Environmental and Risk Factors of Leptospirosis: A Spatial Analysis in Semarang City

2nd International Conference on Tropical and Coastal Region Eco Development 2016

地球科学;生态环境科学

Fajriyah, Silviana Nur^1 ; Udiyono, Ari^1 ; Saraswati, Lintang Dian^1

Department of Epidemiology and Tropical Diseases, Faculty of Public Health, Diponegoro University, Jl. Prof Sudharto SH, Tembalang Semarang

50275, Indonesia^1

关键词: Clinical manifestation;    Environmental conditions;    Environmental hygienes;    Environmental risk factor;    Leptospirosis;    Risk factors;    spatial;    Waste disposal facilities;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/55/1/012013/pdf
DOI  :  10.1088/1755-1315/55/1/012013

学科分类：环境科学（综合）

来源: IOP

【 摘 要 】

Leptospirosis is zoonotic potentially epidemic with clinical manifestations from mild to severe and can cause death. The incidence of leptospirosis in Indonesia tends to increase by the year. The case fatality rate in Semarang was greater than the national's (9.38%). The purpose of this study was to describe the environmental risk factors of leptospirosis in Semarang spatially. The study design was descriptive observational with cross sectional approach. The population and samples in this study were confirmed leptospirosis in Semarang from January 2014 until May 2015, 88 respondents in 61 villages of 15 sub-districts in Semarang. The variables were environmental conditions, the presence of rats, wastewater disposal, waste disposal facilities, the presence of pets, the presence of rivers, flood's profile, tidal inundation profile, vegetation, contact with rats, and Protected Personal Equipment/PPE utilization. Based on the spatial analysis, variables that found in the big half area of Semarang are environmental conditions, the presence of rats, wastewater disposal, waste disposal facilities, contact with rats, and PPE utilization. The presence of pets at risk, the presence of rivers, flood's profile, inundation profile, and vegetation were found only in small half of Semarang area. People are expected to maintain their personal and environmental hygiene to prevent the transmission.