Ma. uniformis and Ma. dives.
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