SURVEILANS TERPADU BERBASIS PUSKESMAS

(KASUS BARU)
Propinsi : Kalimantan Barat Bulan :
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera
2 Diare
3 Diare Berdarah/Disentri
4 Tipus Perut Klinis
5 TBC Paru BTA (+)
6 Tersangka TBC Paru
7 Kusta PB
8 Kusta MB
9 Campak
10 Difteri
11 Batuk Rejan
12 Tetanus
13 Hepatitis Klinis
14 Malaria Klinis
15 Malaria Vivak
16 Malaria Falsifarum
17 Malaria Mix
18 Demam Berdarah Dengue
19 Demam Dengue
20 Pneumonia
21 Sepilis
22 Gonorhoe
23 Frambusia
24 Filariasis
25 Influenza/ISPA
26 Hipertensi
27 Diabetes Melitus
28 Kecelakaan
TOTAL
Total kunjungan
17
 SURVEILANS TERPADU BERBASIS PUSKESMAS ( KASUS BARU )
Propinsi : Kalimantan Barat Bulan : JANUARI
Kabupaten : Kubu Raya Total : 425
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 15 19 4 2 3 20 13 10 2 0 42 46
3 Diare Berdarah/Disentri 0 0 1 2 1 1 0 3 3 0 0 0 6 5
4 Tipus Perut Klinis 0 0 0 2 2 0 3 6 5 2 0 0 12 8
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 2 0 3 0 0 5 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 1 0 0 1 0 0 0 0 0 0 1 1
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 1 0 0 0 0 1 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 3 0 0 0 0 0 0 0 0 2 1
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 43 56 6 4 5 32 28 16 6 3 96 103
26 Hipertensi 0 0 0 0 0 0 0 11 9 4 10 0 17 17
27 Diabetes Melitus 0 0 0 0 0 0 0 2 4 0 2 0 3 5
28 Kecelakaan 0 0 0 0 0 1 0 3 0 0 0 0 2 2
TOTAL 60 82 13 9 11 80 62 35 20 3 187 188
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU
 HJ. KAMARIAH , SKM HAILY SUMARTI
SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : FEBRUARI
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 18 27 8 4 3 18 14 8 3 0 53 50
3 Diare Berdarah/Disentri 0 0 0 1 2 1 0 2 2 0 0 0 5 3
4 Tipus Perut Klinis 0 0 0 2 3 1 2 6 3 2 0 0 10 9
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 0 1 2 0 0 3 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 1 0 0 0 0 0 0 0 0 1
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 4 4 0 0 0 0 0 0 0 0 4 4
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 41 56 22 16 10 35 24 7 4 2 110 107
26 Hipertensi 0 0 0 0 0 0 0 3 7 11 6 1 9 19
27 Diabetes Melitus 0 0 0 0 0 0 0 0 1 1 1 0 0 3
28 Kecelakaan 0 0 0 0 0 6 1 7 8 13 9 0 15 29
TOTAL 0 0 63 90 36 28 16 71 60 44 23 3 209 225
MENGETAHUI
 KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU
HJ. KAMARIAH , SKM HAILY SUMARTI
NIP: 19680728198803 2 005 NIP: 19811015200312 2 002
SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : MARET
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap

No Jenis Penyakit Golongan Umur

0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 9 20 3 2 1 13 9 6 2 1 31 35
3 Diare Berdarah/Disentri 0 0 0 0 1 0 1 2 2 0 0 0 4 2
4 Tipus Perut Klinis 0 0 0 5 2 1 0 5 3 1 0 0 10 7
5 TBC Paru BTA (+) 0 0 0 0 0 0 1 2 2 0 1 0 4 2
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 1 2 0 0 0 0 0 0 0 0 0 3
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 18 39 5 4 5 34 28 14 6 3 74 82
26 Hipertensi 0 0 0 0 0 0 0 4 8 2 11 10 15
27 Diabetes Melitus 0 0 0 0 0 0 0 1 2 0 0 0 2 1
28 Kecelakaan 0 0 0 0 0 0 1 1 3 0 1 5 1
 TOTAL 0 0 28 66 11 7 9 62 57 23 21 4 140 148
MENGETAHUI

KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002

SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : 05 April 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 9 23 4 2 2 14 10 5 2 0 34 38
3 Diare Berdarah/Disentri 0 0 0 0 1 0 1 2 1 0 0 0 3 2
4 Tipus Perut Klinis 0 0 0 3 2 1 0 4 3 1 0 0 8 6
5 TBC Paru BTA (+) 0 0 0 0 0 0 1 2 2 0 1 0 4 2
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 1 0 0 0 0 0 0 0 0 1 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 2 4 0 0 0 0 0 0 0 0 3 3
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 22 38 6 5 4 36 23 11 6 3 44 50
26 Hipertensi 0 0 0 0 0 0 0 2 4 3 3 4 5 11
27 Diabetes Melitus 0 0 0 0 0 0 0 0 1 0 0 0 1 0
28 Kecelakaan 0 0 0 0 0 1 1 1 0 0 0 0 0 3
TOTAL 0 0 33 69 13 9 9 61 44 20 12 7 103 115
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002

SURVEILANS TERPADU BERBASIS PUSKESMAS

Propinsi : Kalimantan Barat Bulan : 05 Mei 2014

Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 8 17 5 3 1 16 10 6 2 0 25 43
3 Diare Berdarah/Disentri 0 0 0 0 1 1 1 2 2 0 0 0 4 3
4 Tipus Perut Klinis 0 0 0 7 9 3 0 8 10 3 0 0 22 18
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 8 5 0 0 0 0 0 0 0 5 8
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 1 1 1 0 0 0 0 0 0 1 2
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 20 Pneumonia 0 0 1 2 0 0 0 0 0 0 0 0 1 2
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 15 38 10 7 6 34 22 14 8 2 72 84
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Melitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Kecelakaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 24 73 31 15 8 60 44 23 10 2 130 160
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002

SURVEILANS TERPADU BERBASIS PUSKESMAS

Propinsi : Kalimantan Barat Bulan : 05 Juni 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 11 23 6 4 2 18 13 9 2 0 45 42
3 Diare Berdarah/Disentri 0 0 0 0 1 0 0 1 1 0 0 0 3 0
4 Tipus Perut Klinis 0 0 0 4 6 2 0 5 7 2 0 0 15 12
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 2 0 0 0 0 0 0 0 0 1 1
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 2 0 0 0 0 0 0 0 0 0 0 1 1
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 1 0 0 0 0 0 0 0 1 0
 19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 1 1 0 0 0 0 0 0 0 0 1 1
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 16 45 12 5 6 32 22 15 8 2 80 83
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Melitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Kecelakaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI

KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002

SURVEILANS TERPADU BERBASIS PUSKESMAS

Propinsi : Kalimantan Barat Bulan : 05 Juli 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare Berdarah/Disentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tipus Perut Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 2 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Melitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Kecelakaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002

SURVEILANS TERPADU BERBASIS PUSKESMAS

Propinsi : Kalimantan Barat Bulan : 01 Agustus 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 11 25 6 4 2 18 14 4 1 0 46 49
3 Diare Berdarah/Disentri 0 0 0 2 1 0 0 3 1 0 0 0 4 4
4 Tipus Perut Klinis 0 0 0 8 6 4 1 18 6 1 0 0 28 16
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 4 1 1 2 1 6 3
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 1 0 0 0 0 0 0 0 0 0 0 1
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 2 0 0 0 0 0 0 0 0 0 0 1 1
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 0 5 2 0 0 0 0 0 0 3 4
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 1 5 0 0 0 0 0 0 0 0 2 4
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 16 49 14 4 6 32 20 13 6 1 76 85
26 Hipertensi 0 0 0 0 0 1 0 4 4 4 4 7 9 15
27 Diabetes Melitus 0 0 0 0 0 0 0 0 3 0 0 0 0 3
28 Kecelakaan 0 0 0 0 1 0 2 1 0 0 0 0 0 4
TOTAL 0 2 29 89 33 15 11 80 49 23 13 9 175 189
MENGETAHUI

KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002
SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : 01 September 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 7 16 3 1 2 11 9 6 1 0 26 30
3 Diare Berdarah/Disentri 0 0 0 1 0 0 0 2 2 0 0 0 4 1
4 Tipus Perut Klinis 0 0 0 4 3 3 1 10 4 1 0 0 15 11
5 TBC Paru BTA (+) 0 0 0 1 0 1 3 0 0 0 1 1 5 3
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 2 0 0 0 0 0 0 0 0 0 0 2
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 1 0 0 0 0 0 0 0 0 1
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 1 4 0 0 2 0 0 0 0 4 3
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 2 0 0 0 0 0 0 0 0 0 2 0
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 12 42 12 7 5 28 19 10 5 2 66 70
26 Hipertensi 0 0 0 0 0 0 0 1 1 2 9 0 9 4
27 Diabetes Melitus 0 0 0 0 0 0 0 0 1 0 1 0 1 1
28 Kecelakaan 0 0 0 0 0 2 1 1 0 0 0 0 1 2
TOTAL 0 0 23 65 23 14 12 55 36 19 17 3 133 128
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002
SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : 01 Oktober 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 7 16 3 1 2 11 9 6 1 0 26 30
3 Diare Berdarah/Disentri 0 0 0 1 0 0 0 2 2 0 0 0 4 1
4 Tipus Perut Klinis 0 0 0 5 2 3 3 8 3 1 0 0 13 12
5 TBC Paru BTA (+) 0 0 0 1 0 1 1 0 0 2 1 1 4 3
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 3 0 0 0 0 0 0 0 0 0 3
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 14 Malaria Klinis 0 0 0 0 0 0 0 1 0 0 0 0 1 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 3 2 4 0 0 0 0 0 0 2 7
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 1 0 0 0 0 0 0 0 0 1 0
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 15 47 13 8 6 34 26 16 7 4 79 85
26 Hipertensi 0 0 0 0 0 0 0 1 2 2 6 0 5 6
27 Diabetes Melitus 0 0 0 0 0 0 0 0 1 0 1 0 1 1
28 Kecelakaan 0 0 0 0 0 2 3 2 0 0 0 0 4 3
TOTAL 0 0 22 77 20 19 15 59 43 27 16 5 140 151
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002
SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : 01 N0vember 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare Berdarah/Disentri 0 0 0 1 2 0 1 2 0 0 0 0 4 2
4 Tipus Perut Klinis 0 0 0 4 7 4 3 9 4 2 0 0 18 15
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 1 0 0 1 1 3 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 1 0 0 0 0 1
9 Campak 0 0 1 1 0 0 0 0 0 0 0 0 2 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 1 0 0 1 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 6 3 5 3 0 0 0 0 0 7 10
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 2 3 0 0 0 0 0 0 0 0 3 2
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 14 43 10 6 4 32 23 13 5 2 78 74
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Melitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Kecelakaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 17 58 22 15 11 44 28 16 6 3 116 104
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002
SURVEILANS TERPADU BERBASIS PUSKESMAS
Propinsi : Kalimantan Barat Bulan : 01 N0vember 2014
Kabupaten : Kubu Raya Total :
Puskesmas : Sungai Kakap
Golongan Umur
No Jenis Penyakit
0-7 Hr 8-28 Hr < 1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70 + Laki-laki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 10 22 7 3 6 11 8 4 0 0 34 37
3 Diare Berdarah/Disentri 0 0 0 1 2 0 1 2 0 0 0 0 3 3
4 Tipus Perut Klinis 0 0 0 3 5 3 2 5 2 1 0 0 12 9
5 TBC Paru BTA (+) 0 0 0 0 0 0 0 2 0 2 0 0 4 0
6 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 1
9 Campak 0 0 2 2 0 0 0 1 0 0 0 0 3 2
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 1 0 0 1 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam Berdarah Dengue 0 0 0 1 2 0 2 1 0 0 0 0 3 3
19 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 4 0 0 0 0 0 0 0 0 1 3
21 Sepilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influenza/ISPA 0 0 12 37 11 5 4 22 21 9 4 1 59 67
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Melitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Kecelakaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 24 70 27 11 15 44 31 17 4 1 120 125
MENGETAHUI
KEPALA PUSKESMAS KAKAP PETUGAS SURVAILEN TERPADU

HJ. KAMARIAH , SKM HAILY SUMARTI

NIP: 19680728198803 2 005 NIP: 19811015200312 2 002
 Total kunjungan
17
0
88
11
20
5
0
0
0
2
0
0
0
0
0
1
0
0
0
0
3
0
0
0
0
199
34
8
4
375

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI

Total kunjungan
17
0
103
8
19
3
0
0
0
1
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
217
28
3
44
234
PETUGAS SURVAILEN TERPADU
HAILY SUMARTI
NIP: 19811015200312 2 002

Total kunjungan
17
0
66
6
17
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
156
25
3
6
 288

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI

NIP: 19811015200312 2 002

05 April 2014

Total kunjungan
17
0
72
5
14
6
0
0
0
1
0
0
0
0
0
0
0
0
0
0
6
0
0
0
 0
94
16
1
3
218

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI

NIP: 19811015200312 2 002

05 Mei 2014

Total kunjungan
17
0
68
7
40
0
0
0
0
13
0
0
0
0
0
0
0
0
3
0
 3
0
0
0
0
156
0
0
0
290

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

05 Juni 2014

Total kunjungan
17
0
87
3
27
0
0
0
0
2
0
0
2
0
0
0
0
0
1
 0
2
0
0
0
0
163
0
0
0
0

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

05 Juli 2014

Total kunjungan
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

01 Agustus 2014

Total kunjungan
17
0
95
8
44
9
0
0
0
1
0
0
2
0
0
0
 0
0
7
0
6
0
0
0
0
161
24
3
4
364

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

01 September 2014

Total kunjungan
17
0
56
5
26
8
0
0
0
2
0
0
1
0
0
 0
0
0
7
0
2
0
0
0
0
138
13
2
3
261

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

01 Oktober 2014

Total kunjungan
17
0
56
5
25
7
0
0
0
3
0
0
0
0
 1
0
0
0
9
0
1
0
0
0
0
164
11
2
7
291

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

01 N0vember 2014

Total kunjungan
17
0
0
6
33
3
0
0
1
2
0
0
0
 0
1
0
0
0
17
0
5
0
0
0
0
152
0
0
0
220

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002

01 N0vember 2014

Total kunjungan
17
0
71
6
21
4
0
0
1
5
0
0
0
 0
1
0
0
0
6
0
4
0
0
0
0
126
0
0
0
245

PETUGAS SURVAILEN TERPADU

HAILY SUMARTI
NIP: 19811015200312 2 002