DOI: https://doi.org/10.14710/jkm.v13i2.47795

PENYELIDIKAN EPIDEMIOLOGI HEPATITIS A DI PONDOK PESANTREN X KABUPATEN KEBUMEN TAHUN 2023

*Yanuar Fajrul Falah  -  Magister Epidemiology, Universitas Diponegoro, Indonesia
Dwi Sutiningsih  -  Magister Epidemiology, Universitas Diponegoro, Indonesia
Fauzi Muh  -  Magister Epidemiology, Universitas Diponegoro, Indonesia
Akhmad Mukhibin  -  Dinas Kesehatan, Pengendalian Penduduk, dan Keluarga Berencana Kabupaten Kebumen, Indonesia
Received: 18 Oct 2024; Published: 30 Mar 2025.

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Abstract

On Thursday, December 7th, 2023, Kebumen District Health Office received a report of 4 laboratory confirmed positive Hepatitis A cases from the Kebumen III Public Health Center (PHC). Epidemiological investigation was carried out at the Islamic Boarding School (IBS) X as soon as we received the report to determine factors associated with Hepatitis A outbreak. The investigation was done using case control study design with a ratio of 1:1. The 66 participants consisted of case and control groups were involved. Case and control groups were matched by age and gender. The chi-square test was also used to generate the significance association of risk factors. The investigation revealed that the first case was detected on November 14th, 2023 and lasted on December 9th, 2023. The epidemiologic curve showed that the highest number of cases was detected on December 7th, 2023. Most of the cases were aged 15 years (57.6%) and belong to 3rd grade junior high school (42.4%). The highest attack rate was people who drank underground water (81.2%). The statistical analysis revealed that there is a significant association of drinking underground water with the Hepatitis A incidences (OR= 6,5, 95%CI= 1,64-25,76, p= 0,01). Conclusion Drinking underground water is sufficient cause of the Hepatitis A outbreak at IBS X. We recommend to manage the Hepatitis A surveillance among the students and regularly check the drinking water sources such as boil the water before drinking it, and close the water drum.

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Keywords: Hepatitis A, Outbreak, Hygiene, Sanitation, Water Contamination

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