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Situasi Malaria di Kabupaten Nias Selatan Sumatera Utara, Selama Satu Tahun Sesudah Gempa Bumi dan Stunami
Due to an earthquake and tsunami on the end of December 2004 in Indonesia Ocean, the environment
and the community lift style were changed in South Nias District. These changes have a potential to
increase malaria transmission in this area. The aims of the study were to identify the malaria situation
one year after earthquake and tsunami compared with one year before. Data collection was done within
two months (March - April 2006) by collecting secondary data and conducted Mass Fever Survey. The
result showed that in the district, the annual malaria incidence (Alt4l) one year after the disaster was
increased become 3,4 times compared to one year before. In Health Centers(HCs) level showed that
AMI was increased in 8 HCs after the earthquakes and tsunami but decreased in 2 HCs. Pattern of
monthly malari incidence (MoW) one year after the disaster was resembled the pattern one year before
(2004), where it was increasedfrom early to mid of the year and then decreased to the end. The number
of slide positivity rate (SPR) or positive rate were vary, due to clinical symptom variation, differences
among others in the techniques usedfor examining the blood samples (microscopy and RDT), the width
of the survey area, as well as the location and time of the surveys. Plasmodiumfalciparum was the most
frequent parasite found in the community, meanwhile P. vivax was mostly in children 0-9 years old in
two villages.
Keywords: malaria, South Nias, tsunami
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