DETERMINAN KEJADIAN LUAR BIASA (KLB) RUBELLA DI DESA MUNDEH, SELEMADEG BARAT, TABANAN
DOI:
https://doi.org/10.5281/zenodo.8112173Kata Kunci:
rubella, outbreaks, immunizationAbstrak
Background: Rubella is a contagious person to person viral infection and remains a fetal malformation on pregnancy as congenital rubella syndrome. Under the outbreaks-based rubella surveillance in West-Selemadeg Village, Tabanan Regency in 2019, we investigated the rubella outbreak determinants. Methods: This study investigated 29 suspected cases using major criteria (fever and rash) following with minor criteria criteria (conjunctivitis, malaise, rhinorea, loss appetite and cough) between Juli-September 2019 receiving active and passive surveillans. Altogether, 3 serum samples we received from 5 districts and 29 suspected cases from local health centres. Samples were tested for the measles and rubella IgM antibody. This study measures the determinants of outbreaks using case-control study follows by total population one control design for each sample. Data was analyzed using SPSS with 5% alpha. Results: The attack rate are 58.6% in 5-15yo age and 8.99% based on place (Auman Delod Seme district). The type of epidemiologic curve is propagated epidemic curve (person to person disease) with 11 days means of incubation periode. This outbreaks is associated to person to person close contact (OR 3,4:95%CI 1.009-10.318, p≤0.05 and history of rubella vaccination OR 0.482, 95%CI:0.165-1.409, p≤0.05 with all laboratorium samples positively detected for IgM of rubella viruses. Conclusions: Eradication of rubella is considered to be feasible and beneficial that we need to work toward elimination with a focus on strengthening ongoing immunization.
Referensi
Abdulkadir, A., & Gebrehiwot, T. T. (2019). Risk Factors for Rubella Transmission in Kuyu District, Ethiopia, 2018: A Case-Control Study. Interdisciplinary Perspectives on Infectious Diseases, https://doi.org/10.1155/2019/4719636
Anggraeni, N. D., Umar, A. N., Mazanova, D., Puhilan, Purwanto, E., Muhiriyah, E., Nugroho, G. W., Abdurahman, Septiana, L., Muammar, Voronika, V., Cornellya, Rusipah, Utoro, S., & Mardin, N. (2017). Buku pedoman penyelidikan dan penanggulangan KLB penyakit menular dan keracunan pangan (Edisi Revisi Tahun 2017). Kementerian Kesehatan RI.
Béraud, G., Abrams, S., Beutels, P., Dervaux, B., & Hens, N. (2018). Resurgence risk for measles, mumps and rubella in France in 2018 and 2020. Eurosurveillance, 23(25), 1700796. https://doi.org/10.2807/1560-7917.ES.2018.23.25.1700796
Czumbel, I., Quinten, C., Lopalco, P., Semenza, J. C., & ECDC expert panel working group. (2018). Management and control of communicable diseases in schools and other child care settings: Systematic review on the incubation period and period of infectiousness. BMC Infectious Diseases, 18(1), 199. https://doi.org/10.1186/s12879-018-3095-8
Gubio, A. B., Mamman, A. I., Abdul, M., & Olayinka, A. T. (2019). The risk factors of exposure to rubella among pregnant women in Zaria 2013. Pan African Medical Journal, 32. https://doi.org/10.11604/pamj.supp.2019.32.1.13335
Husein, A., Aidil, O., Hidayah, Z., Mawardi, R., & Suryadi, A. S. (2017). Bahan Ajar Kesehatan Lingkungan Manajemen Bencana (1st ed.). Kementerian Kesehatan RI. //perpus.poltekkesjkt2.ac.id/setiadi/index.php?p=show_detail&id=457
Kementerian Kesehatan RI. (2018). Situasi Campak dan Rubella di Indonesia. InfoDATIN Pusat Data dan Informasi Kementerian Kesehatan RI.
Lanzieri, T., Redd, S., Emily Abernathy, & Icenogle, J. (2021). Rubella. In Manual for the Surveillance of Vaccine-Preventable Diseases. National Center for Immunization and Respiratory Diseases. https://www.cdc.gov/vaccines/pubs/surv-manual/chpt14-rubella.html
Nomoto, H., Ishikane, M., Nakamoto, T., Ohta, M., Morioka, S., Yamamoto, K., Kutsuna, S., Tezuka, S., Kunimatsu, J., & Ohmagari, N. (2020). Conjunctivitis, the key clinical characteristic of adult rubella in Japan during two large outbreaks, 2012–2013 and 2018–2019. PLOS ONE, 15(4), e0231966. https://doi.org/10.1371/journal.pone.0231966
Ogata, T., Murooka, M., Akashi, M., Ishitsuka, A., Miyazaki, A., Osawa, S., Ishikawa, K., Tanaka-Taya, K., & Uehara, R. (2021). The period from prodromal fever onset to rash onset in laboratory-confirmed rubella cases: A cross-sectional study. BMC Infectious Diseases, 21(1), 442. https://doi.org/10.1186/s12879-021-06158-9
Orenstein, W. A., Hinman, A., Nkowane, B., Olive, J. M., & Reingold, A. (2018). Measles and Rubella Global Strategic Plan 2012-2020 midterm review. Vaccine, 36 Suppl 1, A1–A34. https://doi.org/10.1016/j.vaccine.2017.09.026
Snell, L. B., Smith, C., Chaytor, S., McRae, K., Patel, M., & Griffiths, P. (2017). Screening for potential susceptibility to rubella in an antenatal population: A multivariate analysis. Journal of Medical Virology, 89(9), 1532–1538. https://doi.org/10.1002/jmv.24818
Vaidya, S. R., Kamble, M. B., Chowdhury, D. T., & Kumbhar, N. S. (2016). Measles & rubella outbreaks in Maharashtra State, India. Indian Journal of Medical Research, 143(2), 227. https://doi.org/10.4103/0971-5916.180214
