Analisis Kondisi Lingkungan pada Kejadian Leptospirosis di Kabupaten Banyumas dengan Pendekatan Spasial
Environmental Conditions Analysis of Leptospirosis Incidence in Banyumas Regency with a Spatial Approach
Abstract
Abstract. Leptospirosis is still becoming a public health problem in Indonesia. Banyumas was one
of the highest cases in Central Java by 2019 so it could be potentially endemic. GIS (Geographic
Information System) is used to determine spatial patt erns related to the environment. This research
aimed to know the distribution and spatial grouping of leptospirosis in Banyumas 2019. The type of
this research is an observational study with a cross-sectional spatial analysis design to observe the
spreading and grouping patt ern. The subjects of this study were 140 leptospirosis cases in Banyumas
2019. House coordinate was collected by using GPS (Global Positioning System). The data collection
is done for a month. Data Analyzes was performed through ArcGIS 10.2, and SaTScan 9.7. The
distribution of leptospirosis in Banyumas was spread over 14 districts, 45% cases in Cilongok, 25,71%
cases were >56 years old, 62,1% cases were male, 40% cases were farmers. The results of the spatial
analysis showed 77.14% cases in residential land use areas, 70% cases with moderate population
density (5.00-1.249 people/km²), 62.85% cases in 0-199 altitude, 63.57% cases with low rainfall 500
meters, and signifi cant grouping patt ern with p-value = 0.009 primary which is located in Cilongok
and Ajibarang. Leptospirosis spread over in residential land use areas, moderate population density,
low altitude, low rainfall, no history of fl ooding, a radius of river 500 meters, and occurs clustering
in Cilongok and Ajibarang. The location intervention of leptospirosis prevention and control can be
prioritized in these areas.
References
2. Khariri K, Muna F, Khoirudin Z. Distribution of Leptospirosis in Indonesia at 2017. Ann Trop Med Public Heal. 2020; 23: 1267–1270.
3. Zhao J, Liao J, Huang X, Zhao J, Wang Y, Ren J et al. Mapping Risk of Leptospirosis in China Using Environmental and Socioeconomic Data. BMC Infect Dis. 2016; 16: 1–10.
4. Nurbeti M, Kusnanto H, Nugroho WS. Analisis spasial kasus leptospirosis di perbatasan Kabupaten Bantul, Sleman, dan Kulon Progo. J Kesehat Masy. 2016; 10: 1–10.
5. Rejeki DSS, Nurhayati N, Aji B. Analisis spasial malaria di ekosistem Perbukitan Menoreh: Studi Kasus Malaria bulan September-Desember 2015. J Kesehat Masy. 2018; 12: 120–132.
6. Cahyati WH, Kumalasari LD. Analisis Spasial Faktor Lingkungan Leptospirosis Di Kecamatan Bonang Kabupaten Demak Tahun 2018. Visikes. 2020; 19: 196–211.
7. Adnyana SIW, As-syakur AR. Aplikasi Sistem Informasi Geografi Berbasis Data Raster Untuk Pengkelasan Kemampuan Lahan di Porvinsi Bali Dengan Metode Nilai Piksel Pembeda. J People Environ. 2012; 19: 21–29.
8. Pramatama S, Wijayanti M, Soedirman UJ, Anandari D, Soedirman UJ. Aplikasi Tehnologi Sistem Informasi Geografi s Untuk Meningkatkan Sistem Surveilans Penyakit Menular Di Kabupaten Banyumas. J Abdimas. 2019; 22: 221–226.
9. Ruliansyah A, Yuliasih Y, Ridwan W, Kusnandar AJ. Analisis Spasial Sebaran Demam Berdarah Dengue di Kota Tasikmalaya Tahun 2011 – 2015. ASPIRATOR - J Vector-borne Dis Stud. 2017; 9: 85–90.
10. Idayani TN, Windraswara R, Prameswari GN. Analisis Spasial Faktor Risiko Lingkungan dengan Kejadian Kusta di Wilayah Pesisir. HIGEIA (Journal Public Heal Res Dev. 2017; 1: 120–130.
11. Prasetyo B, Irwandi H, Pusparini N. Topografi Di Sumatera Variable Topography- Based Rainfall Characteristic in North Sumatera Intisari. J Sains Teknol Modif Cuaca. 2018; 19: 11–20.
12. Sulistyawati S, Nirmalawati T, Mardenta RN. Spatial Analysis of Leptospirosis Disease in Bantul Regency Yogyakarta. J Kesehat Masy. 2016; 12.
13. Pratamawati S, Ristiyanto R, Handayani F, Kinansi R. Faktor Risiko Perilaku Masyarakat Pada Kejadian Luar Biasa Leptospirosis Kabupaten Kebumen Tahun 2017. J Vektor dan Reserv Penyakit. 2018; 10: 135–142.
14. Yuliana D. Penentuan Faktor Pendorong Penyebaran Wabah Penyakit Berdasarkan Metode Ahp - Delphi (Studi Kasus: KLB Leptospirosis Di Kabupaten Bantul). J Teknol Reduksi Risiko Bencana. 2019; 3: 141–149.
15. Syakbanah NL. Spatial Distribution of Leptospirosis and Land Use in Bantul District , 2010-2018. J Environ Sci. 2020; 4: 31–39.
16. Rahmawati. Analisis Spasial Kejadian Luar Biasa (KLB) Kasus Leptospirosis di Kabupaten Kulonprogo Tahun 2011. J Litbang Pengendali Penyakit Bersumber Binatang Banjarnegara. 2013; 9: 53–57.
17. Rahim A, Yudhastuti R. Mapping And Analysis of Environmental Risk Factors Leptospirosis Incidence Based Geographic Information System (GIS) In Sampang Regency. J Kesehat Lingkung. 2015; 8: 48.
18. Setyorini L, Dangiran HL. Analisis Pola Persebaran Penyakit Leptospirosis Di Kota Semarang Tahun 2014-2016. J Kesehat Masy. 2017; 5: 706–716.
19. Sholichah Z, Ikawati B, Marbawati D, Khoeri MM, Ningsih DP. Peran Tikus Got (Ratt us norvegicus) dari Kelompok Tikus dan Suncus Sebagai Penular Utama Leptospirosis di Semarang. J Vektor Penyakit. 2021; 15: 53–62.
20. Supranelfy Y, S NH, Oktarina R. Analisis Faktor Lingkungan Terhadap Distribusi Jenis Tikus Yang Terkonfi rmasi Sebagai Reservoir Leptospirosis Di Tiga Kabupaten Di Provinsi Sumatera Selatan. J Vektor dan Reserv Penyakit. 2019; 11: 31–38.
21. Rahayu S, Adi M, Saraswati L. Pemetaan Faktor Risiko Lingkungan Leptospirosis Dan Penentuan Zona Tingkat Kerawanan Leptospirosis Di Kabupaten Demak Menggunakan Remote Sensing Image. J Kesehat Masy Univ Diponegoro. 2017; 5:218–225.
22. Edre M, Hayati K, Salmiah M, Norkhadijah SS. A Case Control Study on Factors Associated With Leptospirosis Infection Among Residents Information System-Based Approach. Int J Public Heal Clin Sci. 2015; 2: 151–163.
23. Ramadhan MM, Devi S, Ismail TCM, Mulyani Z, Tosepu R. Hubungan Iklim Dengan Kejadian Penyakit Leptospirosis di Indonesia: Literatur Review. J Kesehat Lingkung. 2020; 17: 57–62.
24. Lau CL, Clements ACA, Skelly C, Dobson AJ, Smythe LD, Weinstein P. Leptospirosis in American Samoa Estimating And Mapping Risk Using Environmental Data. PLoS Negl Trop Dis. 2012; 6: 1–11.
25. Mohd Radi MF, Hashim JH, Jaafar MH, Hod R, Ahmad N, Nawi AM et al. Leptospirosis Outbreak After The 2014 Major Flooding Event In Kelantan, Malaysia: A Spatial-Temporal Analysis. Am J Trop Med Hyg. 2018; 98: 1281–1295.
26. Dewi HC, Yudhastuti R. Faktor Risiko Kejadian Leptospirosis di Wilayah Kabupaten Gresik (2017-2018). J Keperawatan Muhammadiyah. 2019; 4: 48–57.
27. Zukhruf IA, Sukendra DM. Analisis Spasial Kasus Leptospirosis Berdasar Faktor Epidemiologi dan Faktor Risiko Lingkungan. Higeia J Public Heal Res Dev. 2020; 4: 587–598.
28. Nursitasari HA. The Analysis of Residents’ Behavior, The Condition of Ratproofing Houses and Their Eff ects on the Incidence of Leptospirosis Cases in PonorogoRegency. J Kesehat Lingkung. 2019; 11: 198.
29. Fajriyah SN, Udiyono A, Saraswati LD. Environmental and Risk Factors of Leptospirosis: A Spatial Analysis in Semarang City. In: IOP Conference Series:Earth and Environmental Science. .2017.
30. Nurhandoko F, Siwiendrayanti A. Zona Kerentanan Kejadian Leptospirosis Ditinjau dari Sisi Lingkungan. Higeia J Public Heal Res Dev. 2018; 2: 498–509.
31. Prihantoro T, Siwiendrayanti A. Karakteristik dan Kondisi Lingkungan Rumah Penderita Leptospirosis di Wilayah Kerja Puskesmas Pegandan. J Heal Educ. 2017; 2: 185–191.
32. Nugroho A, Martiningsih I, Hidayati N, Muhidin M, Ristiyanto R. Analisis Spasial Tikus Positif Leptospira Patogenik Dan Jenis Habitatnya di Provinsi Papua Barat. J Litbang Pengendali Penyakit Bersumber Binatang Banjarnegara. 2019; 15: 23–32.
Copyright (c) 2021 The Authors
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
