Anthrax in Indonesia: A One Health approach to zoonotic threats and integrated prevention strategies

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Abstract
Anthrax is a zoonotic disease caused by Bacillus anthracis and remains a significant threat in Indonesia. The disease has a substantial impact on public health, livestock productivity, and economic stability, particularly in areas with traditional farming practices and limited animal health surveillance systems. This study aims to analyze the epidemiology of anthrax in Indonesia using the One Health approach, which integrates human, animal, and environmental health aspects. Data were collected from official government documents, such as the Decree of the Minister of Agriculture of the Republic of Indonesia, as well as scientific literature obtained from reputable databases. The results indicated that approximately 76 % of Indonesia is categorized as suspect areas for anthrax, while 14 % are infected areas, with the highest prevalence in Java, Nusa Tenggara, and Sulawesi. The primary risk factors include the consumption of non-veterinary inspected animal meat, unhygienic handling of carcasses, and the persistence of B. anthracis spores in the environment. Recommended control strategies include periodic livestock vaccination, conducting active surveillance, increasing public awareness, and enhancing the diagnostic laboratory's capacity. The One Health approach has proven effective in reducing the risk of cross-species transmission and improving responses to outbreaks. This study advocates for strengthening the integrated surveillance system, increasing synergy between sectors, and further research on the impact of climate change on zoonotic disease dynamics. With an integrated and collaborative strategy, Indonesia has a significant opportunity to control anthrax sustainably and enhance the resilience of public and animal health.

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