scholarly journals Pengaruh Kesehatan Lingkungan terhadap Perubahan Epidemiologi Demam Berdarah di Indonesia

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Ribka Wowor

Abstract: In Indonesia, dengue hemorrhagic fever (DHF) is a serious health problem. Infection of dengue has occurred in Indonesia for the last two decades. It is a self limiting disease, however, its clinical manifestations has become worsened since several years ago. Epidemiologic pattern of dengue infection changes every year, and there is a peak of new cases every 10 years. Nowadays, adolescence and adult individuals belong to the high risk population of this infection. This epidemiologic changing of DHF is influenced by several environmental factors, inter alia: 1) increasing of human population; 2) uncontrolled urbanization; 3) no effective control of mosquitoes in endemic areas; and 4) modernized public transportation.Keywords: environmental sanitation, epidemiology, dengue hemorrhagic fever Abstrak: Di Indonesia, demam berdarah dengue (DBD) masih merupakan masalah kesehatan masyarakat yang penting. Infeksi dengue terjadi secara endemis di Indonesia selama dua abad terakhir. Penyakit ini bersifat self limiting namun dalam beberapa tahun terakhir memperlihatkan manifestasi klinis yang semakin berat sebagai DBD dan frekuensi kejadian luar biasanya semakin meningkat. Pola epidemiologi infeksi dengue mengalami perubahan dari tahun ke tahun, jumlah kasus memuncak setiap siklus 10 tahunan. Kelompok usia yang terserang dengue berubah menjadi kelompok remaja dan dewasa. Perubahan epidemiologi DBD ini turut dipengaruhi oleh faktor kesehatan lingkungan. Faktor-faktor yang memengaruhi peningkatan dan penyebaran kasus DBD sangat kompleks yaitu, antara lain: 1) pertumbuhan penduduk yang tinggi dan cepat; 2) urbanisasi yang tidak terencana dan tidak terkendali; 3) tidak adanya kontrol vektor nyamuk yang efektif di daerah endemis; serta 4) peningkatan sarana transportasi.Kata kunci: kesehatan lingkungan, epidemiologi, demam berdarah dengue

2018 ◽  
Vol 24 (8) ◽  
pp. 6221-6224
Author(s):  
Hindra Irawan Satari ◽  
Rossy Agus Mardani ◽  
Hartono Gunardi

Various clinical manifestations, complex pathogenesis and different virus serotypes in diverse area make us difficult to predict course of disease, even the child admitted in early. Prognostic factors are very important to predict cases progressing to become DSS. Dengue shock syndrome (DSS) occurs in 15.53% of Dengue hemorrhagic fever (DHF) patients with 7.81% mortality rate. Aim: To explore the prognostic factors of shock in hospitalized DHF children regarding the new 2011 WHO dengue virus infection classification guideline. This was a retrospective study using medical records of children age below 18 years old with WHO fulfilled grade 1 and 2 DHF diagnosis from January 2013–December 2016 in Child Health Department of Dr. Cipto Mangunkusumo Hospital, Jakarta. Independent variables were sex, age, nutritional status, secondary dengue infection, leucopenia, abdominal tenderness, gastrointestinal bleeding, hepatomegaly and plasma leakage. Shock was dependent variable. Multivariate analysis was done by using logistic regresion analysis. There were 98 DHF subjects, 5 subjects became DSS during hospitalization. DSS subject characteristics were age of >5 years old, female, malnutrition, abdominal tenderness, hemoconcentration ≥20%, secondary dengue infection, leucocyte ≥5.000 mm3 and thrombocyte <50.000 mm3. Multivaryate analysis showed malnutrition and hepatomegaly were prognosis factors of DSS. Malnutrition and hepatomegaly were prognotic factors of dengue shock syndrome. Clinicians should be more aware with these factors when managed hospitalized DHF patients.


Author(s):  
Nurul Qamila ◽  
Agel Vidian Krama

Dengue hemorrhagic fever (DHF) is a contagious disease caused by the dengue virus and is transmitted by the mosquito Aedes aegypti (Aa.aegypti). The population is still a public health problem that increases the number of sufferers and also widespread, with population and education. This study aims to reveal the spatial pattern and distribution of Dengue Hemorrhagic Fever (DHF) with the spatial pattern and the spread of Dengue Hemorrhagic Fever (DHF) can result in different locations of these allegations. From the map that can be used for the prevention of Dengue Hemorrhagic Fever (DBD) in Bandar Lampung City. This study aims to reveal the spatial pattern and distribution of Dengue Hemorrhagic Fever (DHF) with the descriptive method and spatial pattern of Dengue Hemorrhagic Fever (DHF) can result in different locations of these allegations. From the map that can be used for the prevention of Dengue Hemorrhagic Fever (DBD) in Bandar Lampung City. Keywords: DHF, Spatial Analysis


Author(s):  
OJS Admin

Globally, dengue is an emerging serious public health problem with a million infections occurring annually including significant number of dengue hemorrhagic fever cases.


2019 ◽  
Vol 7 (13) ◽  
pp. 2119-2122 ◽  
Author(s):  
Rinang Mariko ◽  
Eryati Darwin ◽  
Yanwirasti Yanwirasti ◽  
Sri Rezeki Hadinegoro

BACKGROUND: Dengue infection is one of the problems in the national health sector in Indonesia because the incidence and mortality in Indonesia due to dengue infection is still very high. In 2005 Indonesia became the highest contributor to dengue infection in Southeast Asia (53%) with 95.270 people and 1.298 deaths. AIM: This study aims to analyse differences in angiopoietin-2 levels in dengue hemorrhagic fever (DHF) with and without shock. METHODS: This study was a consecutive sampling design with the research subject was obtained based on the order of admission to the hospital — the serum Angiopoietin-2 levels using the ELISA method. The statistical test used is the independent t-test. The value of p < 0.05 was said to be statistically significant. RESULT: The result showed that the mean of Angiopoietin-2 levels in DHF patients with shock was higher than in DHF (p < 0.05). CONCLUSION: This study concluded that there was a difference in the average level of Angiopoietin-2 among DHF patients with shock compared to without shock.


2020 ◽  
Vol 48 (2) ◽  
pp. 83-90
Author(s):  
Wening Widjajanti

Abstract One of the health problems in Central Kalimantan Province is dengue hemorrhagic fever (DHF), because its incidence rate is above the target of the Ministry of Health. The indicator of dengue transmission is observed by the presence of Aedes sp larvae, as measured by the value of House Index (HI), Breteau Index (BI), Container Index (CI) and Larvae-Free Number (ABJ). The aim of this research is to determine the values of HI, BI, CI and ABJ in Gunung Mas, Murung Raya and Pulang Pisau Districts, so that the prevention of dengue transmission can be done properly. Data collected were the number of Aedes sp. larvae in 100 houses in residential areas both inside and outside the house. Results showed that HI values in the three regencies are higher than WHO standards, the values of BI in Gunung Mas and Pulang Pisau are ≥ 50. CI values in the three s are 5%, meaning that they are at a high risk of dengue transmission. ABJ values in the three districts are below the Ministry of Health standards, which is below 95%, meaning that there is still a spread of DHF in the three districts. Keywords: dengue haemorrhagic fever, larvae, Aedes sp. Abstrak Demam berdarah dengue (DBD) masih menjadi masalah kesehatan di Provinsi Kalimantan Tengah, karena angka kesakitannya yang berada di atas target Kementerian Kesehatan. Indikator penularan DBD diamati dengan keberadaan jentik Aedes sp, yang diukur dengan House Index (HI), Breteau Index (BI), Container Index (CI) dan Angka Bebas Jentik (ABJ). Tujuan penelitian ini adalah untuk mengetahui nilai HI, BI, CI dan ABJ di Kabupaten Gunung Mas, Murung Raya dan Pulang Pisau sehingga pencegahan penularan DBD dapat dilakukan dengan tepat. Data yang dikumpulkan berupa jumlah jentik nyamuk Aedes sp. dari 100 rumah di pemukiman penduduk baik yang ada di dalam maupun di luar rumah. Hasil penelitian menunjukkan bahwa nilai HI di Kabupaten Gunung Mas, Murung Raya dan Pulang Pisau lebih tinggi dari standar WHO. Nilai BI di Gunung Mas dan Pulang Pisau ≥ 50. Nilai CI di ketiga kabupaten ≥5%, yang artinya memiliki risiko tinggi terjadinya penularan DBD. Nilai ABJ di ketiga kabupaten di bawah standar yang ditetapkan Kementerian Kesehatan, yaitu dibawah 95%, yang artinya masih terjadi penyebaran DBD di ketiga wilayah tersebut. Kata kunci: demam berdarah dengue, jentik, aedes sp.


2021 ◽  
Vol 9 (1) ◽  
pp. 21-27
Author(s):  
Agatha Sada Ua ◽  
Julianty Almet ◽  
Meity Marviana Laut

Dengue hemorrhagic fever (DBD) is still a health problem in Kota Kupang.DBD controls have been continuously performed to reduce the population of Culex sp. However, the modern larvicide has caused an environmental problem, toxic to species non-target and found to be resistance. The present study aimed to investigate the larvicidal activity of Cymbopogon citratuson Culex sp. The extract of C. citratus was used for larvicidal activity at concentration of 0%; 0.2%; 0.4%; 0.6%; 0.8% and 1%. The mortality rate was calculated after 2, 4, 12 and 24 hours. The results showed that the mortality of larvae was 5.3% (0%); 45.3% (0.2%); 70.6% 0.4%; 96% (0.6%); 100% (0.8% and 1%). The present investigation suggests the possible use of C. citratus as an ideal ecofriendly, larvicidal agent for the control of Culex sp.


Sign in / Sign up

Export Citation Format

Share Document