One health approach for taeniasis/cysticercosis control measure in Bali, Indonesia: updated situations, implementations, and challenges

Background: Taeniasis/cysticercosis (TC/CC), a group of infectious diseases caused by Taenia solium, is still a burden in Bali, particularly in the Kubu subdistrict. By utilizing Dukuh village as the representative location of TC/CC in the Kubu subdistrict as the continuation of earlier epidemiology studies in the same area, this study provides current situations and state-of-the-art risk factors of TC/CC along with an assessment of post-interventional indicators and their potential challenges in terms of One Health-based TC/CC control in Bali. Methods: Community-based epidemiological surveys were conducted in the Kubu subdistrict in 2020 as a continuity of previous surveys held in 2011, 2013, 2014, 2015, 2016, and 2019, which have been published. Results: In absolute counts, 14 out of 474 people were more seropositive than in 2019. Pig seroprevalence in Kubu was 2.92% (8/274) during the 2020 survey. A few related risk variables were investigated. Community-based interventions effectively elevated knowledge and behavior towards TC/CC in the Dukuh village society. Conclusion: This study has significantly increased public knowledge, behavior, and awareness towards TC/CC as an early step in controlling the disease through the designated One Health framework. Despite some challenges in each stage of implementation, the One Health approach to TC/CC control measures in Bali is a worthwhile contribution to be made.