TUTORIAL REPORT

SCENARIO B BLOCK 22

Kelompok 3
Tutor Pembimbing : drg. Dientyah Nur Anggina, MPH
Nama Anggota :
1. Yosi Anggraini (702017007)
2. Melisa Nopa Belia (702017014)
3. Puspa Nadiya (702017016)
4. Siti Sabrina (702017040)
5. Riska Nia Andriani (702017045)
6. M. Fadhiel Fajar (702017055)
7. Wina (702017061)
8. Fitratul Harits (702017071)
9. Retno Aqilah Fatma Pertiwi (702017072)
10. Arviani (702017075)
11. M. Valeri Rivaldo (702017080)

FACULTY OF MEDICINE
UNIVERSITAS MUHAMMADIYAH PALEMBANG
2020
 FOREWORD

Praise our thanks to Allah SWT for all His mercy and grace. We were able to
complete the tutorial report entitled “Tutorial Report Scenario B Block 22” as a
group competency assignment. Salawat along with greetings are always poured
out to our lord, the great prophet Muhammad SAW and his family, friends, and
followers until the end of time.
We recognize that this tutorial report is far from perfect. Therefore, we expect
constructive criticism and suggestions for improvement in the future. In
completing this tutorial report, the author received a lot of help, guidance and
advice. On this occasion, the author would like to respect and thank :
1. Allah SWT, who has given life with the coolness of faith.
2. Both parents who always provide material and spiritual support.
3. drg. Dientyah Nur Anggina, MPH as the tutor for group 3.
4. Colleagues.
5. All those who help us.

May Allah SWT reward all the charities given to all those who have
supported the author and I hope this tutorial report is useful for us and the
development of science. May we always be protected by Allah SWT.

Palembang, November 2020

Author
 TABLE OF CONTENTS

FOREWORD...........................................................................................................i
TABLE OF CONTENTS.....................................................................................II
BAB I. PRELIMINARY........................................................................................1
1.1 Background...............................................................................................1
1.2 Purpose and Objectives.............................................................................1
BAB II. DISCUSSION...........................................................................................2
2.1 Tutorial Data..............................................................................................2
2.2 Scenario.....................................................................................................2
2.3 Clarification of Terms...............................................................................3
2.4 Problem Identification...............................................................................4
2.5 Problem Analysis......................................................................................5
2.6 Hypothesis.................................................................................................7
2.7 Conceptual Framework.............................................................................7
REFERENCES.......................................................................................................8
 BAB I
PRELIMINARY

1.1 Background
Block of Community Medicine and Public Health is one of the blocks in the
seventh semester of the Medical Education Competency-Based Curriculum,
Faculty of Medicine, Muhammadiyah University of Palembang. As we know that
the learning program at FK UMP uses the KBK learning system and problem
based learning, so it is hoped that doctor graduates from FK UMP will become
doctors who are able to solve public health problems.
On this occasion, a scenario B case study tutorial was carried out. Suka
Sehat village is located on the riverbank, where there is a rubber processing
factory. Based on reports from environmental health workers at the Community
Health Center, factory waste is directly dumped into the river. Bathing, washing
and toilet activities for the community use river water. The livelihoods of the
people in Suka Sehat village are forest encroachers farmers, who clear land by
burning forests. Dr. Yeni has only worked for one year at the Suka Sehat
Community Health Center. She received reports from the Community Health
Center surveillance staff that the incidence of hepatitis A cases has doubled from
the previous month, while from the data on the top ten diseases, Acute
Respiratory infections (ARIs) is in the first rank. Dr. Yeni plans to conduct
epidemiological investigations of Hepatitis A and provide counseling on cases of
infectious diseases.

1.2 Purpose and Objectives

The aims and objectives of this case study tutorial report are:
1. As a tutorial group assignment report which is part of the CBC learning
system at the Faculty of Medicine, Muhammadiyah University of
Palembang.
2. Can solve the cases given in the scenario with the method of analysis and
group discussion learning.

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3. The achievement of the objectives of the tutorial learning method.

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 BAB II
DISCUSSION

2.1 Tutorial Data

Tutor : drg. Dientyah Nur Anggina, MPH
Moderator : M. Valeri Rivaldo
Secretary : Riska Nia Andriani
Day / Date and Time :
1. Tuesday, 10 November 2020
Pukul : 08.00 – 10.30 WIB
2. Thursday, 12 November 2020
Pukul : 08.00 – 10.30 WIB
Tutorial Rules :
1. All tutorial members must have an opinion.
2. Prior permission if you want to give an
opinion.
3. Speak politely and with good manners.

2.2 Scenario
Scenario B Block 22 Batch 2017
“Unforeseen Danger”
Suka Sehat village is located on the riverbank, where there is a rubber
processing factory. Based on reports from environmental health workers at the
Community Health Center, factory waste is directly dumped into the river.
Bathing, washing and toilet activities for the community use river water. The
livelihoods of the people in Suka Sehat village are forest encroachers farmers,
who clear land by burning forests.
Dr. Yeni has only worked for one year at the Suka Sehat Community
Health Center. She received reports from the Community Health Center
surveillance staff that the incidence of hepatitis A cases has doubled from the

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previous month, while from the data on the top ten diseases, Acute Respiratory
infections (ARIs) is in the first rank. Dr. Yeni plans to conduct epidemiological
investigations of Hepatitis A and provide counseling on cases of infectious
diseases.

2.3 Clarification of Terms

No Clarification of Terms
. Terms Definition
1. Hepatitis A World-famous viral disease is usually
transmitted by oral ingestion of infectious
material, but can also be transmitted
parenterally.
2. Incidence Major event or event.
3. Community Health The technical implementation unit of the district
Center or city health office which is responsible
forcarrying out health development in the
working area.
4. Acute Respiratory Consists of upper respiratory tract infections and
Infections (ARI) lower respiratoryhanging from the affected
respiratory tract area.
5. Epidemiological Identifies emerging infections in populations to
Investigations discover the mechanisms of transmission, with
the eventual goal being to develop interventions
for the prevention, detection, treatment, and
control of the infections.
6. Counseling An activity or efforts to convey health messages
to community, group or individual with hope the
presence of messages can get knowledge about
better health, ultimately the knowledge can
change his behavior.
7. Surveillance The careful watching of a person or place.
Health Surveillance is a systematic observation
activity continuous data and information on

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 disease incidence or health problems and
conditions affecting the incidence increase and
transmission of disease or health problems for
obtain and provide information to direct action
effective and efficient control and
countermeasures.
8. Infectious Diseases Diseases that can be transmitted to humanity
caused by biological agents, among others,
viruses, bacteria, fungi and parasites.
9. Factory Waste / The waste produced by industrial activity which
Industrial Waste includes any material that is rendered useless
during a manufacturing process such as that of
factories, industries, mills, and mining
operations.
10 Disease Any deviation from or disturbance in the normal
structure or function of a body part, organ or
system characterized by a characteristic group of
symptoms and signs.

2.4 Problem identification

1. Suka Sehat village is located on the riverbank, where there is a rubber
processing factory. Based on reports from environmental health workers at
the Community Health Center, factory waste is directly dumped into the
river. Bathing, washing and toilet activities for the community use river
water. The livelihoods of the people in Suka Sehat village are forest
encroachers farmers, who clear land by burning forests.
2. Dr. Yeni has only worked for one year at the Suka Sehat Community
Health Center. She received reports from the Community Health Center
surveillance staff that the incidence of hepatitis A cases has doubled from
the previous month, while from the data on the top ten diseases, Acute
Respiratory infections (ARIs) is in the first rank. Dr. Yeni plans to conduct

5
 epidemiological investigations of Hepatitis A and provide counseling on
cases of infectious diseases.

2.5 Problem Analysis

1. Suka Sehat village is located on the riverbank, where there is a rubber
processing factory. Based on reports from environmental health workers
at the Community Health Center, factory waste is directly dumped into
the river. Bathing, washing and toilet activities for the community use
river water. The livelihoods of the people in Suka Sehat village are forest
encroachers farmers, who clear land by burning forests.
a. What is the meaning of Suka Sehat village is located on the riverbank,
where there is a rubber processing factory. Based on reports from
environmental health workers at the Community Health Center, factory
waste is directly dumped into the river?
b. What is the impact of the factory waste is directly dumped into the
river?
c. What are the legal bases governing waste?
d. What kind of factory waste?
e. How to processing factory waste before throw away?
f. What disease can cause by factory waste?
g. What are the requirements for clean water?
h. What is the meaning Bathing, washing and toilet activities for the
community use river water?
i. What is the impact of rive water being used for bathing, washing and
kakus activities?
j. What diseases can cause by polluted water?
k. How are the efforts made by the Puskesmas and other cross-sectors to
overcome bathing, washing and toilet habits in the river?
l. What are the requirements for a healthy latrine?
m. What are the legal foundation of burning forest?
n. What is the impact of burning forest?

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 o. What are the requirements for clean air?
p. What are the indicator of air pollution?
q. What disease can cause by polluted air?
r. How to prevent the air pollution?

2. Dr. Yeni has only worked for one year at the Suka Sehat Community
Health Center. She received reports from the Community Health Center
surveillance staff that the incidence of hepatitis A cases has doubled from
the previous month, while from the data on the top ten diseases, Acute
Respiratory infections (ARIs) is in the first rank. Dr. Yeni plans to conduct
epidemiological investigations of Hepatitis A and provide counseling on
cases of infectious diseases.
a. What is the meaning the incidence of hepatitis A cases has doubled
from the previous month, while from the data on the top ten diseases?
b. What is the definition of extraordinary events?
c. What is the criteria of extraordinary events?
d. How to conduct an investigations of suspected extraordinary events?
e. How to do prevention for extraordinary events?
f. What is the meaning Acute Respiratory infections (ARIs) is in the first
rank from the data on the top ten disease?
g. What causes the increased incidence of disease?
h. What is the definition of surveillance?
i. What kind of surveillance?
j. What are the duty and function of surveillance?
k. What is the purpose of surveillance?
l. What is the basic principles of surveillance?
m. What are the correlation between increase incidence Hepatitis A and
throwing factory waste into the river, Bathing, washing and toilet
activities for the community use river water?
n. How is the transmition of Hepatitis A in this case?
o. How is the epidemiology of Hepatitis A?

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 p. How to prevent and control of Hepatitis A?
q. How is the natural history of disease Hepatitis A and ARI?
r. How is the transmition of ARI in this case?
s. How to prevent and control of ARI?
t. What kind of epidemiological investigations? (in generally + in this
case)
u. How is the process on the epidemiological investigations?
v. What are the methods of measuring epidemiology? (ratio, incidence,
rate, proportion, cfr, prevallence, dsb)
w. How to do good and correct counseling methods?
x. What is the islamic view in this case? (Qs. yunus 101, al hujarat 6, HR
ttg penyakit menular beserta pencegahan)

2.6 Hypothesis
dr. Yeni plans to conduct an epidemiological investigation of Hepatitis A and
provide counseling about cases of infectious diseases due to the increased
incidence of hepatitis A cases and ARIs caused by air and water pollution.

2.7 Conceptual Framework

2.1 Risk
factor

2.2 Factory 2.3 Burning

waste forest

2.4 Extraordinary 2.5 Increase prevalence of

events ARI

Epidemiologycal investigations and counseling