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Introduction: Comorbid Diabetes Mellitus (DM) is one of the risk factors for Coronavirus Diseases (COVID-19) mortality. Aim of this study is to determine the association of comorbid diabetes mellitus and COVID-19 mortality among COVID-19 confirmed cases in DKI Jakarta for period March-August 2020, after being controlled with confounding variables. Methode: The study design is a retrospective cohort. The inclusion criteria are confirmed cases of COVID-19 with Polymerase Chain Reaction (PCR) reported to the DKI Jakarta provincial health office, with complete variables. Exclusion criteria is pregnant women. Of the total 41,008 cases in the Jakarta provincial health office's COVID-19 report, there are 30,641 cases that met the inclusion and exclusion criteria. 1,480 samples in this study are taken from all (740) COVID-19 cases with comorbid DM and 740 COVID-19 cases without comorbid DM which are taken through simple random sampling of 29,901 COVID-19 cases without comorbid DM. The data were analyzed using cox proportional hazard regression. The study result indicates that the crude association between DM and mortality among COVID-19 confirmed cases is Crude Hazard Ratio (CHR) 7,4 (95% CI 4,5-12,3, pValue < 0,001). While association between DM and mortality among COVID-19 confirmed cases after being controlled by covariates (hypertensive comorbidities and age groups (> 50 years and < 50 years) is 3.9 (95% CI 2.2- 6.8, p Value <0.001), which means that COVID-19 cases with comorbid DM have a 3.9 times risk of death. Discussion: The results of this study are in line with other studies that indicate DM co- morbidities increase the risk of death from COVID-19. To reduce the incidence of death in COVID-19 cases with comorbid DM, a strategy for preventing and treating COVID- 19 with triage and special attention is needed for rapid and prompt management and monitoring for COVID-19 cases with comorbid DM.
In the last 2019, COVID-19 as New Emerging Disease causing a pandemic rapidly.The numbers of health care workers infected COVID-19 worldwide until 8 th April 2020 in 52 countries were 22.073. 2 nd March 2020, Depok city report the first case confirmed COVID-19 also the first case in Indonesia. Limited research about risk of healthcare worker infected COVID-19 and some of the research only examine in healthcare worker group became this research base to assess the association of healthcare worker and confirmed case in Depok City. A crossectional study has been done using secondary data obtained from Epidemiological Investigation Form from MOH Guidelines in Health District Office in Depok. This study using data obtained inMarch- June 2020 involving 925 respondents.The results show that status of healthcare worker cannot stand alone in the association with confirmed case COVID-19. Noted combinationbetween history of contact with suspect COVID-19 and visiting health care facility among respondentas health care worker elevated risk 2,13 times become confirmation cases of COVID-19 (95% CI 1,33-3,41) also significantly related to confirmation case of COVID-19 in Depok City (p= 0,002)
Latar Belakang: Campak merupakan penyakit yang dapat dicegah dengan imunisasi (PD3I). Pada tahun 2018 dilaporkan lebih dari 140.000 orang meninggal karena campak terutama anak-anak dibawah usia 5 tahun, meskipun vaksin sudah tersedia Pencapaian target imunisasi di Indonesia mengalami penurunan dari tahun 2022 ke tahun 2023. Imunisasi campak sangat berperan dalam menurunkan angka kematian anak, maka imunisasi campak merupakan salah satu indikator pencapaian tujuan SDGs ketiga yaitu kehidupan sehat dan sejahtera. Adanya penemuan kasus campak yang tinggi di tahun 2023 dibandingkan tahun sebelumnya, sehingga penulis tertarik untuk melakukan penelitian epidemiologi kasus campak di wilayah Kota Bogor Tahun 2022 sampai tahun 2024.
Metode : Penelitian ini menggunakan desain studi epidemiologi deskriptif. Data yang diambildalam penelitian ini yaitu berupa data sekunder. Data tersebut diperoleh Tim Surveilans dan imunisasi P3MS, Bidang P2P, Dinas Kesehatan Kota Bogor adalah data pelaporan kasus campak dan cakupan imunisasi dari tahun 2022 - 2024. Data berupa spreadsheets laporan kasus campak.
Hasil : Gambaran epidemiologi kasus campak di Kota Bogor tahun 2022 - 2024 terdapat pada tahun 2023 jenis kelamin laki-laki sebanyak 176 anak. Pada kelompok umur 2-5 tahun (42,9%) selanjutnya 5-10 tahun (31,4%) dan kelompok umur kurang dari 1 tahun (19,1). Kasus paling banyak terdapat di Kecamatan Bogor Barat (97 kasus) dan Bogor Selatan (93 kasus), serta kasus tertinggi terjadi pada tahun 2023 sebanyak 340 kasus. Cakupan imunisasi yang rendah diantara kasus konfirmasi positif
Kesimpulan dan Saran: Gambaran epidemiologi kasus campak di Kota Bogor tahun 2022 - 2024 populasi terbanyak dengan kelompok umur 2-5 tahun, dan jenis kelamin laki-laki. Kasus paling banyak terdapat di Kecamatan Bogor Barat dan Bogor Selatan, serta kasus tertinggi terjadi pada tahun 2023. Perlu dilakukan penelitian lebih lanjut dengan metode kualitatif tren kasus campak di wilayah Bogor Selatan. Penguatan sistem pemantauan di kecamatan resiko tinggi, kolaborasi dengan organisasi masyarakat dalam peningkatan kesadaran imunisasi, dan mengadakan pelatihan serta workshop rutin untuk kemampuan komunikasi kepada masyarakat.
Background Measles is a disease that can be prevented by immunization (PD3l). In 2018, it was reported that more than 14,000 people died caused by measles, especially children under 5 years old, Even though vaccines are available, the achievement of immunization targets in Indonesia has decreased from 2022 to 2023. Measles immunization plays an important role in reducing child mortality. Measles immunization is one of the indicators of achieving the third SDGs goal, namely a healthy and prosperous life. There was a high discovery of measles cases in 2023 compared to the previous year, so the author was interested in conducting epidemiological research on measles cases in Bogor 2022 to 2024. Methods This research used a descriptive epidemiological study design. The data used in this research is secondary data. This data was obtained by the P3MS Surveillance and Immunization Team, P2P Division, Bogor City Health Service. data form reporting of measles cases and immunization coverage 2022 - 2024. data form spreadsheets of measles case reports. Result Epidemiological case description of measles in Bogor 2022 - 2024, in 2023 the male gender was 176 children. In the age group 2-5 years (42.9%) then 5-10 years (31.4%) and the age group less than 1 year (19.1). The most cases were in West Bogor District (97 cases) and South Bogor (93 cases), and the highest cases occurred in 2023 as many as 340 cases.Low immunization coverage among confirmed positive cases. Conclution and Suggestions: Epidemiological descriptive of measles cases in Bogor City in 2022-2024, the largest population is in the 2-5 year age group, and male gender. The most cases are in West Bogor and South Bogor, and the highest cases occurred in 2023. Futher research is needed using qualitative methods on measles case trends in the South Bogor area. Stengthening the monitoring system in high risk districts, collaborating with community organizations in increasing immunization awareness, and holding routine and workshop for communication skills to the community.
Kata kunci: COVID-19, kecemasan, Depok
The Pandemic of Coronavirus Disease 2019 (COVID-19) has affected various aspects of life, especially in Depok, where the first case was reported in Indonesia. The increasing cases and existence of public health policies to limit various social activities over the past four months potentially cause anxiety for the community. This study aims to determine the description and factors associated with anxiety during COVID-19 pandemic in Depok. The study design was cross sectional. The data used are primary data obtained by distributing online questionnaires to various social media randomly. The anxiety was measured with Generalized Anxiety disorder-7 (GAD-7) questionnaires. The results showed the proportion of anxiety in Depok was 36.6% and the factor associated with COVID-19 pandemic was level of education (p-value = 0.004, OR 2.305 95% CI 1,295-4,105). Based on the results, it is recommended for the government to conduct an anxiety assessment in the general public and continue to provide education about COVID-19 to the public both through social media and other media.
Key words: COVID-19, anxiety, Depok
