Spatial Analysis of Leptospira in Rats, Water and Soil in Bantul District Yogyakarta Indonesia

Leptospirosis is a potential threat to public health. An increasing number of people infected with Leptospira were reported in Bantul District, Yogyakarta special region with a case fatality rate (CFR) of 7.8%. Infected areas in the district have increased from 2 to 15 sub districts. Leptospirosis is caused by Leptospira bacteria and spread by direct contact with infected rodents and indirect contact through contaminated water or soil. Leptospira in rats, water and soil were detected using real-time quantitative polymerase chain reaction (qPCR). The sites of sampled materials were geocoded using Global Positioning System (GPS). Spatial analysis was used to predict the spread of Spira. This study aims to perform the mapping, clustering, and predicting the spread of Leptospira in Bantul Yogyakarta Indonesia. Data were collected from three sub-districts: Sedayu, Sewon and Bantul. The result showed that 38.04% from 368 samples were Spira positive. There were four significant clusters of infection spread source. Spira is predicted to spread in, and out from, Bantul District.