Dengue Hemorrhagic Fever Disease Research Articles

A Comprehensive Economic Analysis of Hospitalised Patients with Dengue Fever

DHF poses a significant public health concern in regions characterised by tropical and subtropical climates. Indonesia is among the nations that have encountered challenges in effectively addressing the issue of DHF, as seen by the escalating number of cases. West Java Province is positioned at the forefront among the top three provinces in terms of reporting the highest number of DHF cases, with a total of 10,722 cases. The number of DHF cases in Depok City shown a notable rise, escalating from 1,276 cases and resulting in 3 fatalities in the year 2020 to a total of 3,155 cases in the subsequent year of 2021. The primary aim of this study was to ascertain the demographic characteristics of families with inpatients and intensive care patients, and to assess the overall financial burden associated with treatment, non-treatment expenses, indirect costs, and economic losses experienced by families of inpatients and intensive care patients afflicted with DHF disease at Depok City Hospital. The present study employed a descriptive analytic strategy utilising a quantitative methodology. The study was carried out at the Depok City General Hospital, utilising both primary and secondary data sources. The population under investigation in this study had a total of 429 patients. The sample size for the study was determined to be 203 using Lameshow's sample size technique. The variables considered in this study encompassed demographic characteristics, the overall direct expenses associated with treatment, the entire direct costs associated with non-treatment, the aggregate indirect costs, and the complete economic losses experienced by families of patients with DHF at Depok City General Hospital. The data underwent analysed through the application of univariate analysis and cost evaluation computation. The findings indicated that the average direct cost of therapy was Rp. 7,797,833 or USD 507.23. The average non-treatment direct expenditures amount to Rp. 2,701,440 or USD 178.59. The average value of indirect costs was Rp. 2,471,557 or USD 163.40. The average family economic loss was Rp. 12,970,830 or USD 843.72. Conclusions: This study demonstrates that the sickness known as dengue hemorrhagic fever (DHF) can result in financial burdens for families, particularly in terms of non-medical direct costs and indirect costs.

Pengetahuan Siklus Hidup Nyamuk Aedes aegypti untuk Cegah DBD Bagi Warga RT 44 Kelurahan Guntung Manggis Banjarbaru

Abstract Dengue Hemorrhagic Fever (DHF) is still a health problem for the people of Banjarbaru. This disease can be prevented by avoiding the bite of the Aedes aegypti mosquito. The mosquito population of Ae. aegypti has a high potential to carry out biting activities. Therefore, mosquito control is the main focus in controlling DHF. The one house one larva monitor program by carrying out 3M activities (bury, cover and drain) water containers is relatively effective. However, knowledge about the life cycle is not the same among residents, so the implementation of this program is still constrained. With this background, the Lambung Mangkurat University Faculty of Mathematics and Natural Sciences service team held counseling for Dasa Wisma Jasmine 5 about the life cycle of the Aedes aegypti mosquito. The implementation of this service provides insight into the life cycle of the Aedes aegypti mosquito followed by the practice of trapping mosquito eggs. The hope of this program is to increase knowledge, change attitudes and take action in residential areas so that they do not become breeding grounds for the Aedes aegypti mosquito. Keywords: DHF disease; Aedes aegypti; knowledge; attitude; action

Health Education Effected Public Knowledge To Prevention Of Dengue Hemorrhagic Fever (DHF)

Problems The government's present approach to the challenges the DHF disease faces in Indonesia is insufficient. Though, in order to regulate the DHF condition, public support is essential. The fact that the general public does not participate in Mosquito Nest Eradication (PSN) initiatives shows how poorly understood and known DHF illness prevention is by the general population. Examine the impact of health education on the community's awareness of DHF prevention. Pretest-posttest design with a single group, pre-experimental investigation. The population of Village Sumberwuluh Subdistrict Dawarblandong Regency Mojokerto, which consists of 289 homes and is entirely under inquiry, was represented by one responder who was between the ages of 18 and 35 in each of the 289 households. This is a simple random sampling technique. 44 people comprise the huge sample. questionnaire-based instrument study using SAP. The results showed that 32 respondents (72.7%) had sufficient knowledge of DHF prevention before obtaining health education, and 23 respondents (52.3%), after getting health education, had sufficient knowledge of DHF prevention. Based on the Wilcoxon Signed Rank statistical test results, H1 is accepted and H0 is denied, which indicates that health education has an impact on community understanding on DHF prevention. When more data is acquired and health education is observed, a better understanding of DHF prevention is attained.

PEMETAAN DAERAH RAWAN PENYAKIT DEMAM BERDARAH DENGUE (DBD) DI KOTA BANDUNG MENGGUNAKAN APLIKASI QGIS

Dengue Hemorrhagic Fever (DHF) is a viral disease spread by a vector, Aedes Aegypti mosquitoes. This study aims to map the distribution of high vulnerability areas in Bandung City. The data used are secondary data from the 2021 District Health Office and 2022 the Central Agency of Statistics (BPS) from 30 sub-district reports in Bandung City. Map of Bandung City obtained from the Geospatial Information Agency via the website tanahair.indonesia.go.id. DHF case data and data that have a direct influence on the natural development of mosquitoes, including rainfall, air humidity, and population density are scored and classified. Then the data is assessed and analyzed to produce vulnerability level zones using the QGIS 3.28.0 application. The result shows that there are 5 sub-districts with high vulnerability level, sub-districts with medium vulnerability level, and 15 sub-districts with low vulnerability level. The five sub-districts with high vulnerability are Antapani, Bojongloa Kaler, Cibeunying Kidul, Kiaracondong, and Sukajadi sub-districts. Knowing the distribution of dengue-prone areas, it is hoped that it will make it easier for the Bandung City Health Service to take preventive measures and handle DHF cases by prioritizing sub-districts with a high level of vulnerability. The government is expected to increase community participation in programs to prevent and control DHF incidents in each sub-district. In addition, it is hoped that further research will examine other environmental factors and societal behavior factors that lead to the vulnerability of DHF cases so that the DHF disease control program in Bandung City is more specific, especially considering the characteristics of each region.

Evaluating the importance of clinical manifestations and laboratory parameters associated with progression to severe dengue in children

Background The ability to predict the progression to severe dengue is crucial in managing patients with dengue fever. Severe dengue is defined by one or more of the following signs: severe plasma leakage, severe bleeding, or severe organ involvement as it can be a life-threatening condition if left untreated.
 Objective To identify clinical manifestations and laboratory parameters associated with dengue hemorrhagic fever disease progression in children by systematic review and meta-analysis.
 Methods We searched six medical databases for studies published from Jan 1, 2000, to Dec 31, 2020. The meta-analysis used random-effects or fixed-effects models to estimate pooled effect sizes. We assessed heterogeneity using Cochrane Q and I2 statistics, publication bias by Egger’s test and LFK index (Doi plot), and categorized subgroup analysis by country. This study was registered with PROSPERO, CRD42021224439.
 Results We included 49 papers in the systematic review, and we encased the final selected 39 papers comprising 23 potential predictors in the meta-analyses. The other 10 papers were not included because the raw data could not be calculated for the effect measure in the meta-analysis. Among 23 factors studied, seven clinical manifestations demonstrated association with disease progression in children, including neurological signs, gastrointestinal bleeding, clinical fluid accumulation, hepatomegaly, vomiting, abdominal pain, and petechiae. Six laboratory parameters were associated during the early days of illness, including elevated hematocrit, aspartate aminotransferase [AST], and alanine aminotransferase [ALT], low platelet count, low albumin levels, and elevated activated partial thromboplastin time. Dengue virus serotype 2 (DENV-2) and secondary infections were also associated with severe disease progression.
 Conclusion This review supports the use of the warning signs described in the 2009 WHO guidelines. In addition, monitoring serum albumin, AST/ALT levels, identifying infecting dengue serotypes, and immunological status can improve the prediction of further risk of disease progression.

The Attitude of the Head of the Family About the Prevention of Diseases with Dengue Hemorrhagic Fever

Dengue hemorrhagic fever is a disease that tends to increase the number of cases and its spread and often causes extraordinary events, even death. Until now, it is still a public health problem and can cause sufferers to die quickly. This study aims to determine the head of the family's attitude toward preventing dengue hemorrhagic fever. Research design with a cross-sectional study analytical survey approach, sample technique using purposive sampling. The results showed that most heads of households had a good attitude regarding preventing dengue hemorrhagic fever. It can be concluded that the family's attitude in the category is good in preventing dengue hemorrhagic fever disease. The recommendation of health workers can come directly to the community to provide counselling on how to eradicate mosquito larvae and mosquito nests in the living environment and carry out individual hygiene.

Description of Zoonostic Epidemiological Investigations In Dengue Hemorrhagic Fever (DHF) At Community Health Center of Lamaru

Dengue hemorrhagic fever (DHF) is an infectious disease caused by the bite of the Aedes aegypti mosquito. This disease is still a health problem in Indonesia because the seasons are constantly changing and unpredictable, causing the disease to continue to rise and tends to be difficult to minimize. The main cause of this disease is related to the environment and the fact that there are still many mosquito larvae because the community does not carry out PSN (Mosquito Nest Eradication) and 3M Plus measures. And if the vector that causes DHF is not eradicated it can cause an outbreak. Epidemiological investigation activities are a form of community empowerment which aims to examine mosquito larvae which are vectors for DHF disease transmission and increase awareness of community behavior in carrying out DHF control and prevention. The method used was observation by observing the presence of Aedes aegypti mosquito larvae and interviews at RT 16, Lamaru Village, targeting DHF case sufferers and the people who live around it, as well as socialization regarding PSN DHF and 3M Plus and distribution of abate powder door to door. The results of the activities of the 20 houses examined were 75% positive for mosquito larvae in the bathtub and unused items in residents' homes with a larva-free rate of 25% where these results were still very low and did not meet the target of 95%. Efforts to prevent DHF can be increased through this activity with the community doing 3M Plus & PSN routinely every week.

Upaya Peningkatan Pengetahuan Penyakit Demam Berdarah Dengue Masyarakat Desa Jelobo Kabupaten Klaten

Dengue hemorrhagic fever (DHF) is still a serious problem in Indonesia, because the climate in Indonesia supports mosquito breeding and most Indonesians are still not aware of the importance of clean and healthy living behavior which causes many cities in Indonesia to become endemic cases of DHF. This service is carried out in Jelobo Village, Wonosari District, Klaten Regency, which is included in a DHF endemic area. The morbidity rate reaches 1.71 per 100,000 population and the mortality rate reaches 5% which is included in the 3rd rank of death in the Central Java area. Based on the results of the situation analysis and survey, it shows that the people of Jelobo Village still have less knowledge and attitudes in preventing DHF. The purpose of community service is to increase the knowledge of the Jelobo Village community regarding the understanding, symptoms, causes, and prevention of dengue fever. The method used is by providing online counseling in the form of digital posters and videos distributed through Whatsapp Groups as a preventive and promotive effort to prevent dengue. In addition to using posters and videos that are distributed on Whatsapp Groups, education is also carried out by placing posters in public places. Wilcoxon statistical test obtained p value of 0.00 <0.05, meaning that there is a significant effect on the difference in the treatment given to each variable. A significant difference can also be seen from the results of an increase in the pre-test and post-test of 6.178, so that the treatment given after the pre-test showed an increase in participants' knowledge of DHF disease. Increasing public knowledge will open awareness to create good environmental sanitation so that the chain of disease transmission can be broken. It is necessary to collaborate with health workers, the community, and local village cadres to improve education in the community, especially regarding DHF.

Dengue hemorrhagic fever incidence in Indonesia using trend analysis test and spatial visualization

Dengue hemorrhagic fever (DHF) caused a public health risk in many developing countries, so understanding their incidence trend is needed to prepare for early warning prevention. The multi-year DHF trend analyses with spatial analysis are necessary but have not been accomplished in Indonesia. Therefore, this study aimed to present the current and future trends of DHF disease incidence in Indonesia during 2007-2022. This study examined the trends using yearly data of DHF for all provinces. The total number of DHF cases (DHF cases), the total death associated with DHF (TDC), case fatality rate (CFR), and infection rate (IR) are utilized. Univariate forecasting model, trend analysis test, and spatial visualization were developed. The results per province showed a declining trend of DHF cases and TDC in Java Island. There was an increasing trend outside Java Island. For the CFR and IR, most provinces had decreasing trend except for Gorontalo, North Kalimantan, and Maluku. Overall, trend analysis showed a continually decreasing trend of DHF, TDC, CFR, and IR that shows the positive results of the eradication program over 16 years. The findings highlighted the high-risk areas and need control strategies for DHF incidences.

Sistematic Review: Mathematics Model Epidemiology of Dengue Fever

Dengue Hemorrhagic Fever (DHF) is a disease caused by an arbovirus that enters the human body through the Aedes aegypti mosquito. Dengue Hemorrhagic Fever is characterized by symptoms, headache; reddish skin that looks like measles; and muscle and joint pain. The spread of dengue hemorrhagic fever (DHF) globally has tended to be higher in the last 50 years, thus giving rise to ideas for systematic prevention. Many factors cause this dengue fever, climate factors, weather, residential density, and other factors. The Epidemiological Model of DHF can provide a pattern of prevention against dengue outbreaks so that this problem can be modeled mathematically and through the stability of the equilibrium point, the dynamics or behavior of the model can be determined. The spread of DHF can be suppressed by providing control in the form of vaccines, eradication with insecticides and treatment. This review article aims to provide a systematic description of the causative factors, a mathematical model of DHF with an epidemiological approach. To get the right model related to the SIR epidemiological mathematical model and its modifications which can be an alternative solution to describe and analyze the model mathematically. The methodology used is to systematically search for journals and articles from August 2021 to April 2022. This is done by accessing electronic journal portals such as: Elsevier, Springer, ResearchGate, google scholar, Scient direct and so on. Other references also use national journals and information on the Ministry of Health's website. The results of a review of factors that cause dengue fever are physical environmental factors that have a significant influence on rainfall and air temperature. Mathematical models with Optimal Control can be used as an alternative to mathematical analysis which is expected to help solutions to reduce the spread of dengue fever. The recommendation given is to investigate the disease-causing factors from the chemical aspect related to the chemical effect in water that influences the growth of mosquito larvae in water which can indirectly affect DHF disease and involves these parameters in mathematical models and optimal control.

Relationship Of Knowledge On Community Behavior In Eradication Of Aedes Aegypti Mosquito Nests In The Work Area Of Pal. 3 Puskesmas Pontianak

Dengue Hemorrhagic Fever (DHF) is transmitted through the bite of the Aedes aegypti mosquito and possibly the Aedes albopictus mosquito. The incidence of DHF in Indonesia in the last 3 years of 2018 was 65,602 cases, in 2019 as many as 138,127 cases, and in 2020 as many as 108,303 cases. In West Kalimantan, in 2018, as many as 3,125 cases, in 2019 as many as 2,798 cases, and in 2020 as many as 784 cases. Meanwhile, data on dengue cases in Pontianak City, in 2018 there were as many as 182 cases, in 2019 there were as many as 106 cases, and in 2020 there were as many as 27 cases. Nationally, cases of DHF fluctuate, while in West Kalimantan to Pontianak, it tends to decrease. The death rate (CFR) due to DHF cases in Pontianak City during the period 2018-2019 showed the highest mortality rate occurred in 2018 with a percentage of 1,54% of 100 DHF cases. However, the incidence rate is still there, and every year (endemic) and always has the potential to cause outbreaks. Therefore, efforts to control mosquitoes carrying dengue disease are needed, starting by assessing community knowledge and behavior in controlling DHF disease with nest eradication. Mosquitoes (PSN 3M plus). Objective To examine the relationship between knowledge and community behavior in PSN 3M plus in the work area of ​​the Pal.3 Pontianak Health Center. Methodology is observational research with a cross-sectional approach. The results of the study showed that there was a significant relationship between knowledge and PSN 3M plus in the work area of ​​the Pontianak Pal.3 Health Center, with a value of p = 0.000 (p<). Most respondents have poor knowledge in PSN 3M plus (61,7%), as well as bad behavior in PSN 3M plus (77,7%), so it is concluded that there is a significant relationship between respondents' knowledge and behavior in PSN 3M Plus in the work area of ​​the Pontianak Pal. 3 Health Center.

Performance Analysis of the Hybrid Voting Method on the Classification of the Number of Cases of Dengue Fever

Dengue hemorrhagic fever (DHF) is a health problem in Indonesia. The region in Indonesia that has the highest number of cases in West Java with the highest ranking with 10,772 cases. The city of Bandung is recorded to have the highest number of cases at this time, namely 4,424 cases. Dengue fever can be caused by high rainfall. Judging from the high number of cases and fluctuations that occur, it is necessary to predict the spread of the disease so that in the future it can be anticipated by the government. Prediction of the spread of dengue fever in the city of Bandung using various classification algorithms has been done. Therefore, the author wants to make a new breakthrough by using hybrid ensemble learning using a hard voting method from three classification methods, namely Support Vector Machine (SVM), K-Nearest Neighbor (KNN), and Decision Tree (DT). Using the Bandung City DHF disease dataset from 2012 to 2018. The results obtained using the Support Vector Machine (SVM), K-Nearest Neighbor (KNN) and Decision Tree (DT) were 84%, 87%, 79%. to improve the classification accuracy of the three methods using a hybrid classification with the hard voting method to get 91% results.

The application of geographic information system for dengue epidemic in Southeast Asia: A review on trends and opportunity.

The infectious disease dengue hemorrhagic fever remains an unresolved global problem, with climatic conditions and the location of areas located at the equator more often infected with dengue fever. Various modeling approaches have been employed for the development of a dengue risk map. The geographic information system approach was used as an instrument in applying mathematical algorithms to process field vector data into a preventive objective which is studied, then the application of remote sensing provides spatial-temporal data related to land use/land cover data sources as other variable categories. Map of hotspots for dengue fever cases is used to identify the risk of dengue fever areas by applying various complex methodologies, analysis, and visualization of advanced data are needed for its application in public health. In the last 10 years, the increase in the publication of dengue hemorrhagic fever in Southeast Asia in reputable international journals has increased significantly.

Factors affecting public participation on the implementation of the dengue hemorrhagic fever prevention program at the medan deli health center, Medan City, Indonesia

The report on the Dengue Hemorrhagic Fever (DHF) prevention program at the Medan Deli Subdistrict Health Center, Medan City in 2016 was very high due to factors originating from the community such as willingness, the opportunity to prevent DHF, utilizing counseling and low abilities and the role of the village head/officer was not optimal. The purpose of this study was to analyze the influence of internal factors (opportunity, ability, and willingness) and external factors (role of the village head, cadres / health workers) on community participation in the implementation of the DHF disease prevention program. This type of research is a survey with aapproach cross sectional. The population was 24,344 families and the total sample was 100 people using cluster sampling technique. Data collection through questionnaires and observations. Data were analyzed using multiple logistic regression tests. The results of statistical tests showed that the opportunity, willingness, ability, role of the village head and cadres / health workers had an effect on community participation in the implementation of the DHF disease prevention program. Meanwhile, the dominant variable affecting community participation in implementing the DHF disease prevention program was the willingness with an RP of 11,201 which means The proportion of people who have the willingness to participate in the implementation of the DHF prevention program is 11.2 times greater than that of people who do not have the will.

BUILDING AWARENESS TO PREVENT DHF THROUGH SOCIALIZATION, JUMANTIC TRAINING, AND ERADICATION OF MOSQUITO NESTS IN CANDIREJO, BLITAR

Dengue Hemorrhagic Fever (DHF) is a dangerous disease that may cause death within a short time and spread quickly. East Java is the province with the second-highest number of dengue cases in Indonesia. Blitar is one of the contributors to the high number of cases in East Java, with a CFR of 1.2% and Ponggok sub-district is one of the dengue-prone areas. Programs that have been promoted by the government are the 3M Plus Movement and the Eradication of Mosquito Nests (PSN). However, dengue disease still occurs every year because the community lacks the awareness to run these programs regularly and continuously. The purpose of community service through the 65th Airlangga University KKN-BBM program in the Health Sector were 1) increasing knowledge and awareness about DHF disease and its prevention, 2) improving skills in monitoring larvae independently, 3) reducing dengue transmission rates and improving the environmental health of the Candirejo Village community. The method used were the dissemination of knowledge about DHF and its prevention along with jumantik and PSN 3M Plus training. The target of this activity was elementary school students and the surrounding community. The results of the evaluation showed that there were differences in the level of knowledge before and after the socialization of DHF. In addition, the jumantik training was able to encourage students to independently carry out larvae monitoring. The community actively participated and was very enthusiastic in the implementation of PSN. Overall, all the programs carried out are appropriate, easy, and effective ways to prevent DHF.

ACCURATE DETECTION OF VIRAL SEROTYPE DENGUE HEMORRHAGIC FEVER THROUGH AEDES SP MOSQUITOES USING REVERSE TRANSCRIPTASE POLYMERASE CHAIN REACTION (RT-PCR)

Dengue Hemorrhagic Fever (DHF) caused Dengue virus which transmitted through the bite of the Aedes sp. Detection of dengue virus serotypes is essential for epidemiology as well as potential disease pathogens. RT-PCR method was more effective in mosquitoes, because the virus contained in the mosquito body is passed on to the next generation (trans ovarian). The purpose of this research is to know the serotype of DHF virus accurately through vector mosquito using RT-PCR method in Mataram City, so that vector control, early diagnosis and management of DHF disease could be done quickly and precisely. This research was a laboratory explorative research with cross sectional design that determines serotype of DHF virus through vector mosquito using RT-PCR method in Mataram City. The population of this study were Aedes aegypti female mosquitoes from eggs. Collected from houses located in Community Health Center Mataram city worked area with high dengue cases: Pagesangan, Karang Taliwang, Karang Pule, Tanjung Karang, Mataram, and Selaparang especially around the house’s sufferers. The results showed that only the mosquito group from the worked area of the Mataram Community Health Center showed the ribbon image with the base pair in accordance with serotype 1 (DENGUE 1), the other negative.

Community Behavior Patterns That Influence The Causes of Dengue Hemorrhagic Fever (DHF) in The Pondok Petir Elementary Region

Dengue Hemorrhagic Fever (DHF) is a disease caused by the bite of the Aedes Aegypti mosquito infected with one of the four types of dengue virus with clinical manifestations of fever, muscle aches, and/or joint pain accompanied by leukopenia, rash, lymphadenopathy, thrombocytopenia and hemorrhagic diathesis. In dengue hemorrhagic fever, plasma leakage occurs which is characterized by hemoconcentration (increased hematocrit) or fluid accumulation in body cavities (World Health Organization). Dengue Hemorrhagic Fever Penyakit (DHF) is still one of the main public health problems in Indonesia. The number of sufferers and the area of ​​spread of DHF is increasing along with the increase in mobility and population density, especially in tropical and sub-tropical areas (Kemenkes RI, 2010). At the beginning of 2019, Dengue Hemorrhagic Fever (DHF) again increased in several areas, even becoming an Extraordinary Event (KLB) status. In January 2019 there were 15,132 DHF sufferers with 145 people dying in 34 provinces. This figure is twice as high as the figure at the end of January 2018 which recorded 6,167 DHF sufferers with 43 people dying. To find out the behavioral factors of DHF disease in the community in the Pondok Petir sub-district area in 2020. Research Setting: According to data in 2019, Dengue Hemorrhagic Fever (DHF) has increased again in several areas, even becoming an Extraordinary Event (KLB) status. In January 2019 there were 15,132 DHF sufferers with 145 people dying in 34 provinces. This figure is twice as high as the figure at the end of January 2018 which recorded 6,167 DHF sufferers with 43 people dying. East Java, West Java, and DKI Jakarta are the three provinces that experienced an increase in the number of dengue cases compared to the previous year. This research uses the Simple Random Sampling technique. This study studied the incidence of dengue in children to adults (dependent variable), with respondent characteristics (age, history of dengue disease), counseling (knowledge), attitudes (family attitudes), and behavioral patterns (behavior of health workers, rarely monitoring larvae). mosquitoes, distribution of abate powder, fogging activities), and increasing community participation in dengue prevention (independent variable). To obtain the data, an in-depth interview and document review approach was conducted with the community at Pondok Petir. This research was conducted at Pondok Petir, South Tangerang in June 2021. The sub-categories in this study were DHF, Age, History of DHF, Knowledge, Family Attitude, Behavioral Patterns, Behavioral Patterns of Health Workers, Rarely Monitoring Mosquito Larvae, Distribution of Abate Powder, Fogging Activities, Facilities, Facilities, Increased Participation Society in Dengue Prevention. It takes a lot of education to the people of Pondok Petir to make people aware of the importance of knowing about DHF. The most effective and efficient prevention of dengue fever to date is the Mosquito Nest Eradication (PSN) activity using 3M Plus, namely: 1) Draining, is cleaning places that are often used as water reservoirs such as bathtubs, water buckets, water reservoirs drinking water, water reservoirs, refrigerators, etc. 2) Closing, namely closing water reservoirs such as drums, jugs, water towers, and so on; and 3) Reusing or recycling used goods that have the potential to become breeding grounds for dengue-transmitting mosquitoes.

KAMPUNG SEHAT TANGGAP DBD DI KELURAHAN GEDAWANG

Dengue hemorrhagic fever (DHF) is still a problem of health in both urban and semi-urban areas. DHF disease has been a deadly disease since the year 2013. In the health profile of the city of Semarang 2017 Gedawang area is included in the red zone area with the high number of events DHF. Through the DHF Health Care Village program is expected to increase the knowledge and the role of society in realizing a healthy village DHF response. The method of implementing the program is done by providing counseling and simulation. At the end of this activity resulted in an increase in knowledge and community participation in the realization of a healthy village DHF response and when the evaluation is done already formed a report of the Free Numbers Mosquito Repellent each week pasted on the board in each neighbourhood, routine inspection of the Mosquito Repellent, lavender and lemongrass garden and signing of DHF response Village commitment

Hubungan Perilaku dengan Kejadian Penyakit Demam Berdarah Dengue di Wilayah Kerja Puskemas Bakunase Kota Kupang

Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus and transmitted through mosquito bites. The Aedes aegypti mosquito is the main vector. However, other species such as Aedes albopictus can also be vector transmitters. Some of the factors that influence the occurrence of DHF include low immunity status of community groups and increased mosquito population density due to the large number of breeding places in the rainy season. Currently, DHF is still a common disease and is one of the main public health problems in Indonesia. The number of cases of dengue fever in East Nusa Tenggara (NTT) Province in 2015 was 665 cases, in 2016 as many as 1,213 cases, and in 2017 as many as 542 cases. This study aims to analyze the relationship between behavior and the incidence of dengue fever in the working area of ​​the Bakunase Health Center, Kupang City. This study was an analytic observational study with a case-control design. Data were collected in January-February 2020. The results of this study indicate that there is no significant relationship between knowledge and attitude with the incidence of DHF, while action has a significant relationship with the incidence of DHF. Community empowerment efforts related to preventive measures need to be prioritized so that the risk of DHF disease can be reduced.

The Early Vigilance of Dengue Hemorrhagic Fever Outbreak in the Community

Early Awareness of Extraordinary Events of Dengue Hemorrhagic Fever (DHF) was asked to community (n= 130). Precautions were measured based on community knowledge, attitudes, and behavior. Knowledge, attitude, and behavior are constructs (in the form of a composite variable) from an early awareness of DHF outbreak. The result showed that the knowledge related to the transmission factor and the proliferation of dengue disease was quite good (72.3%). The DHF risk control was also good (93.9%) while the dengue fever eradication was still poor (67.7%). However, the attitude showed that it is still not ready to act on the basis of consciousness. Meanwhile, the results of the data analysis identified that the model of the early awareness measurement on DHF outbreak which consisted of construct variables (knowledge, attitude, and action) were a perfect fit. Based on the measurement model, the level of community awareness on DHF disease can be measured. This showed that the level of early awareness of DHF disease was good 76.2% and only 3.8% were less alert. This means although the less alert percentage is quite small, if people have an attitude of indifference to the prevention of DHF then the impact will affect a wider community.