Malaria remains a threat to the population of Indonesia. Currently, 70 percent of malaria cases are in eastern Indonesia. The only one malaria-free areas are the Thousand Islands.
Director of Animal Disease Control Sourced Andi Muhadir Ministry of Health, Jakarta, explained that in 2010 the number of positive malaria cases in Indonesia 465 764 cases with Annual Parasite Incidence (API) of 1.96 per 1,000 population. In 2012, dropped to 417 819 cases (API 1.69 per 1,000 population).
Areas with high API, between 1-5, scattered in eastern Indonesia. In the central and western parts of Indonesia, API numbers below 1 per 1,000 population.
“Actually, from year to year, our API down. But from 2010-2012, not many cases decline. Eastern Indonesian archipelago consisting of, border, and remote make it hard to access areas, “said Muhadir. Malaria endemic areas in eastern Indonesia spread over 84 districts / cities with a population of 16 million people at risk.
Muhadir said the elimination of malaria by 2015 is expected to be done in Java, Aceh, and Batam. 2020, targeted elimination on the island of Sumatra, Kalimantan, Sulawesi, and West Nusa Tenggara Province. The elimination in Papua, West Papua, and Maluku, East Nusa Tenggara, and Maluku in 2030.
Prevention efforts by the government, among others distribute insecticide-treated mosquito nets to pregnant women and infants and provide treatment with artemisinin-based combination therapy (ACT). In addition, also to empower the community with the establishment of village malaria posts. Now numbers 1,325 pieces.
Based on a survey of national malaria elimination team, currently only the Thousand Islands that has been free of malaria. Terms of a malaria-free area is the API under 1 per 1,000 population and there are cases of malaria among the local residents who have never traveled for three years in a row.
In addition, there is a strict observation of the exit-entry of residents of the area. Malaria-free certificate will be given Health Minister Nafsiah Mboi on World Malaria Day 2013, 25 April in Jakarta.
Head of Puskesmas Village Bake Island, Thousand Islands, Susilowati said, in 2001, occurred the extraordinary incident (KLB) malaria on several islands. At that time the number of cases of malaria recorded 427 positive and 10 percent died.
“We have not been able to run the administration of malaria treatment because they can not training. Communication and transportation is not as it is now, “he said. After training, malaria control efforts done by mapping the potential for the breeding lagoons malaria. They make sodetan so that water can not be accommodated in the lagoon.
Malaria interpreter Village of Island Java Fortunately, the Thousand Islands, Jalaluddin, say, malaria migration survey conducted once a week. His job checking lagoons, ponds, and wells.
“We monitor visitors from endemic areas to coordinate across sectors,” he said. Procedures for blood tests applied to visitors from endemic areas.
Head of Health Sub Thousand Islands Adji Kurnianto adding, efforts were maintained despite the Thousand Islands has been free of malaria.