Current status of schistosomiasis in Indonesia

Schistosomiasis japonica is currently endemic in three very isolated areas in Central Sulawesi Province, Indonesia. Integrated schistosomiasis control programmes implemented in the Lindu and Napu Valleys during the period of 1982-2005 have successfully reduced the prevalence of schistosomiasis from 37% to 1% in Napu Valley and from 37% to 0.6% in Lindu Valley. Human prevalence surveys reveal that the prevalence tended to increase during the period of 2008-2011. The average prevalence fluctuated between 0.3% and 4.8% in Napu Valley and between 0.8% and 3.2% in Lindu Valley. During this period, the percentage of rats that were infected fluctuated between 7.9% and 18.2% in Napu Valley and between 6.7% and 9.8% in Lindu Valley. The average percentage of infected snails was 2.6% and 2.1% in the Napu and Lindu Valleys, respectively. In 2008, schistosomiasis was also found in a separate but adjacent place, i.e. Bada Valley. The prevalence of schistosomiasis in endemic villages in this area was 0.8% in 2008 and 5.9% in 2010, while the percentage of infected snails was 1% in 2010. These contemporary data clearly indicate a trend of increasing schistosomiasis prevalence in the three endemic areas in Central Sulawesi.