Kuliah IIb

8/18/2019 Kuliah IIb

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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


6/64

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:

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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

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*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'


18/64

• 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"

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• Ma7'i'i7 746 "/i#i" *//

Pe#4r4#a# pr*4"7i


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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"

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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

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• 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#

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1. Me#;i*i" pe#;e6a6

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(. Me#$4"4r 6ia;a

Kaia#

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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

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,=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.

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"a64pa'e#0 "e>a5a'a# *a# *e7a

• Da/a5 *e7a


42/64

Sa5p/i#$ p4rp7i

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Ka747 "#'r/ D *a# D RPH0 /a6*ia$#7'i"0K/i#i" *//

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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


45/64

Da'a Pe#;a"i' ;a#$ *i"45p4/"a#

• Pe#$4ia# ;a#$ 7a5a 'h* 7e54a hea#• Dei#i7i D *a# D har47 e/a7

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• ,a"'r /ai# '$' pe#;i*i"


46/64

,re"4e#7i pe#$45p4/a# *a'a

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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#


50/64

Kepe#'i#$a#

• Ker4$ia# pe#;a"i' :


51/64

S456er i#r5a7i

• La6ra'ri45 pe#$$4#a

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• Bi/a 'i*a" ;a"i# : per'i56a#$"a# >ara /ai#

• Pe/a'iha#


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&. Pere#>a#aa# a#a/i7i7

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54/64

• Ka747 "#'r/


55/64

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56/64

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57/64

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Keper/4a# 'e#a$a *a# pe#a*a/a#

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• Pe/apra#


59/64

Keper/4a# 'e#a$a :ra#$ hari

• Sa'4 ra#$ hari 8h9: 7a'4 ra#$ ;a#$ 6e"era 7a'4 hari.

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• -ra#$ hari /e6ih *i'e"a#"a# pa*a pe#$a#$$ara# *rpa*a a*a/


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C#'h

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pa"ai

Hari"era ;$*iper/".

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3 + 3+ ) 2

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& & &


61/64

Ja*a/ "era

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• 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

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Pe/apra#


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%. Pe/a"7a#a# pe#;i*i"a#

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• Ji"a 'i*a" ? a#$a# *i/a#4'"a#


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Kuliah IIb