ASPIRATOR - Journal of Vector-borne Disease Studies

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ISSN / EISSN : 2085-4102 / 2338-7343
Current Publisher: Badan Penelitian dan Pengembangan Kesehatan (10.22435)
Total articles ≅ 81
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Aryo Ginanjar, Laksono Trisnantor, Dwi Handono Sulistyo
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 63-72; doi:10.22435/asp.v12i2.3109

Dengue Hemorrhagic Fever (DHF) is still a public health problem that is difficult to deal with inTasikmalaya City, West Java Province. In 2019, the region experienced very significant cases increase leadingto an Outbreak. Various attempts have been made without optimal results. DHF control program managersexpressed the urgent need for strong policies, but no empirical studies have been carried out. It is importantto analyze evidence as justification for urgency and impetus in the policy agenda. This policy research withnaturalistic qualitative research with Analysis for Policy approach aims to explore evidence on the urgency ofDHF control regional regulations at policy stakeholders’ aspect. The results of this study revealed the evidenceof DHF Control Regional Regulation’s establishment urgency. Those are increasing community endangeringsituation of DHF cases; the urgent need of policies for program managers; and the corroborating evidence, asthe results of stakeholder analysis, in the form of majority stakeholder are the main policy stakeholder whohave the power and strong interest in supporting the policies’ urgency. The urgency level of DHF controlRegional Regulation based on this research has reached an emergency level, so there should be efforts toestablish DHF control Regional Regulation in Tasikmalaya City.Keywords: Stakeholders, Policy Urgencies, Regional Regulations, DHF
Nurminha Nurminha, Tori Rihiantoro, Mara Ipa
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 85-92; doi:10.22435/asp.v12i2.3095

Clinical symptoms of dengue virus (DENV) infection range from asymptomatic mild dengue fever(DF), more severe dengue hemorrhagic fever (DHF) up to dengue shock syndrome. One of the determinantsof dengue infection severity was virus virulence. This study aimed to determine the clinical and virologicalcharacteristics of dengue virus infection patients based on the severity degree. A cross-sectional study wasconducted in RSUD Dr. H. Abdul Moeloek, Lampung Province between July-November 2016 with 56 denguepatients as samples selected using purposive sampling. The serological test was done using a rapiddiagnostic test. Blood samples for DENV serotype identification were examined using reverse-transcriptionpolymerase chain reaction. Classification of DENV infection severity was obtained from the patient’s medicalrecord. The results showed that the most common clinical manifestations were fever, headache, and retroorbitalpain, appearing in all patients from every degree of severity. There were Grade I DHF patients whoexperienced Myalgia (15.6%) and petechiae (22.2%). Laboratory results showed that thrombocytopeniaappeared in every grade, even though 13.3% of grade I patients did not experience it. Secondary infectionwas found in 92.9% of samples, and all DENV serotype can be detected in 39.2%samples: DENV-1 (46.7%),DENV-2 (6.7%), DENV-3 (26.7%), and DENV-4 (20%). This study concluded that the majority of clinicalcharacteristics in DHF patients are in line with the degree of severity, with the bleeding as the dominantmanifestation in patients with grade II-IV. Virological characteristics of DENV-1 are dominant in all patientswith DHF grade I-IV.Keywords: dengue virus, serotype, severity, secondary infection, Bandar Lampung
Arda Dinata, Endang Puji Astuti, Suwarno Hadisusanto
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 105-114; doi:10.22435/asp.v12i2.2270

The vector-borne disease remains a health problem in Pandeglang District. Entomological data isimportant in the strategy of controlling the vector-borne disease. This study aimed to determine thedistribution of mosquito larvae based on specific habitat and ecosystem typea. This research is a secondarydata analysis of Rikhus Vektora 2016 in Pandeglang, Banten Province. This type of observational researchwith cross-sectional study design. The purposive sampling technique is used based on geographical andecosystem stratification. We found 12 types of environments of the six types of ecosystems (HDP, HJP, NHDP,NHJP, PDP, and PJP) that had larvae: forest (secondary, homogeneous, and coastal); lagoon; brackish waterswamp; bamboo clumps; rice fields; plantations; and residential areas. The most ecosystem types werelarvae in HJP (160 larvae) and the least larvae in NHDP (9 larvae). Species of larvae are 16 types: rice fields(Cx. vishui, Cx. tritaeniorhynchus, An. barbirostris); small hole in the ground (Anopheles sp., Culex sp.);coconut shell (Ae. albopictus, Ar. malayi, Ar. kuchingensis, Malaya sp, Culex sp.); armpit taro leaves andbanana leaves (Ae. albopictus, Malaya genurostris); freshwater swamp (Cx. vishnui, Cx. gelidus) andbrackish water (Anopheles sp.); riverside (Anopheles sp., Cx. quinquefasciatus); ditch (Culex sp.); pool (Cx.quinquefasciatus); lagoon (Anopheles sp., Culex sp.); bamboo stumps (Ae. albopictus); Limnocharis flavagarden (Culex sp.); and used bottles (Ae. albopictus). The characteristics of larvae habitat: temperature (25-33oC); pH 8-9 (67.3%); light intensity (115-32,000 lux); vegetation (12.7%); algae (3.6%); water istemporary (61.6%), inundated (78.2%) and clear (50,9%).Keywords: Habitat, Ecosystem, Larvae Vector, Pandeglang
Muhammad Nirwan, Upik Kesumawati Hadi, Susi Soviana, Surachmi Setyaningsih, Fadjar Satrija
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 93-104; doi:10.22435/asp.v12i2.2710

Filariasis is still a health problem in Bogor Regency. The discovery of filariasis sufferers hasgrowing during the year since 2004 until now with a total of 117 people. The mass prevention drugadministration program (POPM) has been implemented since 2015. This study aims to identify theepidemiological distribution of clinical filariasis sufferers and an overview of the achievement of filariasiselimination program in Bogor district. The research using descriptive design with a quantitative approach.The data in this study used secondary data from Bogor District Health Office and Bogor Central Bureau ofStatistics. Data were analyzed descriptively and identify differences and relationships between variablesused the chi-square test. The results of the study showed the epidemiological distribution of filariasis inBogor Regency with predominantly female patients (59.8%) and productive age (36-45 years). The resultsfrom chi-square test showed that there was a significant difference between the age groups and theincidence of filariasis from year to year with a P value (0.000) 0.05. The spread of filariasis tends to fluctuate and continues to increase (75%). The results of therelationship test showed that there was no significant relationship between the number of cases and the levelof family welfare with a P value (0.279)> 0.05. The implementation of POPM, both treatment outcomes andtreatment success rates, has exceeded the national target.Keywords: Epidemiology, Filariasis, POPM, Bogor, Indonesia
Zainul Ambiya, Martini Martini, Firda Yanuar Pradani
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 115-122; doi:10.22435/asp.v12i2.1440

Tembalang Village is one of the endemic areas of DHF in the city of Semarang (IR 479,6/100.000population). The discovery of chemical resistance cases in mosquitoes requires another alternative as an effortto control dengue that is environmentally friendly, cheap and effective, namely by using mosquito traps withattractants. This study aims to determine the differences in the types of effective attractant materials to beused in mosquito traps as an effort to control mosquitoes. This type of research is experimental with the Post-Test Only Control Group Design method. The sample of this study was 64 houses with repetitions of 6 times.Testing of attractants was carried out on 3 types of attractants, namely brown sugar yeast, sugar yeast, strawsoaking water and PAM water as a control. Environmental observations were carried out to determine thedensity of mosquitoes in Tembalang Village. The results showed that the type of attractant most favored bymosquitoes was brown sugar yeast (73,37%) and sugar yeast (26,62%). Meanwhile, the mosquito density inTembalang sub-district was low at 1.375 with the most found mosquito population being Culex (55.7%) andthe highest fishing place in the house (59%). Keywords: Tembalang Village, Vector Control, Attractant, Mosquito Density
Asti Tri Pramadani, Upik Kesumawati Hadi, Fadjar Satrija
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 123-136; doi:10.22435/asp.v12i2.3269

Dengue hemorrhagic fever (DHF) is still a problem in some countries, resulting in 390 millioninfections a year in the world. DHF vaccine has not found so the treatment is focused on vector controls.Entomological data describing the bio ecology of vectors in the region can help vector control diseases moreeffectively. The study aims at assessing distribution, characteristic and risk factors in the habitat of Aedes larvain the DHF endemic region of West Ranomeeto subdistrict of Southeast Sulawesi province. This study is ananalytic observational study with a sectional study approach. Data collection was carried out using singlelarva method in 600 houses by purposive sampling. Data analysis uses chi square’s descriptive analysis andlogistics multinomial regression. The result shows larva density in Sindangkasih higher than Jati Bali. Ae.aegypti dominated in Sindangkasih and Ae. albopictus dominated in Jati Bali. Buckets, dispenser tray,refrigerator tray, container made of cements and plastics and container with volume
Lukman Hakim, Endang Puji Astuti, Heni Prasetyowati, Andri Ruliansyah
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 73-84; doi:10.22435/asp.v12i2.3140

One House One Jumantik Programme (G1R1J) has been launched by the Indonesian governmentsince 2015. This programme emphasizes the participation of family members as jumantik rumah bymonitoring and controlling larvae in their houses. Family’s coaching in the G1R1J’s programme is carried outby each jumantik coordinator. Tasikmalaya and Cimahi were Dengue endemic areas with high cases in thelast five years. This study aimed to determine the effect of family empowerment by the Jumantik Coordinatorin reducing the density of Aedes spp. larvae, reducing the number of DHF cases and increasing familyparticipation in vector surveillance. The study was located in the Tasikmalaya and Cimahi areas andconducted with an intervention. The interventions included RW-level workshops, coaching, and observationby jumantik coordinator. The sample unit is a family, consist of 400 unit in the intervention area and 200unit in the comparison area. The results showed that there were significant differences in the status ofcommunity participation in eradicating mosquito nests (PSN). The presence of dengue patients and thepresence of Aedes spp mosquito larvae were different between before and after the intervention both inTasikmalaya and Cimahi. In addition, there are significant differences in the status of communityparticipation in PSN, the presence of dengue cases, the presence of Aedes spp. larvae and theimplementation of vector surveillance by families in the intervention and comparison areas. The resultsconcluded that family coaching interventions and observations by the Jumantik Coordinator, proved to havean effect on community participation in PSN, decreasing dengue cases, increasing larvae free index (ABJ)and vector surveillance implementation by families.Keywords: Society participation, Dengue cases, Jumantik House, One House One Jumantik
Joni Hendri, Heni Prasetyowati, Dewi Nur Hodijah, Rizal Pratama Sulaeman
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 55-64; doi:10.22435/asp.v12i1.2838

School is one of the potential sites for transmission of Dengue Haemorrhagic Fever (DHF). The level of education is thought to be a major knowledge determinant about the disease and its transmission, as well as attitudes and practices for controlling dengue fever. This study aims to describe dengue knowledge in a student at various levels of education to prevent dengue transmission. Three hundred students participated in this study, as many as 98 students were male, while 202 students were female. The average elementary school student is 10.7 years old, junior high school students are 14 years old, and senior high school students are 16.5 years old. Based on the interview results it can be seen the percentage of students with favorable knowledge about DHF for elementary school level 49.5%; Junior High 38.89%; Senior High 37.50%, while knowledge of DHF vector control at the elementary level is 3.4%; Junior High 3.7% and Senior High 2.5%. The percentage of students taking vector control measures for the elementary level is 0.49%, Junior High 9.26%, and high school 5%. Age and sex do not show a relationship with knowledge and actions towards DHF. Knowledge about DHF and the eradication of DHF vectors and the eradication of DHF vectors in students at various levels of education in the Pangandaran area is still low. The socialization of 3M Plus must be carried out thoroughly and continuously in schools to increase the knowledge and participation of students in controlling DHF. Keywords: Knowledge, Dengue, School, Pangandaran Abstrak. Sekolah merupakan salah satu tempat potensial dalam penyebaran dan penularan penyakit Demam Berdarah Dengue (DBD). Level pendidikan diduga merupakan penentu utama pengetahuan tentang penyakit dan penularannya, serta sikap dan praktik untuk pengendalian demam berdarah. Tujuan dari penelitian kami adalah untuk menggambarkan pengetahuan yang dimiliki oleh siswa sekolah pada berbagai level pendidikan dalam kaitannya dengan upaya yang dilakukan untuk mencegah penularan penyakit DBD. Total sampel dalam penelitian ini adalah 300 siswa yang diambil berdasarkan teknik perhitungan sampel dari populasi siswa pada masing-masing tingkatan pendidikan. Pengumpulan data dilakukan dengan melakukan wawancara menggunakan kuesioner yang terstruktur. Siswa yang diwawancara merupakan siswa yang ditunjuk oleh sekolah sebagai anggota Unit Kesehatan Sekolah (UKS). Dari 300 siswa yang ikut serta dalam penelitian ini sebanyak 98 siswa berjenis kelamin laki-laki, sedangkan 202 siswa berjenis kelamin perempuan. Usia rata-rata siswa SD berkisar 10,7 tahun, siswa SLTP adalah 14 tahun sedangkan usia rata-rata anak SLTA adalah 16,5 tahun. Berdasarkan hasil wawancara terlihat persentase siswa dengan pengetahuan baik tentang DBD untuk level SD 49,5%; SLTP 38,89%; SLTA 37,50% sedangkan pengetahuan tentang pengendalian vektor DBD pada level SD 3,4%; SLTP 3,7% dan SLTA 2,5%. Persentase siswa yang melakukan tindakan pengendalian vektor untuk level SD 0,49%; SLTP 9,26%; dan SLTA 5%. Usia dan jenis kelamin tidak menunjukkan hubungan dengan pengetahuan dan tindakan terhadap DBD. Pengetahuan tentang DBD dan pemberantasan vektor DBD serta tindakan pemberantasan vektor DBD pada siswa di berbagai level pendidikan di wilayah Pangandaran masih rendah. Sosialisasi PSN 3M Plus perlu dilakukan di sekolah untuk meningkatkan pengetahuan dan peran serta siswa dalam pengendalian DBD. Kata Kunci: Pengetahuan, Demam Berdarah Dengue, Sekolah, Pangandaran
Rahman Irpan Pahlepi, Santoso Santoso, Vivin Mahdalena, Marini Marini
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 1-10; doi:10.22435/asp.v12i1.3040

Kuantan Singingi District is one of the endemic areas of filariasis in Riau Province. Mass treatment activities have been done, but the results of TAS-1 in 2016 with Brugia Rapid Test still found 11 positive children, this condition indicates that there is still new transmission in Kuantan Singingi Regency. The purpose of this study was to determine the mosquito species which potentially become vector filariasis - and to determine the types of potential breeding habitats for mosquito larvae. This research was done in Pulau Panjang Cerenti Village, Cerenti District and Sukadamai Village, Singingi Hilir District in September and November 2017. Catching mosquitoes held for 12 hours starting at 18.00 -06.00 WIB, using the modification of human landing collection double net method. Mosquito catching was done twice, with an interval of one month, at three points/locations for two consecutive nights. There were 24 species of mosquito caught in the two villages. The most dominant species in Pulau Panjang Village was Culex vishnui (54.89%) with indoor and outdoor MHD were 4.5; 16.08 species/man/hour, Sukadamai Village was Culex quinquefasciatus (95.42%) with indoor and outdoor MHD were 23.58; 19.08 species/man/hour. PCR examination results on mosquitoes caught in Sukadamai Village was found microfilarian DNA B. malayi in Cx.vishnui, so potentially become filariasis vector. Breeding habitats that are found mostly was fish ponds that are no longer used, puddles, and swamps. Riverfront habitats was only found in Pulau Panjang Village. Keywords: filariasis, Culex vishnui, potential vector, habitats, Kuantan Singingi Abstrak. Kabupaten Kuantan Singingi merupakan satu diantara wilayah endemis filariasis di Provinsi Riau. Kegiatan pengobatan massal telah dilakukan, namun hasil TAS-1 tahun 2016 dengan Brugia Rapid Test masih ditemukan 11 anak positif. Kondisi ini menunjukan bahwa masih terjadi penularan baru di Kabupaten Kuantan Sengingi. Tujuan penelitian ini untuk mengetahui spesies nyamuk yang berpotensi menjadi vektor filariasis dan mengetahui jenis-jenis habitat perkembangbiakan potensial bagi larva nyamuk. Pengumpulan data telah dilakukan di Desa Pulau Panjang Cerenti Kecamatan Cerenti dan Desa Sukadamai Kecamatan Singingi Hilir pada bulan September dan November 2017. Penangkapan nyamuk dilakukan selama 12 jam dimulai dari pukul 18.00 -06.00 WIB, menggunakan metode modifikasi human landing collection double net. Penangkapan nyamuk dilakukan sebanyak dua kali, dengan selang waktu satu bulan, pada tiga titik/lokasi selama dua malam berturut-turut. Spesies nyamuk yang tertangkap di dua desa sebanyak 24 spesies. Spesies yang paling dominan di Desa Pulau Panjang yaitu Culex vishnui (54,89%) dengan MHD di luar dan dalam rumah yaitu 4,5 dan 16,08 ekor/orang/jam, sedangkan di Desa Sukadamai yaitu Cx. quinquefasciatus (95,42%) dengan MHD di luar dan dalam rumah yaitu 23,58 dan 19,08 ekor/orang/jam. Hasil pemeriksaan PCR pada nyamuk yang tertangkap di Desa Sukadamai ditemukan DNA mikrofilaria B. malayi pada nyamuk Cx. vishnui sehingga berpotensi menjadi vektor filariasis. Habitat perkembangbiakan yang ditemukan sebagian besar adalah kolam ikan yang sudah tidak digunakan lagi, genangan air, dan rawa. Habitat tepi sungai hanya ditemukan di Desa Pulau Panjang. Kata Kunci: filariasis, Culex vishnui, vektor potensial, habitat, Kuantan Singingi
Nurul Hidayati Kusumastuti, Pandji Wibawa Dhewantara , Nova Pramestuti
ASPIRATOR - Journal of Vector-borne Disease Studies, Volume 12, pp 19-26; doi:10.22435/asp.v12i1.318

The unsafe and improper use of household insecticides represents a major hazard to the environment and human health. Most of people in Pangandaran Sub-District used household insecticides, even more than ten years. The aim of this study was to analyse factors that affect in safety practices of using household insecticide. The research was conducted from April to July 2014 in Pangandaran sub-district. A total of 374 household participated in this study through interviews. Data collected includes characteristics of respondents, educational status, knowledge, attitudes and practices regarding safe insecticide usage. Chi-square test (χ2) was used to measure the possible association between variables and continued with logistic regression. The majority of respondents were lack of safety practices of using household insecticide (60%). The levels of education (p=0.00) and knowledge (p=0.03) was associated with safe practices in insecticide use. However, according to logistic regression that education level had more influence towards safe insecticide use. Therefore, it is necessary to increase community knowledge through field demonstrations by health workers about the use of household insecticides safely and properly. Keywords: household insecticide, practice, safety, Pangandaran Abstrak. Penggunaan insektisida rumah tangga yang tidak aman dan tidak tepat dapat membahayakan lingkungan dan kesehatan manusia. Sebagian besar masyarakat di Kecamatan Pangandaran menggunakan insektisida rumah tangga, bahkan lebih dari sepuluh tahun. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi praktik menjaga keamanan dalam penggunaan insektisida rumah tangga. Penelitian ini dilakukan dari bulan April hingga Juli 2014 di Kecamatan Pangandaran. Sebanyak 374 rumah tangga berpartisipasi dalam penelitian ini melalui wawancara. Data yang dikumpulkan meliputi karakteristik responden, status pendidikan, pengetahuan, sikap dan praktik mengenai penggunaan insektisida yang aman. Uji Chi-square (χ2) digunakan untuk menganalisis hubungan antar variabel dan dilanjutkan dengan regresi logistik. Mayoritas responden mempunyai praktik yang kurang aman dalam menggunakan insektisida rumah tangga (60%). Tingkat pendidikan (p = 0,00) dan pengetahuan (p = 0,03) berhubungan dengan praktik menjaga keamanan ketika menggunakan insektisida rumah tangga. Namun, hasil dari regresi logistik menunjukkan tingkat pendidikan lebih berpengaruh terhadap penggunaan insektisida yang aman. Oleh karena itu, perlu untuk meningkatkan pengetahuan masyarakat melalui demonstrasi lapangan oleh petugas kesehatan tentang penggunaan insektisida rumah tangga secara aman dan tepat. Kata Kunci: insektisida rumah tangga, praktik, aman, Pangandaran
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