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Land use is an important environmental factor in the dynamics of human health. In the case of leptospirosis, environmental transmission cycles are caused by rat transition, environmental changes and populations at risk. Utilization of GIS-based spatial analysis may help detecting distribution patterns of leptospirosis cases, allocating resources and planning effective control and surveillance programs in endemic areas. This study aims to analyze the spatial distribution of leptospirosis based on land use and stream flow in Bantul District, 2010-2018. This ecological study was conducted in Bantul District, Yogyakarta for 9 years. Spatial analysis overlays processed data on leptospirosis cases per village and land use maps of 2016 using QGIS 3.0. Spatial distribution of 12 of high leptospirosis villages (18-35 cases) are in residential areas, tributaries, croplands, irrigated fields, rain-fed rice fields, and plantations. Those villages was crossed by major river basin which is potentially as transmission media of leptospirosis cases after heavy rainfall. It is suggested to increase the Early Awareness and Alert (EAA) system by active surveillance of early case finding from the government and endemic villagers.

Spatial Distribution of Leptospirosis and Land Use in Bantul District, 2010-2018