REVIEWOF EXISTINGDATAINSECTICIDESRESISTANCEININDONESIA

WINARNO & BANGKIT HUTAJULU DIRECTORATE OF VBDC DG DC & EH, MOH INDONESIA

PROFILE OF INDONESIA

No. of Islands : 17.000 Population : 227, 3 million Area : 1.100 x 1500 miles sqr No. of Province : 33 No of District/Municip : 471 Life Expectancy : 67 year

Top Ten Health Problem Priority:

1. Malaria 2.Tuberculosis 3. HIV AIDS 4. DHF 5. Filariasis 6. ARI 7. Leprosies 8. Immunization 9. Diarrhea 10.Reproductive Health

RESISTANCEMANAGEMENT
Insecticideusageinselectedareapriority(high endemic,outbreak). Monitoringandevaluationduringapplication (operationalprocess,entomologicalimpact, epidemiologicaloutcome) Rotationinsecticideuseperiodically. Detectionofresistancestatusofvectorswasdone byWHOstandard. Monitoringresistancestatusofappliedinsecticides wasdoneinseverallocations.

DiscriminatingconcentrationsofInsecticidesforadultmosquitoes(onehour exposureWHO/CDS/CPC/MAL/98.12)

a. b. c. d. e.

Half an hour exposure Four hours exposure Two hour exposure for Anopheles sacharovi 0.1% for anpheles sacharovi Two hour exposure

No

Place Province/Distric/subdistric

Species tested

insecticide (no of test)

mortality Control

Year

MALARIA
1 2 Riau/Batam/Nongsa NTT/Kupang An.sundaicus An.subpictus An.subpictus An.subpictus Bendiocarb 0,1 % Permethrin 0,75% Lambda cyhalothrin 0,05% Bendiocarb 0,1% 100% (149) 100%(95) 100%(102) 100%(112) 0% 0% 0% 2002 2003 2003 2003

DENGUE
1 2 3 Bengkulu SouthSul/Makassar/kasi-kasi West kalimantan/Pontianak/ west Pontianak 4 South Sumatera/Palembang/ sekip 5 Yogyakarta/Yogya city/ Mantri jeron 6 7 North Sulawesi/Manado North Sulawesi/Manado Ae.aegypti Ae.aegypti Ae.aegypti Malathion 0,8% Malathion 0,8% Malathion 5 % 76.59% 82.50% 100% (104) 0% 0% 0% 2002 2002 2003 Ae.aegypti Malathion 0,8% 79.41% 0% 2002 Ae.aegypti Malathion 0,8% 87% 4.76% 2002 Ae.aegypti Ae.aegypti Malathion 0,8% Malathion 0,8% 68,59% (83 ) 76,53%(115) 4.16% 2002 2002

(Malaria, 2004)

(Malaria, 2005)
No . 1 West Java An.aconitus 2 West Nusa Tenggara Province Species tested insecticide mortality status year

Lambda cyhalothrin 0,05%

96,1%

tolerant

2005

Lambda cyhalothrine 0,05% An.subpictus An.subpictus Bendiocarb 0,1%

100% 100% 100% 100%

susceptible susceptible susceptible susceptible

2005 2005 2005 2005

3 West Kalimantan

An.nigerimus Etofenprox 0,5% Deltamethrine An.nigerimus 0,05%

No .

Province

Species tested

insecticide

mortality

status

year

North Sulawesi

Ae.aegypti

Malathion 0,8% Malathion 5%

27% 100% 100% 68,67% 68% 100% 71,92% 100% 28%

resistant susceptible susceptible tolerant tolerant susceptible tolerant susceptible resistant

2005 2005 2005 2005 2005 2005 2005 2005 2005

2 3 4

DI Yogyakarta West Kalimantan East Java

Ae.aegypti Ae.aegypti Ae.aegypti

Malathion 0,8% Malathion 0,8% Malathion 5% Malathion 0,8%

Bali

Ae.aegypti

Malathion 0,8% Malathion 5%

South Sumatera

Ae.aegypti

Malathion 0,8%

CHALLENGES
Decentralizationimpactsonprocurementof insecticides. Massiveusedofpesticideinagriculturewill impactonvectorresistancetopublichealth. Weakonvectorresistancemonitoring. Weakofruleandregulationonstandardization.

CAPACITYBUILDING
AssessmentonIntegratedVectorManagement(IVM) activities. DevelopMinisterofHealthdecreeonVectorControl. WorkshopandTOTonGuidelinesManagementPublic HealthPesticide. Standardizationpublichealthpesticidemonitoring. Strengthenmonitoringandevaluationonpublichealth pesticideuse.

To establish public health pesticide & resistance networking

WORKPLANELECTRONICREPORTINGSYSTEMACTIVITIES 1. REVIEWANDREVISEOFEXISTINGREPORTINGSYSTEM TOOLSFORMALARIA&DHFVECTORCONTROLPESTICIDES 2. TODEVELOPSOFTWAREANDHARDWAREOFDATABASE VECTORCONTROLPESTICIDESUSAGE 3. STRENGTHENINGCAPABILITYOFMANPOWERFORDATA MANAGEMENT 4. WORKSHOPSOSIALIZATION&TODEVELOPAGGREEMENT INREPORTINGSYSTEMPROGRAM 5. IMPLEMENTATIONREPORTINGSYSTEMBYELECTRONIC