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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.
There have been millions of cases and hundreds of thousands of death caused by COVID-19. Depok City was the first city in Indonesia where COVID-19 cases were found. Depok City later became a vital city in the transmission of COVID-19 cases in Indonesia. The utilization of spatial analysis and analysis of epidemiological patterns are effective methods for understanding and controlling infectious diseases. This analysis included: the analysis of WHO epidemiological criteria, SNA analysis (Social Network Analysis), spatial analysis (Moran Index and LISA), and analysis of Effective Reproduction (Rt). The aim was to encourage appropriate policies and anticipate the spread of cases and mortality. This research was an analytical study using a cross-sectional design and ecological study, based on integrated surveillance data from Depok City, Picodep, from March 2020 to June 2021. A total of 19,314 patients in 2020, meanwhile a total of 39,706 were reached in 2021. That total was used for spatial analysis and the SNA analysis, we examined surveillance data from the data above, 3,118 patients were for 2020, while 3,405 patients were obtained in 2021. The population in this study was all of the positive COVID-19 patients from Picodep, in Depok City between March 2020 to June 2021. All of WHO epidemiological criteria in Depok City in mid-2020 and throughout 2021, indicated a very high incidence (CT-4). The Rt estimation for 2020, where almost the majority is above 1 with an average above 1, meant the pandemic was uncontrolled. There was the autocorrelation in 2020, which was 0.215 and then decreased to 0.196 in 2021. The average degree of cases in Depok City was 0.703 and 0.693, while from the cluster distribution, it was possible that the majority of one case, could infect one healthy person. The Epidemiological criteria (incidence, mortality, and hospitalization) besides the positivity rate in 2020 and 2021, had significant differences. The average Rt in 2020 and 2021 had a significant difference. The average degree in 2020 and 2021 had not a significant difference.
Coronavirus Disease 2019 (COVID-19) is a new infectious disease which has been a pandemic for almost three years (2020-2023). One of the risk factors for COVID-19 mortality is a history of comorbid hypertension. This study was conducted to determine the relationship between comorbid hypertension and mortality among COVID-19 confirmed cases in Indonesia for the period January-June 2022 by comprehensively controlling potential confounder variables, more complete data sources and a larger sample size. The study design was a case control study. Data sourced from the Ministry of Health's Online Hospital Information System (SIRS Online) report for the period January-June 2022. Confirmed cases of COVID-19 with comorbid hypertension have a significantly higher risk of death by 1,57 times compared to confirmed cases COVID-19 without comorbid hypertension after controlling for age, vaccination status, viral variants, and diabetes mellitus (OR=1,57; 95%CI:1,20-2,05; p=0,001). There was a difference risk of death in the non-Omicron infection group (OR=7,68; 95%CI:1,15-51,38; p=0,036) and Omicron group (OR=1,52; 95%CI:1,16-1,99; p=0,002) after controlling for age, vaccination status, and diabetes mellitus. There was a difference risk of death in the unvaccinated group (OR=1,52; 95%CI:1,02-2,26; p=0,037), 1-dose vaccine group (OR=1,85; 95%CI:0,84-4,08; p=0,125), 2-dose vaccine group (OR=1,66; 95%CI:1,08-2,54; p=0,020) and booster vaccine group (OR=0,21; 95%CI:0,03-1,48; p=0,118) after controlling for age, viral variants, and diabetes mellitus. Joint efforts from the government and community are needed in the prevention and control of comorbid hypertension to prevent mortality from COVID-19 infection.
