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Berbeda dengan beberapa negara, laporan kejadian kasus demamberdarah dengue (DBD) di perdesaan Indonesia belum banyak dilaporkan.Penelitian ini bertujuan untuk memberikan gambaran kejadian DBD diperdesaan di wilayah perbatasan Kabupaten Bogor dan Kabupaten Lebak,Jawa Barat. Penelitian ini menggunakan desain studi kasus seri dengansampel seluruh penderita DBD yang tercatat di puskesmas pada periodebulan Januari 2011 sampai April 2012. Hasil penelitian menemukan 18 ka-sus DBD dan 4 kasus kematian (case fatality rate, CFR = 22%). Sebagianbesar kasus berjenis kelamin laki-laki (58,3%), berusia ≥ 15 tahun (58,3%),tidak bekerja/ibu rumah tangga (50%), melakukan mobilitas (66,7%), mem-punyai pengetahuan yang baik (66,7%), berperilaku kurang baik (83,3%),dan mempunyai tempat penampungan air (100%). Lima dari 12 kasus DBD(41,7%) diduga merupakan kasus lokal. Dari empat puskesmas (57,1%)yang melakukan kegiatan penyelidikan epidemiologi DBD terindikasi bah-wa kemungkinan besar telah terjadi transmisi DBD di wilayah perdesaandaerah perbatasan Kabupaten Bogor dan Kabupaten Lebak.Dengue hemorrhagic fever (DHF) has long been reported as disease af-fecting predominantly among urban populations. However, several recentstudies suggest that DHF has spread into rural area. This study aims to des-cribe disease occurrence of DHF in border rural areas of Bogor ? Lebak.The study design is case series. The sample of this study was all patientswith confirmed DHF admitted to public health centers between January2011 and April 2012. The study was conducted in April to May 2012. Theresults showed that there were 19 DHF cases and four out of 18 cases died(case fatality rate, CFR was 22%). Out of 12 eligible respondents, most ofthem were male (58,3%), aged ≥ 15 years (58,3%), unemployed/housewife(50%), conducting mobility (66,7%), having good knowledge (66,7%), be-have poorly (83,3%), and having water containers (100%). Five of 12 DHF cases (41,7%) were suspected as local cases. Four primary health centers(57,1%) were able to perform PE DBD (DHF Epidemiological Investigation).These results indicate that the transmission of DHF in border rural areas ofBogor ? Lebak, most likely has occurred. |
