Adi Utarini | |
---|---|
Born | Yogyakarta, Indonesia | 4 June 1965
Alma mater | Umeå University UCL Great Ormond Street Institute of Child Health Gadjah Mada University |
Known for | randomized controlled trial of the Wolbachia technique for dengue control |
Awards | Nature's 10 (2020) |
Scientific career | |
Institutions | Gadjah Mada University |
Thesis | Evaluation of the user-provider interface in malaria control programme: the case of Jepara district, Central Java province, Indonesia (2002) |
Website | www |
Adi Utarini is an Indonesian public health researcher who works on disease control of dengue fever. She serves as Professor of Public Health in the Department of Health and Policy Management at Gadjah Mada University, Yogyakarta. In 2020, she was selected as one of Nature's 10 for pioneering the randomized controlled trial of a dengue prevention technique using mosquitoes carrying the Wolbachia bacteria. In 2021, she was selected as one of TIME's 100 most Influential People of 2021
Utarini was born in Yogyakarta on 4 June 1965. She studied medicine at the Gadjah Mada University, Yogyakarta, Indonesia. [1] [2] After graduating in 1989 [2] she completed two master's degrees, one at the UCL Great Ormond Street Institute of Child Health, United Kingdom (1994) and one at Umeå University, Sweden (1997). [3] She remained at Umeå for her doctoral research, where she focused on a malaria control programme in Central Java. [4] She completed her doctorate in 2002. [5]
Utarini focuses on disease control and healthcare quality at Gadjah Mada University, Yogyakarta, Indonesia. [3] She served as Project Leader for World Mosquito Program Yogyakarta. [2] Yogyakarta is a densely populated city of almost 400,000 people with high transmission rates of dengue fever. [6] In 2018, she delivered a TEDx talk on attempts to reduce dengue outbreaks in the city. [7]
Utarini co-led a randomized controlled trial of the technique employing Wolbachia -carrying mosquitoes in reducing the spread of mosquito-borne diseases, such as the dengue fever, starting from 2016 in Yogyakarta. [6] [8] In August 2020 she announced that the method reduced the incidence of dengue fever by 77% during the trial. [6] [9] The Wolbachia bacterium prevents mosquitoes from passing viruses to humans. [6] While the method had been developed since the 1990s at the Monash University, Australia, the trial was "the strongest evidence yet" to support its impact, and the first randomized control trial of this approach. [10] In the trial, the city of Yogyakarta was divided into 24 clusters—12 randomly selected to receive the Wolbachia-infected mosquitoes and the rest to serve as control. As of December 2020, the full data had not been published, but the data was unblinded in June 2020 and a preliminary result was released in August, which showed the 77% reduction in the areas where the Wolbachia-modified mosquitoes were released compared to the control area. [6] Epidemiologists praised the result as "staggering" and "epochal", and an important step in the fight against dengue, which causes about 400 million infections and 25,000 deaths annually, as well as possibly other mosquito-carried diseases. [6] [10]
Utarini was recruited to the effort in 2013, becoming the Indonesia lead scientist of the project. In addition to coordinating the trial, she played an important role in securing the regulatory approval from multiple government ministries. [10] Throughout the trial, Utarini had to gain the support of the local community, which she achieved through wall paintings, short films and face-to-face meetings; the eagerness of the community to participate was one of the successful aspects of the trial. [6]
Between 2015 and 2017 she served in the Research Council of the Indonesian Ministry of Research and Technology. In 2020 Utarini was selected as one of Nature's 10 for pioneering the Wolbachia mosquito trials. [10]
On 13 October 2021, she appointed as Member of BRIN Steering Committee by Joko Widodo. [11]
Utarini is known affectionately as "Prof Uut", and is described by colleagues as quiet but persuasive. Her hobbies include cycling and playing the piano. [10] Utarini was married to Iwan Driprahasto, a professor of pharmacology, also at Gadjah Mada. He died of coronavirus disease in March 2020. [6] [12]
Alongside scientific publications, Utarini has written for The Conversation. [13]
Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains—particularly in the back—and headaches. Symptoms typically improve within five days. In about 15% of people, within a day of improving the fever comes back, abdominal pain occurs, and liver damage begins causing yellow skin. If this occurs, the risk of bleeding and kidney problems is increased.
Dengue fever is a mosquito-borne disease caused by dengue virus, prevalent in tropical and subtropical areas. It is frequently asymptomatic; if symptoms appear they typically begin 3 to 14 days after infection. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin itching and skin rash. Recovery generally takes two to seven days. In a small proportion of cases, the disease develops into severe dengue with bleeding, low levels of blood platelets, blood plasma leakage, and dangerously low blood pressure.
Aedes albopictus, from the mosquito (Culicidae) family, also known as the (Asian) tiger mosquito or forest mosquito, is a mosquito native to the tropical and subtropical areas of Southeast Asia. In the past few centuries, however, this species has spread to many countries through the transport of goods and international travel. It is characterized by the white bands on its legs and body.
Arbovirus is an informal name for any virus that is transmitted by arthropod vectors. The term arbovirus is a portmanteau word. Tibovirus is sometimes used to more specifically describe viruses transmitted by ticks, a superorder within the arthropods. Arboviruses can affect both animals and plants. In humans, symptoms of arbovirus infection generally occur 3–15 days after exposure to the virus and last three or four days. The most common clinical features of infection are fever, headache, and malaise, but encephalitis and viral hemorrhagic fever may also occur.
Wolbachia is a genus of gram-negative bacteria infecting many species of arthropods and filarial nematodes. The symbiotic relationship ranges from parasitism to obligate mutualism. It is one of the most common parasitic microbes of arthropods, and is possibly the most widespread reproductive parasite bacterium in the biosphere. Its interactions with hosts are complex and highly diverse across different host species. Some host species cannot reproduce, or even survive, without Wolbachia colonisation. One study concluded that more than 16% of neotropical insect species carry bacteria of this genus, and as many as 25 to 70% of all insect species are estimated to be potential hosts.
Dengue virus (DENV) is the cause of dengue fever. It is a mosquito-borne, single positive-stranded RNA virus of the family Flaviviridae; genus Flavivirus. Four serotypes of the virus have been found, and a reported fifth has yet to be confirmed, all of which can cause the full spectrum of disease. Nevertheless, the mainstream scientific community's understanding of dengue virus may be simplistic as, rather than distinct antigenic groups, a continuum appears to exist. This same study identified 47 strains of dengue virus. Additionally, coinfection with and lack of rapid tests for Zika virus and chikungunya complicate matters in real-world infections.
Gadjah Mada University is a public research university located in Sleman, Special Region of Yogyakarta, Indonesia. Officially founded on 19 December 1949, Gadjah Mada University is one of the oldest and largest institutions of higher education in the country, and has been credited as one of the best universities in Indonesia. In the 2024 QS World University Rankings, UGM is ranked 2nd in Indonesia and 263rd in the world.
Aedes aegypti, the yellow fever mosquito, is a mosquito that can spread dengue fever, chikungunya, Zika fever, Mayaro and yellow fever viruses, and other disease agents. The mosquito can be recognized by black and white markings on its legs and a marking in the form of a lyre on the upper surface of its thorax. This mosquito originated in Africa, but is now found in tropical, subtropical and temperate regions throughout the world.
Mosquito control manages the population of mosquitoes to reduce their damage to human health, economies, and enjoyment. Mosquito control is a vital public-health practice throughout the world and especially in the tropics because mosquitoes spread many diseases, such as malaria and the Zika virus.
Zika fever, also known as Zika virus disease or simply Zika, is an infectious disease caused by the Zika virus. Most cases have no symptoms, but when present they are usually mild and can resemble dengue fever. Symptoms may include fever, red eyes, joint pain, headache, and a maculopapular rash. Symptoms generally last less than seven days. It has not caused any reported deaths during the initial infection. Mother-to-child transmission during pregnancy can cause microcephaly and other brain malformations in some babies. Infections in adults have been linked to Guillain–Barré syndrome (GBS).
Mosquito-borne diseases or mosquito-borne illnesses are diseases caused by bacteria, viruses or parasites transmitted by mosquitoes. Nearly 700 million people contract mosquito-borne illnesses each year, resulting in more than a million deaths.
Zika virus is a member of the virus family Flaviviridae. It is spread by daytime-active Aedes mosquitoes, such as A. aegypti and A. albopictus. Its name comes from the Ziika Forest of Uganda, where the virus was first isolated in 1947. Zika virus shares a genus with the dengue, yellow fever, Japanese encephalitis, and West Nile viruses. Since the 1950s, it has been known to occur within a narrow equatorial belt from Africa to Asia. From 2007 to 2016, the virus spread eastward, across the Pacific Ocean to the Americas, leading to the 2015–2016 Zika virus epidemic.
Cytoplasmic incompatibility (CI) is a mating incompatibility reported in many arthropod species that is caused by intracellular parasites such as Wolbachia. These bacteria reside in the cytoplasm of the host cells and modify their hosts' sperm in a way that leads to embryo death unless this modification is 'rescued' by the same bacteria in the eggs. CI has been reported in many insect species, as well as in mites and woodlice. Aside from Wolbachia, CI can be induced by the bacteria Cardinium,Rickettsiella, Candidatus Mesenet longicola and Spiroplasma. CI is currently being exploited as a mechanism for Wolbachia-mediated disease control in mosquitoes.
Dengue fever is an important infectious disease in Pakistan with increasingly frequent epidemics. Despite the efforts of the Government of Pakistan, especially in Punjab, the high cost of prevention has limited the ability of Pakistan to control epidemics. In Pakistan, in the summer of 2011, more than 300 people died of Dengue fever. The prevalence of the disease was over 14,000. The outbreaks occurred mostly in the Lahore area, Punjab, Pakistan.
Dengue vaccine is a vaccine used to prevent dengue fever in humans. Development of dengue vaccines began in the 1920s but was hindered by the need to create immunity against all four dengue serotypes. As of 2023, there are two commercially available vaccines, sold under the brand names Dengvaxia and Qdenga.
Jacinta Duncan is an Australian science educator who grew up on marginal farming land in the Millewa area in the top North West of Victoria. Working alongside her father, Duncan learned animal husbandry, and how to crop wheat and barley while her mother, a primary school teacher, taught her music, French and took her to learn ballet. Duncan says "the importance of an inquisitive mind and a robust education has always been at the forefront of my life".
The 2019–2020 dengue fever epidemic was an epidemic of the infectious disease dengue fever in several countries of Southeast Asia, including the Philippines, Malaysia, Vietnam, and Bangladesh, Pakistan, India, Thailand, Singapore, and Laos. The spread of the disease was exacerbated by falling vaccination levels in certain areas, and by a growing population of mosquitoes, which are the primary carriers of the disease, and which are able to reproduce in larger numbers where humans have littered the environment with plastic containers, which provide an ideal breeding ground for mosquitoes. Affected countries have sought to control the epidemic through increased vaccination efforts, and through efforts to control the mosquito population.
Neil Morris Ferguson is a British epidemiologist and professor of mathematical biology, who specialises in the patterns of spread of infectious disease in humans and animals. He is the director of the Jameel Institute and the School of Public Health at Imperial College London.
In the 2020 dengue outbreak in Singapore, a record-breaking number of dengue fever cases was reported in Singapore. This was part of the wider 2019–2020 dengue fever epidemic which also affected several neighbouring countries in Southeast Asia.
Elizabeth Ann McGraw is an American biologist who is a professor in entomology at Pennsylvania State University. She is the Director of the Center for Infectious Disease Dynamics and a Huck Scholar in Entomology. Her research investigates the bacterium Wolbachia as a strategy for biocontrol and to better understand the basis of its interactions with insects. She was elected a Fellow of the American Society for Microbiology.