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description Journal article public Indonesian Journal of Infectious Disease

Gambaran Case Base Measles Surveilance di Kabupaten Karawang Tahun 2014

Saleh Budi Santoso
Published 2015

Abstract

Measles eradication is possible to be done, by going through the stages of reduction and elimination. Currently, Indonesia has launched a measles elimination phase by applying the Case Base Measles Surveillance (CBMS). This study aims to provide an overview of the development of measles in Karawang District of Indonesia.Descriptive studies using CBMS Data of Karawang District Health Office in 2014. A total of 109 patients recorded CBMS, 48/109 patient (43.6%) confirmed by the laboratory, with 24/48 patient (48%) positive measles and 10/48 patient (31%) positive rubella, Case Fatality Rate (CFR) = 0%. Cumulative Incidence of measles cases = 10 per 1,000,000 population, number of discarded = 4 per 1.000.000 population.Distributed positive measles patient in the age group 1-4 years (45.8%) and the age of 5-9 years (37.5%). Distributed positive rubella cases in the age group 5-9 years (85.7%). 70% positive measles patients joined the zero-dose group and do not know their immunization status. Karawang district has not reached the level of measles elimination status, with the majority of positive measles cases were not immunized. Rubella cases also showed an increased proportion. CBMS surveillance performance is still considered optimal, considering discarded measles cases still below 5 / 1,000,000 population. Improved performance of measles surveillance should be carried out by the discovery of cases and laboratory confirmation of clinical measles cases as much as possible.

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