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ABSTRAK Nama : Muhammad Putra Kusuma Program Studi : Magister Epidemiologi Judul : Hubungan Tempat penampungan Air dengan Kejadian DBD Di Kabupaten Bangka Barat Tahun 2018. Pembimbing : Dr dr Tri Yunis Miko Wahyono M.Sc Penyakit Demam Berdarah Dengue merupakan penyakit yang endemis pada daerah tropis. Yang selalu muncul pada sepanjang tahun. Terutama pada periode – periode musim yang cocok untuk perkebangbiakan nyamuk penularnya. Biasanya penyebaran penyakit ini secara cepat bila tidak segera di lakukan tindakan secara fokus. .Demam Berdarah Dengue (DBD) adalah penyakit yang disebabkan oleh virus dengue yang ditularkan melalui gigitan nyamuk Aedes aegypti dan Aedes albopictus. Berdasarkan data dari dinas kesehatan kabupaten bangka barat jumlah kasus DBD pada tahun 2017 sebanyak 51 kasus dan sampai dengan bulan maret 2018 sebanyak 50 kasus terlaporkan. Tujuan penelitian ini adalah untuk mengetahui hubungan tempat penampungan air dengan kejadian DBD di kabupaten bangka barat februari 2017 – februari 2018. Terdapat 3 variabel independen dalam penelitian ini yaitu, keberadaan jentik, jumlah tempat penampungan air dan tempat penampungan air terbuka/tertutup. Penelitian yang dilaksanakan merupakan jenis penelitian survei analitik dengan pendekatan case control study. Populasi dalam penelitian ini adalah masyarakat yang ada di kabupaten bangka barat. Besar sampel minimal dalam penelitian ini adalah 61. Perbandingan antara kasus dan kontrol adalah 1 : 2. Jadi total responden dalam penelitian ini adalah 183 responden. Hasil dari penelitian ini menunjukkan bahwa terdapat hubungan antara keberadaan jentik dengan kejadian DBD di kabupaten bangka barat pvalue 0,007 besar resiko OR 0,007 95 % (CI 1,596 – 19,960 ). Terdapat hubungan antara jumlah tempat penampungan air dengan kejadian DBD pvalue 0,010 dan besar resiko OR 5,125 dengan 95 % ( CI 1,470 – 17,866 ). Terdapat hubungan antara tempat penampungan air tebuka/tertutup dengan kejadian DBD pvalue 0,063 dengan besar resiko OR 2,723 ( 95 % CI 0,946 – 7,842 ). Kata kunci: DBD, Penampungan air
ABSTRACT Name : Muhammad Putra Kusuma Study Program : Magister of Epidemiology Title Relationship of Water Reservoirs With Dengue Fever In West Bangka Regency 2018 Counsellor : : Dr dr Tri Yunis Miko Wahyono M.Sc Dengue Hemorrhagic Fever is an endemic disease in the tropics. That always appears at all times of the year. Especially in seasonal periods suitable for the breeding of infected mosquitoes. Usually the spread of this disease quickly if not immediately done the action focus. Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus that is transmitted through the bite of Aedes aegypti and Aedes albopictus mosquitoes. Based on data from district health offices of western bangka the number of cases of dengue fever in 2017 as many as 51 cases and up to March 2018 as many as 50 cases were reported. The purpose of this research is to know relation of water reservoir with dengue occurrence in west bangka district of february 2017 - february 2018. There are 3 independent variables in this research that is, larva existence, number of water reservoir and open / closed water reservoir. The research is an analytic survey with case control study approach. Population in this research is society that exist in west bangka regency. The minimum sample size in this study was 61. The comparison between case and control was 1: 2. So total respondents in this study were 183 respondents.The result of this research indicate that there is correlation between larva existence and dengue occurrence in west bangka district pvalue 0,007 big risk OR 0,007 95% (CI 1,596 - 19,960). There is a relationship between the number of water reservoirs with the incidence of DBD pvalue 0.010 and the greatest risk of OR 5.125 with 95% (CI 1,470 - 17,866). There is a relationship between open / closed water reservoir with the incidence of DBD pvalue 0.063 with a large risk OR 2,723 (95% CI 0.946 - 7,842). Key words: DBD, Water Reservoirs
Dengue Hemorrhagic Fever is an endemic disease in most parts of Indonesia, including in other tropical regions. Nutritional status is closely related to a person's immunological status related to immunopathogenesis of DHF. The purpose of this study was to determine the relationship of stunting with the incidence of DHF in toddlers in Sumbawa Regency. The study design that will be used in this study is an analytic study with a case control design. Case samples will be taken from all cases, and for control samples will be taken by using a random sample technique (Simple Random Sampling). So it can be concluded the number of cases 97 (total cases) of families who have toddlers with DHF diagnoses from 2018 to March 2020 (from 5 working areas of puskesmas with the highest number of DHFs in toddlers) while control of 194 families who have toddlers who are neighboring cases. From the bivariate results it can be concluded that there is a significant relationship between nutritional status and the incidence of DHF in children under five in Sumbawa Regency (p value = 0.0001) with OR = 3,269 (95% CI: 1,757-6,083). In multivariate analysis showed the same thing (p value = 0.0001) with OR = 3.22 (95% CI: 1,679-6,174). This shows that toddlers with short and very short nutritional status increase the risk of 3.22 times getting DHF.
Dengue hemorrhagic fever (DHF) is an infectious disease in the form of an acute infection by the dengue virus, which is transmitted by the Aedes mosquito. Dengue fever cases in Indonesia in 2024 until the 12th week of dengue fever cases have increased by 2.6 times compared to cases in 2023 in the same week. The number of dengue incidents in Cilacap Regency in 2024 has increased up to 6 times compared to the previous year's events. The purpose of this study is to determine the relationship between climate change (rainfall, air temperature and air humidity) and the incidence of dengue fever in Cilacap Regency in in January 2022 till July 2024. The study design is in the form of an ecological study by analyzing secondary data from the Population Control and Family Planning Health Office and secondary data from the Meteorology, Climatology, and Geophysics Agency of Cilacap Regency in a total sample. The analysis was carried out univariate and bivariate with Pearson correlation test and linear regression analysis using SPSS ver. 20. The results of the analysis show that rainfall and air humidity have no significant relationship. Meanwhile, air temperature has a significant relationship (P=0.02, r=0,416). Researchers concluded that an increase in air temperature may affect the increased incidence of dengue hemorrhagic fever, because the air temperature is able to accelerate the breeding of Aedes mosquitoes. So that if there is an increase in air temperature, it is recommended to the Meteorology, Climatology, and Geophysics Agency to provide information to the health office for population control and family control, so that it is used as a concern to be vigilant and immediately take preventive measures.
Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu penyakit menular yang sampai saat ini masih menjadi masalah kesehatan masyarakat di Indonesia karena penyebaran yang cepat dan dapat menyebabkan kematian. Penyakit DBD ini sampai saat ini masih banyak menyerang anak-anak. Sejak tahun 2003 - 2006 di Kota Tembilahan dari 359 totai kasus 341 kasus adalah anak-anak (95 %). Untuk mengetahui apa penyebabnya penelitian ini bertujuan mengetahui hubungan faktor individu anak dan faktor lingkungan dengan kejadian DBD pada anak di Kota Tembilahan Kabupaten Indragiri Hilir Propinsi Riau. Jenis Pcnelitian ini disain Case Comrol dan menggunakan data primer meialui wawancara., pengukuran dan observasi lingkungan. Populasi penelitian adalah seluruh anak-anak berusia dibawah 12 tahun yang tinggal dan menetap di Kota Tembilahan. Sampel adalah anak berusia dibawah 12 tahun yang menderita DBD yang dirawat di RSUD Puri Husada Tembilahan dan dilaporkan ke Dinas Kesehatan Kab. Indragiri Hilir sebagai kasus dan kontrol adalah anak bemsia dibawah I2 tahun yang bebas dari semua gejala DBD dan tinggal dalarn radius 100 meter dari rumah kasus. JumlaI1 sampel dalam penelitian ini 99 kasus dan 99 kontrol. Entri data dengan program Epi ~ info versi 6.0, pengolahan dan analisis data dengan menggunakan SPSS versi 13.0. Variahel yang berhubungan dengan kejadian DBD pada anak yaitu: kebersihan Iingkungan (OR = 31.11, 95 % CI 10.09 - 95.95), upaya mencegah gigitan nyamuk (OR = 16.33, 95 % CI 5.69 - 46.88), kepadatan hunian (OR = 14.48, 95 % CI 4.82 - 43.49), upaya mencegah berkembang biaknya nyamuk (OR = 8.45, 95 % Cl 2.33 ~ 3058) dan keberadaan jentik (OR = 3.55, 95 % CI 1.04 - l2.l4) Variabel yang tidak berhubungan dengan kejadian DBD pada anak: umur anak, jenis kekamin anak, persepsi status gizi anak, spend time anal: dan riwayat keluar kota dalam masa inkubasi yang diiakukan anak, umur ayah, pendidikan ayah, pekerjaan ayah, umur ibu, pendidikan ibu, pekeljaan ibu dan pengeluaran/sosial ekonomi keluarga, jenis kontainer. Dari temuan pada penelitian ini disamnkan: untuk keluarga dan masyarakat: menycdiakan tempat sampah di alias rumah masing-masing, mengubur barang-barang bekas yang tidak bisa masuk ke dalam tempat, pemasangan kawat kassa pada setiap ventilasi mmah, menutup dinding rumah, tidak menggantung pakaian di dalam rumah, aktiiitas siang hari di dalam rumah selalu: memakai obat nyamuk bakar/pakai repellenr, tidur pakai kelambu, menutup rapat tempat penampungan air, menaburkan bubuk abate minimal 3 bulan sekali, perbaikan konstruksi rumah/ luas rumah, upayakan satu rumah satu keluarga. Bagi Dinas Kesehatan Kabupaten Indragiri Hilir melakukan kegiatan pemantauanjentik dan pemberantasanjentik, dan pcnyuluhan kesehatan masyarakat.
Dengue Haemomghic Fever is one of the infectious diseases which are still until now become problem of Indonesian community health because of its rapid spread which can cause death, Generally disease under the age of 15 usual be major population whose infected to disease. This study is made to know the children individual factor and Dengue Haemoraghic Fever suffered by the children in Tembilahan city, indragiri Hilir District, Riau Province. This study used design case control study is analytical study which used. The study population is all children under the age of I2 living in Tembilahan. The samples are the children under the age of I2 years who diagnosed as Dengue haemoraghic Fever case cure hospitalized in Regional Hospital of Puri Husada Tembilahan. All the cases reported to Distric Health Oftice of Indragiri Hilir. All the case considered as the case and of the study the control will be randomly selected for their neighbor. As sample in this study is 99 (ninety nine) case and 99 (ninety nine) control. The study found the following variable of study have significantly related to the occurred of the depend are the environmcnt sanitation (OR = 31,3l, 95 % CI 10.09 - 95,95), effort to prevent the mosquito bite (OR = l6,33, 95 % CI 5,69 - 4638), the household crowding index (OR = l4,48, 95 % Cl 4,82 ~ 43.49), effort to prevent the mosquito reproduction (OR = 8,45, 95 % CI = 2,33 - $50.58) and larvae availability in the container (OR = 3,55, 95 % CI = 1,04 - l2.l4). Based on this study result, it is recommended that for household and community to clean cnvironment, to all the time prevent the mosquito bites especially on the day, and community should cultivate in their daily life the 3 M activities (to bury, to close and to flush) of the water reservoir at least once a week For dense population area, it is recommended not make travel to the endemic area in the secondary infection in the household. It is recommended that the Health Office oflndragiri Hilir District and Public Health Center in Tembilahan to improve the health extension program through the clean Friday movement, mosquito nest combat.
Kota Mataram adalah salah satu daerah endemis penyakit DBD di Indonesia, karena sejak Tahun 2003 hingga Tahun 2012, selalu ditemukan kasus penyakit DBD. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik, perilaku dan lingkungan rumah penduduk dengan kejadian DBD. Penelitian ini merupakan studi analitik dengan rancangan kasus kontrol. Populasi pada penelitian ini adalah penduduk Kota Mataram, sedangkan sampel penelitian adalah sebagian penduduk Kota Mataram yang berasal dari semua kecamatan yang ada di Kota Mataram. Kasus adalah penduduk Kota Mataram yang pernah dirawat di rumah sakit pada periode Januari?Maret 2012 dan didiagnosis menderita suspek DBD/DD/DBD. Kontrol adalah tetangga kasus yang tidak pernah diagnosis menderita suspek DBD/DD/DBD pada periode yang sama. Penelitian ini menemukan, variabel yang berhubungan dengan kejadian DBD di Kota Mataram pada Tahun 2012 adalah variabel pekerjaan (OR bekerja=2,04 ; 95%CI=1,032-4,015 ; OR bersekolah=3,80 ; 95%CI=1,281-11,302) dan penggunaan kassa nyamuk (OR=0,42 ; 95%CI=0,218-0,810). Bagi masyarakat, perlu peningkatan upaya perlindungan diri terhadap penularan penyakit DBD, terutama saat beraktifitas di luar rumah (saat bekerja/bersekolah), diantaranya dengan menggunakan pakaian yang dapat mencegah gigitan nyamuk dan penggunaan obat nyamuk oles (repellent). Bagi Dinas Kesehatan Kota Mataram, perlu intensifikasi pemeriksaan jentik dan PSN DBD di tempat-tempat umum, khususnya di sekolah-sekolah dan perkantoran bekerja sama dengan lintas program dan lintas sektor terkait.
Mataram city is one of the endemic areas of dengue fever in Indonesia, because since the Year 2003 to 2012, is always found dengue fever cases. This study aims to determine the relationship between the characteristics, behavior and home environment of the population with the incidence of dengue. This study is an analytical study with case-control design. The population in this study were residents of the city of Mataram, while the study sample was part of the population Mataram from all districts in the city of Mataram. Case is a resident of the city of Mataram who had been treated in hospital in the period from January to March 2012 and was diagnosed with suspected DHF / DD / DHF. Control is a neighbor of cases that never diagnosed with suspected DHF / DD / DHF in the same period. This study found that variables related to the incidence of dengue in the city of Mataram in the year 2012 is the variable of work (OR worker=2,04 ; 95%CI=1,032-4,015 ; OR student=3,80 ; 95%CI=1,281-11,302) and the use of mosquito net (OR=0,42 ; 95%CI=0,218-0,810). For society, need to increase efforts to protect themselves against dengue disease transmission, especially when activities outside the home (at work / school), such as by using clothing to prevent mosquito bites and use mosquito repellent ointment. For Mataram City Health Department, need to the intensification of larvae and eradication of DHF mosquito breeding places examination in public places, especially in schools and offices, to work with cross sector / program linked.
Purbalingga Regency is one of the endemic area of DHF in Indonesia. The increase of DHF cases in Purbalingga Regency in January-June 2019 almost tripled compared to the number of cases in 2018. This study is necessary to conduct research on individual characteristics, behaviours, household environmentals, and DHF programs associated with the incidence of DHF. It used a case control study. The data were collected using questionnaires through interviews and observations. Sample of 408 respondents was taken from two subdistricts with the highest cases. Logistic Regression were employed in this study. The results of the study indicate that the factors associated with the incidence of DHF in Purbalingga Regency in 2019 were the age: 6-18 year (OR: 3,75; 95% CI: 1,91-7,36), ≤5 year (OR: 2,55; 95% CI: 0,94-6,89), 19-45 year (OR: 2,23; 95% CI: 1,27-3,94), habit of drain the water supply containers (OR: 2,13; 95% CI: 1,34-3,39), habit of hanging clothes (OR: 1,87; 95% CI: 1,06- 3,31), the availability of ornamental plants (OR: 9,22; 95% CI: 2,54-33,50), the presence of discarded trash (OR: 1,63; 95% CI: 1,03-2,58), the availability of mosquito gauze (OR: 12,35; 95% CI: 3,34-45,74), and the lighting (OR: 1,75; 95% CI: 1,07-2,87). The Health Office is expected to intensify promoting about DHF and to increase the inter-related sectors in supporting the implementation of PSN 3M Plus. The community is expected to be able to implement PSN 3M Plus independently, one of which is through the implementation of the “Gerakan 1 Rumah 1 Jumantik (G1R1J)”.