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Characteristics and risk factors for typhoid fever after the tsunami, earthquake and under normal conditions in Indonesia

Agung Budi Sutiono12*, Andri Qiantori1, Hirohiko Suwa1 and Toshizumi Ohta1

Author Affiliations

1 The University of Electro-Communications, Graduate School Information Systems, Graduate Department Social Intelligence and Informatics, 1-5-1 Chofugaoka, Chofu-shi, Tokyo, 182-8585 Japan

2 Hasan Sadikin Hospital, Padjadjaran University Faculty of Medicine, Jl. Pasteur 38 Bandung, 40161 Indonesia

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BMC Research Notes 2010, 3:106  doi:10.1186/1756-0500-3-106

Published: 17 April 2010

Abstract

Background

Although typhoid transmitted by food and water is a common problem in daily life, its characteristics and risk factors may differ in disaster-affected areas, which reinforces the need for rapid public health intervention. Surveys were carried out post-tsunami in Banda Aceh, post-earthquake in Yogyakarta, and under normal conditions in Bandung, Indonesia. Logistic regression analysis was used to assess the risk factors with the dependent variable of typhoid fever, with or without complications.

Findings

Characteristic typhoid fever with complications was found in 5 patients (11.9%) affected by the tsunami in Aceh, 8 (20.5%) after the earthquake in Yogyakarta, and 13 (18.6%) in Bandung. After the tsunami in Aceh, clean water (OR = 0.05; 95%CI: 0.01-0.47) and drug availability (OR = 0.23; 95%CI: 0.02-2.43) are significant independent risk factors, while for the earthquake in Yogyakarta, contact with other typhoid patients (OR = 20.30; 95%CI: 1.93-213.02) and education (OR = 0.08; 95%CI: 0.01-0.98) were significant risk factors. Under normal conditions in Bandung, hand washing (OR = 0.07; 95%CI: 0.01-0.50) and education (OR = 0.08; 95%CI: 0.01-0.64) emerged as significant risk factors.

Conclusion

The change in risk factors for typhoid complication after the tsunami in Aceh and the earthquake in Yogyakarta emphasizes the need for rapid public health intervention in natural disasters in Indonesia.