Professional Documents
Culture Documents
infeksi parasit
dalam kedokteran komunitas
Agent Environment
-Spesies of parasite -Habitat of human
- Stadium /stage of life - Habitat of vector
- Load of infection - Sanitation
- Life cycle in human - Media of transmission
- Phatogenetic - Temperature, Ph, Salinity
Vektor / Hospes perantara
-Species of vector
- stadium
- Age of vector
- Life cycle
- Way of transmission to human
- Load of parasite
Pangandaran, August 2005
angandaran, August 2005
Kubangan ditepi pantai
Salinitas 3‰
INTERMEDIATE HOST
Oncomelania sp
Alor, July 2006
Alor, July 2006
LYMPHATIC FILARIASIS
Masalah Kesehatan dan
Lingkungan Hidup
• Status kesehatan dipengaruhi oleh faktor :
Pelayanan Kesehatan
Biologik
Host Agent
Environment
Host
Environment
Agent
Pelayanan Kesehatan
Disability limitation
Rehabilitation
MANAGEMENT
• Preventive
– Health Education
– Health campaign
• Curative
– Self based
– Home based
– Environment/social based
• Mass Drug Administration (MDA)
• Eradiacation (vector, agent, intermediate host)
• Rehabilitative
Masalah kesehatan lingkungan
• Point of view
A. Diagnosis
B. Intervention
C. Evaluation
Diagnosis/EARLY DETECTION
• Program evaluation
• Problem solving cycle
CASE ?
Rapid Assessment Parasit yg masih menjadi
masalah kesehatan di Indonesia
Vs
WHY IDENTIFY PARASITES ?
understanding epidemiology
fundamental research
A DIAGNOSIS PROBLEM ?
Traditionally diagnosis of infection
based on finding parasite
some parasites morphologically
indistinguishable
parasites hidden in various host
tissue
Traditional diagnosis of Malaria
THE SOLUTION ?
Advantages
rapid easy field based tests can be
developed
useful for both individual & mass
population screening
Antigen Detection Test for
Malaria & Filariasis
CASE
• Dari gambaran foto kejadian diatas, Rapid
assessment apa yang anda dapatkan ttg:
– Perilaku ?
– Biologik atau agent / vector of disease ?
– Masalah lingkungan ?
• Intervensi ?
• Evaluasi ?