Fac Sheet Malaria

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\margt1500\margb300\margr1760\margl1800
\plain\pard\sl-491 \li0 \ri6323 \expndtw-22 \b \f20 \fs48 Malaria
\plain\par
\sl-157\fs16\par\sl-240\fs24\par\par\par\pard\pard\sl-270 \li0 \ri6845 \expndtw9 \b \f20 \fs27 Key facts
\par
\plain\sl-276\fs28\par\pard\pard\sl-275 \li360 \ri33 \expndtw-6 {\f0\fs30 \bulle
t }
\plain\tx714 \tab \expndtw0 \f20 \fs24 Malaria adalah penyakit yang mengancam ke
selamatan jiwa yang disebabkan
\plain\par
\pard\sl-275 \li360 \ri222 \fi360 \expndtw-2 \f20 \fs24 oleh parasit yang ditula
rkan ke manusia melalui gigitan nyamuk yang terinfeksi.

\plain\par
\pard\sl-276 \li360 \ri2374 \expndtw-6 {\f0\fs30 \bullet }
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Setiap 30 detik seorang anak meninggal a
kibat malaria.
\plain\par
\plain\tx714 \tab \expndtw0 \f20 \fs24 Terdapat 247 juta kasus malaria tahun 200
6, dan setidaknya 1 juta meninggal,
\plain\par
\pard\sl-275 \li360 \ri2797 \fi360 \expndtw-3 \f20 \fs24 yang sebagian besar mer
upakan anak-anak Afrika.
\plain\par
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Malaria dapat dicegah dan disembuhkan.
\plain\par
\plain\tx714 \tab \expndtw-1 \f20 \fs24 Sekitar separuh penduduk dunia memiliki
resiko terhadap malaria, terutama pada
\plain\par
\pard\sl-275 \li360 \ri4481 \fi360 \expndtw-4 \f20 \fs24 Negara berpenghasilan r
endah.
\plain\par
\plain\tx714 \tab \expndtw0 \f20 \fs24 Orang yang bepergian dari wilayah bebas m
alaria menuju "hot spots" penyakit
\plain\par
\pard\sl-274 \li360 \ri4680 \fi360 \expndtw-4 \f20 \fs24 amat rentan untuk terin
feksi.
\plain\par
\plain\tx714 \tab \expndtw-1 \f20 \fs24 Malaria menyebabkan Negara dengan tingka
t penyakit malaria tinggi mengalami
\plain\par
\pard\sl-277 \li360 \ri2479 \fi360 \expndtw-3 \f20 \fs24 penurunan angka pertumb
uhan ekonomi hingga 1,3%.
\par
\plain\sl-113\fs11\par\sl-240\fs24\par\par\par\pard\pard\sl-277 \li0 \ri36 \expn
dtw1 \f20 \fs24 Malaria disebabkan parasit jenis\i Plasmodium\i0 . Parasit ini
ditularkan kepada manusia
\plain\expndtw-3 \f20 \fs24 melalui gigitan nyamuk yang terinfeksi.
\plain\par
\sl-315\fs32\par\pard\pard\sl-240 \li0 \ri4830 \expndtw-3 \f20 \fs24 Ada 4 jenis
malaria pada manusia:
\par
\plain\sl-303\fs30\par\pard\pard\sl-253 \li360 \ri5081 \expndtw-6 {\f0\fs30 \bul
let }
\plain\tx714 \tab \expndtw-5 \i \f20 \fs24 Plasmodium falciparum
\plain\par
\plain\tx714 \tab \expndtw-6 \i \f20 \fs24 Plasmodium vivax
\plain\par
\plain\tx714 \tab \expndtw-5 \i \f20 \fs24 Plasmodium malariae
\plain\par
\plain\tx714 \tab \expndtw-5 \i \f20 \fs24 Plasmodium ovale.
\par
\plain\sl-276\fs28\par\pard\pard\sl-277 \li0 \ri35 \expndtw1 \i \f20 \fs24 Plasm
odium falciparum\i0 dan\i Plasmodium vivax\i0 merupakan jenis yang paling ser
ing
\plain\expndtw-2 \f20 \fs24 dijumpain, namun yang paling mematikan adalah jenis\
i Plasmodium falciparum\i0 .
\plain\par
\sl-82\fs8\par\sl-240\fs24\par\pard\pard\sl-270 \li0 \ri6730 \expndtw-10 \b \f20
\fs27 Penularan
\plain\par
\sl-276\fs28\par\pard\pard\sl-275 \li0 \ri35 \expndtw0 \f20 \fs24 Tingkat penula
ran malaria dapat berbeda tergantung pada faktor setempat, seperti pola
\plain\expndtw0 \f20 \fs24 curah air hujan (nyamuk berkembang biak pada lokasi b
asah), kedekatan antara lokasi
\plain\expndtw1 \f20 \fs24 perkembangbiakan nyamuk dengan manusia, dan jenis nya
muk di wilayah tersebut.
\plain\expndtw-1 \f20 \fs24 Beberapa daerah memililki angka kasus yang cenderung
tetap sepanjang tahun - Negara
\plain\expndtw-1 \f20 \fs24 tersebut digolongkan sebagai "endemis malaria ". Di
daerah lain, ada "musim malaria"
\plain\expndtw-3 \f20 \fs24 yang biasanya berhubungan dengan musim hujan.
\plain\par
\sl-280\fs28\par\pard\pard\sl-274 \li0 \ri34 \expndtw1 \f20 \fs24 Epidemik yang
luas dan berbahaya dapat terjadi ketika parasit yang bersumber dari
\plain\expndtw0 \f20 \fs24 nyamuk masuk ke wilayah di mana masyaratnya memiliki
kontak dengan parasit namun
\par
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}}\margt1440\margb300\margr1760\margl1800
\plain\pard\sl-272 \li0 \ri35 \expndtw0 \f20 \fs24 memiliki sedikit atau bahkan
sama sekali tidak memiliki kekebalan terhadapa malaria.
\plain\expndtw0 \f20 \fs24 Atau, ketika orang dengan tingkat kekebalan rendah pi
ndah ke wilayah yang memiliki
\plain\expndtw0 \f20 \fs24 kasus malaria tetap. Epidemik ini dapat dipicu dengan
kondisi iklim basah dan banjir,
\plain\expndtw-3 \f20 \fs24 atau perpindahan masyarakat akibat konflik.
\plain\par

\fs27 Gejala
\plain\par
\sl-276\fs28\par\pard\pard\sl-275 \li0 \ri35 \expndtw0 \f20 \fs24 Gejala awal ya
ng sering - demam, sakit kepala, mual dan muntah - biasanya muncul 10
\plain\expndtw-1 \f20 \fs24 sampai 15 hari setelah terinfeksi. Bila tidak mendap
atkan pengobatan yang tepat, malaria
\plain\expndtw-3 \f20 \fs24 dapat menyebabkan keseriusan dan sering berakhir den
gan kematian.
\plain\par
\fs27 Siapa yang beresiko?
\plain\par
\sl-276\fs28\par\pard\pard\sl-276 \li0 \ri37 \expndtw-2 \f20 \fs24 Sebagian besa
r kasus dan kematian terjadi di sub sahara Afrika. Selain itu, Asia, Amerika
\plain\expndtw0 \f20 \fs24 Latin, Timur Tengah dan sebagian wilayah Eropa juga t
erinfeksi. Tahun 2006, malaria
\plain\expndtw-3 \f20 \fs24 menyerang 109 negara dan kepulauan.
\plain\par
\sl-315\fs32\par\pard\pard\sl-240 \li0 \ri6504 \expndtw-6 \f20 \fs24 Resiko khus
us.
\par
t }
\plain\tx714 \tab \expndtw-1 \f20 \fs24 Orang dengan sedikit atau tanpa kekebala
n tubuh yang pindah dari wilayah bebas
\plain\par
\pard\sl-276 \li720 \ri35 \expndtw0 \f20 \fs24 malaria menuju wilayah dengan tin
gkat penyakit malaria tinggi rentan terhadap
\plain\expndtw-5 \f20 \fs24 penyakit tersebut.
\plain\par
\plain\tx714 \tab \expndtw0 \f20 \fs24 Wanita hamil tanpa kekebalan sangat beres
iko terhadap malaria. Kesakitannya
\plain\par
\pard\sl-276 \li720 \ri36 \expndtw0 \f20 \fs24 dapat berakibat pada tingginya ti
ngkat kelahiran premature dan menyebabkan
\plain\expndtw0 \f20 \fs24 10% kematian ibu maternal (meningkat 50% pada kasus p
enyakit parah) setiap
\plain\expndtw-12 \f20 \fs24 tahun.
\plain\par
\plain\tx714 \tab \expndtw-2 \f20 \fs24 Wanita hamil dengan kekebalan tubuh kura
ng akan beresiko terhadap anemia dan
\plain\par
\pard\sl-276 \li720 \ri34 \expndtw0 \f20 \fs24 pertumbuhan janin yang tidak semp
urna, walaupun mereka tidak menampakkan
\plain\expndtw1 \f20 \fs24 tanda-tanda penyakit akut. Tiap tahun diperkirakan 20
0.000 bayi meninggal
\plain\expndtw-4 \f20 \fs24 akibat malaria selama kehamilan.
\plain\par
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Wanita hamil yang menderita HIV juga mem
iliki resiko tinggi.
\par
\plain\sl-82\fs8\par\sl-240\fs24\par\pard\pard\sl-270 \li0 \ri6583 \expndtw-9 \b
\f20 \fs27 Pengobatan
\plain\par
\sl-276\fs28\par\pard\pard\sl-275 \li0 \ri34 \expndtw2 \f20 \fs24 Pengobatan din

i terhaap malaria akan mengurangi durasi pengobatan, mencegah
\plain\expndtw0 \f20 \fs24 komplikasi dan kemungkinan kematian. Penanganan malar
ia menjadi bagian penting
\plain\expndtw-2 \f20 \fs24 pembangunan kesehatan dunia dikarenakan naik-turunny
a kondisi kesehatan pada Negara
\plain\expndtw0 \f20 \fs24 berpenghasilan rendah. Pengobatan lebih bertujuan men
yembuhkan pasien dan bukan
\plain\expndtw-3 \f20 \fs24 mengurangi jumlah parasit yang dibawa oleh penderita
.
\plain\par
\sl-279\fs28\par\pard\pard\sl-275 \li0 \ri35 \expndtw-1 \f20 \fs24 Pengobatan te
rbaik yang ada, terutama untuk jenis Malaria\i P. falciparum\i0 malaria, adala
h
\plain\expndtw1 \f20 \fs24 kombinasi obat-obatan yang biasa dikenal sebagai\i a
rtemisinin-based combination
\plain\expndtw1 \i \f20 \fs24 therapies\i0 (ACTs). Namun, meningkatnya potensi
resistensi parasit pada pengobatan
\plain\expndtw0 \f20 \fs24 tersebut melemahkan upaya pengendalian malaria (lihat
di bawah). Untuk pengobatan
\plain\expndtw0 \f20 \fs24 malaria ini, tidak ada alternatif efektif mendapatkan
artemisinin di pasar maupun saat
\plain\expndtw-3 \f20 \fs24 mendekati akhir proses pengembangan obat.
\par
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}}}
\plain\pard\sl-274 \li20 \ri6007 \expndtw-6 \f20 \fs24 Rekomendasi WHO:
\par
t }
\plain\tx734 \tab \expndtw-1 \f20 \fs24 Pengobatan untuk seluruh tahap penyakit
(diusahakan bila memungkinkan dalam
\plain\par
\pard\sl-275 \li380 \ri3948 \fi360 \expndtw-3 \f20 \fs24 waktu 24 sejak onset/ge
jala muncul);
\plain\par

\plain\tx734 \tab \expndtw-3 \f20 \fs24 Gunakan kelambu berinsektisida untuk men
ghindari gigitan nyamuk;
\plain\par
\plain\tx734 \tab \expndtw0 \f20 \fs24 Bagi wanita hamil di area dengan endemis
tinggi, sulfadoxine-pyrimethamine
\plain\par
\pard\sl-275 \li740 \ri36 \expndtw-1 \f20 \fs24 (IPT/SP) dengan dosis pencegahan
diberikan secara berkala untuk membersihkan
\plain\par
\pard\sl-276 \li740 \ri5374 \expndtw-4 \f20 \fs24 plasenta dari parasit;
\plain\par
\plain\tx734 \tab \expndtw1 \f20 \fs24 Penyemprotan dalam ruang untuk membunuh n
yamuk yang menempel pada
\plain\par
\pard\sl-277 \li380 \ri5010 \fi360 \expndtw-4 \f20 \fs24 dinding dan atap rumah.
.
\par
\plain\sl-314\fs31\par\pard\pard\sl-240 \li21 \ri2706 \expndtw-3 {\field{\*\fldi
nst {\b HYPERLINK}{\b "http://www.who.int/malaria/docs/TreatmentGuidelines2006.p
df"}}
{\fldrslt{\f20 \fs24 \cf6 {\ul W}{\ul H}{\ul O}{\ul }{\ul g}{\ul u}{\ul i}{\ul
d}{\ul e}{\ul l}{\ul i}{\ul n}{\ul e}{\ul s}{\ul }{\ul f}{\ul o}{\ul r}{\ul }{
\ul t}{\ul h}{\ul e}{\ul }{\ul t}{\ul r}{\ul e}{\ul a}{\ul t}{\ul m}{\ul e}{\ul
n}{\ul t}{\ul }{\ul o}{\ul f}{\ul }{\ul m}{\ul a}{\ul l}{\ul a}{\ul r}{\ul i}
{\ul a}{\ul }{\ul [}{\ul p}{\ul d}{\ul f}{\ul }{\ul 1}{\ul .}{\ul 8}{\ul 5}{\u
l M}{\ul b}{\ul ]}
}}}
\plain\par
\fs27 Resistensi Obat
\plain\par
\sl-277\fs28\par\pard\pard\sl-276 \li20 \ri35 \expndtw0 \f20 \fs24 Resistensi ob
at terhadap seringnya penggunaan anti malaria telah berkembang dengan
\plain\expndtw0 \f20 \fs24 cepat. Untuk mencegah kondisi ini, pengobatan sebaikn
ya digunakan secara kombinasi
\plain\expndtw1 \f20 \fs24 sebagai ACTs (\i Artemisinin-based Combination Therap
ies\i0 ) dan bukan\i artemisinin
\plain\expndtw0 \i \f20 \fs24 monotherapy\i0 (penggunaan satu artemisinin berbe
da dengan pil kombinasi yang lebih
\plain\expndtw0 \f20 \fs24 efektif). Pengobatan\i single-drug\i0 meningkatkan
kemungkinan parasit berkembang dan
\plain\expndtw2 \f20 \fs24 menjadi kebal terhadap obat. Pengawasan intensif terh
adap potensi obat penting
\plain\expndtw0 \f20 \fs24 dilakukan sebagai pencegahan perkembangan strain mala
ria resistan ke belahan dunia
\plain\expndtw-13 \f20 \fs24 lain.
\plain\par
\sl-277\fs28\par\pard\pard\sl-277 \li20 \ri35 \expndtw2 \f20 \fs24 WHO menyarank
an dilakukannya pengawasan berkelanjutan dan saat ini sedang
\plain\expndtw-3 \f20 \fs24 mendampingi beberapa negara untuk memperkuat upaya p
engawasan obat.
\plain\par
\sl-314\fs31\par\pard\pard\sl-240 \li20 \ri5093 \expndtw-4 {\field{\*\fldinst {\
b HYPERLINK}{\b "http://www.who.int/malaria/resistance.html"}}
{\fldrslt{\f20 \fs24 \cf6 {\ul M}{\ul o}{\ul r}{\ul e}{\ul }{\ul i}{\ul n}{\ul
f}{\ul o}{\ul r}{\ul m}{\ul a}{\ul t}{\ul i}{\ul o}{\ul n}{\ul }{\ul o}{\ul n}{
\ul }{\ul r}{\ul e}{\ul s}{\ul i}{\ul s}{\ul t}{\ul a}{\ul n}{\ul c}{\ul e}
}}}
\plain\par
\fs27 Pencegahan
\plain\par
\sl-277\fs28\par\pard\pard\sl-276 \li20 \ri36 \expndtw1 \f20 \fs24 Upaya pencega
han difokuskan pada pengurangan penularan penyakit dengan cara
\plain\expndtw0 \f20 \fs24 mengendalikan nyamuk pembawa malaria. Dua intervensi
uta,a untuk mengendalikan
\plain\par
\pard\sl-277 \li19 \ri7211 \expndtw-10 \f20 \fs24 vector:
\par
t }
\plain\tx734 \tab \expndtw0 \f20 \fs24 Gunakan kelambu dengan insektisida tahan
lama, merupakan cara yang efektif
\plain\par
\pard\sl-275 \li380 \ri6186 \fi360 \expndtw-8 \f20 \fs24 dan murah;
\plain\par
\plain\tx734 \tab \expndtw-3 \f20 \fs24 Penyemprotan insektisida dalam ruangan.
\par
\plain\sl-277\fs28\par\pard\pard\sl-277 \li20 \ri33 \expndtw0 \f20 \fs24 Upaya i
ni dapat didukung dengan metode pengendalian nyamuk lain (sebagai contoh,
\plain\expndtw-3 \f20 \fs24 memusnahkan genangan air tempat nyamuk berkembang bi
ak).
\plain\par
\fs27 Resistan terhadap insektisida
\plain\par
\sl-275\fs27\par\pard\pard\sl-277 \li20 \ri32 \expndtw2 \f20 \fs24 Upaya pengend
alian nyamuk sedang ditingkatkan di banyak wilayah, namun ada
\plain\par
\pard\sl-277 \li20 \ri4716 \expndtw-3 \f20 \fs24 beberapa permasalahan, antara l
ain:
\par
{\shp
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
}}}

\plain\pard\sl-312 \li360 \ri37 \expndtw-6 {\f0\fs30 \bullet }
\plain\tx714 \tab \expndtw1 \f20 \fs24 Meningkatkan resistensi nyamuk terhadap D
DT dan pyrethroids, terutama di
\plain\par
\pard\sl-275 \li360 \ri6539 \fi360 \expndtw-10 \f20 \fs24 Afrika;
\plain\par
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Berkurangnya alternative insektisida yan
g efektif;
\plain\par
\plain\tx714 \tab \expndtw-2 \f20 \fs24 Perubahan perilaku nyamuk pembawa malari
a yang ditimbulkan dari upaya-upaya
\plain\par
\pard\sl-277 \li360 \ri315 \fi360 \expndtw-2 \f20 \fs24 pengendalian vektor (kar
ena nyamuk berpindah ke tempat yang lebih nyaman).
\par
\plain\sl-278\fs28\par\pard\pard\sl-275 \li0 \ri36 \expndtw1 \f20 \fs24 Tidak ad
a insektisida alternatif yang benar-benar efektif dan efisien selain DDT dan
\plain\expndtw0 \f20 \fs24 pyrethroids, dan selian itu, pengembangan pestisida b
aru merupakan proses yang lama
\plain\expndtw1 \f20 \fs24 dan cukup mahal. Manajemen vektor menunjukkan bahwa m
emperkuat manajemen
\plain\expndtw-2 \f20 \fs24 bebas insektisida adalah hal yang sangat penting.
\plain\par
\sl-278\fs28\par\pard\pard\sl-275 \li0 \ri35 \expndtw0 \f20 \fs24 Deteksi resist
ensi insektisida sebaiknya merupakan hal rutin yang dilakukan sebagai
\plain\expndtw-1 \f20 \fs24 upaya pengendalian nasional untuk menunjukkan bahwa
cara pengendalian vektor paling
\plain\expndtw0 \f20 \fs24 efektif sedang dilakukan. Insecticide resistance dete
ction should be a routine feature of
\plain\expndtw-1 \f20 \fs24 national control efforts to ensure that the most eff
ective vector control methods are being
\plain\expndtw-14 \f20 \fs24 used.
\plain\par
\sl-315\fs32\par\pard\pard\sl-240 \li0 \ri4742 \expndtw-3 {\field{\*\fldinst {\b
HYPERLINK}{\b "http://www.who.int/malaria/vectorcontrol.html"}}
{\fldrslt{\f20 \fs24 \cf6 {\ul M}{\ul o}{\ul r}{\ul e}{\ul }{\ul i}{\ul n}{\ul
f}{\ul o}{\ul r}{\ul m}{\ul a}{\ul t}{\ul i}{\ul o}{\ul n}{\ul }{\ul o}{\ul n}{
\ul }{\ul v}{\ul e}{\ul c}{\ul t}{\ul o}{\ul r}{\ul }{\ul c}{\ul o}{\ul n}{\ul
t}{\ul r}{\ul o}{\ul l}
}}}
\plain\par
\fs27 Dampak Ekonomi
\plain\par
\sl-276\fs28\par\pard\pard\sl-276 \li0 \ri35 \expndtw0 \f20 \fs24 Di luar dari k
orban manusia yang ada, malaria membawa dampak kerusakan ekonomi
\plain\expndtw0 \f20 \fs24 signifikan di wilayah dengan angka yang tinggi. Antar
a lain dengan menurunkan PDB
\plain\expndtw-2 \f20 \fs24 (Produk Domestik Bruto) sebesar 1,3% di negara-negar
a dengan tingkat penularan tinggi.
\plain\expndtw-2 \f20 \fs24 Setelah sekian lama, kerugian tahunan tersebut menye
babkan perbedaan substansial pada
\plain\expndtw-2 \f20 \fs24 PDB di negara-nagara dengan dan tanpa malaria (terut
ama di wilayah Afrika).

\plain\par
\sl-278\fs28\par\pard\pard\sl-276 \li0 \ri35 \expndtw-2 \f20 \fs24 Biaya kesehat
an untuk malaria meliputi pembelanjaan untuk pencegahan dan pengobatan
\plain\expndtw-2 \f20 \fs24 bagi publik dan personal. Pada beberapa negara denga
n beban yang besar, biaya penyakit
\plain\par
\pard\sl-277 \li0 \ri6126 \expndtw-5 \f20 \fs24 tersebut mencakup:
\par
\plain\sl-302\fs30\par\pard\pard\sl-253 \li360 \ri3347 \expndtw-6 {\f0\fs30 \bul
let }
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Pembelanjaan kesehatan publik hingga 40%
\plain\par
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Biaya rawat inap rumah sakit 30% - 50%
\plain\par
\plain\tx714 \tab \expndtw-3 \f20 \fs24 Kunjungan rawat jalan di klinik kesehata
n hingga 60%.
\par
\plain\sl-278\fs28\par\pard\pard\sl-276 \li0 \ri34 \expndtw0 \f20 \fs24 Secara t
idak proporsional, malaria berpengaruh terhadap masyarakat miskin yang tidak
\plain\expndtw0 \f20 \fs24 mampu mendapatkan pengobatan atau mendapatkan akses p
elayanan kesehatan namun
\plain\expndtw-1 \f20 \fs24 secara terbatas. Hal ini menyebabkan pula keluarga d
an masyarakat tetap terjebak dalam
\plain\expndtw-4 \f20 \fs24 spiral kemiskinan bawah.
\plain\par
\fs27 Pemberantasan
\plain\par
\sl-276\fs28\par\pard\pard\sl-275 \li0 \ri36 \expndtw-1 \f20 \fs24 Data yang ada
menunjukkan bahwa penggunaan strategi rekomendasi WHO dalam skala
\plain\expndtw-2 \f20 \fs24 luas dapat mengurangi malaria secara cepat, terutama
di wilayah dengan angka penularan
\plain\expndtw2 \f20 \fs24 tinggi, seperti Afrika. WHO dan negara-negara anggota
nya telah membuat cara
\plain\expndtw1 \f20 \fs24 signifikan untuk memberantas malaria. Sebagai contoh,
Maladewa, Tunisia dan Uni
\par
{\shp
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
}}}
\plain\pard\sl-272 \li0 \ri48 \expndtw0 \f20 \fs24 Emirat Arab telah berhasil me
mberantas penyakit ini. Keberhasilan tersebut tidak lepas
\plain\par
\pard\sl-277 \li0 \ri2756 \expndtw-3 \f20 \fs24 dari komitmen nasional dan kerja
sama dengan negara lain.
\plain\par
\sl-315\fs32\par\pard\pard\sl-240 \li0 \ri1474 \expndtw-2 \f20 \fs24 Sumber : ht
tp://www.who.int/mediacentre/factsheets/fs094/en/index.html
\par
}

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{\rtf \ansi\ansicpg1252\deff0

{\fonttbl{\f11\fswiss\fcharset0 Arial Narrow;}{\f10\fswiss\fcharset0 Arial;}{\f1

rkan ke manusia melalui gigitan nyamuk yang terinfeksi.

\sl-82\fs8\par\sl-240\fs24\par\pard\pard\sl-270 \li0 \ri7123 \expndtw-13 \b \f20

\sl-276\fs28\par\pard\pard\sl-275 \li0 \ri34 \expndtw2 \f20 \fs24 Pengobatan din

\pard\sl-276 \li380 \ri1178 \expndtw-6 {\f0\fs30 \bullet }

{\sp{\sn posrelv}{\sv 1}}

ama di wilayah Afrika).

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