Infectious Disease in Foreign Tourism: A Case Study in Tourism Area Ubud 1 Public Health Center - Gianyar, Bali

Based on data from the Bali Tourism Office, tourists who came directly to Indonesia and Bali for the January-August 2017 period totaled 8.212 million and 3.997 million people. About 15-20% of tourists who return from tourist trips suffer from infectious diseases and 2-10% of deaths are due to infectious diseases. Infectious diseases that are quite common among tourists are cholera, typhoid, and Japanese encephalitis (JE). The method used in this research is descriptive with a cross sectional study as the research design. The research sample was all foreign tourists who checked themselves at Toya Medika Clinic, Ubud Care Clinic, Taruna Clinic, and Ubud 1 Public Health Center (consecutive sampling) in the period January - August 2017. Data analysis used descriptive analysis with frequency distribution of patients based on age, gender. , continent origin, and type of infectious disease according to ICD X. The results showed that the average percentage of female foreign tourists experienced more incidence of infectious diseases with the number of 268 (59.2%), followed by men with the number of 185 (40.8%). Most patients were in early adolescence and late adolescence 12-25 years, namely 165 cases (36.4%) followed by the age range of 26-45 years with 126 cases (27.8%). Most of the sufferers came from the continent of Europe with 249 people (55.0%), followed by America with 97 people (21.4%), Australia 59 people (13.0%), Asia 43 people (9.5%), and Africa. with 5 people (1.1%). Acute diarrhea is an infectious disease with the highest frequency of 308 patients (68.0%), followed by ARI 60 patients (13.2%), typhoid with 52 patients (11.5%), UTI 10 patients (2.2%), OMA 8 patients (1.8%), conjunctivitis 5 patients (1.1%), herpes zoster 3 patients (7%), Japanese encephalitis, tuberculosis, and other groups (stomatitis, fungal infections) namely 2 patients (4% ), and finally dengue fever in 1 patient (2%). The conclusion of this study is that recorded cases of infectious disease were dominated by acute diarrhea in adolescents from Europe, and more women than men.