Abstract Filariasis (elephantiasis), huntut or tubab people lived in South Kalimantan often mentioned is an annual infectious disease and categorized as neglected tropical disease (NTD) caused by filarial worm. Filariasis is an endemic diseases in Tabalong District, especially Bilas Village. The selective and Mass Drug Treatment have been conduct in Bilas village but the village still decided as a filariasis endemic area, so it is necessary to study the compliance of the filariasis Mass Drug Assessment (MDA) consumption in the community to against filariasis incidences in Bilas Village. Study was held by Finger Blood Survey (SDJ) and interview using questionnaire about people’s obedience of filariasis MDA drug consumption. 341 responden have been interviewed and held by SDJ, 11 responden were positive filariasis B. malayi in Bilas village. The compliance of people consumed POPM drugs routinely of filariasis patients was only 20% and non patient were 21,64%. It was necessary to conduct a simultaneous MDA with district coverage area accompanied by medical illumination and socialization to the community. Medication supervisors placed at POPM posts or home-to-home visits was needed to ensure medication is actually consumed by the community, it will be better if the MDA was consumed immediately in front of cadres/health officers. Abstrak Filariasis atau kaki gajah atau sering disebut dengan huntut atau tubab oleh masyarakat Kalimantan Selatan adalah penyakit menular menahun yang merupakan penyakit tropis terabaikan disebabkan oleh cacing filaria. Filariasis endemis di Kabupaten Tabalong, khususnya Desa Bilas. Pengobatan selektif dan pengobatan massal telah dilakukan namun desa tersebut masih dinyatakan sebagai desa endemis sehingga perlu dilakukan penelitian terhadap kepatuhan masyarakat minum obat pencegah massal terhadap kejadian filariasis di Desa Bilas. Kegiatan yang dilakukan yaitu Survei Darah Jari (SDJ) dan kegiatan wawancara menggunakan kuesioner tentang kepatuhan meminum obat pencegah massal filariasis. Sebanyak 341 responden yang berhasil diwawancara dan dilakukan pemeriksaan darah jari, 11 orang diantaranya positif filariasis jenis parasit B. malayi di Desa Bilas. Kepatuhan masyarakat yang minum obat POPM secara rutin pada penderita hanya 20%, sedangkan pada non penderita sebanyak 21,64%. Perlu dilakukan pengobatan massal serentak sekabupaten disertai dengan sosialisasi dan penyuluhan tentang pengobatan massal kepada masyarakat. Kader pengawas minum obat yang ditempatkan di pos-pos pelaksanaan POPM atau kunjungan dari rumah ke rumah diperlukan untuk memastikan obat benar-benar diminum, akan lebih baik jika obat diminum langsung didepan kader/ petugas kesehatan.
Helminthiasis is a disease caused by intestinal parasite helminth with a high prevalence and spread throughout Indonesia, not deadly but secretly and slowly affect the health and productivity of patients through the decline in nutritional status. Slow and less symptom-prone effects cause the disease to be neglected among other diseases. This research is descriptive observational with cross sectional design, to know the description of nutritional status and risk factors of helminthiasis at elementary school children suffering from helminth in Meratus Dayak community, conducted in April 2017 at SDN Loksado and SDN Tanuhi, Loksado Subdistrict, Hulu Sungai Selatan Regency, South Kalimantan Province. The results showed 6.5% of helminthiasis occurred in the Dayak community in the Loksado Subdistrict. Helminthiasis consists caused by hookworm (58.33%), Enterobius (16.66), Hymenolepis (8.33%), Trichuris (8.33%), and mix infection of hookworm and enterobius (8.33%). However, this helminthiasis has not had an impact on the patient's nutritional status and progressed without symptoms, indicated by the nutritional status of patients who are mostly in the normal category until the fat. Although helminthiasis is not a deadly disease and is emergency, but the risk factor of helminthiasis in the patient can cause chronic infestation and transmission to other children. Keywords : helminthiasis, nutritional status, risk factors
Diarrhea is still a health problem in Indonesia especially those that occur at the age of toddler or children because it can cause mortality. The objective of this study was to find out the relationship among mother knowledge with occurrence diarhea and relationship habit of mother toddler in cook household drinking water with occurrence diarhea of toddler were get medical treatment in Baringin public health center. This study was analytic method with cross sectional approach and data collected by questionnaire. This study were get 80 respondent mother who had brought their toddlers at Baringin public health centers in the period January-July 2014 and domiciled in the Baringin public health center work area .The result of statistic used chi square of obtain that was a relationship between knowledge with occurrence diarhea (P = 0,000 < α = 0,05) and relationship between habit of mother toddler in cook household drinking water with occurrence diarhea of toddler were get medical treatment in Baringin public health center (P = 0,000 < α = 0,05). Based on the results of this study suggested an increased implementation of health information by health centers mainly around diarrheal disease and the importance of good hygiene practices, as well as boiling drinking water properly as the prevention of diarrhea.
Latar belakang: Soil Transmitted Helminth merupakan penyakit infeksi oleh nematode usus masih menjadi neglected diseases yang dapat menyebabkan kekurangan gizi, anemia, hambatan pertumbuhan dan perkembangan kognitif khususnya pada anak-anak. Penularan STH terjadi melalui kontak dengan telur parasit atau larva yang berkembang di tanah yang hangat dan lembab sehingga penelitian ini bertujuan untuk mengetahui keberadaan telur dan larva cacing usus yang ada di dalam tanah di Desa Juku Eja yang merupakan penyebab dari tingginya prevalensi kecacingan di SDN Juku Eja.Metode: Penelitian menggunakan desain cross sectional. Pengambilan sampel tanah dilakukan di 5 titik di SDN Juku Eja dan 17 titik di sekitar area pemukiman warga Desa Juku Eja. Pemeriksaan sampel tanah menggunakan metode pengapungan dan preparat kemudian diperiksa di bawah mikroskop. Hasil: Ditemukan 2 sampel positif larva cacing tambang (hookworm) di SDN Juku Eja dan satu titik positif telur cacing Trichuris trichiura di area pemukiman. Kondisi tanah pada kedua lokasi yaitu berpasir dipinggir pantai. Kontaminasi tanah oleh telur dan larva cacing STH disebabkan oleh kebiasaan BAB di tepi pantai oleh masyarakat, ketidaktersediaan jamban keluarga dan kebiasaan tidak menggunakan alas kaki di tanah.Simpulan: Kontaminasi tanah oleh telur dan larva cacing dapat menjadi sumber risiko penularan infeksi STH jika terjadi kontak manusia dengan tanah tanpa perlindungan diri dan kebiasaan hidup bersih dan sehat. ABSTRACT Title: Contamination Of Worm Egg And Larvae In Soil At Juku Eja Village Tanah Bumbu RegencyBackground: Soil Transmitted Helminth (STH) is an infectious disease by intestinal nematode. This neglected disease can cause nutritional deficiencies, anemia, growth barriers and cognitive development, especially in children. STH transmission occurs through contact with parasitic eggs or larvae that develop in warm and moist soils, so this study aims was determine the presence of intestinal helminth eggs and larvae in the soil of Juku Eja Village, which is the cause of the high prevalence of helminthiasis in SDN Juku Eja.Method: Research using cross sectional design. Soil sampling was carried out at 5 points at SDN Juku Eja and 17 points around the residential area of Juku Eja Village. Soil samples examination was using the flotation method and then the preparations are examined under a microscope.Result: Result was found 2 positive samples of hookworm larvae (hookworm) at SDN Juku Eja and 1 spot positive of Trichuris trichiura egg in the residential area. Soil conditions at both locations are sandy beach. Soil contamination by eggs and STH worm larvae is caused by the habit of defecating on the beach by the community, the unavailability of family latrines and the habit of not using footwear on the ground Conclusion: Contamination of soil by eggs and worm larvae can be a source of risk of transmission of STH infections if there is human contact with the soil without self-protection and clean and healthy living habits.
Perubahan iklim dapat berpengaruh terhadap peningkatan risiko penularan khususnya penyakit demam berdarah dengue (DBD). Kajian mengenai perubahan iklim khususnya suhu, kelembaban, dan curah hujan diperlukan guna kewaspadaan dini peningkatan kasus DBD. Sumber data menggunakan data penelitian “Kejadian DBD berdasarkan faktor iklim di Kota Ternate”. Analisis menggunaan analisis jalur untuk menjelaskan mekanisme hubungan kausal antara curah hujan, kelembaban udara, suhu udara terhadap kejadian penyakit DBD. Kasus DBD di Kota Ternate ditemukan relatif lebih tinggi pada bulan basah yaitu kisaran curah hujan > 200-412 mm, suhu 23-27oC dan kelembaban 67-82 mmHg. Suhu dan kelembaban dinyatakan berpengaruh secara signifikan pada kasus DBD di Kota Ternate (p value<0,005). Curah hujan meskipun tidak terbukti berpengaruh pada kasus DBD, akan tetapi berdasarkan diagram jalur, curah hujan berpengaruh positif terhadap kejadian penyakit DBD sebesar 8,4% yang berarti bahwa tinggi rendahnya kejadian DBD dipengaruhi oleh curah hujan sebesar 84%. Hal ini disebabkan karena curah hujan berpengaruh langsung terhadap keberadaan tempat perkembangbiakan nyamuk vektor DBD. Diperlukan kerjasama antara instansi kesehatan dengan BMKG guna sistem kewaspadaan dini peningkatan kasus DBD dengan memperhatikan tren fluktuasis suhu, kelembaban, dan curah hujan.
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