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Measles Cases by Month*

Jawa Barat, 2004-2008


Phase 4 Measles SIA
(February 2007)

*Note:
Data 2004-2006 from measles retrospective data (RR)
Data 2007-2008 from integrated VPD Surveillance (Routine)

Measl
Camp_Rus/
Data
asSurv
of Pasca
25 April
20081

Fase Pengendalian Campak dan


Surveilans Campak
Pengendalian
ditingkatkan
(Kampanye)

Cakupan Imunisasi
Cukup (UCI)

GoalEliminasi

100%

1 kasus = KLB

7000

Cases

Laporan data agregat Laporan Case-based


Konfirmasi Lab setiap
6000
Investigasi KLB Konfirmasi Lab setiap
Suspek campak
Suspek campak
5000
4000
3000
2000

Konfirmasi Lab.
Terhadap KLB

90%
80%
70%
60%

intensive investigation50%
Konfirmasi lab.
terhadap 5 10 kasus
40%
Specimens untuk
pada KLB
genotyping pada setiap 30%
Rantai penularan
20%

1000

10%

0%

Measles Cases

Measles CoverageMeasl Surv Pasca Camp_Rus/ 2

Coverage

8000

Measles & Rubella


Surveillance in Endemic
Provinces/ Districts

Establish surveillance to report


clinically suspect measles
cases (Aggregate)

Define Geog Area/ Population/ Numbers &


Time to define a suspected measles outbreak
Identify suspected outbreaks (an increase in the
expected number of suspected measles cases being
reported in a specific geographical area) and Investigate

Case
Management &
Vitamin A
Supplementation

Outbreak
Investigation

Serum Samples
from 5-10 cases

Additional
Case Search

Analyze Data
to determine
cause of
Outbreak

Measles IgM+ve (2
or more cases)

Confirmed
Measles outbreak

Rubella IgM+ve (2 or
more cases)

Confirmed
rubella outbreak

Measles & rubella


IgM +ve

Mixed outbreak

Notification to
Authorities
Program
Response
Measl Surv
Pasca Camp_Rus/ 3

Measles & Rubella


Surveillance in Low Incidence
Provinces/ Districts

Strengthen Surveillance
systems to report
clinically suspect measles
cases (Case based)

Increase sensitivity, try to identify and


linelist clinically suspected Measles Cases.

Test Serum
Samples from as
many cases as
possible

Confirmed
Measles or
Rubella case

Identify Outbreaks (5 or more reported suspected cases


of measles per 100,000 population living in a geographic
area) and Investigate

Case
Management &
Vitamin A
Supplementation

Outbreak
Investigation

Serum Samples
from 5-10 cases

Additional
Case Search

Analyze Data
to determine
cause of
Outbreak

Measles IgM+ve (2
or more cases)

Confirmed
Measles outbreak

Rubella IgM+ve (2 or
more cases)

Confirmed
rubella outbreak

Measles & rubella


IgM +ve

Mixed outbreak

Notification to
Authorities
Program
Response
Measl Surv
Pasca Camp_Rus/ 4

Kasus Campak dan Rubella Berdasarkan Hasil Lab


Di Negara Regional Asia Tenggara, 2007 2008 (Maret 31)

2007

2008

Indonesia, 2006: Measles (+)= 482 dan Rubella (+)= 93


Catatan: Kasus berasal dari sampel kasus pada KLB

Measl Surv Pasca Camp_Rus/ 5

Number of Outbreaks by Year, Indonesia


Based on Laboratory Results

*Rubella test is conducted if the IgM of measles is negative

Measl Surv Pasca Camp_Rus/ 6

STRATEGI SURVEILANS CAMPAK


PASCA KAMPANYE
1.Semua suspek campak yang dilaporkan
disertai informasi dosis imunisasi campak,
terutama kasus yang berumur < 14 th.
2.Konfirmasi lab pada setiap KLB dengan kriteria
KLB yang lebih sensitif yaitu minimal 5 kasus
di satu wilayah puskesmas dalam periode 1
bulan.
3.Secara bertahap: setiap suspek campak
dilakukan konfirmasi lab dan dilaporkan secara
individu sampai ke pusat data. 2008: DIY &
Bali
4.Tatalaksana kasus dengan vit A; antibiotik
diberikan bila ada komplikasi.

Measl Surv Pasca Camp_Rus/ 7

RENCANA
TAHAPAN SURVEILANS CAMPAK INDIVIDU
Berdasarkan jumlah kasus campak yang dilaporkan 2006-2007

2008
2009
2010
2011

Measl Surv Pasca Camp_Rus/ 8

Measl Surv Pasca Camp_Rus/ 9