A review of Fasciolopsis buski distribution and control in Indonesia.

Muhammad Rasyid Ridha,Dicky Andiarsa,April Hari Wardhana,Liestiana Indriyati

doi:10.14202/vetworld.2021.2757-2763

Abstract

Fasciolopsiasis is a parasitic infection caused by the flatworm Fasciolopsis buski. Since 1982, fasciolopsiasis has been reported in Indonesia’s Hulu Sungai Utara (HSU) Regency, South Kalimantan Province. Fasciolopsiasis occurs when contaminated raw or undercooked aquatic plants are consumed. Cercariae of the parasite encyst in a variety of aquatic plants and grow into metacercariae that infect and reproduce in the human intestine. Until now, treatment for F. buski infection in the HSU Regency has been comparatively short, with patients receiving only a single dose of praziquantel, 30 mg/kg body weight, without further observation. A long-term effort through health promotion activities and intensive health education, particularly for elementary school children enrolled in the School Health Program, is ongoing to help prevent fasciolopsiasis from spreading and to improve environmental sanitation. Through 2018, intervention efforts successfully reduced the incidence of F. buski infection. Sustaining surveillance and investigation of fasciolopsiasis, including identification of new cases and community education, is critical for the elimination of the parasite from Indonesia. This review describes the spread of F. buski and its possible impact on public health to understand the critical nature of continuing F. buski surveillance and control efforts.

Highlights

Fasciolopsiasis is an intestinal disease caused by the zoonotic trematode, Fasciolopsis buski
Sungai Papuyu and Kalumpang Dalam villages in the Babirik subdistrict, Putat Atas and Padang Bangkal villages in the Sungai Pandan subdistrict, and Sarang Burung and Telaga Mas villages in the Danau Panggang subdistrict were identified as endemic areas for fasciolopsiasis
Fasciolopsiasis has been found in Indonesia since 1982 and only in the Hulu Sungai Utara (HSU) Regency, Indonesia

Summary

Introduction

Fasciolopsiasis is an intestinal disease caused by the zoonotic trematode, Fasciolopsis buski. The disease is considered neglected though infection with F. buski is endemic in several countries, including South and Central China [1], Taiwan [2], Southeast Asia (Thailand, Vietnam, Malaysia, Laos, and Kamboja) [3,4], Bangladesh [5], Japan [6], and Indonesia [7]. The parasite is estimated to infect approximately 10 million people worldwide [8]. The first case of fasciolopsiasis in Indonesia was reported in 1920, though the original case remains unidentified. Sungai Papuyu and Kalumpang Dalam villages in the Babirik subdistrict, Putat Atas and Padang Bangkal villages in the Sungai Pandan subdistrict, and Sarang Burung and Telaga Mas villages in the Danau Panggang subdistrict were identified as endemic areas for fasciolopsiasis. The incidence of infection was 27%, and 148 positive cases out of 548 people were examined.

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Conclusion