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All Journal Jurnal Berkala Epidemiologi Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal)
Rahayu, Misti
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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GEOSPATIAL ANALYSIS TO IDENTIFY TUBERCULOSIS HOTSPOTS IN BANYUMAS REGENCY (2023) THROUGH SPATIAL AUTOCORRELATION: Analisis Geospasial untuk Mengidentifikasi Titik Rawan Tuberkulosis di Kabupaten Banyumas (2023) Melalui Autokorelasi Spasial Daniswara, Sabrina; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Sutiningsih, Dwi; Rahayu, Misti
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.246-254

Abstract

Background: Banyumas Regency had the second-highest number of TBC cases in Central Java Province in 2023, totaling 7,060 cases. The incidence of TBC increased by approximately 27.27% from 2022 to 2023. Despite various TB control efforts, conventional epidemiological methods often fail to capture the spatial patterns of disease transmission, making it challenging to identify localized hotspots and effectively allocate resources. Purpose: This study aimed to analyze the spatial relationship between HIV prevalence, population density, healthy living behaviors, and housing conditions in relation to TBC incidence. Additionally, it sought to identify tuberculosis hotspots in Banyumas Regency. Methods: The data were obtained from the Banyumas Tuberculosis System Information in August 2024. Total of 4,853 registered patients who sought treatment and resided in Banyumas Regency in 2023 was assessed. TBC distribution patterns were analyzed using the spatial autocorrelation method through the Moran Index and Local Indicators of Spatial Associations (LISA). Results: The analysis revealed significant clustering of TBC incidence with HIV prevalence, clean and healthy living behavior, and population density. The significant dispersion was noted with healthy houses. Notably, six 27 subdistricts—Kembaran, North Purwokerto, South Purwokerto, East Purwokerto, Sokaraja, and Sumbang—demonstrated significant local spatial autocorrelation. Conclusion: The study found TBC incidence was clustered in areas with high HIV prevalence, poor living conditions, and high population density, while healthy houses showed a dispersed pattern, highlighting the importance of prioritizing interventions, policy changes, and resource allocation.
Penyelidikan Epidemiologi Keracunan Pangan oleh Escherichia coli dan Salmonella sp. pada Nasi Padang di Acara Tahlilan Daniswara, Sabrina; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Sutiningsih, Dwi; Rahayu, Misti
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 03 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i03.3805

Abstract

Pada tanggal 31 Mei 2024, kejadian luar biasa akibat keracunan pangan dilaporkan terjadi di sebuah desa di Kabupaten Banyumas setelah mengonsumsi nasi padang dari acara tahlilan. Dua puluh tujuh kasus diidentifikasi, dengan gejala termasuk diare (96,3%), sakit perut (81,48%), pusing (81,48%), mual (70,37%), dan muntah (66,67%). Tiga kasus memerlukan rawat inap, tetapi tidak ada kematian yang dilaporkan. Investigasi epidemiologi dilakukan untuk memverifikasi kejadian, menentukan besarannya, dan mengidentifikasi sumbernya. Sebuah studi kohort retrospektif melibatkan wawancara dengan para jemaah dan keluarga mereka, dengan kasus didefinisikan sebagai individu yang mengonsumsi nasi padang pada acara tersebut. Dari 35 orang yang berisiko (tingkat serangan: 77,14%), tingkat serangan lebih tinggi pada laki-laki (61,54%) dan mereka yang berusia 18-65 tahun (82,61%). Masa inkubasi berkisar antara 5 hingga 32 jam. Ikan nila memiliki risiko tertinggi (RR = 1,42), diikuti oleh ikan lele (RR = 1,25). Berdasarkan gejala, masa inkubasi, dan hasil laboratorium, agen penyebab diidentifikasi sebagai Escherichia coli dan Salmonella sp.
Co-Authors Daniswara, Sabrina Dwi Sutiningsih Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Muh, Fauzi