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KEJADIAN LUAR BIASA KERACUNAN âCUMI-CUMIANâ DI SEKOLAH DASAR NEGERI 1 TRASAN BANDONGAN KABUPATEN MAGELANG Ahmad, Nasir; Isworo, Adi; Indriani, Citra
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.280

Background: On May 4th, 2016, at 12:30 district surveillance officer of Magelang Health Department received reports from Public Health Center of Bandongan about 21 students of SDN 1 Trasan who suffered from the same food-poisoning symptoms. Objective: Investigation was carried out to identify the source, how it spread and how to control it. Methods: This study used descriptive analytic and mapping the cases distribution location. The case was people experiencing symptoms of dizziness or abdominal pain or nausea or vomiting. Data analysis was done by using bivariate analysis. Data collection were done through interviews, observations and laboratory tests on the food samples. Results: The case was 50 students (from 1-6 grade students). The perceived symptoms were dizziness (77%), nausea (42%), abdominal pain (40%) and vomiting (8%). Attack rate found ranged from 14.3% to 60% with the highest Attack rate found on class three (60%). The incubation period of 15-240 minutes (mean 72.3 minutes). Calamari like positive Bacillus cereus and Rhodamine-B 10 mg/kg. Conclusion: The outbreak of food poisoning because calamari like contaminated Bacillus cereus. We suggested the school committee to provide the socialization of harmful food for the students. The teachers should restrict the permission for the food vendor to sell at school. Keywords: Bacillus cereus, , Food Poisoning, Outbreak, Rhodamine B, School Food

Analysis of Malaria Control Situation in Magelang Regency and Obstacles to Maintain Malaria Elimination Status Ahmad, Nasir; Isworo, Adi; Indriani, Citra
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 2 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i2.14208

Magelang Regency received malaria elimination certificate in April 2014, however, the epidemic signal was received back in April 2015. Malaria epidemic had occurred for two months and until the end of December, indigenous cases could still be found. The purpose of this study was to find out description of situation regarding malaria, malaria control, and obstacles to malaria control in Magelang Regency. Rapid assessment method was conducted by adopting the methodology in the protocol and methods for malaria situation analysis from WHO (2003) and by using desk review as the reference for the research process in malaria control method in a region with similar condition to Magelang regency. Data collection was performed through interview and observation. This study found that in April 2015, the number of indigenous cases was 2 which was increased to 37 cases in May and the peak prevalence was 56 cases in June. Previously, import cases were found in March. Up until December, malaria cases were dominated by indigenous cases (97%). Village regulation regarding malaria migration surveillance was still not available in most receptive villages. In area which had eliminate malaria, there should be regulation that govern malaria migration surveillance. Therefore, the Regent should advise the village chief through a circulatory letter to form a new regulation regarding malaria migration surveillance in order to reduce outbreak potential.

KEJADIAN LUAR BIASA KERACUNAN â€œCUMI-CUMIANâ€ DI SEKOLAH DASAR NEGERI 1 TRASAN BANDONGAN KABUPATEN MAGELANG Ahmad, Nasir; Isworo, Adi; Indriani, Citra
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: On May 4th, 2016, at 12:30 district surveillance officer of Magelang Health Department received reports from Public Health Center of Bandongan about 21 students of SDN 1 Trasan who suffered from the same food-poisoning symptoms. Objective: Investigation was carried out to identify the source, how it spread and how to control it. Methods: This study used descriptive analytic and mapping the cases distribution location. The case was people experiencing symptoms of dizziness or abdominal pain or nausea or vomiting. Data analysis was done by using bivariate analysis. Data collection were done through interviews, observations and laboratory tests on the food samples. Results: The case was 50 students (from 1-6 grade students). The perceived symptoms were dizziness (77%), nausea (42%), abdominal pain (40%) and vomiting (8%). Attack rate found ranged from 14.3% to 60% with the highest Attack rate found on class three (60%). The incubation period of 15-240 minutes (mean 72.3 minutes). Calamari like positive Bacillus cereus and Rhodamine-B 10 mg/kg. Conclusion: The outbreak of food poisoning because calamari like contaminated Bacillus cereus. We suggested the school committee to provide the socialization of harmful food for the students. The teachers should restrict the permission for the food vendor to sell at school. Keywords: Bacillus cereus, , Food Poisoning, Outbreak, Rhodamine B, School Food

HUBUNGAN FAKTOR PERILAKU DENGAN KEJADIAN HEPATITIS A DI KECAMATAN DEPOK KABUPATEN SLEMAN Siti Rahmah; Citra Indriani
Media Kesehatan Masyarakat Indonesia Vol. 10 No. 1: MARET 2014
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Dinas Kesehatan Kabupaten Sleman melaporkan terjadi peningkatan jumlah kasus hepatitis A di Kabupaten Sleman dan sebagian besar adalah mahasiswa. Tujuannya untuk mengetahui faktor perilaku berisiko dengan kejadian hepatitis A di Sleman. Penelitian observasional dengan rancangan kasus kontrol. Teknik pengambilan sampel adalah consecutive sampling (non probability sampling). Uji statistik yang digunakan adalah chi square (x2) dan regresi logistik. Jumlah responden adalah 280 orang (140 kasus dan 140 kontrol). Riwayat kontak dengan penderita hepatitis A (OR=3,42 95%CI=1,97-5,95; p=0,00), tidak mencuci tangan dengan sabun (OR=2,19; 95%CI=1,32-3,65; p=0,00), tidak mencuci alat makan dengan sabun (OR=2,88; 95%CI=1,03-9,25; p=0,02), sering mengonsumsi sayur/makanan mentah (tidak dimasak)(OR=3,8295%CI=1,94-7,81p=0,00), tukar menukar alat makan (OR=2,0995%CI=1,26-3,48; p=0,00), sering makan di warung yang hanya mencuci dengan satu ember (OR=2,22; 95%CI=1,22-4,09; p=0,00), dan tidak memperhatikan kebersihan warung (OR=3,74; 95%CI= 2,19-6,41; p=0,00) mempunyai hubungan yang signifikan dengan hepatitis A. Hasil analisis multivariat menunjukkan riwayat kontak dengan penderita hepatitis A (OR=3,17; 95%CI=1,82-5,52; p=0,00; z=4,09), sering mengonsumsi sayur/makanan mentah (tidak dimasak) (OR=3,43; 95%CI=1,73-6,81; p=0,00; z=3,52) dan tidak memperhatikan kebersihan warung (OR=3,28;95%CI=1,92-5,60; p=0,00; z=4,35). Perilaku sehat dan tidak hygienis adalah faktor risiko hepatitis A di Sleman.

AUTOCIDAL OVITRAP ATRAKTAN RENDAMAN JERAMI SEBAGAI ALTERNATIF PENGENDALIAN VEKTOR DBD DI KAB. GUNUNGKIDUL Indra Dwinata; Tri Baskoro; Citra Indriani
Media Kesehatan Masyarakat Indonesia Vol. 11 No. 2: JUNI 2015
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Kabupaten Gunungkidul adalah daerah endemis DBD di Provinsi Yogyakarta. Salah satu alternatif dalam pengendalian vektor DBD adalah dengan memasang autocidal ovitrap dengan menambahkan zat atraktan berupa air rendaman jerami. Penelitian ini bertujuan mengetahui pengaruh pemasangan autocidal ovitrap dengan atraktan air rendaman jerami terhadap jumlah nyamuk Aedes yang terperangkap dan index kepadatan larva. Design penelitian ini adalah quasi eksperimental dengan rancangan crossover design. Dilakukan di tiga daerah endemis DBD. Jumlah rumah 55-65 setiap daerah. Intervensi, yaitu penggunaan autocidal ovitrap atraktan air rendaman jerami dan autocidal ovitrap air biasa dan satu daerah kontrol tanpa penggunaan autocidal ovitrap. Intervensi berlangsung selama 10 minggu. Variabel independen adalah pemasangan autocidal ovitrap dan variabel dependen jumlah nyamuk Aedes yang terperangkap dan index kepadatan larva. Analisis data menggunakan t-test dan ANOVA. Hasilnya terdapat perbedaan rerata jumlah nyamuk yang terperangkap berdasarkan jenis autocidal ovitrap (p<0,05). Rerata nyamuk yang terperangkap di luar rumah lebih besar dibandingkan di dalam rumah (p<0,05). Tidak terdapat perbedaan index kepadatan larva antara kelompok perlakuan selama intervensi berlangsung (p>0,05). Kesimpulan penelitian ini adalah rerata nyamuk yang terperangkap lebih banyak pada autocidal ovitrap atraktan, nyamuk yang terperangkap lebih banyak ditemukan di luar rumah, tetapi tidak terdapat perbedaan index kepadatan larva antara kelompok perlakuan selama intervensi berlangsung.

Pola Spasial-Temporal Epidemi Demam Chikungunya dan Demam Berdarah Dengue di Kota Yogyakarta Tahun 2008 Citra Indriani, Anis Fuad, Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Spatial-Temporal Pattern Comparison Between ChikungunyaOutbreak And Dengue Hemmorhagic Fever IncidenceAt Kota Yogyakarta 2008Background: Explosive re-emergence of chikungunya fever has been started since 2004 and affected millions people in worldwide i.e. Indian Ocean, India, Europe, Asia including Indonesia. On January 2008, 59 new cases of chikungunya fever was reported by the Kota Yogyakarta health office meanwhile the province laboratory had no capability to perform laboratory examination to confirm the diagnosis. Control measures were already taken, but it seemed not effective, cases were spread and increased progressively by weeks and non-vector born disease which has similar sign and symptoms was thought to be the cause. Based on the same vector withdengue hemorrhagic fever transmission, an ecological approach using GIS was taken to compare the spatial-temporal pattern between chikungunya and DHF.Objective: The objective of this study was to compare the spatial-temporal pattern between chikungunya fever outbreak and dengue hemorrhagic fever incidence.Method: This study was use ecological study approach which uses integrated GIS, remote sensing and statistic technique. We collected total of 802 chikungunya and 498 dengue cases in ten months (November 2007 – August 2008) and secondary data on environmental variable includes population density, vegetation density, building density, land use, larvae index and climate. Location of cases was obtained using GPS. Epidemic curve were plotted to identify the disease trend. Space time permutation was used to identify disease clustering.Result: Temporal trend analysis show similarity pattern between chikungunya and DHF, increasing trend was found few weeks following heavy rain. There were positive correlations between diseases and population density, building density. Chikungunya and DHF cases were tended to occur in residential land use which close to the commercial land use. Spatial-temporal clustering was observed on both diseases demonstrating variation in local infection pattern. There was similarity on disease cluster occurrence between chikungunya and DHFConclusion: We show spatial-temporal pattern similarity between chikungunya outbreak and dengue hemorrhagic incidence, nevertheless laboratory confirmation is important and should be provided. This study provides useful information for urban public health management. Further study is needed to develop model in vector born early warning system using GIS and remote sensing.Keywords: dengue, chikungunya, GIS, spatial-temporal pattern, environmental epidemiology

Evaluation of HIV screening at antenatal care settings in Denpasar City Putu Cintya Denny Yuliyatni; Wayan Pujana; Citra Indriani
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p08

Background and purpose: National strategy to increase the coverage of prevention of mother to child transmission (PMTCT) program in Indonesia is integrating the service into public health centres (puskesmas). In Bali, the integration has been started since 2014. After one year of program implementation, an evaluation was conducted in order to provide input and feedback for program improvement. Methods: Secondary data analysis and indepth interview with 13 key informants in Denpasar City were conducted to assess input, process and output of the integration implementation. Results: Of the 11,719 pregnant women targeted within the program, 43% were offered to undergo HIV testing and 98% of these agreed to have HIV test with 17 were found HIV positive. Interviews with key informants found that there were adequate resources both in terms of manpower, funds and equipment. Obstacles found in the implementation include different site of ANC and HIV testing facility. The other barrier was high number of pregnant mother who conducted ANC at private obstetrician which not yet included in the program. Conclusions: Integration of PMTCT into ANC services at public health centre (PHC) is an effective way to improve the uptake of HIV screening among pregnant women. However, there is a need of effective of referral systems from private midwives and PHC satellite services. The expansion of networks into private midwives and obstetrician will be instrumental in improving performance outcomes.

Thirty seven confirmed cases of coronavirus disease (Covid-19) from March-June in Yogyakarta City, 2020 Bhekti Fitriani; Citra Indriani; Susilawati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This epidemiological investigation reports a description of Coronavirus Disease (COVID-19) in Yogyakarta City from March-June 2020. Method: In this study, cases were people who confirmed positive COVID-19 using RT-PCR testing from March-June 2020 in Yogyakarta City. Demographic data, the onset date of illness, date of positive specimen, symptoms, comorbidity, exposure, and travel history were collected from Corona Monitoring System, connected to medical records in the hospital. We describe the data using percentages. Results: A total of 37 confirmed cases, 36 (97%) were cured. One case that died was a man, age groups 30-59 years old, with diabetic mellitus, fever, cough, shortness of breath, and diarrhea. The highest attack rate was male (68%). Cases by age group less than five years old (3%), over 60 years old (16%), and 30-59 years old (68%) as the highest. Fever (82%), cough (65%), and shortness of breath (24%) were the most symptoms. We found comorbid diabetic mellitus (86%) and asthma (14%). There were 10 out of 14 sub-districts in Yogyakarta City that have been infected. The highest number of cases was on May 3-9, 2020, because church clusters have been identified. We found 41% cases having a history of travel outside the Yogyakarta Province, and 24% was church cluster. Conclusions: From March 16-June 30, 2020, 37 confirmed cases of COVID-19 in Yogyakarta City. History of travel outside the province of Yogyakarta was a likely risk factor of COVID-19 transmission. Enhance surveillance, contact tracing, mask use, hand hygiene, avoid crowded places are essential to contain the transmission.

COVID-19 cluster investigation after choir recording at Church X Bantul Regency in 2021 Nur Hayati; Fitriana Puspitarani; Andri Setyo Dwi Nugroho; Citra Indriani
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.3154

Objective: On 29 May 2021 PHC Imogiri 1 obtains information about a positive COVID-19 patient in their area. The confirmed case was attending a choir at Church X on 19 May 2021. An epidemiological investigation was carried out to confirm the existence of the COVID-19 cluster, describe the attack rate, and provide recommendations for future cluster control. Method: This study is a descriptive epidemiological study. The case definition is people involved in the church X recording process and their close contact with the results of laboratory tests using RT-PCR positive for COVID-19 in Bantul from May-June 2021. Data were obtained via E-form using a standardized questionnaire and direct observation at the church. Results: 28 participants consisting of 21 singers, 1 conductor, 6 multimedia teams involved in a choir. The indoor rehearsal was in a closed space with closed windows. There were a total of 57 including contacts and choir members with 42.1% tested positive. One case was hospitalized (4.2%), and three cases were isolated in shelters (12.5%). Most of the cases were asymptomatic (70.8%), and the most common symptoms were fever (12.5%) and cough (12.5%). The majority of cases were female (71%), belong to age group 25-34 years (25%), followed with 35-44 years (20.8%), and 55-64 years (20.8%). Attack rate based on the vocal range of Alto 2 (AR=100%) and soprano 1 (AR=83%). interviews with church councils during the recording process singers only used a faceshield as PPE. Conclusion: A cluster transmission occurred in Church X after a choir recording. The use of the mask is necessary during choir or indoor activity especially in a closed space with poor ventilation. It is also necessary for stakeholders to strengthen and emphasize the importance of health protocols, including using masks and avoiding gathering in large groups to control the spread of COVID-19 in a closed space.

Investigation of food poisoning on distribution of takjil in Tempel Sleman Yampa Eksa Daidella Ghilari; Yoshua Natanael Sriadi; Isa Dharmawidjaja; Citra Indriani
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.

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