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The Potential Sources of Transmission and Distribution of Lymphatic Filariasis in Semarang City, Central Java, Indonesia Nurjazuli, Nurjazuli; Santjaka, Aris
Unnes Journal of Public Health Articles in Press
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v0i0.30895

Abstract

Lymphatic Filariasis (LF) is a neglected tropical disease caused by filarial worms. Semarang City has an increasing number of LF. The aim of this study was to investigate potential sources of transmission and distribution of LF. It was descriptive research using cross-sectional design. The sample were 28 LF cases. The variables studied were level of knowledge, physical and biological environmental factors, and provision of health service. Data were collected using interviews and observation. Data were analyzed descriptively and spatially. The results showed that LF cases were distributed in center of Semarang City, especially in the coastal area.  Poor drainage and stagnant water around the houses were potential breeding places for mosquitos, which are suspected as a vector of LF transmission. Poor knowledge of LF, physical and biological environmental factors around the houses of LF patient houses may possibly be sources of distribution and transmission of LF.
Analisis Karakteristik Lingkungan Pada Kejadian Leptospirosis di Kabupaten Demak Jawa Tengah Tahun 2009 Ikawati, Bina; Nurjazuli, Nurjazuli
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.56 KB) | DOI: 10.14710/mkmi.9.1.33-40

Abstract

Leptospirosis is a zoonosis disease caused by Leptospira bacteria and transmitted to human by contact withcontaminated animal urin or contaminated environment. Leptospirosis cases in Demak district increased for4 year later. Until April 15th 2008, there ware 62 leptospirosis cases with Case Fatality Rate =9,67%. The aimof this research was to determine environmental characteristic related to leptospirosis case in Demak district.It was an observational research using a case control design with 44 cases and 44 controls. Cases wereleptospirosis diagnosed by leptotek dri dot in Demak Health District Agency. Controls were neighbour ofleptospirosis cases who didn’t have clinically symptom of leptospirosis, with age and sex at inclusion criteria.Laboratory diagnosis with leptotek dri dot had done for controls who agreed to sign inform consent. Datawere analyzed using chi square test at α=5%. Variable with p value<0,25 would be continued with multivariattest using Regressi Logistic - Backward Likehood Ratio method.The result of this research showed that there ware 10 controls with no clinical diagnosis but positive atleptotek dri dot diagnosis. At statistical analysis 10 cases and 10 controls dropped. Univariat analysis showedcontrols and cases have environmental risk factor and knowledge, attitude, practice about leptospirosissimilarly. Bivariat analysis showed there was no relationship between environmental characteristic andknowledge, attitude, practice with leptospirosis. Test of water sample had been done at 8 location. One ofthem of creek showed positif contain Leptospira sp. Rat trapped had been done at four location, showed trapsucces about 8,7%-29,8%. Eventhough environment factor and knowledge, attitude, practice showed therewere no relationship with leptospirosis statistically but water from creek that positif Leptospira sp, watersuffused and highly of trap succes at rat trapped were very conducive for leptospirosis transmission.Keywords : environment, leptospirosis, Demakpermalink: http://ejournal.undip.ac.id/index.php/mkmi/article/view/2912 
HUBUNGAN JENIS SUMBER AIR, KUALITAS BAKTERIOLOGIS AIR, PERSONAL HYGIENE DENGAN KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS LAMPER TENGAH SEMARANG Nurpauji, Siti Vitria; Nurjazuli, Nurjazuli; Hanani D., Yusniar
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (99.294 KB) | DOI: 10.14710/jkm.v3i1.11542

Abstract

Diarrhea remains a public health problem in Indonesia. Based on health profile of Semarang City in 2012,IR (Incidence Rate) diarrhea 112 per 10.000 children under five years. From 37 public health center in the city of Semarang (2012), Public Health Center Lamper Tengah included public health center with IR highest diarrhea that amounted to 27 per 1000 children under five years. This research aimed to find out the association of type of water source, bacteriological qualityof water, andpersonalhygienewith the incidence ofdiarrheain children under five years in the working area of Public Health Center Lamper Tengah Semarang. The research using observational type with cross sectional design. The population in this study were children aged 12-59 months who visited taken Public Health Center at Lamper Tengah in October 2013-March 2014. Total samples were 83 respondents with proportional random sampling method. Analysis of the data used is chi-square test.The results of this research show the variables that are association with the incidence of diarrhea is type of drinking water source (p = 0,003), bacteriological quality of drinking water (p=0,001), mother habit of washing hands before feeding children(p=0,008), mother habit of washing hands after defecation (p=0,015), children habit of washing hands before eating (p=0,002), children habit of washing hands after defecation (p=0,005), maternal practices to manage food and beverage (p=0,001), and nail hygiene conditions of mother (p= 0,006). Whereas, variables of  type of clean water sourceand nail hygiene conditions of children were not significant relate (p>0,05). From this research it was concluded that variables related to incidence of diarrhea children under five years in the working area of Public Health Center Lamper Tengah Semarang is type of drinking water source, bacteriological quality of drinking water, mother habit of washing hands before feeding children and after defecation, children habit of washing hands before eating and after defecation, maternal practices to manage food and beverage and nail hygiene conditions of mother.
ANALISIS HUBUNGAN DAN SANITASI DENGAN KEBERADAAN COLIFORM FECAL PADA HANDLE PINTU TOILET DI TEMPAT – TEMPAT UMUM DI KOTA SEMARANG Sari, Purwita; Nurjazuli, Nurjazuli; Sulistyani, Sulistyani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.326 KB)

Abstract

Tangan yang menyentuh permukaan handle pintu toilet umum, berperan penting dalam transmisi bakteri coliform dari satu pengguna ke pengguna lainnya yang karakteristiknya beragam dan senantiasa berganti. Tujuan penelitian ini yaitu mengetahui hubungan inspeksi higiene dan sanitasi dengan keberadaan coliform fecal pada handle pintu toilet di tempat-tempat umum (TTU) di Kota Semarang. Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian cross sectional. Populasinya adalah tempat-tempat umum yang berada di Kota Semarang berjumlah 130 unit, kemudian sampel diambil sebanyak 33 sampel. Teknik pengambilan sampel yang digunakan adalah random sampling pada setiap TTU. Analisis univariat menggunakan tabel distribusi frekuensi, analisis bivariat menggunakan tabulasi silang, menggunakan uji statistik chi square dan Rank Spearman, menggunakan α=0,05. Analisis univariat menunjukkan 28 sampel usap handle pintu toilet (84,8 %) positif mengandung coliform fecal. Analisis bivariat menunjukkan ada hubungan antara jumlah pengguna toilet (p=0,538), tingkat pengetahuan (p=0,008), praktik personal hygiene (0,050), intensitas membersihkan (p=0,044), kualitas fisik air bersih (p=0,017), kontinuitas air bersih (p=0,038), dan suhu (p= 0,050) dengan keberadaan coliform fecal, tidak ada hubungan antara kuantitas air bersih  (p=0,538), ketersediaan saluran air limbah (p=0,156), ketersediaaan tempat sampah (p=0,492), ketersediaan tempat cuci tangan (p=0,305), kelembaban (p=0,335), pencahayaan  (p=0,358). Diharapkan adanya peran aktif dari petugas kebersihan maupun pengguna toilet dalam meningkatkan kebersihan toilet umum.
Faktor-Faktor Yang Berhubungan Dengan Gangguan Fungsi Paru Pada Pekerja Pengelasan di Kota Pontianak Deviandhoko, Deviandhoko; Wahyuningsih, Nur Endah; Nurjazuli, Nurjazuli
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 2 (2012): Oktober 2012
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.11.2.123 - 129

Abstract

Background: Home industry has grown rapidly in recent years in the Pontianak city. One of the exhaust particulatematerial from the welding process. This will be the potential occurrence of exposure to workers. Result from thispreliminary study (15 workers), found that the average work for 8-9 hours per day, taking hours of overtime (40,%)for 4 hours / day, and the symptom for respiratory disorders were cough (60%) and shortness of breath (20%), thisstudy showed that welding work had a risk of pulmonary function disorders for workers. The aim of this study was tomeasure lung function disorders in welding workers and factors influencing it in the Pontianak city.Methode: This research was an observational research using a cross sectional design, with 78 samples of workerwere taken by random sampling. Data of levels welding respirable dust were obtained by measured usingpersonal dust sampler, while lung function data obtained with examine the lung function of workers usingspirometri, and other data obtained by interview. Data analysis performed by univariate and biavariate analysisusing Kendall-tau and chi-square (±=0,05).Result : Study showed respirable dust still below threshold limit value (NAB=3 mg/m3), the highest = 2,791 mg/m3, the lowest = 0,085 mg/m3, mean= 0,83 mg/m3 and SD=0,70, and as many as 59 respondents (75.6%) hadpulmonary function disorders. Statistical test results showed there was significant association between level ofrespirable dust (p-value=0,001), and working hour/day (p-value=0,008, OR=6,321, 95%CI =1,663-24,026with pulmonary function disorders.Conclusion : Levels of respirable dust and duration of exposure is a potential factor of pulmonary functiondisorders in welding workers in the Pontianak city.Key words : respirable dust, capacity of lung function, welding workers, Pontianak.
Faktor – Faktor Yang Mempengaruhi Kejadian Penyakit Demam Berdarah Dengue (DBD) Dan Jenis Serotipe Virus Dengue Di Kabupaten Semarang Sucipto, Pramudiyo Teguh; Raharjo, Mursid; Nurjazuli, Nurjazuli
Jurnal Kesehatan Lingkungan Indonesia Vol 14, No 2 (2015): Oktober 2015
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.14.2.51-56

Abstract

Background: Dengue infection continues to present a seriuos public health problem.The cases of Dengue Haemorrhagic Fever (DHF) in Semarang District has increased significantly and cause death. The purpose of this study was to determine the factors that affect the incedence of dengue and dengue virus serotype in Semarang Distric.Method : This is case control study using 54 cases and 54 control are people who live around the case with the caracteristics of age one the same with case and sex of the case.The analysis methods applied were univariate and bivariates with chi-squre and multivariate with logistic regression. Results : Risk factors incidence of dengue in Semarang District were humidity in the room (OR = 5.8; 95% CI = 1.322 to 14.170), the eksistence larvae in the water container (OR = 6.6; 95% CI = 2.386 - 18.277), the habit of using anti-mosquito / repellent (OR = 4.4; 95% CI = 1.076 to 8.875), the habit of hanging clothes (OR = 3.9; 95% CI = 1018 to 9.861). Serotype of dengue virus dominant Den-1.Conclusion : The factors that influence the incidence of DHF are the eksistence larvae the water container, the habit of using anti-mosquito / repellent, the habit of hanging clothes and humidity in the room. Serotype of dengue virus dominant is Den-1. Suggestion necessary environmental management by changing physical environment and the DHF program vector Aedes aegypti intervention. Keywords : Dengue Haemorragic Fever, Serotype of  dengue virus
Faktor-Faktor Yang Berhubungan Dengan Kejadian Filariasis Di Kecamatan Buaran Kabupaten Pekalongan Sularno, Suryo; Nurjazuli, Nurjazuli; Raharjo, Mursid
Jurnal Kesehatan Lingkungan Indonesia Vol 16, No 1 (2017): April 2017
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.16.1.22-28

Abstract

Latar belakang: Filariasis merupakan salah satu penyakit infeksi, disebabkan oleh cacing filaria yang hidup di kelenjar limfa dan darah manusia, termasuk penyakit tular vektor. Kecamatan Buaran Kabupaten Pekalongan merupakan daerah endemis filariasis tinggi dengan mf rate 3,9%, Selain itu, hasil survei darah jari yang pernah dilakukan, di wilayah ini ditemukan 37 orang positif mikrofilaria dalam darahnya. Penelitian ini bertujuan untuk menggambarkan faktor lingkungan dan perilaku masyarakat sebagai faktor risiko kejadian filariasis di Kecamatan Buaran kabupaten Pekalongan.Materi dan Metode: Penelitian ini menggunakan disain kasus kontrol. Subyek penelitian dibagi menjadi kelompok kasus dan kelompok kontrol masing-masing 74 orang. Variabel bebas yang dikaji dalam penelitian ini adalah spesies keberadaan nyamuk di dalam dan luar rumah, kawat kasa, persawahan, saluran air, genangan air, tumbuhan air, dan ternak. Faktor perilaku meliputi kebiasaan penggunaan kelambu, menggantung pakaian, penggunaan obat anti nyamuk, keluar ada malam hari, pengetahuan dan layanan kesehatan. Variabel terikatnya adalah kejadian filariasis. Pengumpulan data dilakukan dengan wawancara, observasi, dan penangkapan nyamuk. Analisis data hasil penelitian menggunakan regresi logistik.Hasil: Dari 17 variabel bebas yang dikaji, hasil penelitian ini menemukan ada tiga variabel yang mempunyai asosiasi signifikan dengan kejadian filatiasis di Kecamatan Buaran Kabupaten Pekalongan. Variabel tersebut meliputi tinggal di sekitar rumah penderita, kepadatan hunian, dan kepatuhan minum obat. Hasil analisis regresi logistik menunjukkan bahwa kepadatan hunian merupakan faktor yang paling dominan pengaruhnya terhadap kejadian filariasis dengan OR=6,145 (CI:1,051 – 35,938).Simpulan: Penelitian ini menyimpulkan bahwa tinggal di sekitar rumah penderita, kepadatan hunian dan kepatuhan minum obat filariais mempunyai kontribusi terhadap kejadian filariasis. Peneliti menyarankan upaya perbaikan lingkungan yang sehat dan kepatuhan minum obat oleh masyarakat perlu diupayakan semaksimal mungkin guna menekan kejadian penyakit tersebut di masa mendatang. AbstractTitle: Factors Related toThe Incidence of Lymphatic Fillariasis in Buaran, Pekalongan DistrictBackground: Filariasis or elephansiasis is one of infectious disease, is a systemic infection caused by filarial worms that live in the lymph nodes (lymph) and human blood that transmitted by mosquitoes (vector-borne disease). The survey result endemicity of filariasis in 2007 found that the highest area was in Buaran District with the number of microfilariae (mf) rate of 3.9% and according to the data Filariasis Research 2015, the result of Finger-prick Blood in Subdistrict Buaran discovery of microfilariae are 37 people. Based on this fact the purpose of this research is to describe environmental condition and behaviour society as a risk factor for the incidence of filariasis in Subdistrict Buaran Pekalongan regency.Method: This study was observational study with case control design. The subjects consisted of two groups of case and control, with each sample of 74 people. The independent variables studied were the vectors inside and outside the home existing, marshes existing, rice fields existing, trenches existing, ditches, puddles, aquatic plants existing, bushes existing, cattle existing, wire netting on the ventilation esiting, the habit of using nets, habits of hanging clothes have been used, the habit of using anti-mosquito drugs, the habit outdoors at night, knowledge and health efforts. While the dependent variable was the incidence of filariasis. Data was collected through interviews, observation, and measurement. Data would be analyzed using univariate, bivariate chi-square, and multivariate logistic regression at level of significance 0.05 (5%).Result: Bivariate analyze of 17 variables are the vectors inside and outside the home existing, marshes existing, rice fields existing, trenches existing, ditches, puddles, aquatic plants existing, bushes existing, cattle existing, wire netting on the ventilation esiting, the habit of using nets, habits of hanging clothes have been used, the habit of using anti-mosquito drugs, the habit outdoors at night, knowledge and health efforts, indicated that there were three variables that have a correlation to incidence of filariasis. They were staying or being around filariasis sufferers, density residential, and medication adherence. Results of multivariate analysis that density residential is the most dominant factor related to the incidence of filariasis with p-value = 0.044; OR = 6,145 (1,051 - 35,938). Conclusion: This study concluded that environment factors need to be improved, especially for staying or being around filariasis sufferers, density residential, and medication adherence to reduce fillariasis incident.
Hubungan Jumlah Bakteri Patogen dalam Rumah dengan Kejadian Pneumonia pada Balita di Wilayah Kerja Puskesmas Ngesrep Banyumanik Semarang Tahun 2014 Caesar, David Laksamana; Nurjazuli, Nurjazuli; Wahyuningsih, Nur Endah
Jurnal Kesehatan Lingkungan Indonesia Vol 14, No 1 (2015): April 2015
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.14.1.21 - 26

Abstract

Background : Pneumonia is an acute respiratory tract infections, in which there is inflammation in the lung tissue, caused by microorganisms such as viruses, bacteria, fungi, inhaled foreign particles or irradiation. Semarang is a city with a high incidence of pneumonia, subdistrict Banyumanik is a district with a high incidence rate is 103.25 per 1000 population in 2012. Methods : This is an observasional reseach using case control design. The population in this research is 162 children under five years, using Random Sampling techniques, a sample of 70 children under five years.The data collection method in this research is the measurement by using the colony counter, lux metter, thermohygrometer, observations, questionnaires, interviews, and documentation. And data analysis in this study using chi square test and logistic regression test. Results : The results showed there was no significant relationship between the amount of bacterial pathogen in the house with incidence of pneumonia onchildren under five years with p value (0.356); OR (4.387); CI 95% (0.465-41.404) for Staphilococcus aureus, p value (0.112); OR (2.364), CI 95% (0.807-6.927) for Klebsiella pneumoniae, and p value (0.473); OR (1.410); CI 95% (0.551) for Pseudomonas aeruginosa. No significant relationship between temperature, lighting, and ventilation with the incidence of pneumonia on children under five years with p value (0.101);OR (2.522);CI 95% (0.821-7.748), p (0.614); OR (3.188); CI 95% (0.315-32.144), p (0.632); OR (0.795); CI 95% (0.311-2.034). Any relationship humidity with pneumonia the incidence of pneumonia on children under five years with p value (0.012); OR (0.265), CI 95% (0.092-0.765). Conslusion : The conclution of this reseach is a significant relationship between humidity with pneumonia on children under five years in working areas Public Health Center Ngesrep Banyumanik Semarang 2014. Keyword : Bacterial Pathogen, Pneumonia for Children Under Five Years, Ngesrep Bayumanik
Efektivitas Unit Pengolahan Air di Depot Air Minum Isi Ulang (DAMIU) Dalam Menurunkan Kadar Logam (Fe, Mn) dan Mikroba di Kota Pekalongan Saleh, Rosmiati; Setiani, Onny; Nurjazuli, Nurjazuli
Jurnal Kesehatan Lingkungan Indonesia Vol 12, No 1 (2013): April 2013
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.12.1.75 - 81

Abstract

Background:The number of drinking-water-refill center were increasing only in quantity but not in providing the quality of water. Therefore it takes a special handling and attention, not only because the low-quality of water causing various diseases.The data from the Pekalongan City Health servic showed that only 13 of 55 drinking-water-refill center (24%) which have actively examined their sample water each month in bacteriological test, 3 of them (20%) proved to be unqualified. Furthermore, while for chemical examination, there were only 6 (11%) which actively doing it, and 2 of them (33%) mentioned as unqualified. After doing examination to the raw water, it was found that the content of Fe metal was 2.51 mg/1, Mn metal was 2.41 mg/1, the parameters found was beyond the standard. Methode:The kind of research held was explanatory research using cross sectional design. The sample was taken by proportional sampling. The number of samples was 35 refill centers.The data would be analyzed uding Chi-Square,pairedt-test,Kruskall Wallis, McNemar Test) and multivariate test (Logistc regression). Result:The results of this research showed that 23 samples (66%) had an unqualified Fe metal content with the average content was 0,34 mg/l, 19 samples (54%) had an unqualified Mn metal content, with the average content was 0.47 mg/1, 26 samples (74%) with The unqualified quality of E.coli. The other test carried out in the drinking-water refill, resulted that 25 samples (71%) had a qualified Fe metal content, the average was 0.29/1 and 22 samples (63%) had a qualified E.coli content.The results of Bivariate analysis showed that the condition of raw water, the equipment, the processing, the sanitation, the SOP compliance, significantly related to the decreasing of Fe, Mn metal content and E.coli (p. <0.05). While the results of the multivariate analysis from 5 variables, 1 of which were statistically proven that there was a asosiation relationship between raw water conditions and the decreasing E.coli with p= 0.02 with theOR(95%CI)= 2.238(1.299 - 67.645). The effectiveness of drinking-water-refill center management in reducing the levels of Fe, Mn and E.coli, with Fe, p= 0.00, Mn p= 0.04,E.colip= 0.00. is strongly influenced by the condition of the raw water, the condition of the equipment, and the processing. Keywords : The effectiveness of drinking-water-refill treatment, chemical and bacteriological quality
Analisis Spasial Kejadian Filariasi di Kabupaten Demak Jawa Tengah Nurjazuli, Nurjazuli; Dangiran, Hanan Lanang; Bari'ah, Asti Awiyatul
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 1 (2018): April 2018
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.17.1.46-51

Abstract

Latar Belakang: Filariasis merupakan salah satu penyakit tular vektor yang kurang mendapatkan perhatian, termasuk kelompok Neglected Tropical Diseases (NTDs). Kabupaten Demak merupakan salah satu wilayah di Propinsi Jawa Tengah  yang merupakan daerah endemis filarisis (mf rate>1%). Kejadian filarisis di daerah ini diduga berkaitan dengan kondisi lingkungan fisik dan biologis (nyamuk) yang mempunyai peran penting dalam penyebaran penyakit filarisis. Penelitian ini bertujuan untuk menemukan adanya penderita baru,  mengidentifikasi kondisi lingkungan fisik dan biologi yang berkaitan dengan sebaran filarisis di Kabupaten Demak.Matede: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Sebanyak 30 kasus filariasis dijadikan indek kasus yang selanjutnya dipilih secara purposif sebanyak 140 yang tinggal di sekitar 30 kasus tersebut untuk dilakukan pengamblan darah jari. Observasi lingkungan dilakukan untuk mengidentifikasi kondisi lingkungan (breeding places dan resting places) dari yang diduga sebagai nyamuk vektor filariasis. Penangkapan nyamuk dilakukan di sekitar rumah penderita filariasis. Pengukuran koordinat kasus filariais dilakukan dengan pesawat Geographic Positioning System (GPS). Pemeriksaan darah jadi jari dilakukan di Laboratorium Kesehatan Daerah (LABKESDA) Propinsi Jawa Tengah. Sedang bedah nyamuk dilakukan di Balai Penelitian Vektor Penyakit Banjarnegara. Analisis data dlakukan secara deskriptif, analisis spasial dilakukan dengan software ArcGis 9.3.Hasil: Penelitian ini tidak menemukan penderita baru filarisis (mf rate=0%). Sebanyak 129 ekor nyamuk telah dilakukan pembedahan dengan hasil semuanya negatip cacing filaria. Hasil identifikasi nyamuk menemukan spesies nyamuk Culex quinquefasciatus merupakan nyamuk yang dominan (72,86%) di lokasi penelitian.Terdapat breeding places (40%) berupa genangan air terbuka (SPAL) dan resting places (83,3%) berupa semak-semak di sekitar rumah penderita. Analisis spasial menunjukkan bahwa kasus filariasi hampir menyebar di seluruh wilayah Kaputaen Demak. Daerah cekungan aliran air nampaknya merupakan kondisi dimana kasus filariasis banyak terjadi. Simpulan: Kasus filariasis hampir menyebar di seluruh wilayah Kabupaten Demak dengan konsentrasi lebih banyak pada daerah cekungan aliran air Semarang-Demak. ABSTRACTTitle: Spatial Analysis of Lymphatic Filariasis in Demak Dictric, Central JavaBackground: Lymphatic filariasis (LF) is one of vector related diseaseswhich less attention from goverment, It was classified as Neglected Tropical Diseases (NTDs). Demak District is one of area in Central Jawa which was endemic of LF (mf rate>1%). It may be related to the physical and biologycal environment condition which have important role in the spreading of LF. This research aimed to identify new cases, find mosquitoe vector , and asses the condition of physical and biologycal environment related to the distribuion of LF cases in Demak District. Methods: It was an observational research using cross-sectional design. As more as 30 LF cases defined as index case and then 140 persons living around index case were selected for blood testing of microfilaria. Observation was conducted to assess the presence of breeding and resting places for mosquitoes development. Mosquito collection was conducted around the houses the LF cases early in the morning. Site of LF cases were measured using Geographic Positioning System (GPS) Apparatus. Blood test for identifying microfilaria was performed at Province Health Labotatory of Centra Java. Mosquotoes dissection was performed at Research Institule of  Disease Vector Banjarnegara. Data would be analyzed descriptively and spatial analysis was performed using ArcGis 9.3.Results: This research did’t find new cases of filariasis (mf rate=0%). As more as 129 mosquitoes had been dissected and all of them indicated negative of filarial worm. This research showed that Culex quinquefasciatus as dominant mosquitoe species with the proportion of 72,86%. Water puddle (40%) and small three (83,3%) were found as a good habitats located around the house of filariasis cases. Spatial analysis indicated that filariasis cases spread in all over area of Demak Distirct, and It concentated in the area of undergroud water flow of Semarang-DemakConclusion: Lymphatif Filariasis cases were nearly distributed all over area of Demak Distict and It was concentrated in area with underground water flow Semarang-Demak.
Co-Authors A'yunina, Anggun Abd. Rasyid Syamsuri Abudin, Syafii Afriyanto Afriyanto Agustina Ayu Wulandari, Agustina Ayu Albertus Ata Maran Alfadhylla Rosalina Wibisono Alfan Aulia Alice Ximenis Naben Anak Agung Gede Sugianthara Anies Anies Apriyana Irjayanti Ari Suwondo Aris Santjaka Arum Sari, Anika Arum Siwiendrayanti Ashanur Jenni, Ashanur Astorina Yunita Dewanti, Nikie Atik Mawarni Ayun Sriatmi B Budiyono Bagoes Widjanarko Bahtiar Bahtiar Baji Subagyo Bari'ah, Asti Awiyatul Bayu Chondro Purnomo Billy Zia Napoleon Bayusunuputro Bina Ikawati Budi, Waella Septamari Budiono Budiono Budiyono Budiyono Budiyono Budiyono Cecilia Sri Rahayu David Laksamana Caesar, David Laksamana Deby Hizky Butarbutar Deviandhoko Deviandhoko Devina Alya Maulida Dian Nur Afriliani Dinar Matsnanuha Khalista Diyah Nur Ekowati Dorce Mengkidi, Dorce Dorsanti, Desy Mery Dwi Saptarini, Swastika Dyah Puji Lestari, Dyah Puji Edo Muhammad Edwina Leonita Pyopyash Eko Handoyo Eko Sediyono El Muzdalifa Elsa Christiana Hutajulu Elvi Sunarsih Elza Muthia Septanti Endang Sukawati, Endang Eni Mahawati Eny Hastuti, Eny Erlina Krisanti Fatma Nur Suryaningrum Fauziyyah, Rizqiana Fernando P, Nickolas Fikri Faidul Jihad Gandha Sunaryo Putra Hanan Lanang Dangiran, Hanan Lanang Hanif Tegar Muktiana Sari Haryati Boimau, Curniasti Duhitantia Humaira Rofidah Zahra Ike Ani Windiastuti Intan Ayuning Astuti irene silitonga, irene Islamiyati, Nur Izza Hananingtyas Jamal Hisham Hashim James Khristian Imbiri Juliana, Cut Karroghi, Silmi Aziza Kartika Dian Pertiwi Khairunnisa, Shafira Mutia Kholilah Samosir Kuswati Kuswati Laliyanto Laliyanto Linda Triana Lubriyana, Triyani M. Sakundarno Adi Marisdayana, Rara Martha Irene Kartasurya Martini Martini Masfufatun Juni, Masfufatun Mateus Sakundarno Adi, Mateus Sakundarno Maurend Yayank Lewinsca Maurend Yayank Lewinsca Meta Suryani, Meta MG Catur Yuantari Miftahur Rohim, Miftahur Mochammad Imron Awalludin Muh, Fauzi Muhammad Addin Rizaldi MUHAMMAD ALI Mujiarto, Eko Mursid Rahardjo Mursid Rahardjo Mursid Raharjo Murthya Azhari Nabilah Zahra Nadiva Dzikriyati Nadiva Dzikriyati Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nopi Reknasari Nopriwan Nopriwan Nur Endah Wahyuningsih Onny Setiani Paramastri, Nerpadita Poppi Nastasia Yunita Dewi Praba Ginanjar Pradnyandari, Ida Ayu Tika Pramudiyo Teguh Sucipto, Pramudiyo Teguh Purnama, Wary Purwanto, Anto Purwita Sari, Purwita Pusaka, Semerdanta Qolifah, Lina Nur Rahanyamtel, Robo Rahman, Muhammad Auliya Rasyid, Khairul Retno Wulandari Richard Victor Ombuh Riyana Husna Riyana Husna Rizka Dwiyovita Rizky Aulia Salsabila AM ro'isah - ayu Rodhwa Asma&#039; Amanina Rositian, Ade Melia Rosmiati Saleh Rozi, Choirul Rusiyati Rusiyati Samal, Rizky Febryan Samsul N Hidayat, Samsul N Sari Lestari Rahmawati Septo Pawelas Arso Sigit Tri Ambarwanto, Sigit Tri Siti Fitriatun, Siti Siti Maisyaroh Bakti Pertiwi Siti Vitria Nurpauji, Siti Vitria Siti Yulaekah, Siti Slamet Budiono Slamet Wardoyo Solly Aryza Sri Handayani Sri Mulyati Sri Ratna Astuti, Sri Ratna Sriratih, Eldrajune Agnes Suci Kurniawati Sudarmanto Sudarmanto, Sudarmanto Suhartono Suhartono, Suhartono Sujarwo Sujarwo Sularno, Suryo SULISTIYANI SULISTIYANI Sulistiyani Sulistiyani Sulistyani Sulistyani Supriyono Asfawi Sutrisno Anggoro Sutrisno, Sutrisno Suwito Suwito Syamsulhuda BM Teguh Budi Prijanto, Teguh Budi Tri Joko Tri Joko Tri Joko Tri Joko Tri Joko Trijoko Trijoko Tuakong, Wigberta Mogi Untari Fajar Suryani Untung Sujianto Vijja Ratano Vira Tika Yuniar Virgianti, Liza Wahyu Widyantoro Wahyudi Wahyudi Wardana, Lalu Muhammad Fikri Watmanlusy, Efraim Wikri Eko Putra Yana afrina Yana Afrina Yigibalom, Nofi Yundari, Yundari Yuni Pradilla Fitri, Yuni Pradilla Yusniar Hanani Yusniar Hanani D., Yusniar Yusniar Hanani Darundianti Yusniar Hanani Darundiati Yusniar Hanani Darundiati Zeta Rina Pujiastuti, Zeta Rina