Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during the COVID-19 Pandemic in Indonesia: A Case Study of Five Subregions of East Java Province

Abstract

Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during the COVID-19 Pandemic in Indonesia: A Case Study of Five Subregions of East Java Province Aldio Yudha Trisandy1, M. Azmi Maruf1, Ririh Yudhastuti2*, M. Farid D. Lusno2, Hari Basuki Notobroto3 1Master Student of Environmental Health Department, Faculty of Public Health, Universitas Airlangga 2Environmental Health Department, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia 3Biostatistics and Demography Department, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia Abstract The first case of coronavirus disease 2019 (COVID-19) in Indonesia was announced in March 2020. Since then, the number of COVID-19 cases has continued to rise. This prompted the government to adopt Pembatasan Sosial Berskala Besar (PSBB) or large-scale social restrictions (LSSR). Certain areas within dengue fever endemic regions face two challenges: simultaneously tackling COVID-19 and dengue hemorrhagic fever (DHF). Five economic growth centers (a city and four districts) in East Java Province (Gresik, Bangkalan, Surabaya, Sidoarjo, and Lamongan) were affected by the COVID-19 pandemic and a dengue fever outbreak. This is a quantitative research with a comparative study design that used the Wilcoxon test to compare cases of DHF pre-COVID-19 versus during the COVID-19 pandemic. The Wilcoxon test result showed no significant difference at a p-value of 0.319 (p-value > 0.05). It can be concluded that DHF still became a challenge in five regions in East Java Province, even though LSSR were implemented. Additional effort is required to tackle DHF. A method of preventing and controlling DHF during the COVID-19 pandemic is to build community independence through the "one house, one health cadre movement." Keywords: COVID-19, dengue hemorrhagic fever, large-scale social restrictions