scholarly journals Environmental Factors Associated with the Incidence of Dengue Hemorrhagic Fever (DHF) In Purbalingga Regency, Central Java Province, Indonesia in 2019

2021 ◽  
Vol 41 ◽  
pp. 05004
Author(s):  
Novita Eka Putri ◽  
Sitti Rahmah Umniyati ◽  
Elsa Herdiana Murhandarwati

Klaten Regency is an area in Central Java Province with a high rate of endemic dengue hemorrhagic fever. This study aims to demonstrate a correlation between transovarial transmission and the incidence of dengue haemorrhagic fever in Ceper District, Klaten Regency. Aedes larvae and pupae were collected from January 2019 to March 2019 from various containers, using gamadotic and dipper tools, in Ngawonggo, Kajen, and Meger villages, which have high, medium, and low numbers of dengue cases, respectively. The larvae and pupae obtained were reared into adults. The presence of dengue virus in head squashes of 1-week-old female Ae. aegypti was identified based on an immunocytochemical assay using DSSE10 monoclonal antibody, made at Universitas Gadjah Mada as a primary antibody. The frequency of transovarial transmission of dengue virus (TIR) in Ae. aegypti in the three villages was 35.7%. The highest frequency occurred in Ngawonggo Village, at 40 %, and the lowest in Meger Village, at 28%, while the frequency in Kajen Village was 36.9 %. This study proves that there is a strong correlation (r = 0.99664) between transovarial transmission and the incidence of dengue hemorrhagic fever in Ceper District, Klaten Regency, Central Java.


Author(s):  
Suparmin . ◽  
Arif Widyanto ◽  
Ismi Rajiani

Background: The incidence rate (IR) of Dengue Hemorrhagic Fever per 100,000 population in Central Java has increased dramatically in five years. Banyumas Regency is an endemic area of ​​dengue hemorrhagic fever in Central Java Province. The cause of dengue hemorrhagic fever is four dengue viruses known as DEN-1, DEN-2, DEN-3, and DEN-4. The purpose of this research is to detect transovarial dengue virus in Aedes aegypti mosquito in Banyumas Regency. Methods: The study was conducted by installing ovitrap in Mersi Village, East Purwokerto District, and in Pliken Village, Kembaran District, Banyumas Regency. The study was conducted by installing ovitrap in Mersi Village (9 samples) and Pliken Village (3 samples). The eggs obtained are hatched into larvae in the laboratory. The 3rd and 4th instar larvae were examined for the presence of dengue virus using the Elisa method. Result: The results showed that in Mersi Village, there were two positive samples, and in Pliken Village, there was one positive sample containing dengue virus. The presence of the dengue virus found in the hatched Aedes aegypti larvae (F1) indicates that there has been a transovarial dengue virus from the parent mosquito in its offspring. Conclusion: The study concluded that in Banyumas District, a dengue virus transovarial had occurred in Aedes aegypti mosquitoes. The government and the community should increase efforts to eradicate mosquito nests (dengue hemorrhagic fever) to reduce the vector population of dengue hemorrhagic fever so that cases of dengue hemorrhagic fever can be eliminated.    Keyword: Transovarial dengue virus, Aedes aegypti, Dengue Hemorrhagic Fever


2017 ◽  
Vol 10 (2) ◽  
pp. 95
Author(s):  
Inna Firindra Fatati ◽  
Hari Wijayanto ◽  
Agus M. Sholeh

Dengue Hemorrhagic Fever (DHF) is one of the diseases that threaten human health. The cases of dengue fever in the district / city certainly has different characteristics, geographic condition, the potential of the region, health facilities, as well as other matters that lie behind them. Based on local moran index values are visualized through thematic maps, some area adjacent quadrant tends to be in the same group. There are two significant quadrant in describing the pattern of spread of dengue cases namely quadrant high-high and lowlow. This indicates a spatial effect on the number of dengue cases, so that the spatial regression analysis. Based on the value of  and AIC, autoregressive spatial models (SAR) is good enough to be used in modeling the number of dengue cases in the province of Central Java. Factors that influence the number of dengue cases Central Java province in 2015 is the number of health centers per 1000 population, the number of polindes per 1000 population, population density (X3), percentage of people with access to drinking water sustainable decent (X6), the percentage of water quality net free of bacteria, fungi and chemicals (X7), and the number of facilities protected springs (X8).


2016 ◽  
Vol 44 (5) ◽  
pp. 171 ◽  
Author(s):  
Erick F Kan ◽  
T H Rampengan

Background Shock in dengue hemorrhagic fever (DHF) still con-stitutes an important problem in children. Predicting DHF patientswho will develop shock is difficult.Objective The aim of this study was to find out factors associatedwith shock in DHF.Methods This was a prospective observational study. Subjectswere children hospitalized from April to July 2000 who met theWHO criteria for DHF and had positive serological confirmation.Association between independent variables (age, gender, dura-tion of fever, abdominal pain, vomiting, hepatomegaly, plateletcount, hematocrit level, and nutritional status) and the dependentvariable (shock) was analyzed by logistic regression model..Results There were 85 children who met the eligibility criteriaconsisting of 50 (59%) boys and 35 (41%) girls with an averageage of 7.1 years (SD 2.88). Shock occurred in 42 (49%) children.Of the 42 children with shock, the age group of 5-9 years madeup the biggest group (57%) consisting of 23 (55%) boys and 19(45%) girls. Hepatomegaly was found in 32 (76%) children, ab-dominal pain and vomiting in 30 (71%) and 36 (86%) children,respectively, and good nutrition in 22 (52%) children. Shock oc-curred mainly on the fourth and fifth days (76%). Almost half ofthe patients (45% and 52%) had hematocrit level of 46-50% andplatelet count of 20,000-50,000/ml, respectively. By logistic re-gression analysis, it was found that duration of fever, abdominalpain, hematocrit level, and platelet count constituted indepen-dent factors correlating with shock in DHF.Conclusion Abdominal pain, fever lasting four to five days, hema-tocrit level of >46%, and platelet count of <50,000/μl were associ-ated with shock in DHF


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


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