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The Dominant Factors of Physical Environmental Conditions That Affect The Incidence of Malaria (Study in The Village of Tuafanu, South-Central Timor, East Nusa Tenggara) Reza Fitri Yanti; Mindiharto, Sestiono; Budiono, Nugrahadi Dwi Pasca; Inayah, Zufra
Ahmar Metastasis Health Journal Vol. 4 No. 3 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i3.309

Abstract

Malaria is an infectious disease caused by Plasmodium sp parasites that grow and multiply in human erythrocytes. The incidence of malaria consists of three epidemiological components: agent, host and environmental factors. Risk factors that contribute greatly to the occurrence of malaria are the environmental conditions where humans and mosquitoes live. This research aims to analyze the dominant factors of physical environmental conditions that influence the incidence of malaria in Tuafanu Village, South Central Timor, NTT. The research was conducted with an analytic observational approach with a Case-Control Study approach. The number of samples was 60 samples with a ratio of 1:1, namely 30 cases and 30 controls taken based on purposive sampling technique. Data were collected using secondary data from BBTKLPP Surabaya in 2023. Statistical analysis used chi square test and logistic regression test. There was a significant relationship between house floor, house wall, ceiling and puddle around the house with malaria incidence in Tuafanu Village because the P-value <0.05. In all households, there was no wire mesh in the ventilation of the house. Based on the analysis of the dominant factor of physical environmental conditions that affect malaria in Tuafanu Village is puddles with a p-value of 0.012 and an OR of 0.091, which means that individuals who live in the area around their house there are puddles or stagnant water are 0.091 higher risk of malaria. The OR value < 1 indicates that puddles act as a protective factor against malaria, therefore it is necessary to clean and manage the environment to prevent the presence of water that can become a breeding place for mosquitoes and prevent malaria transmission.
Bubonic Plague Alert Based on Flea Index in The Plague Observation Area of Pasuruan District, East Java Year 2023 Inayah, Zufra; Reza Fitri Yanti; Murti, Dewinta Risna; Setyowati, Wulan; Anggraeni, Desy Novita
Ahmar Metastasis Health Journal Vol. 4 No. 1 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i1.271

Abstract

Plague is a very serious health problem and can lead to outbreaks or epidemics caused by the bacterium Yersinia pestis. This study aims to determine the alertness of plague based on the flea index in the plague observation area in Pasuruan Regency, East Java. The research method used was exploratory. The research data used secondary data from the Surabaya Public Health Laboratory (BBLabkesmas).  The plague observation area included four sub-districts. Tutur, Tosari, Puspo, and Pasrepan. The research variable was the index of fleas found in the observation area. Data were analyzed descriptively and presented in graphical form. The results showed that 2146 rats were caught in 2023, of which 630 were rats with fleas. The majority of rat species found were Rattus tanezumi (65.19%), Rattus exulans (22.51%), Hylomys suillus, shrew (Suncus murinus), and other rat species. The flea species found were Xenopsylla cheopis (78%) and Stivalius cognatus (22%). The two main indicators to measure the risk of plague transmission are the Generalized flea Index and the Specific flea Index. The generalized flea Index measures the density of fleas that are not the main vector of plague, while the Specific flea Index measures the density of Xenopsylla cheopis as the main vector of plague. In the Tutur sub-district, the first semester showed Ngaruh hamlet was alert with a specific flea Index of 1.22, but in the second semester, all areas in the Tutur sub-district were declared safe. Pasrepan and Puspo sub-districts were declared safe in both semesters. In the Tosari sub-district, first-semester Tosari Hamlet and second-semester Sedaeng Hamlet were declared alert with a specific flea Index of 1.06 and 1.04 respectively.