FAKTOR LINGKUNGAN DAN PERILAKU MASYARAKAT DENGAN KEJADIAN LEPTOSPIROSIS DI WILAYAH PUSKESMAS KEDUNGMUNDU SEMARANG

Leptospirosis is a zoonotic disease caused by pathogenic microorganisme known as Leptospira interrograns. In 2011 the death rate or the Case Fatality Rate (CFR) in Indonesia reached 9.57%. This study aimed to analyze the relationship between environment and behavior with the occurrence of leptospirosis in the Puskesmas Kedungmundu Semarang. The research used survey methods and case-control approach. Total sample were 46 respondents by taking all leptospirosis patients in the Puskesmas Kedungmundu Semarang in the period 2010-2012. Data analysis using Chi Square test. The results showed that the majority of respondents had poor condition (91.3%), poor condition of gutter (58.7%), there was a puddle of water around the house (8.7%), respondents do not wear PPE (boots) when contact with water/mud/dirt (78.3%), respondents do not always wash their feet and hands (6.5%). Statistical test results showed that there were no relationship between the condition of the trash with leptospirosis incidence (p = 0.036 and OR = 2.21), there was a correlation between the condition of the gutter with leptospirosis incidence (p = 0.007 and OR = 5.6), there was a correlation between the puddle of water around the house with leptospirosis incidence (p = 0.036 and OR = 2.21), no association between the use of PPE (boots) with leptospirosis incidence (p = 0.032 and OR = 5.6) and there was no relationship between the habit of washing the feet and hand with leptospirosis incidence (p = 0.073 and OR = 0.465). Advice should be given to the public in order to cover the trash, immediately dispose of the waste pile, diligently cleaning gutter, keep the house and the surrounding environment, especially the puddle of water around the house and wear PPE (boots) on contact with water/mud/dirt especially when community service or cleaning gutter