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All Journal Berita Kedokteran Masyarakat Proceeding Mulawarman International Conference on Tropical Public Health
Dharmawidjaja, Isa
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Nursing Public Health

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MUMPS OUTBREAK RESPONSE IN A PRIMARY SCHOOL IN CONDONGCATUR SLEMAN Alfi Maziyya, Arifah; Ratu Boelqiah Assaad, Andi; Dharmawidjaja, Isa; Oktaria, Vicka
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background: On September 10, 2024, seven primary school students with neck swelling were reported to the Sleman District Health Office (DHO) by Depok II Primary Health Care (PHC). Purpose: This study aimed to confirm and characterize the outbreak and recommend control measures. Methods: A descriptive study was conducted based on person, place, and time. A case was defined as someone who experienced swelling in the cheek or neck area with or without symptoms of fever, sore throat, headache, and no appetite at SDN X from August to September 2024. The population-at- risk (PAR) was defined as people at SDN X in August to September 2024. Data was collected via Google Form and analyzed with graphs and tables. Results: Among 244 PAR, 17 cases were identified (attack rate = 6.96%). The highest attack rate was in class 1A (38.5%, 10/26). Predominant symptoms included swollen cheeks or neck (100%) and fever (88%). The index case was a 7-year-old girl in class 1A, symptomatic from August 28. Cases peaked from September 8-14 (n=7). Case management was carried out by having symptomatic students rest at home until recovery to prevent further transmission. Awareness education on mumps, handwashing, mask use, distancing, and dissemination of guidelines on mumps vigilance were implemented following outbreak confirmation. Conclusions: A mumps outbreak was confirmed at a primary school in Condongcatur, Sleman. The recommendation, schools should monitor for mumps symptoms and report cases to PHC promptly and immediately take actions according to their policies.
Investigation of food poisoning on distribution of takjil in Tempel Sleman Ghilari, Yampa Eksa Daidella; Sriadi, Yoshua Natanael; Dharmawidjaja, Isa; Indriani, Citra
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: On 4th May 2021, Sleman District Health Office (DHO) received suspect food poisoning with 28 cases after eating packaged takjil were distributed on 2nd May 2021. The investigation was initiated to confirm the outbreak risk factor for control measures. Method: This investigation uses a cohort retrospective design. The case was the person who have one or more following symptoms diarrhea, abdominal pain, weakness, and fever after eating takjil on 2nd May 2021 in Krasakan village. The interview was conducted using standard questionnaires at-risk population and food handlers. The environmental observation was done in the kitchen of catering. Food and biological sample were sent to the laboratory. Results: There were 28 cases from 60 people who ate (Attack Rate: 46%) with dominant symptoms: diarrhea, abdominal pain, and weakness (100%). The incubation period was 7-33 hours with a median of 10 hours. Oseng tempe was food with the highest risk (RR= 6.09, CI= 1,5 -24,8). The environmental investigation found that contamination might have occurred as a result of poor processing practices such as improper food storage was potential risk contamination. We suspected Bacillus cereus as the main pathogen according to incubation period and mode transmission, but the laboratory showed different results, it can happen because the sample was sent 2x24 hours so the result was not adequate. Conclusion: There was a food poisoning outbreak from the distribution of takjil on 2nd May 2021 in Krasakan Village, caused by oseng tempe contaminated with Bacillus cereus. Contamination occurs due to improper cooking and storage. Implementation and training standard health and safety food handling need to be done for food caterer by District Health Office.
Epidemiological Response to Diphtheria Cases in Sleman District, 2024 Assaad, Andi Ratu Boelqiah; Maziyya, Arifah Alfi; Khoirunnisa; Hidayat, Wachid Nur; Dharmawidjaja, Isa; Oktaria, Vicka
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Diphtheria is an infectious disease caused by the bacterium Corynebacterium diphtheriae, which can lead to complications and death, but can be prevented through immunization. In Sleman, there have been no reported cases for many years. However, in 2024, several cases with symptoms of diphtheria. This triggered an epidemiological response to confirm outbreaks, identify close contacts, and implement control measures. Methods: A descriptive analysis was conducted using diphtheria registration data from the Sleman District Health Office from January to May 2024. Diphtheria suspected cases were defined as individuals or persons exhibiting symptoms of pharyngitis, tonsillitis, laryngitis, tracheitis, or a combination of these, accompanied by fever or without fever, and the presence of a grayish-white pseudomembrane that is difficult to remove, bleeds easily when manipulated, and has been screened by the Expert Committee from the Ministry of Health Indonesia. Laboratory-confirmed diphtheria cases were defined as suspected cases with positive results. Results: An epidemiological investigation was conducted from January 23rd to May 8th 2024, which identified 21 suspected diphtheria cases. The cases were located in the Depok, Ngaglik, Tempel, Ngemplak, Kalasan, and Seyegan sub-districts. All cases underwent oropharyngeal swabs, with 3 confirmed positive and an outbreak declared. Laboratory-confirmed cases received Anti Diphtheria Serum (ADS), treatment, and isolation. Suspected cases received prophylaxis, immunization, and quarantine. Evaluation of diphtheria immunization status revealed that 66,7% of suspected cases had been immunized. Conclusions: A diphtheria outbreak has occurred in Sleman, and control measures have been well implemented. It is recommended to conduct immunization campaigns in areas with low coverage, improve community-based education related to diphtheria through training and health promotion media, and strengthen the surveillance system through regular training for surveillance officers, optimal active case finding, and timely reporting.
Measles Outbreak in Sleman 2024 Maziyya, Arifah Alfi; Assaad, Andi Ratu Boelqiah; Khoirunnisa; Hidayat, Wachid Nur; Dharmawidjaja, Isa; Oktaria, Vicka
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: On January 18th, 2024, the Sleman District Health Office received a notification from Sleman Regional Hospital regarding the presence of 2 measles suspects in 1 family in Pakem, Sleman. This study aims to confirm the outbreak and know its management in Sleman, 2024. Method: A descriptive study was conducted based on person, place, and time. An outbreak is defined when there are 5 or more suspected measles cases within 4 consecutive weeks or at least 2 measles IgM-positive specimens with an epidemiologic link. A confirmed case was defined as a person with fever and rash, whether or not accompanied by cough, coryza, and conjunctivitis, had an epidemiologically link with index case, with confirmed positive Measles IgM. Result: We investigated 22 (15 male and 7 female) close contacts and we found 2 measles IgM-positive cases from January 18th to February 17th, 2024, in Pakem after an epidemiological investigation with an average incubation period of 8 days. 1 case each occurred in females (AR=14%) and males (AR=7%). The finding of 2 cases with measles IgM-positive and epidemiologic link allows us to declare an outbreak. One of two cases have not received MR immunization. Following the outbreak, measles cases were isolated, given antipyretics, vitamin A supplementation (dose), and Clean and Healthy Living Behaviour education. Conclusion: We confirmed a measles outbreak in Sleman. Case management has been carried out quickly to prevent and control widespread transmission. It is important to improve screening of under-five immunization status by Posyandu.
Co-Authors Alfi Maziyya, Arifah Assaad, Andi Ratu Boelqiah Citra Indriani Ghilari, Yampa Eksa Daidella Hidayat, Wachid Nur KHOIRUNNISA Maziyya, Arifah Alfi Ratu Boelqiah Assaad, Andi Sriadi, Yoshua Natanael Vicka Oktaria