Department of Child Health, Medical School, University of Indonesia, Jakarta.
Southeast Asian J Trop Med Public Health. 1987 Sep;18(3):269-74.
Dengue haemorrhagic fever (DHF) was first recognized in Indonesia in the cities of Jakarta and Surabaya in 1968, 15 years after its recognition in the Philippines. During the 1968 outbreak, a total of 58 clinical cases with 24 deaths were reported. The number of reported cases since then has increased sharply, with the highest number of cases recorded in the years 1973 (10, 189 cases), 1983 (13,668 cases), and 1985 (13,588 cases). Outbreaks of the disease have spread to involve most of the major urban areas, as well as some of the rural areas. In 1985, the disease had spread to 26 of 27 Provinces and 160 of 300 regencies or municipalities. At present, the disease is endemic in many large cities and small towns. Interestingly, DHF has not been reported in some cities, even though dengue virus transmission rates in those cities are high. The epidemic pattern of DHF for the country as a whole has become irregular. Since 1982, the intensity and spread of DHF has created an increasing public health problem in Indonesia, particularly in Java where 60% of the total population of the country resides. Java contributed about 71% of all cases occurring in the country in 1982, 84% in 1983, and 91% in 1984. The peak monthly incidence of DHF was frequently reported during October through April, months which coincide with the rainy season. The morbidity rate for Indonesia, estimated from reported cases over five years (1981-1985), ranged between 3.39 to 8.65 per 100,000 population.
登革出血热（DHF）于1968年在印度尼西亚的雅加达和泗水两市首次被确认，这比在菲律宾确认该疾病晚了15年。在1968年的疫情爆发期间，共报告了58例临床病例，其中24人死亡。自那时起，报告的病例数急剧增加，1973年（10,189例）、1983年（13,668例）和1985年（13,588例）记录的病例数最多。该疾病的疫情已蔓延至大多数主要城市地区以及一些农村地区。1985年，该疾病已蔓延至27个省份中的26个以及300个摄政区或市中的160个。目前，该疾病在许多大中小城镇都呈地方性流行。有趣的是，尽管某些城市的登革病毒传播率很高，但并未报告有登革出血热病例。从全国范围来看，登革出血热的流行模式已变得不规则。自1982年以来，登革出血热的强度和传播在印度尼西亚造成了日益严重的公共卫生问题，尤其是在爪哇岛，该国60%的总人口居住在该岛。1982年爪哇岛的病例数约占全国病例总数的71%，1983年为84%，1984年为91%。登革出血热的月发病率高峰经常出现在10月至次年4月，这些月份与雨季重合。根据五年（1981年至1985年）报告病例估算，印度尼西亚的发病率为每10万人口3.39至8.65例。
