
( Pasien DBD RSUD Kab. Karawang )
Sepanjang Januari – Mei 2024, terjadi lonjakan 300% kasus deman berdarah di Karawang. Sekitar 1.000 warga Karawang mengidap penyakit Demam Berdarah. Sepuluh kasus diantaranya berujung kematian. Fogging tidak efektif mencegah DBD. Dibutuhkan kesadaran dan partisipasi masyarakat dalam pengentasan DBD di Karawang
Peristiwa naas itu, masih terngiang di kepala Muhammad Dimas Farid (21 tahun). Bulan lalu, 14 Mei 2024, Dimas terjangkit virus dengue. Dia harus dirawat selama seminggu di salah satu rumah sakit Karawang, karena mengidap penyakit demam berdarah..
Menurut Dimas, kondisinya saat itu memprihatinkan. Suhu badan naik turun, badan lemas, dan muncul bitnik-bintik di sekujur tubuh. Beruntungnya warga Telagasari Karawang itu, mendapat penanganan cepat dari tenaga medis. “Saya langsung pergi ke rumah sakit saat 24 jam, kondisi saya belum membaik,” kata Dimas kepada redaksi Wartacana.com, 11 Juni lalu.
Sepanjang Januari sampai Mei 2024, kasus Demam Berdarah Dengue (DBD) di Kabupaten Karawang melonjak 300% dari periode yang sama tahun lalu. Tercatat ada 989 kasus DBD, dengan 10 kasus kematian sejak bulan. Kondisi ini sangat mengkhawatirkan warga.
Menurut Programmer Demam Berdarah Dengue (DBD) Dinas Kesehatan Karawang, Ade Sunaria, lonjakan kasus DBD di Karawang dipicu kondisi padatnya pemukiman penduduk di Karawang. Mayoritas penduduk tersebut merupakan pekerja
Ade menuturkan, kenaikan kasus DBD juga terjadi karena banyak warga lalai dalam menjaga kebersihan rumah dan lingkungan sekitarnya. Air-air yang menggenang, menjadi sasaran sarang utama untuk nyamuk menetaskan jentik-jentiknya
Menurut pemantauan Ade, banyak tumpukan barang-barang bekas di rumah warga. Misalnya, botol yang tutupnya terbuka atau ban-ban bekas yang ditaruh di depan rumah
“Itu akan menampung air kalau kena hujan. Di situ sudah pasti banyak jentik nyamuknya. Nah, tadi karena masyarakat lebih sibuk dengan pekerjaan, akhirnya hal-hal seperti itu terabaikan. Jadi di situ sumber berkembang biaknya dan meningkatkan jumlah nyamuk aedes aegypti,” kata Ade, kepada redaksi Wartacana.com di ruang kantornya.
Menurut Ade, pihak Dinkes Karawang bersama dengan Puskesmas sudah mengoptimalkan program penyuluhan pencegahan DBD di tiap-tiap desa. Selain itu, puskesmas juga menyediakan fasilitas fogging dan penyediaan obat pembasmi jentik-jentik (Abate).
Sayangnya, menurut pantauan redaksi Wartacana.com, fogging tidak efektif memberantas penyakit DBD. Hal ini diperkuat dengan pengakuan pihak Puskesmas Teluk Jambe
Menurut Programmer DBD Puskesmas Teluk Jambe, Ahmad Yurtana, masyarakat cenderung menganggap bahwa fogging dapat memberantas nyamuk DBD secara optimal. Warga sering mengajukan fogging atau fogging mandiri ke Puskesmas
Padahal, kata Ahmad, program pemberantasan sarang nyamuk (PSN) lebih efektif dibandingkan fogging. Karena kegiatan PSN dapat membasmi jentik-jentik sebagai pencegahan meningkatnya jumlah nyamuk dewasa.
Kegiatan PSN dapat berupa, pengurasan bak kamar mandi seminggu sekali, pembersihan drainase, dan merapikan barang-barang yang berpotensi menjadi genangan air. Sementara itu, sambung Ahmad, kegiatan fogging atau pengasapan hanya membunuh nyamuk dewasa tanpa membunuh jentik-jentik yang sudah ada.
“Karena sekarang, ketika masyarakat datang ke rumah sakit, kemudian di cek trombositnya turun. Pasti mengajukan fogging. Padahal, fogging itu bukan merupakan langkah preventif pencegahan. Fogging akan dilakukan ketika jumlah warga yang terjangkit DBD di daerah tersebut sudah memasuki jumlah kriteria untuk dilakukan fogging di daerahnya,” katanya.
Ahmad menjelaskan, fogging harus dilakukan dalam dua siklus utama dan siklus lanjutan secara berkala. “Jadi tidak hanya di fogging sekali kemudian masalahnya beres,” Ahmad mengingatkan.
Dalam mendukung berjalannya program PSN yang dilakukan oleh masyarakat, Puskesmas Teluk Jambe menyediakan Abate. Abate alias obat pembasmi jentik-jentik nyamuk, dapat diperoleh warga secara gratis.
Menurut Ahmad, meskipun gratis, masih banyak masyarakat yang belum mengajukan permintaan Abate. Padahal obat ini efektif digunakan pada tempat penampungan air, untuk mencegah jentik-jentik bersarang dan mematikan jentik-jentik yang sudah ada
Berdasarkan data Puskesmas Teluk Jambe sampai akhir bulan Mei 2024, tercatat sebanyak 32 kasus DBD yang tersebar di 5 kecamatan dibawah naungan Puskesmas Teluk Jambe. Lima kecamatan adalah Kecamatan Sukaluyu, Kecamatan Teluk Jambe, Kecamatan Puseurjaya, Kecamatan Sirnabaya dan Kecamatan Pinayungan.
Kecamatan Sukaluyu misalnya, memiliki jumlah kasus terbanyak sampai akhir bulan Mei 2024, sebanyak 12 kasus DBD. Kecamatan Sukaluyu merupakan kecamatan dengan proyek pengembangan perumahan di Kab. Karawang.
Menurut Ahmad, faktor kepadatan penduduk dan daerah pemukiman menjadi salah satu faktor melonjaknya kasus DBD di Karawang. Karena itu, Puskesmas Teluk Jambe bersama dengan Dinkes Karawang, berupaya memberikan edukasi kepada masyarakat.
Kata Ahmad, pihaknya juga mendukung dan menyediakan fasilitas-fasilitas pendukung untuk menurunkan jumlah kasus DBD di Kab. Karawang. Menurut Ahmad, Puskesmas biasanya mengajukan permohonan bantuan lewat dana Corporate Social Responsibility (CSR) perusahaan-perusahaan untuk mendukung pengadaan alat fogging.
(Rekaman Audio Wawancara Programer DBD Puskesmas Teluk jambe)
Ahmad menjelaskan bahwa penurunan jumlah kasus bukan tergantung pada upaya pengasapan atau fogging. Namun, dimulai dari kesadaran individu dalam menjaga kebersihan lingkungan tempat tinggal dan lingkungan beraktivitas. “Mari melakukan PSN (Pemberantasan Sarang Nyamuk) secara mandiri dan berkelanjutan,” pungkas Ahmad
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