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In Indonesia, most transmission of leptospirosis occurs through the rat under conditions of high rainfall or flooding. Sampang is endemic leptospirosis, during March-May 2013, there were 55 patients with 8 of them died. The purpose of this study was to analyze risk factors for outbreaks leptospirosis by climatic factors. Study is cross-sectional design of variable causes or risks that occur due to the object of research are measured simultaneously. The results showed that the distribution of events is based on epidemiological characteristics of leptospirosis in districts Sampang both rainy and dry season. Analysis of climatic factors show support to the continuation of leptospirosis whose temperatures ranged from 29.35 °C-30.62 °C, humidity range between 63.4%-80.5%. Rainfall ranges from 183-190 mm. Incidence of leptospirosis in Sampang shows the distribution of leptospirosis cases from 18 subdistricts, 14 subdistricts are at risk of the occurrence of leptospirosis. Results obtained rat trapping species caught in the neighborhood residential home patients were mice (Rattus tanezumi and Rattus novergicus) and the identification of the leptospira in rat urine sewers rat positive standing of the potential risk of leptospirosis in the community. The conclusions are climatic conditions, rainfall remarkable effecting on the incidence of leptospirosis.

Climate as the Early Warning of Outbreaks of Leptospirosis in the District of Sampang Madura Island Indonesia