thanx infonya ya .....
kebetulan anak saya hobi bgt berenang....
dan di komplek rumah jg ada kolam renang nya....
berhub sy ingin anak saya tinggi, dan kenal olahraga sejak dini, makanya saya
sering ajak berenang .....
btw, boleh tau ga, nama hotelnya ? info2 ya ....
--- On Tue, 7/29/08, rani syahbana <[EMAIL PROTECTED]> wrote:
From: rani syahbana <[EMAIL PROTECTED]>
Subject: Fw: FW : Berhati - hatilah..
To: "Imelda" <[EMAIL PROTECTED]>, [EMAIL PROTECTED], [EMAIL PROTECTED], "yosi
aulia" <[EMAIL PROTECTED]>, "seno" <[EMAIL PROTECTED]>, "nina" <[EMAIL
PROTECTED]>, "azizah" <[EMAIL PROTECTED]>, [EMAIL PROTECTED], "Bianka Syarief"
<[EMAIL PROTECTED]>, [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED],
[EMAIL PROTECTED], [EMAIL PROTECTED]
Date: Tuesday, July 29, 2008, 6:26 AM
--- On Fri, 7/25/08, [EMAIL PROTECTED] <[EMAIL PROTECTED]> wrote:
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Subject: FW : Berhati - hatilah..
To: [EMAIL PROTECTED]
Date: Friday, July 25, 2008, 2:36 PM
berhati-hatilah...Namun bukan berarti ketakutan berlebihan...
Dear all, ada kejadian yg menyedihkan banget, anaknya sepupu dari
sahabatku 2,5 thn baru aja meninggal dunia di suatu RS di Singapore,
karena terjangkit Naegleria fowleri Primary amoebic
meningoencephalitis , suatu penyakit mirip2 kayak meningitis, awalnya
sepele sekali, yaitu setelah berenang di swimming pool di suatu hotel
bintang lima di jakarta pusat ( hotelnya terkenal banget kok ) kira 3
-4 hari kemudian anak itu muntah2 hebat & pupnya berdarah, sahabatku
sempet telp aku, aku bilang biasanya kalo pup nya berdarah itu akibat
bakteri, yg bisa aja krn keminum air kolam renang ( gak usah anak
kecil, org dewasa aja sering keminum air kolam kalo lg berenang kan??
), terus keesokan harinya, sahabatku info lagi kalo anak itu koma di
RS Harapan Kita, aku sih heran kok sampe bisa koma?? aku pikir cuma
diinfus aja supaya ganti cairan akibat muntah hebat, lalu setelah koma
mungkin 3 hari, pihak keluarga anak itu memutuskan utk bawa anak itu
ke Singapore, disana baru didapat diagnosa yg pasti yaitu kena Amoeba
Naeglaria itu, yg katanya dokter di Singapore aja heran krn ternyata
nih si " Amoeba " ini tergolong langka,akhirnya setalah 2 hr kemudian
anak itu meninggal, mudah2an keluarganya diberi ketabahan amin..
meskipun sudh memang takdir anak itu, tapi aku kok heran ya kok bisa
gara2 berenang di kolam renang hotel bintang 5 trus pulang2 kena
penyakit yg mematikan & langka lagi.. kan itu bisa kejadian sama siapa
aja, apalagi anakku baru aja berenang minggu lalunya di villa tanteku
di megamendung, semoga info ini berguna buat semua, kalo ada yg ingin
tau di hotel apa anak itu berenang, via japri aja ya.. aku gak enak
nulisnya disini, btw aku kutip juga sdkt artikel ttg amoeba naeglaria
itu dr WHO :
3.6 Non-faecally derived amoebas
Table 3.9 summarizes the amoebas found in swimming pools and spas and their
associated infections.
Table 3.9: Amoebas and associated infections found in swimming pools
and spas Organism Infection Source
Naegleria fowleri Primary amoebic meningoencephalitis
Granulomatous amoebic encephalitis
Pools and spas, including water and components
Acanthamoeba spp. Acanthamoeba keratitis Aerosols from HVAC systems 3.6.1
Naeglaria fowleri
1) Risk assessment
Naegleria fowleri is a free-living amoeba (i.e., it does not require
the infection of a host organism
to complete its life cycle) present in fresh water and soil. The life
cycle includes an environmentally
resistant encysted form. Cysts are spherical, 8?12 μm in diameter, with
smooth, single-layered walls
containing one or two mucus-plugged pores through which the
trophozoites (infectious stages)
emerge. N. fowleri is thermophilic, preferring warm water and
reproducing successfully at
temperatures up to 46 °C. In water, concentrations of the amoebas
increase as they feed on aquatic
bacteria. In temperate climates, the amoebas can overwinter as cysts
in the bottom sediments of
bodies of fresh water and swimming pools.
N. fowleri causes primary amoebic meningoencephalitis (PAM). Infection is
acquired by exposure
to polluted water in ponds, swimming pools and artificial lakes
(Martinez & Visvesvara, 1997;
Szenasi et al., 1998). Victims are usually healthy young children and
adults who have had contact
with water about 7?10 days before the onset of symptoms (Visvesvara,
1999). Infection occurs when
water containing the organisms is forcefully inhaled or splashed onto
the olfactory epithelium,
usually from diving, jumping or underwater swimming. The amoebas in
the water then make their
way into the brain and central nervous system. Symptoms of the
infection include severe headache,
high fever, stiff neck, nausea, vomiting, seizures and hallucinations.
The infection is not contagious.
For those infected, death occurs usually 3?10 days after exposure.
Respiratory symptoms occur in
some patients and may be the result of hypersensitivity or allergic
reactions or may represent a
Guidelines for Safe Recreational- water Environments Final Draft for
Consultation Vol. 2: Swimming Pools, Spas and Similar Recreational- water
Environments August 2000 3-21
subclinical infection (Martinez & Visvesvara, 1997). PAM is an
extremely rare disease. Wellings
(1977) has estimated that only one case of PAM occurs for every 2.6
million exposures to water containing N. fowleri.
2) Risk management
Risk of infection can be reduced by reducing the occurrence of the
causative agent through proper
cleaning, maintenance, coagulation?filtrati on and disinfection of
swimming pools. Transmission of
PAM in spas has not been reported; however, because N. fowleri grows
at high temperatures and
is resistant to disinfection, spas could be a source of exposure.
Aerosols generated by spas may also
contain N. fowleri. Users should be aware that the risk of infection
increases with time spent in the
pool or with immersion of the head. N. fowleri has also been isolated
from air conditioning units.
Therefore, HVAC systems serving the pool or spa facilities should be
cleaned and disinfected regularly.
From: Endah
To: [EMAIL PROTECTED] com
Sent: Wednesday, July 23, 2008 9:39 AM
Subject: Re: [sehat] Berhati - hatilah..
Ikutan urun rembug .. kasusnya cukup menarik soalnya. Dari yang saya baca,
amebic meningoencephalitis ini masuk ke otak bukan lewat air yang diminum, tapi
ada air yang mengandung amuba tersebut (naegleria fowleri) masuk langsung ke
otak melalui hidung. Penyakit tersebut kejadiannya sangat jarang, tapi mungkin
harus berhati-hati supaya air tidak masuk ke hidung dengan cukup keras sehingga
bisa menembus dan masuk ke otak. Mungkin bisa dicegah dengan menggunakan nose
clip? Tidak pada tempatnya kita jadi ketakutan untuk berenang .. karena dari
sekian ratus orang yang berenang di tempat sama (saya yakin yang terminum air
kolam itu gak cuma satu) kemungkinan tidak ada lagi yang menderita penyakit
ini. Yang berminat silakan baca2 di google, ada beberapa laporan kasus yang
menceritakan kejadian seperti ini. Dikatakan bahwa naegleria fowleri lebih
banyak dijumpai pada air (kolam, danau, sungai) yang stagnant (tidak mengalir)
dan hangat.
Turut berduka cita untuk keluarga yang mendapat musibah ini
Endah
Jadi, cerita sebenarnya si anak minum air (tentunya mentah ya, seperti air yang
keluar dari air ledeng kita kali ya) yang keluar dari pancuran yang ada di
dekat kolam renang, bukan keminum air kolam renang. si anak sengaja
menengadahkan kepalanya dan minum langsung dari pancuran itu.
.
.
