government and health provider to anticipate the surge in DF incidence on January and do an active management beforehand.
Like many other surveillance studies that was conducted in different areas and regions [ 26, 29, 30 ], we found similar results showing the relation between the DF incidence and death case with weather and climate condition in Sampang regency. This recent analysis’ provides a better insight and understanding about the dengue epidemiology in Sampang regency which may be used to improve current policies and approach in managing dengue fever.
Despite having similar result with previous study, more accurate data on both incidence and climate data are needed to create a holistic model for dengue surveillance programs. Incidence data that we retrieved remains largely from passive surveillance programs, and often underreported than the reality in the field. Therefore, we suggest more active dengue surveillance program which would also be useful in early diagnosis and prompt treatment. Climate data that were included in this study are not acquired from the government agency( Indonesian Agency for Meteorology, Climatology, and Geophysics) which could have provided more accurate data. Therefore, we suggest further study that includes climate data from the government to give even more accurate picture of dengue infection in Sampang.
V. Conclusion
Dengue fever is still a major challenge and public health concern in South East Asian, mainly in Indonesia. High morbidity and death case rate caused by dengue infection still creates heavy medical and economic burden in Indonesia.
Dengue fever incidence and death case monthly pattern of Sampang followed the monthly rain precipitation, peaking a month after the rain precipitation peaked. Yearly, DF incidence remained on the rise except on 2014. Additionally, from comparing the monthly pattern of DF Incidence and death case each year( 2012-2016), it is found that the pattern remained relatively the same despite changes in cumulative yearly incidence.
The result of our study provides evidence on the relationship between weather and climate in relation to DF incidence and death case. We hope this result can be used as a basis for improving our strategy, improving policies in managing dengue fever, and acquiring more data in each local regency to better reduce morbidities and mortalities related dengue infection in Indonesia.
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