JAKARTA - The Ministry of Health urges the public to be aware of the cycle of horsebutter in dengue sufferers or dengue fever amid an increase in cases during the transition to the rainy season. "We hope that risk recognition and control efforts can be carried out in an integrated, massive, total, sustainable, and on target so that we can suppress the Dengue case," said Director General of Disease Prevention and Control (P2PM) of the Ministry of Health Maxi Rein Rondonuwu which was confirmed in Jakarta, Antara, Monday, September 26. The horse saddle cycle is a term for three phases of fever that move up and down in Dengue patients. The first phase, characterized by high fever ranging from 40 degrees Celsius on the first and third days after the incubation period of the virus carried from the bite of the female mosquito Aedes Aegypti. In the second phase or known as the critical phase, it is characterized by a decrease in fever reaching 30 degrees Celsius on the fourth to fifth days. In that phase, the patient's fever dropped drastically as if it had recovered. "In this phase, special treatment is needed at the hospital. It is possible that Dengue Shock Syndrome could occur," he said. The last phase is the healing period on the sixth to seventh days which is characterized by high fever again, in a reaction to healing. Maxi appealed to the public to be aware of fever that does not fall in two to three days with red spots. "Know the symptoms of Dengue, don't delay it to the hospital or Puskesmas, because this often causes death," he said. Based on the records of P2PM from the Ministry of Health of the Republic of Indonesia until the 36th week, the cumulative number of confirmed cases since January 2022 has been reported at 87,501 cases with a ratio of 31.38/100,000 population and 816 deaths (CFR 0.93 percent). The addition of cases reportedly came from 64 regencies/cities in West Java, East Java, Central Java, and East Kalimantan. The districts/cities that recorded the highest cases of Dengue included the City of Bandung 4,196 cases, Bandung Regency 2,777 cases, Bekasi City with 2,059 cases, Sumedang Regency with 1,647 cases, and Tasikmalaya City with 1,542 cases. When compared to the rate of cases in the past year, there was an increase of 111 deaths reported due to Dengue. Of the 73,518 cases of Dangue in 2021, 705 patients in 203 cities/districts among them died. In 2022, out of a total of 87,501 cases, 816 patients in 225 cities/districts were reported to have died. Maxi added that efforts can be made to prevent Dengue, including the One House One Jumantik Movement through the involvement of family members to eradicate Mosquito Nest (PSN), In addition, by checking mosquito breeding sites in the home environment, filling out mosquito larvae inspection cards, providing larvae to water reservoirs that are difficult to drain, as well as examining and eradicating mosquito breeding sites in the home environment.

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