Articles

Qualitative Study of Effectiveness of Early Warning System and Dengue Fever Case Response in West Tulang Bawang Regency, Lampung, Indonesia

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The Early Warning and Response System (EWARS) plays a role in detecting potential outbreaks of infectious diseases through weekly reports. West Tulang Bawang Regency experienced an increase in dengue fever cases in 2024–2025, but the early detection function of the EWARS has not been running optimally as indicated by the still low number of alerts compared to the number of reported cases. This study aims to explore the effectiveness of the EWARS for dengue fever cases in West Tulang Bawang Regency, Lampung, Indonesia. The study used a qualitative approach with a case study method. Data collection was carried out from October to December 2025 in three community health centers with 14 research informants consisting of village cadres, village midwives, community health center surveillance officers, Health Office surveillance officers, community health center heads, and village heads selected using a purposive sampling technique. Data collection was carried out through in-depth interviews, observation, and documentation with thematic data analysis. Input components: training is not evenly distributed, competencies are not in accordance with education, limited funds that are not specifically for EWARS reporting, limited facilities and infrastructure (computers, internet network constraints and disruptions to the EWARS web application system). Process components: tiered data collection from networks, health centers via WA to health offices, health centers do not yet have access to the EWARS web application, manual data entry, data validation for signal verification (alert), data presentation in graphical form, feedback via weekly bulletins in the WA group, monitoring, evaluation and follow-up have been carried out according to procedures. The effectiveness of EWARS for DHF cases in West Tulang Bawang Regency is influenced by limited funding, limited facilities and infrastructure, staff competencies that do not match education, uneven training causes different understanding of staff, implementers do not understand what to report, so that cases that are often reported are cases that are already positive or cases that have been treated in hospitals, this is not in accordance with the principles of EWARS. There is a need to increase human resource capacity, provide adequate facilities and infrastructure, integrate web-based reporting systems at the community health center level and mobile SDKR at the network level, encourage symptom-based reporting and provide funding support.

The Results of Vaccination and Reversed After Vaccination of Coronavirus Infection in Fergana Region for 2021–2022

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In this study, an analysis of the incidence of COVID–19 in the Fergana region was carried out, the number of vaccinated vaccination coverage and those who recovered after vaccination with COVID–19 was determined. The incidence was studied for the period from March 2020 to 2022. Since vaccination began in 2021, we analyzed those vaccinated and recovered from 2021 to 2022. The dynamics of the incidence of COVID–19 in the Fergana region was undulating. During the surveyed period, the intensive indicator of the incidence of COVID–19 was as follows: in the city of Fergana (887.6), Kuvasay–1169.5, Kuva–995, Sokh–737.2, Yazyavan–781, Altiarik–610.1, Fergana–472 cases per 100,000 populations. During this period, more than 7 million doses of COVID–19 vaccines were administered, and no side effects of the vaccines used were observed among those vaccinated.

The Value of Knowledge Translation in an Infectious Disease Context: The COVID-19 Pandemic Perspective

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As of 2021, the impact of the COVID-19 pandemic is evident in every facet of life, despite the availability of knowledge to prevent or mitigate the spread of infectious diseases. Infectious disease pandemics will continue to be a global challenge, and yet the hesitancy of decision makers to utilize the plethora of evidence based strategies in a pandemic response threatens the future global health security. Therefore, this paper focuses on exploring how knowledge translation (KT) practices can be integrated into infectious disease prevention and control using the current COVID-19 pandemic to identify KT barriers. By continually synthesizing and incorporating research findings into routine decision making processes, public health institutions can adequately prepare health systems to manage a pandemic. The application of KT can be approached from four different stages: synthesis of information, dissemination of knowledge, exchange of knowledge, and ethical application of knowledge. Using the four stages of KT, the following propositions were made: investing in links between knowledge synthesis and utilization, engaging broader stakeholders in knowledge dissemination activities, creating effective two-way communication lines between knowledge producers and users, and strengthening knowledge utilizing activities. By demonstrating the utility of applying the four KT stages in an infectious disease pandemic context, it is hoped that more discussions and research is stimulated to engage the incorporation of KT into future outbreak responses.

Bacteria Emerging As an Opportunistic Pathogen

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Due to the re-emergence of infectious diseases, the causative pathogenic microorganisms are becoming the major microbiologic public health threat. It seems to be difficult to control the emergence of new and severe bacterial diseases. However, efforts are continuously being made to identify the main cause to prevent the uncontrolled spread of emerging diseases. This review focuses on emerging bacterial diseases and their causative bacteria and the pathway of pathogenesis.