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PENYIDIKAN WABAH
DEFINISIKAN KASUS
DISTRIBUSIKAN SPASIAL
POPULASI TERANCAM
POLA WAKTU WABAH
BERSUMBER UMUM PROPAGATIF
1. Buat diagnosis
2. Identifikasi kasus dan kontrol
3. Identifikasi faktor umum
4. Kirim spesimen
1. Isolasi hewan terserang
2. Buat diagnosis
3. Periksa hewan sakit pertama
4. Tambahan hewan baru
5. angkah seperti sumber umum
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Bersumber Umum Propagatif
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WABAH PENYAKIT 1:
• SAUDARA DIMINTA MENYIDIK SEJUMLAHKEMATIAN PADA SAPI PERAH YANG
MELIBATKAN PETERNAK KECIL DISEJUMLAH DESA. HEWAN MULAI MATISEHARI SEBELUMNYA. DISKUSIKANPENDEKATAN YANG AKAN SAUDARA
GUNAKAN
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HEWAN MATI• 177 Sapi perah dalam 7 desa• Hari pertama 117 ekor dalam 7 desa
• Hari kedua 60 ekor mati
PERUBAHAN PASCA MA!
• "edema pulmo#um• E#teritis
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10
1211
15
14
13
8
9
1 2
3
4
7
5
52
400
8
561
36
721
641
898
17
540
18
651
5
484
410
230
160
120
280
350
420
650
16
950
17
395
15
65019
180
75 Jumlah kasus
484 Populasi
Desa Kasus
No. Desa
Desa Kontrol
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HEWAN MATI
• Sapi perah 6$• Sapi keri#% 1&• 'a#ta# &
• (ara 16• Pedet 6&
•Pera#aka# )H 17*
• P" +
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JUMLAH HEWAN
•Sapi perah 3!3
• Sapi "eri#$ %&!• Ja#'a# 3(%• Dara !)
• Pe*e' 3(+(
• Pera#a"a# ,H !)3+• Pera#a"a# -#$/e ++
DAPATKAH ANDA MENERANGKAN KEPERLUANTERSEBUT
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HEWAN MATI
LAP-RAN HEWAN MATI PERTAMA:
TERJADI PADA HARI PERTAMA PEDET DARIDESA .
HEWAN BARU
ADA & EK-R0 MATI PADA HARI KE 1
DI DESA 10 20 %0 2
APA ARTINYA
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INFORMASI PAKAN
JENIS PAKAN DESA
Pepaya 4, 5, !, 4, ", #
Katul !, 5, $, %, &, $Sing'ong , (, 4, 5, ", #, , (, !, 5, ", %
Konsentrat , (, 5, #, , (, !, 4, 5, ", $, %, #
)aram tamba*an (, !, ", $, %, #, &, , (, !, 4, ", %, #
+umput semua
APA A+IN-A.
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SUMBER AIR
• S456er 7e#*iri 87454r *//9 6a#;a"
• A*a 1 64ah 74#$ai
SUMBER AIR
• S4#$ai A: *e7a +0 0 1
• S4#$ai B: *e7a 0 30 (0 )0 (0 2• S454r 7e#*iri: 10 20 &0 !0 %0 30 )0 &0 !0 %
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WABAH PENYAKIT 2:
,ee*/' < (1.+++ e"r 6a"a/a#
*a/a5 2) "a#*a#$
Ra'ara'a 5r'a/i'a7: 2 e"r=hari
! < 1 e"r=hari De7e56er: %!1 e"r 5a'i
1 De7e56er: !3 e"r 5a'i
T4$a7: Me#;i*i" 7456er=pe#;e6a6 "e5a'ia#Se64'"a# /a#$"ah#;a0 5i#'a=5e#>ari *a'a
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M-DEL Ree*,r7'
• Pp4/a7i . N ? I#*i@i*4
S ? I#*i@i*4 pe"a
I ? I#*i@i*4 "e6a/ 8immune9
1. Pp4/a7i 'er'4'4p
3. Ter>a5p4r 6e6a7
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• A7457i:
. Sa'4 "a747 pe#;a"i' i#e"7i 5a74" 1. S 'eri#e"7i a*i "a747 8C9
Se564h
Ke6a/ 8I9
3. Se54a "a747 'er/iha' 7e>ara "/i#i7
(. Ka747 6er7ia' i#e"'i *a/a5 a"'4 pe#*e"
2. I#'er@a/ a"'4 ? a"'4 $e#era7i pe#;a"i'
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• M*e/:
Pa*a 7aa' ': C' "a747
S' pe"a
I' "e6a/
Saa' 8' 9: Ge#era7i epi*e5i 6eri"4'
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• Ti#$"a' "#'a" 8contact rate) = p
Se'iap i#*i@i*4 *a/a5 pp4/a7i 8S0 C05a4p4# I9 ra'ara'a *apa' 5e564a' "#'a"
*e#$a# 7e45/ah i#*i@i*4 8"9 *a/a5
pp4/a7i "
p ?
N
• Pr6a6i/i'a7 "#'a" 'i*a" 'era*i ? p
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• Kare#a a*a C' "a7470 5a"a pr6a6i/i'a7 'a"7a'4p4# C' 5e#$"#'a" i#*i@i*4 'er'e#'4
a*a/ah:
8 < p9C'
• Da# pr6a6i/i'a7 5e#$a*a"a# "#'a":
< 8 < p9C'
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• K#'a" ;a#$ 5e#;e6a6"a# "a747: S' 7ehi#$$a har47 *i"a/i"a# *e#$a# S'
C'D ? S' < 8 < p9 C' F
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PENYIDIKAN PENYAKITENDEMIK
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Pe#;a"i' ;a#$ a*a pa*a ara7 ;a#$
*apa' *ira5a/"a#
Seri#$ *ia#$$ap #r5a/0 7ehi#$$a
"4ra#$ *iperha'i"a#
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Pe#;a"i' e#*e5i" *a# pr*4"7i
Lingkungan
Hospes
Agen Penyakit Produksi
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• Pe#;a"i' 746"/i#i"
• Para7i' $a7'ri#'e7'i#a/
• Ma7'i'i7 746 "/i#i" *//
Pe#4r4#a# pr*4"7i
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Me#$apa pe#;. E#*e5i" per/4
*i7i*i"
• S"a/a priri'a7 8e#*e5i" ;a#$ 5e/4a7 /e6ih 6erar'i 7>r e"#5i7 *rp* epi*e5i" ;a#$'er6a'a7 /i#$"4p *a# a"'4#;a9
• Ha7i/ pe#e/i'ia# /e56a$a /ai# 'i*a" 7e/a/4 6i7a *i'erap"a#
• Me56a#'4 5e#$$a56ar"a# pr6/e5 7e>ara
6e#ar • Ka*a#$ pr6/e5 pe#;a"i' 'i*a" *i7a*ari.
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Pa*a pe#;i*i"a# e#*e5i"
• Wa"'4 'i*a" 5e#a*i "e#*a/a
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+ /a#$"ah pe#;i*i"a# e#*e5i"
• I*e#'ii"a7i 5a7a/ah• Me#;a'a"a# '44a#
• Pe5i/iha# e#i7 "aia#
• Pere#>a#aa# 7a5pe/
• Re#>a#a "/e"7i *a# pe#$e//aa# *a'a• Pe5i/iha# pe#$4ia# *ia$#7'i"
• Re#>a#a a#a/i7i7
• Re#>a#a a*5i#i7'ra7i
• I5p/e5e#'a7i pe#;i*i"a#• Pe/apra#
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.I*e#'ii"a7i 5a7a/ah
• Mer4pa"a# /a#$"ah 'erpe#'i#$
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Kri'eria i*e#'ii"a7i:
• ,re"4e#7i re/a'i
• Per'i56a#$a# e"#5i7
• Si"ap pe'er#a" • Pe#$araha# pe5eri#'ah
• Lai# /ai#
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Pe#$$a56ara# pr6/e5
• E'i/$i7• K/i6a7i/7i7
• Tripa#75ia7i7
• Br4>e/7i7
• /ep'7pir7i7
• Ma#ie7'a7i• Diare
• M46e#$• G5e#
• K/4r# *//
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Meri#>i 5a7a/ah
Sifat sifat hospes
• Distribusi penyakit• Sumber yang tersedia
Populasi target
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Sumber informasi
• Sumber tak terencana paling sering digunakan
• Beberapa sumber informasi dapat dipakai
sekaligus
• Profil kesehatan dan produktivitas
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1. Me#;a'a"a# T44a#
• Apa"ah pe#;a"i' i'4 a*a Ara7 Di7'ri647i
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Pe5i/iha# '44a#
• T44a# 7e/a/4 *i54/ai *e#$a# ;a#$ per'a5a
• Bi/a i#r5a7i 74*ah a*a *a# 6e#ar *ipi/ih'44a# "e *4a *7'
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Penentuan tujuan
Ino!masi a!as pen"akit men"i#ik a!as pen"akit
Ino!masi pen"e$a$
pen"akit men"i#ik pen"e$a$ pen"akit
Ino!masi pen%en#alian
pen"akit &en%e'aluasi pen%en#alian
pen"akit
Ino!masi ke!u%ian ( on%kos
pen%en#alian pen"akit &en"i#ik ke!u%ian ( $ea"a
pen%en#alian pen"akit
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S456er i#r5a7i /a#$"ah "e 1
• S456er 'ere#>a#a
• S456er 'a" 'ere#>a#a *apa' *i$4#a"a# */5
6e6erapa e#i7 "aia#• Ha7i/ pe#;i*i"a# 'er*ah4/4
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3. Me5i/ih Je#i7 Kaia#
• S4r@ai
• Kaia# /#$i'4*i#a/
• Kaia# /i#'a7 7e"7i#a/• Ka747 "#'r/
• Khr'
• Ui >6a /apa#$a# 8ie/* 'ria/9
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T44a# pe#;i*i"a# *a# e#i7
"aia#T44a#
. Me#*e'e"7i pe#;a"i'05e#$4"4r ara7
1. Me#;i*i" pe#;e6a6
3. E@a/4a7i pe#$e#*a/ia#
(. Me#$4"4r 6ia;a
Kaia#
. S4r@ei0 /#$i'4*i#a/
1. Li#'a7 7e"7i#a/0"a747 "'r/0 "hr'
3. Ui >6a /apa#$a#
(. Be#ei'>7'
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,a"'r pe5i/iha# e#i7 "aia#
• ,re"4e7i pe#;a"i':
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Me#$4"4r ara7 pe#;a"i'
S4r@ei L#$i'4*i#a/Pemilihan # #
Pen!"ian Sa'4 "a/i Le6ih *r
Tin#a$ Pre@a/e#7i Pre@a/e#7i *a#I#7i*e#7i
%a#$! pe#*e" /a5a
&ia'a 54rah 5aha/
Pe#$4"4ra# S'a'47 a"'r: ,0,
S'a'47 pe#;.: D0 D
S'a'47 a"'r: ,0,
S'a'47 pe#;.: D0 D
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Me#;i*i" pe#;e6a67e"7i#a/ K "#'r/ "hr'
pe5i/iha# # D0 D ,0, *r D
Pe#$4ia# Le6ih
pe#$4"4ra# ,0 ,0 D0 D ,0 , D 0 D
Per6a#*i#$a# D=, *$ D=,A'a4
,=D *$#,=D
,=D *$#,=D D=, *$#D=,
Ti#$"a' Pre@a/e#7i Pre@a/e#7i i#7i*e#7i
Pe#;a"i' Kr#i7 A"4'="r#i7 A"4'="r#i7
a"'4 pe#*e" 'erpe#*e" /a5a
6ia;a Ti*a" 5aha/ Ti*a" 5aha/ 5aha/
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(. Pere#>a#aa# 7a5pe/
Je#i7 Kaia# Je#i7 7a5pe/ Cara 7a5p/i#$
S4r@ei Tere#>a#a Ra56a#$
L#$i'4*i#a/ Tere#>a#a Ra56a#$
7e"7i#a/ Tere#>a#a Ra56a#$
Ka747 "#'r/ Ta" 'ere#>a#a P4rp7i
Khr' Ta" 'ere#>a#a P4rp7i
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U#'4" "#*i7i I#*#e7iaS'a'i7'i" pp4/a7i 'er#a" a*a pa*a "a64pa'e#0
"e>a5a'a#0 *e7a.
• Sa5p/i#$ 'ahapa# 6er$a#*a 4#'4"
"a64pa'e#0 "e>a5a'a# *a# *e7a
• Da/a5 *e7a
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Sa5p/i#$ p4rp7i
Kaia# Hea# Dipi/ih S456er *a'a
Ka747 "#'r/ D *a# D RPH0 /a6*ia$#7'i"0K/i#i" *//
Khr' , *a# , < *rhea# D
Ca'a'a# pe'er#a"0 Di#a7*//
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Be7ara# 7a5pe/
• Ter$a#'4#$ *ari '44a# "aia# *a# >ara7a5p/i#$
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2. Pere#>a#aa# K/e"7i *a# Pe#$e//aa# *a'a
Je#i7 "aia# Da'a *iper/4"a# ,re". = hea#
S4r@ei D =D ,=,
L#$i'4*i#a/ D =D ,=,
Li#'a7 7e"7i#a/ D =D ,=,
Ka747 "#'r/ , 0 ,
Khr' D 0 D
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Da'a Pe#;a"i' ;a#$ *i"45p4/"a#
• Pe#$4ia# ;a#$ 7a5a 'h* 7e54a hea#• Dei#i7i D *a# D har47 e/a7
Da'a ,a"'r• ,a"'r h7pe70 /i#$" *a# a$e# *i4"4r
• ,a"'r /ai# '$' pe#;i*i"
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,re"4e#7i pe#$45p4/a# *a'a
•Khr' L#$i'4*i#a/ 7e6erapa 7eri#$
T$/ /a5a#;a pe#;a"i' < Br47e/7i7 i#'er@a/ /a5a
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• Pe#$e//aa# K/e"7i *a'a:
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Pe#$e//aa# *a'a pa7>a"/e"7i
• Pe#$e//aa# *ire#>a#a"a# 7e6e/45 *a'a*i"45p4/"a#
• Da'a *ari "4e7i#er *i64a' 7i5pa#a##;a*a/a5 r5a' 6a7i7 *a'a
• K4e7i#er *a# 6a7i7 *a'a *i64a' para/e/
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). Per'i56a#$a# Pe#$4ia# Dia$#7'i"
• Pe#;i*i" 5e#e#'4"a#
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Kepe#'i#$a#
• Ker4$ia# pe#;a"i' :
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S456er i#r5a7i
• La6ra'ri45 pe#$$4#a
• R44"a# @e'eri#er
• Bi/a 'i*a" a*a: per7ep7i *r pe#i/aia#746;e"'i
• Bi/a 'i*a" ;a"i# : per'i56a#$"a# >ara /ai#
• Pe/a'iha#
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&. Pere#>a#aa# a#a/i7i7
• Sia' 4'a5a a#a/i7i7 "aia# epi*e5i/$i7: per6a#*i#$a#
S4r@ei:
• 'i#$"a' , ,=D ,=D
D D=, D=,
• Je#i7 'i#$"a' : pre@a/e#7i• Per6a#*i#$a#=pe#$4"4ra# a77ia7i:
• B4"a# '44a#
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• Kaia# /#$i'4*i#a/
• 'i#$"a' , ,=D ,=DD D=, D=,
• Je#i7 'i#$"a' : pre@a/e#7i0 I#7i*e#7i
• Per6a#*i#$a#=pe#$4"4ra# a77ia7i:• B4"a# '44a#
• I#7i*e#7i 5e56eri"a# $a56ara# ;a#$
/e6ih 6ai"
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• Ka747 "#'r/
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• Je#i7 "aia# "hr'
• Ti#$"a' : D=, *a# D=,• Je#i7 'i#$"a': I#7i*e#7i
• Per6a#*i#$a# : D=, *$# D=,
D D
,
,
++
++
1++
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• Li#'a7 7e"7i#a/
• Ti#$"a' : D 0 D=,0 D=,,0 ,=D0 ,=D
Je#i7 'i#$"a': pre@a/e#7i
Per6a#*i#$a# 'i#$"a' : D=, @7 D=,
,=D @7 ,=D
D D
,
,
1++
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!. Pere#>a#aa# A7pe" A*5i#i7'ra'i
• Ti*a" ha#;a 5e547a'"a# pa*a ra#>a#$a#epi*e5i/$i7 'e'api a*a ha/ /ai# ;a#$ per/4
*iper'i56a#$"a#:
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Keper/4a# 'e#a$a *a# pe#a*a/a#
• Mera#>a#$ pe#;i*i"a# 8/a#$"ah !9
• Me#$a*5i#i7'ra7i"a# pe#;i*i"a#
• Kera /apa#$a#• Kera /a6ra'ri45
• A#a/i7i7 *a'a
• Pe/apra#
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Keper/4a# 'e#a$a :ra#$ hari
• Sa'4 ra#$ hari 8h9: 7a'4 ra#$ ;a#$ 6e"era 7a'4 hari.
• Bi/a *iper/4"a# 3 ra#$ 4#'4" + hari :5a"a *iper/4"a# 3 + : 3+ h.
• -ra#$ hari /e6ih *i'e"a#"a# pa*a pe#$a#$$ara# *rpa*a a*a/
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C#'h
T4$a7 J5/5i#.ra#$
J5/.hr. pe#;e/e7aia#
J45/ahh
J45/ahr.
pa"ai
Hari"era ;$*iper/".
K/e"7i*a'a
3 + 3+ ) 2
Pe5a74
"a#*a'a
& & &
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Ja*a/ "era
• Di7474# 7e'e/ah per"iraa# ra#$ hari *a#"eper/4a# hari "era 7e/e7ai
• Ja*a/ *i7474# 7e*e5i"ia# 7ehi#$$a '4$a7;a#$ pa/i#$ aa/ 'a5pi/ pa/i#$ a'a7.
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C#'h
T4$a7 1 3 ( 2 ) & ! % +
Me564a'ra#>a#$a#
A*5i#7i'ra7i
Kera/apa#$a#
Kera /a6.
A#a/i7i7
Pe/apra#
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%. Pe/a"7a#a# pe#;i*i"a#
• Per'i56a#$"a# 7e"a/i /a$i apa"ah 5a#aa'"aia# i#i /e6ih 6e7ar *ari #$"7#;a
• Ji"a 'i*a" ? a#$a# *i/a#4'"a#
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TERIMA KASIH