Distribusi Kasus Leptospirosis di Kabupaten Demak Jawa Tengah
Abstract: Leptospirosis is
zoonotic disease caused by Leptospira bacteria and transmitted to human through
contact with animal urine into contaminated environment. Demak District is one
of the endemic area in Central - Java. The number of cases is fluctuative over the year 2011-2016 with the peak of 20
cases in 2011, and It decreased at low number in 2016. Many factors may
contributed such as water puddle, rat, and behaviour. Nowdays,the information
about the distribution and spreading of cases was lacking. The purpose of this
study was to describe the leptospiroses incidence based on the epidemiological
variable and spatially in Demak
District.
Method: It was an observational research using cross sectional design.
The subjects were 89 cases over the year 2011-2016. The variables studied
consisted of epidemiological variabels (man, place, and time), physical and
biological environment factors, and behaviour aspects. Interviews and
observation were conducted as the data collection techniques.The collected data would be
analysed descriptively and spatially.
Result: The results of this research showed that the lepstospirosis
incidence was –suffered more by male (66%) compared to female. Most of them
(67,4%) were farmers. The peak of leptospirosis incidence occured in 2011. The
existence of water puddle around the house, and drainage functioning as the
media where the rat died. There were rats in the house where the cases occured
(98,7%). Most of the subjects (66,7%) stated that they did their activities
everyday in bare foot. Spatial analysis showed that Mranggen and Karangawen sub
district had high numbers of leptospirosis cases.
Conclusion: Most of the leptispirosis cases were suffered more by male
compared to female and the subjects worked as
farmers. Mranggen and Karangnawen were two districts with
high incidence of leptospirosis relatively. These areas held a history as flooding areas in previous
time.
Keywords: Environmental
factors; behavioral factors; leptospirosis; Demak
Penulis: kuswati, Suhartono, Nurjazuli
Kode Jurnal: jpkesmasdd160536
