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When will the COVID-19 Pandemic in Indonesia End? Susanna, Dewi
Kesmas Vol. 15, No. 4
Publisher : UI Scholars Hub

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On January 30, 2020, the World Health Organization(WHO) declared 2019-nCOV to be a Public Health Emergency of International Concern (PHEIC), due to the significant increase in confirmed new cases in various countries.1 In Indonesia, the first confirmed COVID-19 case was a female who had a closed contact with the 24th confirmed case in Malaysia and the second case was the mother of the first case.2 As time goes by, the number of new cases has increased significantly, reaching 160.165 confirmed cases with 6,944 deaths by August 27, 2020.3 The time when the COVID-19 pandemic in Indonesia will end is not known, although some studies are attempting to predict this such as in articles, journals, newspapers, and other media.
Pajanan NO2 Bulan Pertama dan Kedua Kehamilan terhadap Bayi dengan Berat Badan Lahir Rendah Oktora, Bunga; Susanna, Dewi
Kesmas Vol. 8, No. 6
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Pajanan pencemar udara selama kehamilan berhubungan dengan bayi berat badan lahir rendah (BBLR). Untuk menghubungkan konsentrasi NO2 dalam udara ambien, telah dilakukan studi ekologi di Jakarta. Konsentrasi NO2 didapat dari data monitoring BPLHD DKI Jakarta 2009 – 2011, sedangkan kasus-kasus bayi BBLR diperoleh dari Dinas Kesehatan Provinsi DKI Jakarta. Data dianalisis dengan Anova, uji korelasi, dan regresi linier dan berganda. Hasil analisis menunjukkan bahwa konsentrasi NO2 dalam bulan pertama dan kedua kehamilan berhubungan bermakna dengan BBLR (masing-masing dengan R = 0,464, nilai p = 0,0001 dan R = 0,243, nilai p = 0,013). Regresi linier berganda menunjukkan bahwa konsentrasi NO2 dapat meramalkan 25% kasus BBLR (R = 0,5; R2 = 0,25; nilai p = 0,0001). Variabel yang paling memengaruhi BBLR adalah pajanan terhadap NO2 pada bulan pertama gestasi (B = 259). Disimpulkan, pajanan NO2 pada bulan pertama dan kedua kehamilan dan tempat wilayah tinggal berhubungan dengan BBLR, dengan pajanan NO2 pada bulan pertama kehamilan merupakan faktor utama BBLR. It has been known that exposure to air pollutant during pregnancy was associated with low birth weight. To correlate NO2 concentration in ambient air with baby with low birth weight (LBW), an ecological study has been carried in Jakarta. NO2 concentration was obtained from 2009 – 2011 monitoring data (Jakarta BPLHD), while low birth weight data were obtained from Jakarta Provincial Health Office. Anova, correlation, linear and multiple linear regressions were employed to analyze NO2 concentration with LBW. It showed that NO2 concentrations during first and second month of pregnancy were significantly correlated with the LBW (R = 0.464, p value = 0.0001 and R = 0.243, p value = 0.013). Multiple linear regression showed that the concentration of NO2 in the first and second month of pregnancy can predict 25% of LBW cases (R = 0.5, R2 = 0.25; p value = 0.0001). The most influence variable on LBW is exposure to NO2 in the first month of gestation (B = 259). It is concluded that exposure to NO2 in the first and second month of pregnancy and city of residence correlated with the LBW, with NO2 exposure in the first month of pregnancy was the most influencing factor of the LBW.
Hygiene and Sanitation Challenge for COVID-19 Prevention in Indonesia Purnama, Sang Gede; Susanna, Dewi
Kesmas Vol. 15, No. 5
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The case of COVID-19 in Indonesia continues to increase, transmitted directly and indirectly. Hygiene and sanitation approaches are needed for prevention. The purpose of this review is to review how the transmission COVID-19, the challenges of Indonesia, and the policy of COVID-19 prevention with hygiene and sanitation approaches. The results show Indonesia's challenges namely urban area density, air pollution, and smokers, low hand washing habits, low ac- cess to clean water and drinking water, open defecation behavior, limited personal protective equipment. COVID-19 control policy with the hygiene sanitation approach is carried out with 4 factors namely personal protect equipment, health education, personal hygiene, and sanitation.
Review of Different Methods of Abnormal Mass Detection in Digital Mammograms Bhattacharjee, Sangita; Poddar, Sandeep; Bhaumik, Amiya; Maitra, Indra Kanta; Susanna, Dewi; Ware, Andrew
Kesmas Vol. 17, No. 5
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Various images from massive image databases extract inherent, implanted information or different examples explicitly found in the images. These images may help the community in initial self-screening breast cancer, and primary health care can introduce this method to the community. This study aimed to review the different methods of abnormal mass detection in digital mammograms. One of best methods for the detection of breast malignancy and discovery at a nascent stage is digital mammography. Some of the mammograms with excellent images have a high intensity of resolution that enables preparing images with high computations. The fact that medical images are so common on computers is one of the main things that helps radiologists make diagnoses. Image preprocessing highlights the portion after extraction and arrangement in computerized mammograms. Moreover, the future scope of examination for paving could be the way for a top invention in computer-aided diagnosis (CAD) for mammograms in the coming years. This also distinguished CAD that helped identify strategies for mass widely covered in the study work. However, the identification methods for structural deviation in mammograms are complicated in real-life scenarios. These methods will benefit the public health program if they can be introduced to primary health care's public health screening system. The decision should be made as to which type of technology fits the level of the primary health care system.
Evaluating the COVID-19 Pandemic Responses Susanna, Dewi
Kesmas Vol. 16, No. 5
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Spatial-Temporal Analysis of Solar Irradiation and COVID-19 Cases in Jakarta 2020 Saputra, Yoerdy Agusmal; Susanna, Dewi
Kesmas Vol. 16, No. 5
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To date, coronavirus disease 2019 (COVID-19) is still a threat to public health systems around the world. As of July 25, 2021, the numbers were still increasing in most countries, and the total confirmed cases reached 194,582,750 with 4,171,672 deaths (CFR 2.1%). In Indonesia, 3,166,505 cases were reported with 83,279 deaths (CFR 2.7%) in all provinces and dominated by cases from Jakarta. Therefore, this study aimed to find a correlation and the duration of solar radiation exposure spatially on the pattern of COVID-19 cases. An ecological design was used based on time and place with the integration of geographic information systems and statistical techniques. The correlation test results between solar radiation exposure and COVID-19 cases in Jakarta showed a significant relationship (p = 0.000) with a strong closeness and positive pattern (r = 0.666). Furthermore, the spatial map overlaying solar radiation exposure and COVID-19 cases showed urban villages with high radiation tend to increase in cases earlier than areas with moderate and low. The differences in geographical and temporal conditions are a concern for the Provincial Health Office. This can be a consideration in strengthening more specific prevention and control programs according to the risk level and characteristics of each region.
Impact of Climate Variables on COVID-19 Pandemic in Asia: A Systematic Review Saputra, Yoerdy Agusmal; Susanna, Dewi; Saki, Vernonia Yora
Kesmas Vol. 16, No. 5
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COVID-19 has become a global pandemic and threatens public health systems worldwide. Virus transmission can be influenced by several factors, one ofwhich is climatic conditions. Temperature, humidity, precipitation, wind speed, and solar radiation play an important role in the transmission of infectious diseases and are variables that can determine the resistance of the SARS virus. This paper aimed to critically assess and provide evidence-based on the impactof climate variables on COVID-19 cases in Asia based on current knowledge to form the basis of guidelines for health care and prevention efforts. This systematic review used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The articles were searched from ProQuest, Scopus,PubMed, and Springerlink databases. The reviewers had screened 2.784 abstracts, 103 full-text publications, and ultimately included 11 systematic reviews. The review found a consistently positive relationship between climate variables and COVID-19. Average temperature, maximum temperature, minimum temperature, and humidity (r = 0.83, 0.94, 0.93, 0.30) were significantly correlated with COVID-19 cases. Temperature, maximum humidity, and population density (adjusted R2 = 0.53, p<0.05), can be used as references in planning interventions during potential future pandemics. Linear regression framework, high humidity, and high temperature (p<0.05) significantly reduce the transmission of COVID-19. This systematic review shows that climate plays a role in the spread of the COVID-19 pandemic in Asia.
Kondisi Kesehatan Lingkungan Pesantren dan Perilaku Hidup Bersih dan Sehat Siswa dengan Kejadian Hepatitis Sumarni, Ii; Susanna, Dewi
Kesmas Vol. 9, No. 2
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Kejadian luar biasa hepatitis A di Kabupaten Ciamis telah terjadi beberapa kali, satu di antaranya terjadi di Pondok Pesantren X. Penelitian ini bertujuan untuk menganalisis kondisi kesehatan lingkungan serta perilaku hidup bersih dan sehat dengan kejadian hepatitis A siswa/siswi di Pondok Pesantren X Kabupaten Ciamis. Rancangan penelitian menggunakan desain kasus kontrol dengan jumlah kasus 40 orang dan kontrol 80 orang, total sampel 120 orang. Populasi penelitian adalah siswa/siswi madrasah tsanawiyah dan madrasah aliyah negeri yang tinggal di asrama pondok pesantren. Data kasus merupakan data sekunder yang diperoleh dari Tim Surveilans Kabupaten Ciamis, dengan hasil pemeriksaan serologis positif. Sedangkan kontrol berdasarkan tidak adanya gejala klinis. Data kondisi kesehatan lingkungan serta perilaku hidup bersih dan sehat diperoleh langsung dengan observasi dan wawancara menggunakan kuesioner. Hasil analisis bivariat menunjukan, usia, kebiasaan minum air masak, kebiasaan makan bersama antar teman, tukar menukar alat makan, dan kebiasaan jajan merupakan variabel yang berhubungan dengan kejadian hepatitis A. Hasil analisis multivariat dengan uji regresi logistik ganda diperoleh tiga variabel yang berhubungan dengan kejadian hepatitis A, yaitu kebiasaan makan bersama dalam satu tempat (OR = 21,48), kebiasaan tukar menukar alat makan (OR = 6,15), dan status imunisasi sebagai faktor pencegah hepatitis A (OR = 0,056). Risiko responden apabila belum diimunisasi hepatitis A serta terbiasa tukar menukar alat dan makan bersama dalam satu tempat adalah 3, 36 kali untuk terjadinya hepatitis A. Hepatitis A outbreaks in Ciamis District has occurred several times, one of them has occurred in X Islamic Boarding School in 2012. This research aimed to analyze environment health condition dan personal hygiene with incident of hepatitis A among students in X Islamic Boarding School Ciamis District. The research used case control with 40 cases and 80 controls, total 120 subjects. The research population are students of tsanawiah madrassa and aliyah public madrassa who stayed at Islamic boarding school. The case data was secondary data gained from Ciamis District Surveilance Team, with the examination result was serologically positive. Meanwhile, the control was based on no clinical symptoms found. The data of environment health condition and personal hygiene was gained directly from the observation and interview by questionnaire. The Chi-Square test analysis showed that age, drinking habit, food sharing habit, utensil exchanging, and snack habit were the variables which related to hepatitis A incidence. The logistic regression analysis test gained of three variables which related to hepatitis A incidents, they are food sharing habit (OR = 21.48), utensil exchanging habit (OR = 6.15), and immunization status as prevention factor (OR = 0.056). The risk of respondents who did not had hepatitis A immunization and had utensil exchanging habit and food sharing was 3,36 times for hepatitis A infection.
Pemakaian Kelambu Berinsektisida pada Anak Usia 0-4 Tahun terhadap Kejadian Malaria Aisyah, Raden Ayu; Susanna, Dewi
Kesmas Vol. 9, No. 2
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Penelitian ini bertujuan untuk mengetahui hubungan pemakaian kelambu berinsektisida dengan kejadian malaria pada anak usia 0-4 tahun di wilayah Puskesmas Galang Kecamatan Galang Kota Batam tahun 2013. Desain penelitian adalah potong lintang pada 132 responden. Hasil penelitian membuktikan bahwa pada tingkat signifikansi 5% terdapat hubungan bermakna antara jenis kelambu (OR = 4,6), lama pemakaian kelambu (OR = 2,9), cara pencucian kelambu (OR = 3,6), cara menjemur kelambu (OR = 2,8), dan pencelupan ulang kelambu (OR = 3,6) memiliki hubungan yang bermakna dengan kejadian malaria. Pendidikan (OR = 2,9), pekerjaan (OR = 2,8), dan lama bermukim (OR = 3,1) memiliki hubungan yang bermakna dengan kejadian malaria. Analisis regresi logistik menemukan bahwa odds ratio tertinggi dan terendah berturut- turut adalah jenis kelambu yang tidak berinsektisida, lama bermukim ² 2 tahun dan cara mencuci dengan dikucek, disikat dan direndam. This research aimed to know the relation of the use of ITNs (Insecticide Treated Nets) with incidence of malaria in children aged 0-4 years in Primary Heatlh Care Galang Galang Sub District Batam City 2013. Design research was a cross-sectional in 132 respondents. The research has proves that there were meaningful relationship between types of nets (OR = 4.6), while the use of Insecticide Treated Nets (OR = 2.9), the way in washing nets (OR = 3.6), job (OR = 2.8), and retreated insecticide (OR = 3.6) have a meaningful relationship with incidence of malaria. So are education (OR = 2.9), employment (OR = 2.8), and length of stay (OR = 3.1) had a significant association with the incidence of malaria. Logistic regression analysis found that the odds ratio is the highest and the lowest row is not the type of insecticide-treated bed nets, long settled ² 2 years and by washing with rubbed, brushed and soaked.
Pencegahan Resurgensi Malaria dengan Deteksi Dini dan Pengobatan Segera di Daerah Reseptif Supriyani, Teni; Achmadi, Umar Fahmi; Susanna, Dewi
Kesmas Vol. 9, No. 3
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Jawa Barat merupakan salah satu wilayah reseptif malaria di Indonesia, khususnya Kabupaten Tasikmalaya bagian selatan. Tahun 2009, 2011, dan 2012 telah terjadi kejadian luar biasa (KLB) terutama di Kecamatan Cineam. Namun, pada tahun 2013 tidak terjadi KLB serupa. Ekosistem Cineam berupa pegunungan dan perkebunan kondusif untuk penularan malaria. Selain itu, banyak penduduk Cineam yang merupakan pekerja migran. Tujuan penelitian ini untuk mengidentifikasi faktor-faktor yang berkontribusi terhadap tidak terjadinya peningkatan kasus (resurgensi) malaria di daerah reseptif. Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan pada bulan Juni - Desember 2014, dengan menggunakan sampel seluruh penderita malaria positif di Kecamatan Cineam tahun 2013, yang berjumlah 27 kasus. Hasil penelitian menunjukkan bahwa semua kasus adalah pekerja migran. Secara spasial, ditemukan tempat perkembangbiakan Anopheles tersebar dekat dengan tempat tinggal kasus. Meskipun wilayah Kecamatan Cineam merupakan wilayah kondusif penularan malaria, tidak terjadi penularan horizontal pada tahun 2013. Analisis lebih lanjut mengindikasikan bahwa upaya deteksi dini, pengobatan segera menggunakan protokol standar yang memadai, pemberian obat profilaksis sebelum berangkat, serta penyuluhan intensif kepada masyarakat, dapat menekan timbulnya KLB pada tahun 2013. West Java provinces one of malaria-receptive areas in Indonesia, specifically the south area of Tasikmalaya District. In 2009, 2011 and 2012, there was extraordinary emergence, specifically in Cineam Subdistrict. However, in 2013, there was no any other similar case. Ecosystem of Cineam consisting of mountains and plantations was so conducive for malaria transmission. Moreover, there were many Cineam people as migrant workers. This study aimed to identify factors contributing to malaria resurgence in receptive area. This study was descriptive quantitative conducted on June to December 2014 using sample of all positive malaria patients at Cineam Subsdistrict in 2013 worth 27 case. Results showed that all cases were migrant workers. Spatially there was Anopheles-breeding areas spread closed to the case home. Even though Cineam Subsdistrict region is such a conducive area for malaria transmission, but there was none of any horizontal transmission in 2013. Further analysis indicated that early detection and prompt tratment used adequate standard protocol, prophylactic distribution before departing as well as intensive counseling to public might press extraordinary emergence in 2013.
Co-Authors - Syuhada, - Afriansyah, Eddy Agustin Kusumayati Aisyah Raisa Haninda Amiya Bhaumik Andrew Ware Andriyani, Ariska Nandia Annisa Meliariza Aria Kusuma Aria Kusuma Aria Kusuma Aria Kusuma Aria Kusuma Arinil Haq Bambang Wispriyono Batera, Same Bhattacharjee, Sangita Bhaumik, Amiya Budi Hartono Bunga Oktora Bunga Oktora Dia Wulandari Dian Pratiwi Dian Pratiwi Dian Pratiwi Dian Pratiwi Doni Lasut Edwina Bernita Sitorus Efendi Efendi Efendi Efendi Ema Hermawati Ema Novita Deniati Endah Kusumowardani Erdinal Erdinal Fajar Nugraha Fajrin Nur Azizah Fatmi Yumantini Oktikasari Fitra N. Luthfiah Fitrah Reynaldi Fitriani Hana Nika Rustia Haninda, Aisyah Raisa Haryo Kuntoro Adi Hendra Fauzan Hermansyah Hasan Hermansyah Hermansyah I Made Djaja Ii Sumarni Ii Sumarni, Ii Ila Lia Yuliyanti, Oke Indra Kanta Maitra Khansa, Silvia Kholis Ernawati Laila Fitria Lulu Rakhmatsani Maitra, Indra Kanta Martya Rahmaniati Maya Kartika Muhammad Alamsyah Noormartany Nyamukondiwa, Melisa Poddar, Sandeep Puji Juriastuti Rabiatul Adawiah Raden Ayu Aisyah Raden Ayu Aisyah, Raden Ayu Renti Mahkota Reynaldi, Fitrah Rilla Fahimah Ririn Arminsih Wulandari Ritawati Ritawati Ritawati Ritawati Saki, Vernonia Yora Sandeep Poddar sang gede purnama Sangita Bhattacharjee Saputra, Yoerdy Agusmal Sibanda, Brightwell Sinaga, Uli Tiarma Sitorus, Edwina Bernita Teni Supriyani Teni Supriyani, Teni Teungku Nih Farisni Tri Agustini Tris Eryando Umar Fahmi Achmadi Umar Fahmi Achmadi Umar Fahmi Achmadi Umar Fahmi Ahmadi Veni Nella Syahputri, Veni Nella Vernonia Yora Saki Vernonia Yora Saki Ware, Andrew Widyamurti Widyamurti Widyamurti, Widyamurti Wulandari, Melly Yarmaliza Yulia Sayanthi Yvonne M. Indrawani Yvonne M. Indrawani Zakianis Zakianis Zakiyuddin Zakiyuddin zakiyuddin, Zakiyuddin