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Distribusi Spasial Leptospirosis di Kabupaten Gresik, Jawa Timur
Leptospirosis is a rodent borne disease, the agent is Leptospira sp bacteria and transmitted to human through rodent urine. Gresik district is endemic for leptospirosis. The case fatality rate in 2009, 2010 and 2011 was 28,13%, 33,33% and 45%. respectively.
The objective of this study was to determine the distibution of leptospirosis cases, by using Geografhical Information System (GIS) and epidemiology spatial analysis based on the environmental risk factors in Gresik district. The study was conducted in march to November 2012, using spatial analysis in a cross sectional design.
The results showed that leptospirosis cases were fluctuated between 2009 and 2011, in 2012 a number of 26 cases were found and 3 cases was a results of screening. The predoninat cases was found among the males, mosly fishermen and farmers. In Gresik district there were three endemic sub-districts, Duduk Sampeyan, Bungah and Gresik sub-districts. The cases fluctuation pattern showed the increased of the cases in january up to April, corresponding with the rain pattern. Enviraonmental variables that influenced the occurence of leptospirosis in Gresik were the presence of fishponds, farming areas, medium rain fall, lowland, medium vegetation population, alluvial type of soil and mostly the abundant of rats in the area. And the most risky leptospirosis transmission was found in the cener of Gresik district. It was concluded that GIS can be used as a part of leptospirosis surveillance and temporal spatial monitoring.
Keywords : GIS, leptospirosis, Gresik
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