FACTORS ASSOCIATED WITH A MEASLES OUTBREAK IN SETIABUDI SUBDISTRICT, SOUTH JAKARTA, INDONESIA, 2016

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1 FACTORS ASSOCIATED WITH A MEASLES OUTBREAK IN SETIABUDI SUBDISTRICT, SOUTH JAKARTA, INDONESIA, 2016 Inggariwati 1 ; Dwi Oktavia 1 ; Etrina E 1 ; Herry S 2 ; Dorlan 3 ; Selpi 4 ; Wilson 4 ; and Nenden 4 1 Dinas Kesehatan Provinsi DKI Jakarta; 2 Suku Dinas Kesehatan Jakarta Selatan; 3 Puskesmas Kecamatan Setiabudi; 4 FETP Indonesia

2 I. Introduction.The measles situation in Jakarta 120 THE TREND OF MEASLES WEEKLY REPORT IN DKI JAKARTA WEEK 1 UNTIL (based on Hospital Surveilans)

3 JAKARTA SEBARAN KASUS CAMPAK BERSUMBER RS DARI KEC SETIABUDI MINGGU 4 SD 38 %U SETIA BUDI %U TEBET RSUK TEBET #& KASUS CAMPAK YORAN BARU MAMPANGPRAPATAN PANCORAN %U RSUD BUDHI ASIH PASARMINGGU RSUD PASAR MINGGU N %U W E Miles S

4 II. Objectives of Measles Investigation in Menteng Atas Setiabudi: 1. To ensure the rumor of measles outbreaks in the Village of Menteng Atas Setiabudi sub-district 2. To find out the impact of the measles outbreak problem in Menteng Atas Village 3. To describe the epidemiology of measles outbreak by person, place and time 4. to determine the risk factors of measles outbreak in Menteng Atas Village

5 III. METHODOLOGY: Case Control Study of Alleged Measles outbreaks in the Menteng Atas Village Concept Framework Research: Case: all patient that have been treatment measles in Setiabudi Sub district Public Health Center and additional measles cases were found during the field investigation, the total cases were 19 patients Control: children who do not suffer from measles who live with or close to the case of the case, the criteria of gender and age groups adapted to the case. Case : Control = 1 : 3

6 II. Descriptive Analysis of Measles Cases in Menteng Atas Vilage Setiabudi Subdistrict: 1. By Person Tidak diketahui 5% Distribusi Kasus Campak Dugaan KLB Menteng Atas Setiabudi September 2016 Menurut Jenis Kelamin 4.5 dan Kelompok Umur <1 thn 1-3 thn >3-5 th >5-10 th >10 th Laki-laki Perempuan Persentase Pilihan Tempat Berobat Kasus Campak Dugaan KLB Menteng Atas September 2016 Puskesmas 27% Klinik Swasta 26% Bidan 42% 84% Status Kelengkapan Imunisasi Kasus Dugaan KLB Campak Kel Menteng Atas Setiabudi Tidak 10% Gambaran Kasus Dugaan KLB Campak Menurut Status Gizi 5% 16% 11% Gizi Buruk Gizi kurang Normal 74% Ya (KMS-) Ya (KMS+)

7 Descriptive Analysis of Measles Cases in Menteng Atas Vilage Setiabudi Subdistrict: 2. By Time WEEKLY TREND OF CLINICALY MEASLES ONSET IN MENTENG ATAS VILAGE ( WEEK 33 rd until 37 th 2016) 7 MAPPING KASUS DUGAAN KLB CAMPAK KEL MENTENG ATAS SETIABUDI GUNTUR 6 PASARMANGGIS 5 MANGGARAI KARET 4 MENTENGATAS 3 ## # # MANGGARAI SELATAN 2 KARETKUNINGAN # # # # # # Raihana xz # 1 # PKM Kel. Menteng Atas N Series TEBET BARAT Miles MENTENGDALAM KUNINGAN TIMUR W S

8 RESULT: Get measles immunization RESULT AND CONCLUSION Case/Control Case Control Total No Yes Total From the 30 children had immunized against measles, 6 (20%) are still exposed to measles, Theoretically: measles vaccine efficacy ± 85%, so 15% of children who have been immunized are not formed immunity Based on the results of field investigations, suspected cases of measles outbreak in the village of Menteng Atas qualify as an outbreak in accordance with the operational definition of measles outbreaks namely: there are 5 or more clinical cases within 4 weeks in a row happens clumped and evidenced the relationship epidemiology. Hypothesis while the cause of outbreaks of measles are: measles immunization status is incomplete, nutritional status and environmental conditions are crowded with poor sanitation hygiene. Completeness infant immunization in RT 15 RW 05 Kelurahan Menteng Atas still low. Public Health Center as the first level of health care institutions have not been the main choice of the citizens as a treatment, especially treatment of toddler Status of complete immunized and immunization against measles relating to the events alleged outbreak of measles in Menteng Atas Vilages Setiabudi subdistrict

9 RESULT AND CONCLUSION CONCLUSION: Keep measles outbreak control measures, particularly in Sub Menteng Atas and prevention of outbreaks in the region adjacent to the measles cluster location, the Menteng Dalam village, Kuningan Timur, Karet Kuningan and Karet. Necessary intervention environtmental risk factor other than immunization, nutritional status and source of transmitting Need to do a complete survey of complete basic immunization in Kel Menteng Atas and the surrounding areas as basic precautions and control outbreaks of measles. Public Health Center need to do a study to find the causes of the low utilization of health centers in the community. Need to be immunized against measles at the locations of the alleged outbreak given the risk factors are not immunized against measles significantly associated with the incidence of measles in the locations of the alleged outbreak