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Keberadaan Virus Influenza (H5) di Lingkungan Pasar Tradisional dan Analisa Risikonya terhadap Kesehatan Manusia di Kabupaten Kulon Progo Yogyakarta Tahun 2007
Avian Influenza (AI) virus can survive for a long time in environment. Kulon Progo District, one of five districts in Yogykarta Province, had 12 subditstricts which are infected by AI virus on poultry until November 2006. There are 34 traditional markerts in Kulon Progo Diostrict and there are poultry sellers in some of those 34 markets.
How is the existence of AI-H5 virus in traditional market environment and the risk assessment on human health in Kulon Progo District, Yogyakarta P{rovince?
The study was conducted on February-September 2007 in traditional markets that characterized by the poultry seller there that also raise the poultry. There were eight of 34 traditional markets in Kulon Progro District providing the criteria. The existence of AI-H5 Virus was stated by collecting specimen from avian cloaca swab and soil surrounding the poultry seller , then examining those specimens using RT-PCR (Reverse Transcriptase-Polymerase Chain Reaction) and identifiying the cell cultured in embryonated chicken eggs by HemagglutinaTION Inhibition (HI) test. The poultry seller were observed by researcher whether wearing PEE ( personal protective equipment or not when they sell poultry in traditional markets.
1) Risk Identification : There are A1-H5 viruses in Gawok, Bendungan and Sentolo
markets environment in Kulon Progo Distric, Yogyakarta Province ; Almost all of poultry sellers do not wear PPE when they sell poltry in the market.
2) Risk Assesment: A person with unprotected and very close exposure to a flock or
group of sick or dead animals intected with A1 is categorized as high exposure risk group; A person who involved in handing sick animals or decontaminating affected environments is categorized as high risk group; A person handle single or small groups of sick or dead animals infected with A1 in an open air environment which is not densely populated by animals of the same categorized as moderate exposure risk group; A person who handle (i.e, have direct contact with) asymptomatic animals that may be infected with A1 based on species and possibly proximity to a geographic area where A1 has recently been identified is categorized as low exposure risk group. 3) Risk Management; A1 virus reduction in environment; Behavioral intervention. 4) Risk Cmmunication; We publish our risk assessment on website and bulletin; We make reports for stakeholders.
On this research, we find A1 virus in traditional market and poultry seller behavior that could be risk factors for A1 infections on human. The management of risk factors could be conducted by relevant institutions to reduce the virus and intervene public behavior.
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