Dhf 2011

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Dhf 2011

  1. 1. SITUATION OF DENGUE HIGH FEVER IN WEST SUMATRA PROVINCE 2011 Irene, MD, MPH, PhD
  2. 2. Current Situation <ul><li>In West Sumatra Province, the first case occur in Padang, 1972. In 2011  17 endemic District/municipalities </li></ul><ul><li>IR of DHF ↑ from year to year, 17 (2000) to 42.7 (2011) with 2.023 cases. </li></ul><ul><li>CFR ↓ from year to year. CFR in 2002 was 1.36 and 2011 was 0.7 (out of 2.023 cases, died 14 cases). </li></ul><ul><li>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% </li></ul>01/09/12
  3. 3. IR and CFR of DHF, West Sumatra Province, 2001-2011 01/09/12
  4. 4. The Pattern of DHF Incidence 01/09/12
  5. 5. Cases and Death of DHF by District and Municipalities, West Sumatra Province, 2006-2011 01/09/12
  6. 6. IR of DHF, West Sumatra, 2011 01/09/12 KAB. PASBAR 1,8 KAB. PASAMAN 5,1 KAB. 50 KOTA 14,3 KAB. AGAM 7,5 KAB.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 11,4 KOTA PADANG 110,6 KAB. SOLOK 16,2 KOTA PARIAMAN 9,6 KOTA BUKITTINGGI 57,5 KOTA PADANG PANJANG 53,83 KOTA SOLOK 17,5 KOTA SAWAH LUNTO 83,5 KOTA PAYAKUMBUH No Cases < 55/100.000pop > 55/100.000pop
  7. 7. Endemicity of DHF, West Sumatra, 2008-2011 01/09/12
  8. 8. Endemic of DHF, West Sumatra, 2011 01/09/12 KAB. PASBAR KAB. PASAMAN KAB. 50 KOTA KAB. AGAM KAB.TANAH DATAR KAB. SIJUNJUNG KAB. DHARMASRAYA KAB.SOLOK SELATAN KAB.PESISIR SELATAN KAB.PD.PARIAMAN KOTA PADANG KAB. SOLOK KOTA PARIAMAN KOTA BUKITTINGGI KOTA PADANG PANJANG KOTA SOLOK KOTA SAWAH LUNTO KOTA PAYAKUMBUH
  9. 9. Relationship of Climate Change and DHF, West Sumatra 01/09/12
  10. 10. Potential places for dengue transmission <ul><li>Areas that many cases of dengue fever (endemic) </li></ul><ul><li>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. </li></ul><ul><li>New residences in the suburbs, because at this location residents come from various regions  possibility of patients or carriers that carry of viral. </li></ul>01/09/12
  11. 11. Breeding Places 01/09/12
  12. 12. MAIN ACTIVITIES IN DENGUE CONTROL PROGRAM <ul><li>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 </li></ul><ul><li>Dengue vector control implemented by REESA (Rational, Effective, Efficient, Sustainable, Acceptable). </li></ul>01/09/12
  13. 13. Type of vector control activities <ul><li>Adult mosquitoes (focus fogging, mass fogging) </li></ul><ul><li>Against larvae or larvae (biological control, larvasidasi) </li></ul><ul><li>Evaluation of PSN (Breeding Places Mosquito Eradication) and the knowledge attitudes and behaviors of community. </li></ul><ul><li>Application of the local cultural analysis of the PSN-3MPlus (Drain, Close, Bury), with the approach COMBI (Communication for Behavioral Impact) </li></ul><ul><li>Optimization of the related sector and programe to support (Pokjanal) </li></ul><ul><li>Training and Orientation. </li></ul>01/09/12
  14. 14. plus 3M Larvasiding Ikanisasi Obat Nyamuk Semprot Obat Nyamuk Gosok Pencahayaan Ventilasi Kasa 01/09/12
  15. 15. Breeding Places Eradication Activity 01/09/12
  16. 16. Communication For Behavioral Impact (COMBI) 01/09/12
  17. 17. Thank You 01/09/12

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