Form Survey Jentik Aedes PKM Siempat Rube

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PEMERIKSAAN ADANYA JENTIK NYAMUK AEDES

SECARA VISUAL/SINGLE LARVA METHOD

Propinsi : Sumatera Utara status survey : evaluasi entomologi di daerah KLB


Kota : Binjai Tanggal :12/07/2010
Kecamatan : Binjai Timur Kelembaban Nisbi : 87-89%
Kelurahan : Mencirim

No Nama Kepala Keluarga Di dalam rumah Di Luar rumah Penyemprotan PSN


Sekolah/Kantor/Yayasan Drum Bak Mandi Ember Lain2 Drum Bak Mandi Ember Lain2 Alamiah Cypermethrin
air jentik air jentik air jentik air jentik air jentik air jentik air jentik air jentik air jentik Pernah belum frek/mgg
pernah
1 Syaiful 3 0 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
2 Asiah 0 0 2 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1x 0
3 Mariono 1 0 2 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1x 0
4 Salbiah 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 1
5 Tugiman 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 1
6 Suhermansyah 0 0 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2x 0
7 Mulyono 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2x 0
8 Edisyahputra 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2x 0
9 Mulyono 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2x 0
10 Asmadi 0 0 2 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 2x 0
11 Zulkarnaen Nasution 0 0 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2x 0
12 Hasan 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
13 Sihombing 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
14 Tijan 0 0 2 0 2 0 0 0 0 0 0 0 2 1 0 0 0 0 1x 0
15 Elti 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
16 Salim 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
17 Suhardi 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
18 H. Fabian 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
19 Tirin 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
20 Drs. Anang W 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 1
21 Ir. Ucok Haidir 0 0 2 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 1x 0
22 Ismed 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
23 Buyung 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
24 Nirwansyah 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
25 Daud Barus 0 0 1 0 0 0 1 1 0 0 0 0 0 0 2 1 0 0 1x 1
26 M. Sipahutar 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1x 0
27 Lenson Situngkir 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1x 0
28 K. Nainggolan 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1x 2
29 Valentino Sinaga 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1x 0
30 Eko Silalahi 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1x 2
31 G. Tarigan 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1x 0
32 SD Negeri 023897 0 0 2 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 X 1

PEMERIKSAAN ADANYA JENTIK NYAMUK AEDES


SECARA VISUAL/SINGLE LARVA METHOD

Propinsi : Sumatera Utara status survey : evaluasi entomologi di daerah KLB


Kota : Binjai Tanggal :13/07/2010
Kecamatan : Binjai Selatan Kelembaban Nisbi : 68%
Kelurahan : Binjai Estate

No Nama Kepala Keluarga Di dalam rumah Di Luar rumah Penyemprotan PSN


Sekolah/Kantor/Yayasan Drum Bak Mandi Ember Lain2 Drum Bak Mandi Ember Lain2 Alamiah Cypermethrin
air jentik air jentik air jentik air jentik air jentik air jentik air jentik air jentik air jentik Pernah belum frek/mgg
pernah
1 Rifai Koto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1x 0
2 Heri Sukardi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
3 Musholla 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1x 0
4 Jono 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 2x 0
5 H. Hutahayan 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 2x 0
6 Sri 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2x 0
7 Minarni 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2x 0
8 SMP Negeri 10 Binjai 0 0 5 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 X 0

Kolektor : Panusunan Hasibuan, AMKL Instalasi Entomologi & Pemberantasan Vektor


BTKLPPM Kelas 1 Medan
Kepala

Ahadi Kurniawan, DAPE, MScPH


NIP. 197204232001121001
House index
(%) HI Jlh rumah dgn jentik
X 100%
jlh rumah diperiksa

HI 31.25 %

Container Index
(%) CI Jlh kontainer dgn jentik
X 100%
Jlh kontainer diperiksa

CI 11.1111111111111 %
House index
(%) HI Jlh rumah dgn jentik
X 100%
jlh rumah diperiksa

HI %

Container Index
(%) CI Jlh kontainer dgn jentik
X 100%
Jlh kontainer diperiksa

CI %
PEMERIKSAAN ADANYA JENTIK NYAMUK AEDES
SECARA VISUAL/SINGLE LARVA METHOD

Propinsi : Sumatera Utara


Kota : Langkat
Kecamatan : Padang Tualang
Kelurahan : Tanjung Putus

No Nama Kepala Keluarga Di dalam rumah Di Lu


Sekolah/Kantor/Yayasan Drum Bak Mandi Ember Lain2 Drum Bak Mandi
air jentik air jentik air jentik air jentik air jentik air

1 Adi Mulyono 2 0 0 0 0 0 0 0 0 0 0
2 Juwarni 1 1 1 0 0 0 1 0 0 0 0
3 Sumarni 0 0 0 0 0 0 1 0 0 0 0
4 Paino 1 0 0 0 0 0 0 0 0 0 0
5 Misiawati 1 0 1 0 0 0 0 0 0 0 0
6 Surhayani 0 0 1 0 0 0 0 0 0 0 0
7 Misnah 1 0 0 0 0 0 0 0 0 0 0
8 Jiem 1 1 1 0 1 0 1 0 0 0 0
9 Bakri 1 0 0 0 0 0 0 0 0 0 0
10 Imah 1 0 0 0 0 0 0 0 0 0 0
11 Dasan 0 0 0 0 1 0 0 0 0 0 0
12 Kasinem 1 0 1 0 1 0 0 0 0 0 0
13 Nuraini 0 0 0 0 0 0 0 0 0 0 0
14 Musholla/umum 0 0 2 0 0 0 0 0 0 0 0
15 Wariman 1 0 1 0 0 0 0 0 0 0 0
16 0 0 2 0 0 0 0 0 0 0 0
17 0 0 2 0 0 0 0 0 0 0 0
18 0 0 2 0 0 0 0 0 0 0 0
19 0 0 1 0 2 0 0 0 0 0 0
20 0 0 2 0 0 0 0 0 0 0 0
21 0 0 2 0 0 0 0 0 0 0 0
22 0 0 2 0 0 0 0 0 0 0 0
23 0 0 2 0 0 0 0 0 0 0 0
24 0 0 2 0 1 0 0 0 0 0 0
25 0 0 1 0 0 0 1 0 0 0
26 0 0 0 0 0 0 1 0 0 0 0
27 0 0 0 0 0 0 1 0 0 0 0
28 0 0 1 0 0 0 1 0 0 0 0
29 0 0 0 0 0 0 1 0 0 0 0
30 0 0 1 0 0 0 1 0 0 0 0
31 0 0 0 0 0 0 1 0 0 0 0
32 0 0 2 0 2 1 0 0 0 0

PEMERIKSAAN ADANYA JENTIK NYAMUK AEDES


SECARA VISUAL/SINGLE LARVA METHOD
Propinsi : Sumatera Utara
Kota : Langkat
Kecamatan : Stabat
Kelurahan : Kuala Bingei/Lingk. IX

No Nama Kepala Keluarga Di dalam rumah Di Lu


Sekolah/Kantor/Yayasan Drum Bak Mandi Ember Lain2 Drum Bak Mandi
air jentik air jentik air jentik air jentik air jentik air

1 Ngatimin 1 1 0 0 0 0 0 0 0 0 0
2 Sukar 1 0 0 0 0 0 0 0 0 0 0
3 Syahrizal 1 0 1 1 0 0 0 0 0 0 0
4 Pairin 1 0 0 0 0 0 0 0 0 0 0
5 Suwito 0 0 1 0 0 0 0 0 0 0 0
6 Kasno 0 0 2 0 6 0 0 0 0 0 0
7 Ermi 1 0 1 0 0 0 0 0 0 0 0
8 Alamsyah Harahap 1 0 0 0 0 0 0 0 0 0 0
9 Sriyono 0 0 0 0 1 0 0 0 0 0 0
10 Darma 0 0 0 0 1 0 0 0 0 0 0
11 Tumino 0 0 0 0 1 0 0 0 0 0 0
12 Selamat budiono 0 0 0 0 0 0 0 0 0 0 0

Kolektor : Ismail Ginting

PEMERIKSAAN ADANYA JENTIK NYAMUK AEDES


SECARA VISUAL/SINGLE LARVA METHOD

Propinsi : Sumatera Utara


Kota : Langkat
Kecamatan
Kelurahan

No Nama Kepala Keluarga Di dalam rumah Di Lu


Sekolah/Kantor/Yayasan Drum Bak Mandi Ember Lain2 Drum Bak Mandi
air jentik air jentik air jentik air jentik air jentik air

1 Ngatimin 1 1 0 0 0 0 0 0 0 0 0
2 Sukar 1 0 0 0 0 0 0 0 0 0 0
3 Syahrizal 1 0 1 1 0 0 0 0 0 0 0
4 Pairin 1 0 0 0 0 0 0 0 0 0 0
5 Suwito 0 0 1 0 0 0 0 0 0 0 0
6 Kasno 0 0 2 0 6 0 0 0 0 0 0
7 Ermi 1 0 1 0 0 0 0 0 0 0 0
8 Alamsyah Harahap 1 0 0 0 0 0 0 0 0 0 0
9 Sriyono 0 0 0 0 1 0 0 0 0 0 0
10 Darma 0 0 0 0 1 0 0 0 0 0 0
11 Tumino 0 0 0 0 1 0 0 0 0 0 0
12 Selamat budiono 0 0 0 0 0 0 0 0 0 0 0

Kolektor : Ismail Ginting


NTIK NYAMUK AEDES
E LARVA METHOD

status survey : evaluasi entomologi di daerah KLB


Tanggal :25/08/2010

Di Luar rumah Penyemprotan PSN


Bak Mandi Ember Lain2 Alamiah Malathion
jentik air jentik air jentik air jentik Pernah belum frek/mgg
pernah House index
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 0 0 + 1
0 0 0 0 0 0 0 + 1
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 + 0 Container Index
0 0 0 0 0 0 0 + 0 (%)
0 0 0 1 1 0 0 + 0
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 + 0
0 0 0 1 1 0 0 + 0
0 0 0 0 0 0 0 + 0
0 0 0 0 0 1 1 + 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 0 0 0 + 0
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 + 1
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 + 0
0 0 0 0 0 + 1
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 + 2
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 + 2
0 0 0 0 0 0 0 + 0
0 0 0 0 0 0 0 X 1

NTIK NYAMUK AEDES


E LARVA METHOD
status survey : evaluasi entomologi di daerah KLB
Tanggal :26/08/2010

Di Luar rumah Penyemprotan PSN House index


Bak Mandi Ember Lain2 Alamiah Malathion (%)
jentik air jentik air jentik air jentik Pernah belum frek/mgg
pernah
0 0 0 0 0 0 0 1x 0
0 0 0 0 0 0 0 1x 2
0 0 0 0 0 0 0 1x 0
0 0 0 0 0 0 0 x 0 Container Index
0 0 0 0 0 0 0 1x 0 (%)
0 0 0 0 0 0 0 1x 2
0 0 0 2 2 0 0 1x 2
0 0 0 0 0 0 0 X 2
0 0 0 1 1 0 0 1x 1
0 0 0 1 1 0 0 1
0 0 0 0 0 0 0 1x 2
0 0 0 1 1 1 1 1x 2

Instalasi Entomologi & Pemberantasan Vektor


BTKLPPM Kelas 1 Medan
Kepala

Ahadi Kurniawan, DAPE, MScPH


NIP. 197204232001121001
NTIK NYAMUK AEDES
E LARVA METHOD

status survey : evaluasi entomologi di daerah KLB


Tanggal :26/08/2010

Di Luar rumah Penyemprotan PSN


Bak Mandi Ember Lain2 Alamiah Malathion
jentik air jentik air jentik air jentik Pernah belum frek/mgg
pernah
0 0 0 0 0 0 0 1x 0
0 0 0 0 0 0 0 1x 2
0 0 0 0 0 0 0 1x 0
0 0 0 0 0 0 0 x 0
0 0 0 0 0 0 0 1x 0
0 0 0 0 0 0 0 1x 2
0 0 0 2 2 0 0 1x 2
0 0 0 0 0 0 0 X 2
0 0 0 1 1 0 0 1x 1
0 0 0 1 1 0 0 1
0 0 0 0 0 0 0 1x 2
0 0 0 1 1 1 1 1x 2

Instalasi Entomologi & Pemberantasan Vektor


BTKLPPM Kelas 1 Medan
Kepala

Ahadi Kurniawan, DAPE, MScPH


NIP. 197204232001121001
HI Jlh rumah dgn jentik
X 100%
jlh rumah diperiksa

HI 31.25 %

CI Jlh kontainer dgn jentik


X 100%
Jlh kontainer diperiksa

CI 11.1111111111111 %
HI Jlh rumah dgn jentik
X 100%
jlh rumah diperiksa

HI %

CI Jlh kontainer dgn jentik


X 100%
Jlh kontainer diperiksa

CI %
PEMERIKSAAN ADANYA JENTIK NYAMUK AEDES
SECARA VISUAL/SINGLE LARVA METHOD

Propinsi : SUMUT status survey : evaluasi entomologi di daerah Kasus DBD


Kabupaten : Phakphak Bharat Tanggal : 30 Mei 2022
Kecamatan : Siempat Rube Kelembaban Nisbi :
Kelurahan :

No Nama Kepala Keluarga Di dalam rumah Di Luar rumah Penyemprotan PSN


Sekolah/Kantor/Yayasan Drum Bak Mandi Ember Lain2 Drum Bak Mandi Ember Lain2 Alamiah Cypermethrin
air jentik air jentik air jentik air jentik air jentik air jentik air jentik air jentik air jentik Pernah belum frek/mgg
pernah
1 Yessi Purba 1 1
2 Eriana Siregar 0 0
3 Desma L Gaol 0 0
4 Pedoman S 0 0
5 PKM Siempat Rube 1 4
6 Jakop Padang 1 3
7 SD N Jambu Mbellang 1 7
8 Sapto Padang 0 0
9 Tiurli Serta 0 0
10 Dermawan Sitompul 1 9
11 Charli Berutu 0 0
12 Arah sura 0 0
13 Poltak Manik 0 0
14 Fresdinan Padang 1 3
15 Yosefa Simatupang 0 0
16 Marlina Purba 0 0
17 Delvi Manurung 0 0
18 Idul Berasa 0 0
19 Rendy Sihombing 0 0
20 Eka Tumangger 0 0
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