STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN
Background: In the last decade, attention to cholera epidemiology increased, cholera epidemics became a worldwide health problem. Vibrio cholerae interactions with its host and with other organisms in the environment suggest that cholera dynamics is much more complex. Ecological studies suggest that...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2012
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| _version_ | 1797032070800736256 |
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| author | , Aprilia Rubiana , Prof.dr.M.Juffrie,SpA(K).PhD |
| author_facet | , Aprilia Rubiana , Prof.dr.M.Juffrie,SpA(K).PhD |
| author_sort | , Aprilia Rubiana |
| collection | UGM |
| description | Background: In the last decade, attention to cholera epidemiology
increased, cholera epidemics became a worldwide health problem. Vibrio
cholerae interactions with its host and with other organisms in the
environment suggest that cholera dynamics is much more complex.
Ecological studies suggest that the aquatic environment is the natural
habitat of Vibrio cholerae. Its ability to survive within and outside the
aquatic environment makes cholerae a complex health problem to
manage. The occurence of epidemics of cholera in Tangerang in 2005,
2007, and 2009/2010, mainly in north of Tangerang communities have
stimulated efforts to understand environmental factors influencing the
growth and geographic distribution of epidemic Vibrio cholerae.
Objective: To identify the epidemic of cholera, through environmental
approach. The study was to identify association of aquatic environment with
transmission of cholera, comprising risk factors and spatial analysis of
cholerae.
Method: Case control study was undertaken with 88 cases and 88
controls. Participants were enrolled based medical records in primary
health care. Cases were confirmed laboratory of Vibrio cholera in
epidemic of cholera in 2009/2010. Controls were individuals without
cholera and diarrhea in epidemic and this study. Water samples collected
from fresh water of all of participants, river, and swamp were tested abiotic
and biotic aquatic environment. Geographic information system (GIS)
technology have helped disease mapping and cluster detection. A
questionnare was administered to people to evaluate drinking water,
sanitation of fresh water, and handwashing practice as risk factor.
Result: Seven of 176 water samples from fresh water were positive for
Vibrio cholerae. A spatial scan statistics also identified significant spatial
cluster of cholera that is primary cluster also showed that the radius within
case centre is 2558 meter. Multivariate analyses showed that untreatment
drinking water (OR: 2.85, 95% CI 1.4-5.81) and dirty level of fresh water
(OR: 6.43, 95% CI 3.14-13.17) were risk factors.
Conclusion: The study findings suggest that risk factors for cholera in the
district are known factors. Study findings will be used to improve the
promotion of sanitation and treating drinking water to prevent of cholera in
this setting. |
| first_indexed | 2024-03-13T22:32:53Z |
| format | Thesis |
| id | oai:generic.eprints.org:97451 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:32:53Z |
| publishDate | 2012 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:974512016-03-04T08:45:41Z https://repository.ugm.ac.id/97451/ STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN , Aprilia Rubiana , Prof.dr.M.Juffrie,SpA(K).PhD ETD Background: In the last decade, attention to cholera epidemiology increased, cholera epidemics became a worldwide health problem. Vibrio cholerae interactions with its host and with other organisms in the environment suggest that cholera dynamics is much more complex. Ecological studies suggest that the aquatic environment is the natural habitat of Vibrio cholerae. Its ability to survive within and outside the aquatic environment makes cholerae a complex health problem to manage. The occurence of epidemics of cholera in Tangerang in 2005, 2007, and 2009/2010, mainly in north of Tangerang communities have stimulated efforts to understand environmental factors influencing the growth and geographic distribution of epidemic Vibrio cholerae. Objective: To identify the epidemic of cholera, through environmental approach. The study was to identify association of aquatic environment with transmission of cholera, comprising risk factors and spatial analysis of cholerae. Method: Case control study was undertaken with 88 cases and 88 controls. Participants were enrolled based medical records in primary health care. Cases were confirmed laboratory of Vibrio cholera in epidemic of cholera in 2009/2010. Controls were individuals without cholera and diarrhea in epidemic and this study. Water samples collected from fresh water of all of participants, river, and swamp were tested abiotic and biotic aquatic environment. Geographic information system (GIS) technology have helped disease mapping and cluster detection. A questionnare was administered to people to evaluate drinking water, sanitation of fresh water, and handwashing practice as risk factor. Result: Seven of 176 water samples from fresh water were positive for Vibrio cholerae. A spatial scan statistics also identified significant spatial cluster of cholera that is primary cluster also showed that the radius within case centre is 2558 meter. Multivariate analyses showed that untreatment drinking water (OR: 2.85, 95% CI 1.4-5.81) and dirty level of fresh water (OR: 6.43, 95% CI 3.14-13.17) were risk factors. Conclusion: The study findings suggest that risk factors for cholera in the district are known factors. Study findings will be used to improve the promotion of sanitation and treating drinking water to prevent of cholera in this setting. [Yogyakarta] : Universitas Gadjah Mada 2012 Thesis NonPeerReviewed , Aprilia Rubiana and , Prof.dr.M.Juffrie,SpA(K).PhD (2012) STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=54402 |
| spellingShingle | ETD , Aprilia Rubiana , Prof.dr.M.Juffrie,SpA(K).PhD STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN |
| title | STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN |
| title_full | STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN |
| title_fullStr | STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN |
| title_full_unstemmed | STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN |
| title_short | STUDI LINGKUNGAN PENULARAN KOLERA DI KECAMATAN SEPATAN DAN KECAMATAN PAKUHAJI KABUPATEN TANGERANG, PROVINSI BANTEN |
| title_sort | studi lingkungan penularan kolera di kecamatan sepatan dan kecamatan pakuhaji kabupaten tangerang provinsi banten |
| topic | ETD |
| work_keys_str_mv | AT apriliarubiana studilingkunganpenularankoleradikecamatansepatandankecamatanpakuhajikabupatentangerangprovinsibanten AT profdrmjuffriespakphd studilingkunganpenularankoleradikecamatansepatandankecamatanpakuhajikabupatentangerangprovinsibanten |