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Title

THE PREVALENCE OF LYMPHATIC FILARIASIS IN ELEMENTARY SCHOOL CHILDREN LIVING IN ENDEMIC AREAS: A BASELINE SURVEY PRIOR TO MASS DRUG ADMINISTRATION IN PEKALONGAN DISTRICT-INDONESIA

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 Start Page 1484 | End Page 1492

Abstract

 Background: WHO initiated lymphatic FILARIASIS (LF) ELIMINATION globally. Pekalongan District, as LF endemic area, started a program of mass drug administration (MDA) to combat LF in 2015. This study aimed to deter-mine prevalence of WUCHERERIA BANCROFTI infection prior to the MDA. Methods: LF infection was detected by the existence of circulating filarial antigen (CFA) W. bancrofti using im-munochromatographic card test (ICT). The study population consisted of 1404 elementary school (ES) stu-dents living in Pekalongan District. Overall, 1033 were selected as study subjects. Prevalence survey was also conducted on 436 general population in areas where infected students were found. Results: The subjects ranged from 7-17 yr old (mean 9. 85± 1. 296) and equally distributed between both sexes. Prevalence of W. bancrofti infection was 1. 98% in CHILDREN. Infection was mostly found in older students (12 yr old), male, in 6th grade, but did not differ significantly (P=0. 129, 0. 376, and 0. 212 respectively). On the other hand, distribution of infection was significantly different by school (P=0. 009) and sub-district (P=0000). Most of CHILDREN with LF infection were found in Tirto Sub District. In general population, the prevalence of W. bancrofti infection in Tirto was 4. 4%. Proportion of infection in males (12. 2%) was greater than females (3. 8%), with 78. 9% of positive cases were in adult over 20 yr old. Conclusion: Cases of W. bancrofti infection exist in Pekalongan District, both in CHILDREN and adults. Implemen-tation of MDA must be carefully monitored in order to achieve ELIMINATION target.

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