COVID-19 CLUSTER IN PIKAT VILLAGE, KLUNGKUNG REGENCY, BALI, INDONESIA IN 2022
DOI:
https://doi.org/10.17501/24246735.2022.7106Keywords:
Keywords: Cluster, COVID-19, Village, Bali, IndonesiaAbstract
Since October 2021, there have been no reports of additional COVID-19 cases in
Pikat Village. On January 21, 2022, a sick resident with symptoms of fever, headache, chest
pain and shortness of breath was taken to Klungkung Hospital for treatment and PCR test
results confirmed COVID-19. This investigation aims to evaluate the existence of an
outbreak, describe the distribution and its risk factor. Descriptive design and case control
were conducted immediately. Cases are residents with or without symptoms or close
contacts with positive PCR tests and controls are close contacts with negative PCR results
Data was collected using a questionnaire, and was analyzed univariate to multivariate. The
index case is likely to be infected with COVID-19 while attending a massive traditional
ceremony attended by many people from areas affected by COVID-19, 7 days before
symptoms appeared. A total of 16 out of 17 (94.1%) close contacts of the index case were
confirmed COVID-19. Tracing of 16 confirmed COVID-19 case showed that 5 out of 42
(11.9%) close contacts also confirmed as COVID-19. The proportion of male and female
cases was balanced (54.5% vs. 45.5%), 50% were aged 20-60 years, and 68.2% lived in the
index case area. The common symptoms of cases were runny nose/stuffy nose (50%) and
cough (50%), but 40.9% were asymptomatic. Multivariable analysis showed that not
wearing a mask when outside the house (OR=4.425; 95% CI 1.206-16.233), not keeping a
distance (OR=3.69; 95% CI 1.012-13.480), and poor hand hygiene practice (OR=5.99; 95%
CI 1.521-23.613) is a risk factor for being infected with COVID-19. It was concluded that
there had been a COVID-19 cluster in Pikat Village triggered by reduced compliance with
health protocols because they thought that COVID-19 is no longer existed. Socialization of
health protocols is needed to prevent similar incidents.
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Copyright (c) 2022 Indah Adnya Pratiwi Anak Agung Ayu, AAS Sawitri , IWGAE Putra, AANG Dharmayuda , CISD Astiti , AAA Sudilestari , IWS Arimbawa
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