Risk Factors of Dengue Fever Outbreak in Karo District, North Sumatera, Indonesia

  • Frans Yosep Sitepu Dinas Kesehatan Provinsi Sumatera Utara
Keywords: DF, outbreak, Karo district, case-control study

Abstract

Dengue fever (DF) infection continues to present a seriuos public health problem in North Sumatera, Indonesia. A DF outbreak was reported in Merek Sub-district, Karo District which is one tourist destination in North Sumatera during April-May 2017. An epidemiological investigation was conducted to identify the risk factors and recommend control measures. An observational study with a matched case control design was conducted. A case was defined as any resident of Merek sub-district who had suffer major clinical symptoms of DF such as fever, severe headache, pain behind eyes, muscle and joint pains, and rash from April – May, 2017. A control was defined as neighbors of cases who did not have clinical signs and symptoms of DF and were matched for age and sex. We interviewed 37 cases and 37 controls. Age cases ranged from 2 year to 37 years (median= 12 years). The multivariate analyses showed that presence of mosquito breeding sites (OR=4.87, 95%CI=1.33-17.85) and habit of hanging worn clothes (OR=5.12, 95%CI=1.25-21.03) were significant risk factors. It is recommended to eliminate mosquito breeding sites routinely, avoid habit of hanging worn clothes, and conduct strict surveillance of DF continously.

References

WHO. Prevention and Control of Dengue and Dengue Hemorrhagic Fever. WHO Reg Publ SEARO. 2009;29.

Guzman MG, Harris E. Dengue. Lancet. 2015;385:453-465. http://dx.doi.org/10.1016/50140-6736(14)60572-9.

Prayitno A, Taurel A-F, Nealon J, et al. Dengue seroprevalence and force of primary infection in a representative population of urban dwelling Indonesian children. PLoS Negl Trop Dis. 2018;11(2017):1-9. doi:https://doi.org/10.1371/journal.pntd.0005621 Correction

Arima Y, Chiew M, Matusi T. Epidemiological update on the dengue situation in the Western Pacific Region, 2012. WPSAR. 2015;6(1):2-9. doi:10.5365/wpsar.2014.5.4.002

Sasmono RT, Taurel A, Prayitno A, et al. Dengue virus serotype distribution based on serological evidence in pediatric urban population in Indonesia. PLoS Negl Trop Dis. 2018;12(6):1-11. doi:https://doi.org/10.1371/journal.pntd.0006616

Sumatera P of NS. Report of Arbovirosis Control and Prevention Program in North Sumatera 2016.; 2016.

MoH of Indonesia. Pedoman Pencegahan Dan Pengendalian Demam Berdarah Dengue Di Indonesia.; 2017.

Sitepu FY, Suprayogi A, Pramono D. Evaluasi dan Implementasi Sistem Surveilans Demam Berdarah Dengue (DBD) di Kota Singkawang, Kalimantan Barat. BALABA. 2012;8(1):5-10. http://ejournal.litbang.depkes.go.id/index.php/blb/article/view/3259.

Sitepu FY, Supriyadi T. Evaluasi Program Pengendalian dan Pencegahan Demam Berdarah Dengue (DBD) di Sumatera Utara Tahun 2010-2012. BALABA. 2013;9(1):1-6. http://ejournal.litbang.depkes.go.id/index.php/blb/article/view/3268.

Nuryunarsih D. Sociodemographic Factors to Dengue Hemmorrhagic Fever Case in Indonesia. J Kesehat Masy Nas. 2015;10(1):10-16.

Ramadona AL, Lazuardi L, Hii YL, Holmner Å, Kusnanto H, Rocklov J. Prediction of Dengue Outbreaks Based on Disease Surveillance and Meteorological Data. PLoS One. 2016;11(3):1-18. doi:10.1371/journal.pone.0152688

Satoto T, Alvira N, Wibawa T, Diptyanusa A. Controlling Factors that Potentially against Transmission of Dengue Hemorrhagic Fever at State Elementary Schools in Yogyakarta. Kesmas Natl Public Heal J. 2017;11(4):178-184. doi:10.21109/kesmas.v11i4.1248

Malavige GN, Fernando S, Fernando DJ, Seneviratne SL. Dengue viral infections. Postgr Med J. 2004;80:588-601. doi:10.1136/pgmj.2004.019638

Sucipto PT, Raharjo M, Nurjazuli. Factors Related to The Occurence of Dengue Hemorrhagic Fever (DHF) and Dengue Virus Serotipe in Semarang District. J Kesehat Lingkung Indones. 2015;14(2):51-56.

Sulaiman S, Wm H, Othman Y, B AK, Kamaludin F. Environmental and Social Conditions Prevailing Dengue Fever Outbreak in Pasir Mas. OSIR. 2015;8(1):7-12. doi:http://www.osirjournal.net/issue.php?id=74&year=2 015

Antony J, Celine TM. A descriptive study on dengue fever reported in a Medical College Hospital. Sahel Med J. 2014;17(3):83-86. doi:10.4103/1118-8561.140285

Chang C, Chen CS, Tien C, Lu M. Epidemiological , clinical and climatic characteristics of dengue fever in Kaohsiung City , Taiwan with implication for prevention and control. PLoS One. 2018;13(1):1-15. doi:https://doi.org/ 10.1371/journal.pone.0190637

Dom NC, Madzlan MF, Hasnan SNA, Misran N. Water quality characteristics of dengue vectors breeding containers. Int J Mosq Res. 2016;3(January):25-29.

Getachew D, Tekie H, Gebre-michael T, Balkew M, Mesfin A. Breeding Sites of Aedes aegypti : Potential Dengue Vectors in Dire Dawa , East Ethiopia. Hindawi Publ Corp. 2015;2015:1-8. doi:http://dx.doi.org/10.1155/2015/706276

Mubarok MA, Wahyuningsih NE, Riani DA, Putri R, Budiharjo A. The relationship between healthy hygiene behavior and dengue haemorrhagic fever (DHF) incidence in Semarang. In: Journal of Physics: Conference Series. ; 2018:6-11. doi:doi :10.1088/1742-6596/1025/1/012062

Harapan H, Anwar S, Bustaman A, et al. Community Willingness to Participate in a Dengue Study in Aceh Province , Indonesia. PLoS One. 2016;11(7):1-15. doi:10.1371/journal.pone.0159139

Lozano-fuentes S, Hayden MH, Welsh-rodriguez C, et al. The Dengue Virus Mosquito Vector Aedes aegypti at High Elevation in Mexico. Am J Trop Med Hyg. 2012;87(5):902-909. doi:10.4269/ajtmh.2012.12-0244

Hadisoemarto PF, Castro MC. Public Acceptance and Willingness-to-Pay for a Future Dengue Vaccine: A Community-Based Survey in Bandung , Indonesia. PLoS Negl Trop Dis. 2013;7(9). doi:10.1371/journal.pntd.0002427

Prasetyowati H, Ipa M, Widawati M. Pre-Adult Survey to Identify the Key Container Habitat of Aedes aegypti (l.) in Dengue Endemic Areas of Banten Province, Indonesia. Southeast Asian J Trop Med Public Heal. 2018;49(1):23-31.

Siregar D, Djadja IM, Arminsih R. Analysis of the Risk Factors of Dengue Hemorrhagic Fever (DHF) In Rural Populations in Panongan Subdistrict , Tangerang 2016. In: ICGH Conference Proceedings. Vol 2017. ; 2017:119-128. doi:10.18502/kls.v4i1.1373

Buczak AL, Baugher B, Babin SM, et al. Prediction of High Incidence of Dengue in the Philippines. 2014;8(4). doi:10.1371/journal.pntd.0002771

Sitepu FY, Nasution H, Supriyadi T, Depari E. Epidemiological and Entomological Investigation of Dengue Fever Outbreak in South Nias District, North Sumatera Province, Indonesia, 2016. OSIR. 2018;Sep;11(3):8-12.

Majeed S. Odour-mediated Host Preference in Mosquitoes : The Role of the Maxillary Palps in Host Recognition. 2013.

Anand T, Kumar R, Saini V, Meena G, Ingle G. Knowledge and Use of Personal Protective Measures Against Mosquito Borne Diseases in a Resettlement Colony of Delhi. Ann Med Heal Sci Res. 2014;4 (2).

Published
2019-11-06
How to Cite
1.
Sitepu F. Risk Factors of Dengue Fever Outbreak in Karo District, North Sumatera, Indonesia. jhecds [Internet]. 6Nov.2019 [cited 20May2022];5(1):16-2. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/jhecds/article/view/1545