Download Profil Badan Litbang Kesehatan 2012

Balai Litbang P2B2 BanjarnegaraZoonoses Research Office, BanjarnegaraPengembangan Model Rapid Assesment Pasca KLB Leptopspirosis di KabupatenKulonprogo, Provinsi Daerah Istimewa YogyakartaDevelopment of Rapid Assessment Model Post Leptospirosis Outbreak in Kulonprogo,DIY ProvincePenanggung Jawab/ Principal Investigator : Bambang Yunianto, SKM, MKesLeptospirosis diketahui dapat menginfeksibeberapa spesies hewan dan manusia.Penyakit ini dapat ditularkan hewan domestik(anjing, kucing, kambing, babi dansapi) dan binatang pengerat terutama tikus.Leptospirosis telah menyebabkan kematianpenduduk di beberapa kabupaten danterjadi kenaikan kasus tahun 2010-2011di wilayah Kabupaten Kulonprogo ProvinsiDIY.Jumlah kasus leptospirosis di KabupatenKulonprogo pada tahun 2011 sebanyak272 kasus dengan kematian 18 penderita(CFR=6,6%) hasil rapid test. Konfirmasidengan MAT menunjukkan dari 193 sampelhanya 12 positif leptospira, 138 negatif dan43 tidak bisa dibaca. Strain bakteri yang adadari serovar Icterohaemorhagie, Javanica,Celledoni, Canicola, Ballum, Pyrogenes, Cynoptery,Rachmati, Australis Pomona, Grippotyphosa,Harjo, Bataviae, Tarassovi. Hasiluji bakteriologi air dan tanah menunjukkan10 sampel positif bakteri leptospira. Sumberpenularan tidak jauh dengan rumah tinggalpenderita atau berhubungan dengan aktifitassehari-hari. Diagnosis secara cepat denganscreening di unit pelayanan kesehatan(Rumah Sakit atau Puskesmas) mengurangiangka kematian, dan upaya pengendaliandi lokasi penderita ditemukan merupakanlangkah cepat untuk menurunkan penularankarena leptospirosis.Leptopirosis is caused by infectionwith bacteria of the genus Leptospira, andaffects humans as well as other mammals,especially rodents. It is transmitted by theurine of an infected animal and is contagiousas long as it is still moist. Althoughrats, mice and moles are important primaryhosts, a wide range of other mammalsincluding dogs, deer, rabbits, cows, sheep,and certain marine mammals are able tocarry and transmit the disease as secondaryhosts. Leptospirosis have caused deathin several regency of DIY Province. Theincidence trends increased within 2010 –2011 in Kulonprogo.At least 272 Leptospirosis cases weredetected using Rapid Diagnostic Test inKulonprogo during 2011, included 18 fatalcases (CFR=6,6%). 12 cases out of 193were leptospirosis-positive , but 43 samplecouldnot be examined. Based on MATsome serovars were found included Icterohaemorhagie,Javanica, Celledoni, Canicola,Ballum, Pyrogenes, Cynoptery, Rachmati,Australis Pomona, Grippotyphosa,Harjo, Bataviae, Tarassovi. 10 water andsoil samples were Leptospira-positivebased on isolation. The sources of transmissionwere found around the patient’s settlementand related with their daily activities.Leptospirosis’ screening in public healthservices can reduce mortality, meanwhileleptospirosis control programme can acceleratethe reduction of transmission.Profil Balitbangkes47