SITUATION OF DENGUE SITUATION OF DENGUE HIGH FEVER IN WEST HIGH FEVER IN WEST SUMATRA PROVINCE SUMATRA PROVINCE 2011 2011

Irene, MD, MPH, PhD

Current Situation

In West Sumatra Province, the first case occur in Padang, 1972. In 2011 17 endemic District/municipalities

IR of DHF from year to year, 17 (2000) to 42.7 ↑(2011) with 2.023 cases.

CFR from year to year. CFR in 2002 was 1.36 and ↓2011 was 0.7 (out of 2.023 cases, died 14 cases).

Enabling Factors on the development of DHF in West Sumatra is the presence of water reservoirs, the density and the mobilization of the population, the number of new residences and the presence of the vector for transmission of disease. ABJ (Larva Free Number) ≤95%

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IR and CFR of DHF, West Sumatra Province, 2001-2011

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17 14.6

8.39 12.11

24.54 22.89

48.05

38.95

59.48

36.85

42.7

1.36 1.7 8.39 0.97 2.01 1.22 1.1 0.6 0.6 0.3 0.7

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IRR (perr 100.0000pop)) CFRR (%))

The Pattern of DHF Incidence

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Cases and Death of DHF by District and Municipalities, West Sumatra Province, 2006-2011

Cases Deat h Cases Deat h Cases Deat h Cases Deat h Cases Deat h Cases Deat h1 Padang 807 11 1,743 19 807 11 1,586 8 1,045 2 927 52 Par iaman 12 1 30 2 12 1 68 2 41 1 36 03 Bukit t inggi 48 1 46 1 48 1 169 0 80 0 60 04 Padang Panj ang 1 0 11 0 1 0 28 0 39 0 5 05 Solok 27 0 21 0 27 0 30 0 7 0 10 06 Saw ahlunt o 7 0 10 0 7 0 40 0 26 0 45 17 Payakumbuh 0 0 0 0 0 0 107 1 0 0 0 08 Pesisir Selat an 36 0 168 0 36 0 348 0 251 0 611 39 Padang Par iaman 18 0 16 0 18 0 58 0 18 0 44 2

10 50 Kot a 0 0 0 0 0 0 69 3 13 0 47 011 Agam 0 0 21 0 0 0 42 0 24 0 32 012 Sij unj ung 4 0 1 0 4 0 11 0 6 0 43 113 Solok (Dist r ict ) 31 0 11 0 31 0 52 1 19 0 57 014 Tanah Dat ar 69 0 103 1 69 0 152 1 177 2 72 115 Pasaman 0 0 0 0 0 0 20 0 41 0 13 016 Pasaman Barat 0 0 0 0 0 0 15 2 6 0 6 017 Solok Selat an 0 0 3 0 0 0 6 0 0 0 4 118 Dharmasraya 7 0 4 1 7 0 12 0 2 0 11 019 Kep. Ment aw ai 0 0 1 0 0 0 0 0 0 0 0 0

West Sumat ra 1,067 13 2,189 24 1,067 13 2,813 18 1,795 5 2,023 14

2009 2010 20112006 2007 2008No Dist r ict / Municipalit ies

IR of DHF, West Sumatra, 2011

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KAB. PASBAR 1,8

KAB. PASAMAN 5,1

KAB. 50 KOTA 14,3

KAB. AGAM 7,5KAB.TANAH DATAR 21,5

KAB. SIJUNJUNG 21,8

KAB. DHARMASRAYA 5,8

KAB.SOLOK SELATAN 2,8

KAB.PESISIR SELATAN 140,2

KAB.PD.PARIAMAN 11,4KOTA PADANG 110,6 KAB. SOLOK 16,2

KOTA PARIAMAN 9,6KOTA BUKITTINGGI 57,5

KOTA PADANG PANJANG 53,83

KOTA SOLOK 17,5KOTA SAWAH LUNTO 83,5

KOTA PAYAKUMBUH

No Cases

< 55/100.000pop

> 55/100.000pop

Endemicity of DHF, West Sumatra, 2008-2011

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2008 2009 2010 20111 Padang 807 1,586 1,045 9272 Pariaman 12 68 41 363 Bukit t inggi 48 169 80 604 Padang Panj ang 1 28 39 55 Solok 27 30 7 106 Saw ahlunt o 7 40 26 457 Payakumbuh 0 107 0 08 Pesisir Selat an 36 348 251 6119 Padang Par iaman 18 58 18 44

10 50 Kot a 0 69 13 4711 Agam 0 42 24 3212 Sij unj ung 4 11 6 4313 Solok (Dist r ict ) 31 52 19 5714 Tanah Dat ar 69 152 177 7215 Pasaman 0 20 41 1316 Pasaman Barat 0 15 6 617 Solok Selat an 0 6 0 418 Dharmasraya 7 12 2 1119 Kep. Ment aw ai 0 0 0 0

West Sumat ra 1,067 2,813 1,795 2,023

Endemis cases of 3 cont inous yearSporadic cases but not 3 cont inous yearFree No case

Endemicit yNo Dist r ict / Municipalit ies

Endemic of DHF, West Sumatra, 2011

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KAB. PASBAR

KAB. PASAMAN

KAB. 50 KOTA

KAB. AGAMKAB.TANAH DATAR

KAB. SIJUNJUNG

KAB. DHARMASRAYA

KAB.SOLOK SELATAN

KAB.PESISIR SELATAN

KAB.PD.PARIAMAN

KOTA PADANGKAB. SOLOK

KOTA PARIAMANKOTA BUKITTINGGI

KOTA PADANG PANJANG

KOTA SOLOKKOTA SAWAH LUNTO

KOTA PAYAKUMBUH

Relationship of Climate Change and DHF, West Sumatra

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Average Temperatur Cases

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Rainfall Cases

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Days of Rain Solar I r radiat ion Cases

10066

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10088

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10133

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Average Relat ive Humidit y Average Wind Speed

Cases Air Pressure

Potential places for dengue transmission

Areas that many cases of dengue fever (endemic)

Public places where 'gathering' of people who come from various areas, including schools, hospitals / health centers and other health facilities, etc, such as: hotels, shops, markets, restaurants and places of worship.

New residences in the suburbs, because at this location residents come from various regions possibility of patients or carriers that carry of viral.

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Breeding Places

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MAIN ACTIVITIES IN DENGUE CONTROL PROGRAM

Case Finding of DHF patients active (Investigation) and passive (health center or other health care units). Diagnosis uses WHO criteria, sometimes use IgM, IgG and IgE

Dengue vector control implemented by REESA (Rational, Effective, Efficient, Sustainable, Acceptable).

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Type of vector control activities Adult mosquitoes (focus fogging, mass fogging) Against larvae or larvae (biological control,

larvasidasi) Evaluation of PSN (Breeding Places Mosquito

Eradication) and the knowledge attitudes and behaviors of community.

Application of the local cultural analysis of the PSN-3MPlus (Drain, Close, Bury), with the approach COMBI (Communication for Behavioral Impact)

Optimization of the related sector and programe to support (Pokjanal)

Training and Orientation.

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plus

3MLarvasidingIkanisasi Obat Nyamuk Semprot

Obat Nyamuk Gosok

PencahayaanVentilasi

Kasa

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Breeding Places Eradication Activity

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Communication For Behavioral Impact (COMBI)

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