?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fwww.badankebijakan.kemkes.go.id%2Frepositori%2Fid%2Feprint%2F2295%2F&rft.title=An+extensive+outbreak+of+dengue+fever+and+dengue+haemorhagic+fever+occurred+in+the+city+of+Palembang%2C+South+Sumatra%2C+Indonesia+from+late+1997+through+March%2FApril+1998&rft.creator=Penelitian+dan+Pengembangan+Kesehatan%2C+Badan&rft.subject=WC+500-590+Virus+Diseases&rft.description=An+extensive+outbreak+of+dengue+fever+and+dengue+haemorhagic+fever+occurred+in+the+city+of+Palembang%2C+South+Sumatra%2C+Indonesia+from+late+1997+through+March%2FApril+1998.+A11+surveyed+administrative+areas+(kelurahan)+in+Palembang+were+found+to+be+'permissive'+for+dengue+virus+transmission%3B+and+all+areas+that+had+Aedes+(subgenus+Stegomyia)+larval+mosquitoes+in+abundance+experienced+increased+cases+of+DHF+during+the+epidemic.+The+Aedes+House+Index+(HI)+for+combined+Aedes+aegypti+and+Aedes+albopictus+was+recorded+every+3+months+before%2C+during%2C+and+after+the+epidemic.+Ten+surveyed+sentinel+sites+(October-December+1997)+immediately+preceding+the+epidemic+peak+had+a+combined+HI+of+25%25+(range+10-50.8%25).+Entomological+surveys+during+the+peak+epidemic+period+(January-April)+showed+a+combined+HI+of+23.7%25+(range%3A+7.6-43.8%25).+Kelurahans+with+the+highest+numbers+of+reported+dengue+cases+had+an+HI+exceeding+25%25%3B+however%2C+there+was+no+discernable+relationship+between+elevated+HI+and+increased+risk+of+DHF+incidence.+Despite+the+unusual+climatic+conditions+during+late+1997+created+throughout+the+region+by+the+El+Nino+Southern+Oscillation+(ENSO)%2C+the+house+indices+during+both+wet+and+dry+months+remained+above+23%25+for+the+4+quarterly+(3-month)+periods+surveyed+in+the+second+half+of+1997+and+first+half+of+1998.+Rainfall+returned+to+near+normal+monthly+levels+shortly+before+the+reported+increase+in+human+cases.+However%2C+mean+ambient+air+temperatures+continued+above+normal+(%2B0.6+to+1.2+OC)+and+were+sustained+over+the+months+leading+up+to+and+during+the+epidemic.+Evidence+suggests+that+an+ENSO-driven+increase+in+ambient+temperature+had+a+marked+influence+on+increased+virus+transmission+by+the+vector+population.+We+investigated+the+apparent+associations+of+entomological+and+climatic+effects+that+precipitated+the+epidemic+before+the+influx+of+reported+human+cases.&rft.publisher=Badan+Penelitian+dan+Pengembangan+Kesehatan&rft.date=1998&rft.type=Monograph&rft.type=NonPeerReviewed&rft.identifier=++Penelitian+dan+Pengembangan+Kesehatan%2C+Badan++(1998)+An+extensive+outbreak+of+dengue+fever+and+dengue+haemorhagic+fever+occurred+in+the+city+of+Palembang%2C+South+Sumatra%2C+Indonesia+from+late+1997+through+March%2FApril+1998.++Project+Report.+Badan+Penelitian+dan+Pengembangan+Kesehatan.+++++