Indonesia Health Profile 2010

GRAPH 3.21PREVALENCE OF YAWS IN INDONESIA, 2005­2010Source: DG of Disease Control and Environmental Health, Ministry of Health RI, 2011The graph explains that cases and prevalence of yaws significantly increasedfrom 2008 to 2010. The increased occured due to intensification of case detection as apart of yaws eradication program.In order to achieve yaws eradication in 2005, Subdirectorate of Leprosy andYaws conducted Serology Survey in 2010 at 10 districts with no cases were found onlatest three years. When the survey reported no cases are found on the districts, theywill receive sertificate of free yaws from WHO. Case detection intensification ofleprosy and yaws are also implemented in areas with high cases of yaws.4. Preventable Diseases Through Immunization (PD3I)a. Tetanus NeonatorumTetanus Neonatorum (TN) is caused by Clostridium tetani infecting throughwound. The disease infects new born due to umbilical cord cut with unsterile decives.It is mostly found on low‐middle income countries especially with low percentage ofdelivery attended by health personnel.There were 147 cases, 84 deaths and 57.14% of CFR in 2010. Cases found in2010 were lower than TN cases in 2009 of 158 cases and 76 deaths. There were 19provinces reported TN cases and 14 provinces reported deaths in 2010.In terms of immunization status, 54.4% of all cases were found onunvaccinated population. Based on risk factors of delivery attendant, TN cases weremostly found on traditional attendant with 67.3% of all cases. In terms of umbilicalcord treatment, most of cases were found on traditional group with 36.1% of allcases. More description by provinces of the disease and risk factors are on Annex3.23.57