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Meutia Fildzah Sharfina
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Nursing Public Health

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Influenza like illness (ILI) outbreak in Kulon Progo District, Yogyakarta – November 2019 Meutia Fildzah Sharfina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The case started with 10 students in one of Kulon Progo District junior high school, Yogyakarta who felt sick on November, 20th 2019 morning. The total cases up to school hours increased to 30 students. Epidemiology investigation was held to find other additional cases. Method: This research was using descriptive study design. The case definition in this outbreak is a student in one of Kulon Progo District junior high schools who felt one of ILI clinical symptoms such as headache, shortness of breath, muscle aches, diarrhea, nausea or vomiting November, 3rd 2019 until December, 8th 2019. Clinical symptoms of ILI are fever, cough, cold, muscle aches, or sore throat. The data were collected using questionnaires filled out by the students. Results: The ILI epidemiological curve has shown one peak or common source. The highest case was found on November, 19-20th 2019 with 70 cases. Total population at risk is 392 students and 159 of them are ill. The Attack Rate (AR) in this outbreak is 40.56%. The case distribution was 50,94% for male and 49.06% for female. The most cases which occurred in students was at the age of 14 years (47.24%). The dominant symptoms were headache (35.71%), cough (32.40%), and fever (26.53%). An identifiable risk factor of the ILI outbreak is contact with other ILI cases. Based on the results of the questionnaire, 24.53% of cases of direct contact with family members who had a history of illness with ILI symptoms. Conclusion: An ILI outbreak occurred at one of the junior high schools in Kulon Progo District from November, 3rd until December, 8th 2019. Local health authorities should improve the early detection system of ILI outbreak by improving cooperation between health officials and local health cadres.
A Bacillus cereus outbreak in Kulon Progo Hospital, November 2020 Meutia Fildzah Sharfina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: On November 4th, 2020 RSUD Wates and RST COVID-19 reported to the Kulon Progo District Health Office a suspected food poisoning outbreak on health workers after a served lunch menu on November 3rd, 2020. This study aimed to investigate to confirm the outbreak, source of food poisoning and to develop the recommendation. Method: A retrospective case control study was used with active case finding. Case is people who have diarrhea and one or more symptoms of vomiting, headache, fever, nausea, abdominal pain or other symptoms after consuming the lunch menu from the catering during the lunch hour on November 3, 2020 at RSUD Wates and RST COVID-19 Kulon Progo. Results: A total 85 workers, 28 workers (AR=32,9%) were ill. The incubation period was around 2-32.5 hours. The predominant symptoms were diarrhea (21,2%) and fever (17,6%). The statistical test results showed rice (p value= 0.027; CI 1.4876) and sambal (p value= 0.014; CI 1,6741) are related to the event (p value < 0.05). Based on the incubation period, symptom and type of food, the investigation team suspected Bacillus cereus as a causal factor of the food poisoning outbreak. Conclusion: The food poisoning outbreak most likely was caused by Bacillus cereus. Therefore we recommend to strengthen the intervention community health education about safe food processes.
Affecting factors of youth health reproductive information access in health Faculty of University in Surakarta – 2018 Meutia Fildzah Sharfina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Reproductive health in adolescents is important to be a better future provision knowledge. This is supported by the existence of information access. Information access reproductive health is affected by several factors, including the barriers. The purpose of this research is to analyze the factors that are associated with access to information on youth health reproductive information access in one University of Surakarta. Method: This research is using observational with cross-sectional. The data analysis used was Chi Square. Independent variable were discussion with parents, economic barriers, cognitive barriers, and psychosocial barriers. Dependent variable was discussion with parents, economic barriers, cognitive barriers, and psychosocial barriers. The technique of data collection is done by a questionnaire filled out by respondents related discussion with parents, economic barriers, cognitive barriers, and psychosocial barriers affecting to youth health reproductive information access.. Results: The results has shown that factors which related were cognitive barriers (p=0.022) whereas 44.34% of respondents experienced cognition aspect barriers in the form of respondent knowledge related to where to get reproductive health services and information. In the data collection, 111 respondents knew the existence of health care places that provide reliable information about reproductive health and many of them stated that puskesmas is a place that provides such services although there are many other sources such as LSM, PIKM, PKPR, GenRe, and others. Conclusion: The university is expected to add more informations related to the reproductive health through the development of education by activating a program in collaboration with BKKBN namely PIKM so that students who want to get more in-depth reproductive health information become easier and helped.
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