Abstract

Penelitian ini bertujuan untuk mengukur parameter parasitologi (microfilaria rate, kepadatan mikrofilaria), parameter imunologi (antigen prevalence) dan parameter entomologi (infection rate dan infective rate) pada tahun kelima pelaksanaan mass drug administration di Kelurahan Pabean Kota Pekalongan. Penelitian ini merupakan penelitian observasional dengan pendekatan potong lintang yang dilaksanakan pada bulan Juli sampai dengan Agustus 2015 di Kelurahan Pabean Kota Pekalongan. Microfilaria rate dan kepadatan mikrofilaria ditentukan dengan pemeriksaan darah jari pada 313 responden. Antigen prevalence ditentukan dengan mengukur antigen beredar menggunakan metode immunochromatographic test (ICT) Wuchereria bancrofti. Incective rate dan infection rate diukur dengan cara menemukan larva cacing filaria pada nyamuk hasil penangkapan nyamuk umpan orang. Hasil penelitian menunjukkan mf rate sebesar 0,32% dengan kepadatan mikrofilaria 167/mL darah, antigen prevalence pada hasil 0%, infection rate sebesar 0,06% dan infective rate sebesar 0%. Dapat disimpulkan bahwa pasca tahun kelima pengobatan massal filariasis di Kelurahan Pabean, Kota Pekalongan tidak lagi menjadi wilayah endemis filariasis dan parameter-parameter transmisi tidak berpotensi menimbulkan penularan. This study aimed to measure parasitology parameters (microfilariae rate, microfilariae density), immunology parameter (antigen prevalence), and entomology parameters (infection rate and infective rate) after the fifth year of mass treatment at Pabean Village, Pekalongan City. This study was an observational study with cross-sectional approach that was conducted in July to August 2015 in Pabean Subdistrict, Pekalongan City. The microfilaria rate and microfilariae density were determined by finger blood survey of 313 respondents. Meanwhile, the antigen prevalence was determined by calculating the circulating antigen using the immunochromatographic test (ICT) Wuchereria bancrofti method. Finally, the infective rate and infection rate were both explicitly defined by detecting filarial worm larvae in the mosquitoes of man biting mosquitos collection. The results showed that the mf rate was 0.32% with average microfilariae density of 167/mL blood, the antigen prevalence of the calculation was 0%, the infection rate was 0.06% and the infective rate was 0%. In conclusion, after the fifth year of mass treatment in Pabean Area, Pekalongan City, the area is no longer included into the filariasis-endemic areas and the transmission parameters has no potential in causing the filariasis spreading.

References

1. Pekalongan Primary Health Care. Report of activities year 2013. Disease Control and Prevention Department (P2P). Pekalongan: Pekalongan Primary Health Care; 2014.

2. Rosanti TI, Mardihusodo SJ, Artama WT. Directly observed treatment increases drug compliance in lymphatic filariasis mass drug administration. Universa Medicina. 2016; 35(2): 119-27.

3. Kemeterian Kesehatan Republik Indonesia. Pedoman Program Eliminasi Filariasis di Indonesia. Penentuan dan Evaluasi Daerah Endemis Filariasis. Jakarta: Kemeterian Kesehatan Republik Indonesia; 2013.

4. Aboagye-Antwi F, Kwansa-bentum B, Dadzie SK, Ahorlu CK, Appawu MA, Gyapong J, et al. Transmission indices and microfilariae prevalence in human population prior to mass drug administration with ivermectin and albendazole in the Gomoa District of Ghana. Parasite Vectors. 2015; 8(562): 1-13. doi: 10.1186/s13071-015-1105-x.

5. Ichimori K, King JD, Engels D, Yajima A, Mikhailov A, Lammie P, et al. Global programme to eliminate lymphatic filariasis: the processes underlying programme success. PLoS Neglected Tropical Disease. 2014; 8(12). doi: 10.1371/journal.pntd.0003328

6. Toothong T, Tipayamongkholgul M, Suwannapong N, Suvannadabba S. Evaluation of mass drug administration in the program to control imported lymphatic filariasis in Thailand. BMC Public Health. 2015; 15(1): 1-6. doi:10.1186/s12889-015-2325-x

7. Noland GS, Blount S, Gonzalez M. Post-mass drug administration transmission assessment survey for elimination of lymphatic filariasis in La Cienaga, Dominican Republic. American Journal Tropial Medicine Hygiene. 2015; 93(6): 1292-4. doi: 10.4269/ajtmh.15-0204

8. Nujum ZT. Coverage and compliance to mass drug administration for lymphatic filariasis elimination in a district of Kerala, India. International Health. 2011; 3. doi: 10.1016/j.inhe.2010.12.001.

9. Sunish IP, Kalimuthu M, Rajendran R, Munirathinam A, Ashok KV, Nagaraj J, et al. Decline in lymphatic filariasis transmission with annal mass drug administration using DEC with and without albendazol over a 10 year period in India. Parasitology International. 2015; 64(2): 1-4.

10. Ghosh S, Samanatha A, Kole S. Mass drug administration for elimination of lymphatic filariasis: recent experiences form a district of West Bengal, India. Tropical Parasitolgy. 2013; 3(1): 67-71.

11. Kretel A, Fischer PU, Weil GJ. A review of factors that influence individual compliance with mass drug administration fo elimination of lymphatic filariasis.PloS Neglected Tropical Disease. 2013; 7(2).

12. Koroma JB, Sesay S, Sonnie M, Hodges MH, Sahr F, Zhang Y, et al. Impact of three rounds of mass drug administration on lymphatic filariasis in areas previously treated for onchocerciasis in Sierra Leno. PloS Neglected Tropical Disease. 2013; 7(6): e2273.

13. Angyiereyiri ED, Maxwell A, Samuel D, Adjei BD, Samuel O. Impact of mass drug administration (MDA) on the transmission of lymphatic filariasis in Tono Irrigation Area in Navrongo, Ghana impact of mass drug administration (MDA) on the transmission of lymphatic filariasis in Tono Irrigation Area in Navrongo. Journal of Biology Agriculture Health. 2015; 9(5).

14. Gunasekaran S, Kalimutu T, Rajalaksmi S, Jaikeen JR. Seven rounds of mass drug administration with diethylcarbamazine and albendazole to interrupt Wuchereria bancrofti infection and its implication on elimination parameters in Puducherry, South India. International Journal of Current Study. 2015; 7 (7): 18642-47.

15. Kumar A, Sachan P. Measuring impact on filarial infection status in a community study: role of coverage of mass drug administrtion. Tropical Biomedicine. 2014; 31(1): 225-9.

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