THE RELATIONSHIP BETWEEN MOSQUITO LARVA DENSITY IN BREEDING PLACE AND THE INCIDENCE OF DENGUE FEVER IN THE WORKING AREA OF MAJASEM HEALTH CENTER CIREBON CITY

Dengue Hemorrhagic Fever (DHF) remains a significant public health concern in
Indonesia, particularly in endemic areas such as the working area of the Majasem Health Center,
Cirebon City. One of the key factors contributing to the transmission of DHF is the high density of
Aedes aegyptilarvae in mosquito breeding sites.
This study aimed to examine the relationship between mosquito larval density and the
incidence of DHF. A quantitative method with a cross-sectional design was employed. The sample
consisted of 100 houses, comprising 71 houseswithDHFcases and 29without. Datawere collected
throughdirect observationandmedicalrecorddocumentation,andanalyzedusingthe chi-squaretest.
The resultsrevealed a House Index of 87%, a Container Index of 40.05%, and a Breteau
Index of 155, all of which indicated a high level of larval density. The chi-square test yielded a p-value
of 0.001, demonstrating a statistically significant relationship between mosquito larval density and
DHF incidence. It can be concluded that higher larval density increases the risk of DHF transmission
in the community.
It is recommended that health authorities enhance public education and strengthen routine,
community-based vector control programs, particularly thoseaimed at eliminating mosquito breeding
sites.