1. Buka SHEET "KALENDER" untuk menyesuaikan data yang akan dimasukkan dengan waktu mingguan yang telah disepakati dalam kalender epidemiologi.
2. Buka SHEET "ABSENSI" untuk memasukkan ketepatan dan kelengkapan laporan masing masing desa di wilayah PUSKESMAS
a. Tabel "KETEPATAN" : isi Kolom "DESA" dengan nama desa diwilayah Puskesmas , jika desa x (misal) tepat waktu dalam pelaporan maka beri angka 1 pada kolom
Minggu ke (M-....), jika tidak tepat isi dengan angka "0"
b. Tabel "KELENGKAPAN" : isi kolom" DESA" dengan nama desa sesuai urutan nama desa yang ada pada Tabel "KETEPATAN", jika desa x tepat waktu dalam pengiriman
laporan, maka otomatis kolom terisi angka 1, jika ada laporan menyusul, maka beri angka 1 pada kolom yang terisi 0 sesuai minggu laporan yang menyusul
3. Buka SHEET "K'LGKP & K'TPT" untuk melihat tabel dan grafik automatis persentase ketepatan dan kelengkapan laporan Desa sesuai yang telah di entry pada SHEET
"ABSENSI" dengan catatan* : WAJIB, Isi "HINGGA MINGGU KE" (KOTAK ORANYE) dengan waktu saat ini (minggu analisa), MISAL MINGGU KE DELAPAN MAKA ISI KOTAK ORANGE
DENGAN ANGKA 8, isi kolom" DESA" dengan nama desa sesuai urutan nama desa yang ada pada Tabel "KETEPATAN" di dalam SHEET "K'LGKP & K'TPT"
4. Masukkan data jenis penyakit masing masing desa di wilayah Puskesmas pada SHEET "DS A", "DS B", "DS C", dst... Sesuai jumlah desa yang ada di Puskesmas. Tersedia 26
SHEET-desa. SHEET "DS"penyakit
dapat dirubah sesuai dengan
SHEETnama desa di wilayah Puskesmas (dengan cara: klik kanan SHEET pilih "Rename" lalu rubah nama desanya.
'-grafik mingguan
tersedia 26 SHEET dapat
Desa yang dilihat
bisa diisi,dicatatan masing masing
PENTING* JAGAN desa (dibawah tabel)
MENGHAPUS SALAH SATU ATAU LEBIH SHEET DESA, JIKA TIDAK DIGUNAKAN BERI WARNA MERAH
SHEET DESANYA UNTUK MENANDAKAN SHEET TIDAK DIGUNAKAN.
- lengkapi keterangan waktu minggu ke - ... data terolah pada pojok kanan atas grafik
5. Buka SHEET "Kasus PKM" untuk melihat komulatif data jenis penyakit dilevel PUSKESMAS yang mengcover jumlah dari masing masing data jenis penyakit yang telah terisi di
masing masing SHEET "Desa"
6. Buka SHEET "Tren Kasus PKM" Untuk mengetahui grafik dari SHEET " Kasus PKM", catatan, lengkapi keterangan waktu minggu ke- .... Data terolah pada pojok kanan atas
grafik, karena sifat grafik ini line (garis) nyambung hingga minggu terakhir
7. jika terdapat troubel shoting data, atau kurang jelas dengan pengoperasian tools ini , SEGERA HUBUNGI PJ PETUGAS EWARS KABUPATEN/KOTA
Kalender Epidemiologi Mingguan 2018
JANUARI FEBRUARI MARET
Minggu Epid S S R K J S M Minggu Epid S S R K J S M Minggu Epid S S R K J S M Format SMS SKDR :
1 1 2 3 4 5 6 7 5 29 30 31 1 2 3 4 9 26 27 28 1 2 3 4 MANUAL#MINGGU,KODE PENYAK
2 8 9 10 11 12 13 14 6 5 6 7 8 9 10 11 10 5 6 7 8 9 10 11
3 15 16 17 18 19 20 21 7 12 13 14 15 16 17 18 11 12 13 14 15 16 17 18
Jika ada perbaikan kasus, kode pe
4 22 23 24 25 26 27 28 8 19 20 21 22 23 24 25 12 19 20 21 22 23 24 25 SMS perbaikan dituliskan secara
5 29 30 31 1 2 3 4 9 26 27 28 1 2 3 4 13 26 27 28 29 30 31 1
6 5 6 7 8 9 10 11 10 5 6 7 8 9 10 11 14 2 3 4 5 6 7 8 Contoh :
MANUAL#18,
A13,B0,C0,D0,E0,F9,G0,H0,J0,K0,
APRIL MEI JUNI 0,Q0,R0,S0,T0,U0,V0,W0,Y11,Z0,
Minggu Epid S S R K J S M Minggu Epid S S R K J S M Minggu Epid S S R K J S M
13 26 27 28 29 30 31 1 18 30 1 2 3 4 5 6 22 28 29 30 31 1 2 3
14 2 3 4 5 6 7 8 19 7 8 9 10 11 12 13 23 4 5 6 7 8 9 10
15 9 10 11 12 13 14 15 20 14 15 16 17 18 19 20 24 11 12 13 14 15 16 17
16 16 17 18 19 20 21 22 21 21 22 23 24 25 26 27 25 18 19 20 21 22 23 24
17 23 24 25 26 27 28 29 22 28 29 30 31 1 2 3 26 25 26 27 28 29 30 1
18 30 1 2 3 4 5 6 23 4 5 6 7 8 9 10 27 2 3 4 5 6 7 8
40 1 2 3 4 5 6 7 44 29 30 31 1 2 3 4 48 26 27 28 29 30 1 2
> Lihat kelengkapan dan Ketepat
41 8 9 10 11 12 13 14 45 5 6 7 8 9 10 11 49 3 4 5 6 7 8 9 website SKDR : http://skdr.surveil
42 15 16 17 18 19 20 21 46 12 13 14 15 16 17 18 50 10 11 12 13 14 15 16
43 22 23 24 25 26 27 28 47 19 20 21 22 23 24 25 51 17 18 19 20 21 22 23
44 29 30 31 1 2 3 4 48 26 27 28 29 30 1 2 52 24 25 26 27 28 29 30
45 5 6 7 8 9 10 11 49 3 4 5 6 7 8 9 M01 2019 31 1 2 3 4 5 6
©www.calendarlabs.com
miologi Mingguan 2018
MANUAL#MINGGU,KODE PENYAKIT
MANUAL#18,
A13,B0,C0,D0,E0,F9,G0,H0,J0,K0,L0,M0,N0,P
0,Q0,R0,S0,T0,U0,V0,W0,Y11,Z0,X563
*CATATAN : isi M-.... (minggu ke ....) dengan angka 1 sesuai ketepatan jadwal pelaporan, jika tidak tepat
*CATATAN : A) isi M-.... (minggu ke ....) dengan angka 1 sesuai Kelengkapan pelaporan, * kelengkapan bis
B) Tulis kembali nama desa urut sesuai nama desa pada absensi ketepatan
ILAYAH PUSKESMAS RAAS TAHUN 2019
M-11 M-12 M-13 M-14 M-15 M-16 M-17 M-18 M-19 M-20 M-21 M-22 M-23 M-24 M-25
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1 1 0 0 1 1 1 1
1 0 1 1 0 1 1 1 1 1 1 1 1 1 1
0 0 1 1 1 0 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 0 1 1
0 1 1 0 0 1 1 1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 0 1
0 0 1 0 0 1 1 1 1 1 1 1 1 1 1
1 1 0 1 0 0 1 0 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 1 1 1 1 1 1 1 1
elaporan, * kelengkapan bisa menyusul meski terlambat, namun tidak dapat dihitung dalam absen tepat.
M-26 M-27 M-28 M-29 M-30 M-31 M-32 M-33 M-34 M-35 M-36 M-37 M-38 M-39 M-40
1 1 1 1 1 0 1 1 1 1 1 1 1 1 1
1 0 1 1 1 0 0 1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1 1 1 1 1 0 1 1
1 1 0 1 1 1 1 1 1 0 1 1 1 0 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 1 1 1 1 1 0 1
1 1 0 1 1 1 1 1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 0 1 0
1 0 1 1 0 1 1 1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1 1 0 0 1 1 0 1
1 0 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 1 1 0 1 1 1 1
1 1 1 1 0 1 1 1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1 0 1 1 1 1 1 0
M-26 M-27 M-28 M-29 M-30 M-31 M-32 M-33 M-34 M-35 M-36 M-37 M-38 M-39 M-40
1 1 1 1 1 0 1 1 1 1 1 1 1 1 1
1 0 1 1 1 0 0 1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1 1 1 1 1 0 1 1
1 1 0 1 1 1 1 1 1 0 1 1 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 1 1 1 1 1 0 1
1 1 0 1 1 1 1 1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 0 1 0
1 0 1 1 0 1 1 1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1 1 0 0 1 1 0 1
1 0 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 1 1 0 1 1 1 1
1 1 1 1 0 1 1 1 1 0 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 1 1 1 1 1 0 1 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M-41 M-42 M-43 M-44 M-45 M-46 M-47 M-48 M-49 M-50 M-51 M-52
1
1
1
1
1
1
1
1
1
1
1
1
1
M-41 M-42 M-43 M-44 M-45 M-46 M-47 M-48 M-49 M-50 M-51 M-52
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
PERSENTASE KETEPATAN DAN KELENGKAPAN LAPORAN MINGGUAN SKDR DESA DI PUSKESMAS
RAAS TAHUN 2019
GRAFIK KETEPATAN KOMULATIF MINGGUAN SKDR DESA DI PUSKESMAS RAAS TAHUN 2019(DATA TEROLAH HINGGA MINGGU KE- 18
100
80
60
40
20
60
40
20
GRAFIK KELENGKAPAN KOMULATIF MINGGUAN SKDR DESA DI PUSKESMAS .... TAHUN 2018 (DATA TEROLAH HINGGA MINGGU KE- ... )
100
80
60
40
20
0
nggu analisa), MISAL MINGGU KE DELAPAN MAKA ISI KOTAK ORANGE DENGAN ANGKA 8
n dan absensi kelengkapan
Malaria Konfirmasi Pe
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 1 4 7 10 13 16 19 22
Pnemonia Sindrom
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 1 4 7 10 13 16 19 22
Diare Akut
7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pertussis
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Campak
Suspek Campak
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Difteri
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Leptospirosis
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Tetanus
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Daftar Penyakit pada SKDR KLB di
Puskesmas Raas Tahun 2019
PENYAKIT 1 2 3 4 5 6
Acute Flacid Paralysis (AFP) 0 0 0 0 0 0
Diare Akut 15 11 9 6 16 7
Diare Berdarah/ Disentri 0 0 0 0 0 0
Gigitan Hewan Penular Rabies 0 0 0 0 0 0
ILI (Penyakit Serupa Influenza) 18 20 16 17 21 14
Kluster Penyakit yang tidak diketahui 0 0 0 0 0 0
Malaria Konfirmasi 0 0 0 0 0 0
Pertussis 0 0 0 0 0 0
Pnemonia 0 0 0 0 0 0
Sindrom Jaundice Akut 0 0 0 0 0 0
Suspek Antrax 0 0 0 0 0 0
Suspek Campak 0 0 0 0 0 0
Suspek Chikungunya 0 0 0 0 0 0
Suspek Demam Tifoid 0 0 0 0 0 0
Suspek Dengue 0 0 0 0 0 0
Suspek Difteri 0 0 0 0 0 0
Suspek Flu Burung Pada Manusia 0 0 0 0 0 0
Suspek HFMD/ Flu Singapur 0 0 0 0 0 0
Suspek Kolera 0 0 0 0 0 0
Suspek Leptospirosis 0 0 0 0 0 0
Suspek Meningitis/Encephalitis 0 0 0 0 0 0
Suspek Tetanus 0 0 0 0 0 0
Suspek Tetanus Neonatorum 0 0 0 0 0 0
Grand Total 33 31 25 23 37 21
7 8 9 10 11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0
15 10 13 7 9 4 3 4 3 4
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
21 24 19 15 14 15 11 15 31 34
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 5 3 4 0 6 2 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
36 34 37 25 27 19 20 22 34 38
17 18 19 20 21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0
5 2 5 6 3 12 16 15 12 7
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
26 18 6 9 6 7 9 12 17 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 3 0 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
31 20 12 18 9 19 25 27 29 23
27 28 29 30 31 32 33 34 35 36
0 0 0 0 0 0 0 0 0 0
11 5 4 4 8 4 3 8 13 17
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
16 10 22 18 20 10 8 11 16 11
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 0 0 3 12 7 5 8 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
30 15 26 22 31 26 18 24 37 33
37 38 39 40 41 42 43 44 45 46
0 0 0 0 0 0 0 0 0 0
3 0 0 0 3 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4 9 1 1 5 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
9 6 0 0 3 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
16 15 1 1 11 0 0 0 0 0
47 48 49 50 51 52
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP) 0 0 0 0 0 0 0 0 0 0 0
Diare Akut 0 0 0 0 0 0 0 0 0 0 0
Diare Berdarah/ Disentri 0 0 0 0 0 0 0 0 0 0 0
Gigitan Hewan Penular Rabies 0 0 0 0 0 0 0 0 0 0 0
ILI (Penyakit Serupa Influenza) 0 0 0 0 0 0 0 0 0 0 0
Kluster Penyakit yang tidak diketahui 0 0 0 0 0 0 0 0 0 0 0
Malaria Konfirmasi 0 0 0 0 0 0 0 0 0 0 0
Pertussis 0 0 0 0 0 0 0 0 0 0 0
Pnemonia 0 0 0 0 0 0 0 0 0 0 0
Sindrom Jaundice Akut 0 0 0 0 0 0 0 0 0 0 0
Suspek Antrax 0 0 0 0 0 0 0 0 0 0 0
Suspek Campak 0 0 0 0 0 0 0 0 0 0 0
Suspek Chikungunya 0 0 0 0 0 0 0 0 0 0 0
Suspek Demam Tifoid 0 0 0 0 0 0 0 0 0 0 0
Suspek Dengue 0 0 0 0 0 0 0 0 0 0 0
Suspek Difteri 0 0 0 0 0 0 0 0 0 0 0
Suspek Flu Burung Pada Manusia 0 0 0 0 0 0 0 0 0 0 0
Suspek HFMD/ Flu Singapur 0 0 0 0 0 0 0 0 0 0 0
Suspek Kolera 0 0 0 0 0 0 0 0 0 0 0
Suspek Leptospirosis 0 0 0 0 0 0 0 0 0 0 0
Suspek Meningitis/Encephalitis 0 0 0 0 0 0 0 0 0 0 0
Suspek Tetanus 0 0 0 0 0 0 0 0 0 0 0
Suspek Tetanus Neonatorum 0 0 0 0 0 0 0 0 0 0 0
Grand Total 0 0 0 0 0 0 0 0 0 0 0
Malaria Konfirmasi
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Pnemonia
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Antrax
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Chikungunya
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Dengue
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Kolera
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Meningitis/Encephalitis
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
asi Pertussis
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
3 46 49
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 5
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
masi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
ue Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0
Daftar Penyakit pada SKDR KLB di Desa
………………….. Tahun .........
PENYAKIT 1 2 3 4 5 6 7 8 9 10 11
Acute Flacid Paralysis (AFP)
Diare Akut
Diare Berdarah/ Disentri
Gigitan Hewan Penular Rabies
ILI (Penyakit Serupa Influenza)
Kluster Penyakit yang tidak diketahui
Malaria Konfirmasi
Pertussis
Pnemonia
Sindrom Jaundice Akut
Suspek Antrax
Suspek Campak
Suspek Chikungunya
Suspek Demam Tifoid
Suspek Dengue
Suspek Difteri
Suspek Flu Burung Pada Manusia
Suspek HFMD/ Flu Singapur
Suspek Kolera
Suspek Leptospirosis
Suspek Meningitis/Encephalitis
Suspek Tetanus
Suspek Tetanus Neonatorum
Grand Total 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Malaria Konfirmasi
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Pnemonia
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Antrax
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Chikungunya
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Dengue
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Kolera
12
10
0
8
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
Suspek Meningitis/Encephalitis
12
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
asi Pertussis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
x Suspek Campak
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
e Suspek Difteri
12
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
a Suspek Leptospirosis
12
10
0
8
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
10
0
34 37 40 43 46 49 52 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
atorum
34 37 40 43 46 49 52
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1-……
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
46 49 52
50 51 52
0 0 0