Artawan Eka Putra, I Wayan Gede
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Synergizing early detection and comprehensive mandatory notification to improve Tuberculosis case finding through public private mix Artawan Eka Putra, I Wayan Gede
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p01

Abstract

Tuberculosis (TB) is a priority health problem in Indonesia. Incidence rate estimation for TB in 2020 was 301 per 100,000 population or 824,000 new cases per year which is the third highest worldwide. The Corona Virus Disease (COVID-19) Pandemic has caused decreasing performance of TB control program globally, including Indonesia. The treatment coverage was declined from 67% in 2019 to 48% in 2020 and 54% in 2021, far behind the 80% target. This fact signifies that around a half of people with TB in Indonesia are overlooked, which is estimated to be accounted for over 400,000 cases. Another TB Program’s main indicator, treatment success rate at 86%, remains below the target of 90%. Low achievement of the two main indicators may result in the increasing of TB transmission, morbidity and mortality in population. Besides, Indonesia also faces the triple burden of TB, high prevalence of drug resistance TB and coinfection of TB and HIV
Meningitis Streptococcus Suis Outbreak Investigation in Blimbing Sari Village, Jembrana Bali Anggriawan, I Putu Aditya; Artawan Eka Putra, I Wayan Gede; Dwi Adi, Putu
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1686

Abstract

The aim of this outbreak investigation is to prevent the spread of the disease, prevent the recurrence of similar cases in the future, ensure that the situation is truly an outbreak, identify the source and method of disease transmission and identify vulnerable areas or populations at risk. The investigation was conducted with interviews to seek related information with the hospital's staff, the patient's family, the health center, the village staff and the animal welfare officer. We examined the medical records of patients and interviewed the doctor on duty and the health center officer, followed by interviewing the patient's family who was hospitalized. Interview with the head of the and the animal health officer was to find out the possible source of infection, pig farming in the village and related condition that enable MSS transmission. There were 5 cases residing in the same village. The patient's medical record indicated acute bacterial meningitis, but no laboratory diagnosis was performed due to limited equipment. The head of the village confirmed the history of processed pork products such as "lawar merah" consumption, which the meat was coming from the local pig farm in the village. The pig was slaughtered by themselves without checking the health condition of the pigs beforehand. This is not the first case of MSS in Bali Province, with cases dating back to 2015. This condition leads to conclude a suspected outbreak.