KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

DIREKTORAT JENDERAL PP & PL

KANTOR KESEHATAN PELABUHAN KELAS II TANJUNGPINANG
WILAYAH KERJA : DABO SINGKEP
PUSKESMAS : DABO LAMA

DATA SURVEILANS TERPADU KASUS PENYAKIT

BULAN : JANUARI
TAHUN : 2017

GOLONGAN UMUR ( TH ) & JENIS KELAMIN JENIS PENYAKIT

NO NAMA PENYAKIT LAKI - LAKI ( Ờ ) PEREMPUAN ( Ϙ ) TIDAK KETERANGAN
MENULAR
<1 1 - 4 5 - 14 15 - 44 >45 <1 1 - 4 5 - 14 15 - 44 >45 MENULAR
1 Pes / Sampar 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Disentri 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Tiphoid 0 0 0 0 0 0 0 0 0 0 0 0 0
6 TB Paru BTA ⁺ 0 0 0 0 0 0 0 0 0 0 0 0 0
7 TB Paru Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Dipteri 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan / Pertusis 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hepatitis 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DBD ( DHF ) 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Falcifarum 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Malaria Vivax 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Bronkhitis 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Anthrax 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Sipilis 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Infeksi Gonoehoe 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Influenza 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Keracunan Makanan 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Kecelakaan Kerja 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Hepatitis A 0 0 0 0 0 0 0 0 0 0 0 0 0
32 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0

Dabo Singkep, 30 Januari 2017

Diketahui Oleh,
Pimpinan Puskesmas Petugas Pelaksana,

dr. JONNER SIMBOLON ( .......................................... )

PENATA NIP.
NIP. 19761130 201001 1 010
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA
DIREKTORAT JENDERAL PP & PL
KANTOR KESEHATAN PELABUHAN KELAS II TANJUNGPINANG
WILAYAH KERJA : DABO SINGKEP
PUSKESMAS : DABO LAMA

DATA SURVEILANS TERPADU KASUS PENYAKIT

BULAN : MARET
TAHUN : 2017

GOLONGAN UMUR ( TH ) & JENIS KELAMIN JENIS PENYAKIT

NO NAMA PENYAKIT LAKI - LAKI ( Ờ ) PEREMPUAN ( Ϙ ) TIDAK KETERANGAN
MENULAR
<1 1 - 4 5 - 14 15 - 44 >45 <1 1 - 4 5 - 14 15 - 44 >45 MENULAR
1 Pes / Sampar 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Disentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Tiphoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 TB Paru BTA ⁺ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 TB Paru Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Dipteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan / Pertusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hepatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DBD ( DHF ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Falcifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Malaria Vivax 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Bronkhitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Anthrax 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Sipilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Infeksi Gonoehoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Influenza 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Keracunan Makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Kecelakaan Kerja 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0
..................

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dabo Singkep, 30 Maret 2017

Diketahui Oleh,
Pimpinan Puskesmas Petugas Pelaksana,

dr. JONNER SIMBOLON ( .......................................... )

PENATA NIP.
NIP. 19761130 201001 1 010
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA
DIREKTORAT JENDERAL PP & PL
KANTOR KESEHATAN PELABUHAN KELAS II TANJUNGPINANG
WILAYAH KERJA : DABO SINGKEP
PUSKESMAS : DABO LAMA

DATA SURVEILANS TERPADU KASUS PENYAKIT

BULAN : FEBRUARI
TAHUN : 2017

GOLONGAN UMUR ( TH ) & JENIS KELAMIN JENIS PENYAKIT

NO NAMA PENYAKIT LAKI - LAKI ( Ờ ) PEREMPUAN ( Ϙ ) TIDAK KETERANGAN
MENULAR
<1 1 - 4 5 - 14 15 - 44 >45 <1 1 - 4 5 - 14 15 - 44 >45 MENULAR
1 Pes / Sampar 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Disentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Tiphoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 TB Paru BTA ⁺ 0 0 0 0 3 0 0 0 0 1 4 0 0 4
7 TB Paru Klinis 0 0 0 3 3 0 0 0 2 2 10 0 0 10
8 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Dipteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan / Pertusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hepatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DBD ( DHF ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Falcifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Malaria Vivax 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Malaria Klinis 0 1 4 2 0 0 0 2 22 2 33 0 0 33
21 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Bronkhitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Anthrax 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Sipilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Infeksi Gonoehoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Influenza 0 0 0 0 0 0 1 0 0 0 1 0 0 1
29 Keracunan Makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Kecelakaan Kerja 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 ISPA 0 21 20 17 24 4 28 32 25 35 206 0 0 206
32 Diare 2 3 8 13 6 2 5 16 3 3 2 0 0 61
..................

JUMLAH 2 25 32 35 36 6 34 50 52 43 256 0 0 315

Dabo Singkep, 28 Februari 2017

Diketahui Oleh,
Pimpinan Puskesmas Petugas Pelaksana,

dr. YAN CAHYADI ANAS

PENATA TK I /III d
NIP. 19790111 200701 1 005