{"id":"https://openalex.org/W7117257553","doi":"https://doi.org/10.1051/e3sconf/202568202012/pdf","title":"The dual burden of poor sanitation and climate variability on public health: A case study of diarrhea incidence in Surakarta","display_name":"The dual burden of poor sanitation and climate variability on public health: A case study of diarrhea incidence in Surakarta","publication_year":2025,"publication_date":"2025-12-23","ids":{"openalex":"https://openalex.org/W7117257553","doi":"https://doi.org/10.1051/e3sconf/202568202012/pdf"},"language":"en","primary_location":{"id":"pmh:oai:edpsciences.org:dkey/10.1051/e3sconf/202568202012","doi":"https://doi.org/10.1051/e3sconf/202568202012/pdf","is_oa":true,"landing_page_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","pdf_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","source":{"id":"https://openalex.org/S4306400744","display_name":"Springer Link (Chiba Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8488066","host_organization_name":"Chiba Institute of Technology","host_organization_lineage":["https://openalex.org/I8488066"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"https://doi.org/10.1051/e3sconf/202568202012","raw_type":"Text"},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075618336","display_name":"Nurhasan Agung Prabowo","orcid":"https://orcid.org/0000-0003-2016-5649","observed_orcids":["https://orcid.org/0000-0003-2016-5649"]},"institutions":[{"id":"https://openalex.org/I119896790","display_name":"Sebelas Maret University","ror":"https://ror.org/021hq5q33","country_code":"ID","type":"education","lineage":["https://openalex.org/I119896790"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Nurhasan Agung Prabowo","raw_affiliation_strings":["Department of Internal Medicine , Faculty of Medicine , Universitas Sebelas Maret , Indonesia","Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine , Faculty of Medicine , Universitas Sebelas Maret , Indonesia","institution_ids":["https://openalex.org/I119896790"]},{"raw_affiliation_string":"Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia","institution_ids":["https://openalex.org/I119896790"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054762154","display_name":"Desy Puspa Putri","orcid":"https://orcid.org/0000-0001-7440-6415","observed_orcids":["https://orcid.org/0000-0001-7440-6415"]},"institutions":[{"id":"https://openalex.org/I119896790","display_name":"Sebelas Maret University","ror":"https://ror.org/021hq5q33","country_code":"ID","type":"education","lineage":["https://openalex.org/I119896790"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Desy Puspa Putri","raw_affiliation_strings":["Department of Internal Medicine , Faculty of Medicine , Universitas Sebelas Maret , Indonesia","Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine , Faculty of Medicine , Universitas Sebelas Maret , Indonesia","institution_ids":["https://openalex.org/I119896790"]},{"raw_affiliation_string":"Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia","institution_ids":["https://openalex.org/I119896790"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042564959","display_name":"Dhani Redhono Harioputro","orcid":"https://orcid.org/0000-0002-6639-1791","observed_orcids":["https://orcid.org/0000-0002-6639-1791"]},"institutions":[{"id":"https://openalex.org/I119896790","display_name":"Sebelas Maret University","ror":"https://ror.org/021hq5q33","country_code":"ID","type":"education","lineage":["https://openalex.org/I119896790"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Dhani Redhono","raw_affiliation_strings":["Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia","institution_ids":["https://openalex.org/I119896790"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003758877","display_name":"Evi Nurhayatun","orcid":"https://orcid.org/0000-0002-6267-8103","observed_orcids":["https://orcid.org/0000-0002-6267-8103"]},"institutions":[{"id":"https://openalex.org/I119896790","display_name":"Sebelas Maret University","ror":"https://ror.org/021hq5q33","country_code":"ID","type":"education","lineage":["https://openalex.org/I119896790"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Evi Nurhayatun","raw_affiliation_strings":["Department of Internal Medicine , Faculty of Medicine , Universitas Sebelas Maret , Indonesia","Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine , Faculty of Medicine , Universitas Sebelas Maret , Indonesia","institution_ids":["https://openalex.org/I119896790"]},{"raw_affiliation_string":"Department of Internal Medicine , Universitas Sebelas Maret Hospital , Indonesia","institution_ids":["https://openalex.org/I119896790"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5121087884","display_name":"Narulita Brillianti Fajariani Putri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Narulita Brillianti Fajariani Putri","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.37594125,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14169","display_name":"Public Health and Environmental Issues","score":0.5810999870300293,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T14169","display_name":"Public Health and Environmental Issues","score":0.5810999870300293,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.3977000117301941,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11331","display_name":"Fecal contamination and water quality","score":0.0071000000461936,"subfield":{"id":"https://openalex.org/subfields/2312","display_name":"Water Science and Technology"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diarrhea-incidence","display_name":"diarrhea incidence","score":0.875},{"id":"https://openalex.org/keywords/solid-waste","display_name":"solid waste","score":0.75},{"id":"https://openalex.org/keywords/climate-variability","display_name":"climate variability","score":0.9879999756813049},{"id":"https://openalex.org/keywords/extreme-precipitation","display_name":"heavy rainfall","score":0.8840000033378601},{"id":"https://openalex.org/keywords/ambient-temperature","display_name":"ambient temperature","score":0.8930000066757202},{"id":"https://openalex.org/keywords/water-pollution","display_name":"water pollution","score":0.5509999990463257},{"id":"https://openalex.org/keywords/pathogen-reservoirs","display_name":"pathogen reservoirs","score":0.718999981880188},{"id":"https://openalex.org/keywords/surakarta","display_name":"Surakarta","score":0.9570000171661377}],"concepts":[{"id":"https://openalex.org/C2780151969","wikidata":"https://www.wikidata.org/wiki/Q949149","display_name":"Sanitation","level":2,"score":0.8299999833106995},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.6657999753952026},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5723000168800354},{"id":"https://openalex.org/C2776114971","wikidata":"https://www.wikidata.org/wiki/Q2006636","display_name":"Waterborne diseases","level":3,"score":0.5583999752998352},{"id":"https://openalex.org/C2779802037","wikidata":"https://www.wikidata.org/wiki/Q40878","display_name":"Diarrhea","level":2,"score":0.5353000164031982},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.5112000107765198},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.49810001254081726},{"id":"https://openalex.org/C108170787","wikidata":"https://www.wikidata.org/wiki/Q3951828","display_name":"Agency (philosophy)","level":2,"score":0.46939998865127563},{"id":"https://openalex.org/C75779659","wikidata":"https://www.wikidata.org/wiki/Q18538","display_name":"Municipal solid waste","level":2,"score":0.45399999618530273},{"id":"https://openalex.org/C3020710733","wikidata":"https://www.wikidata.org/wiki/Q40878","display_name":"Diarrheal disease","level":3,"score":0.4275999963283539},{"id":"https://openalex.org/C132651083","wikidata":"https://www.wikidata.org/wiki/Q7942","display_name":"Climate change","level":2,"score":0.41769999265670776},{"id":"https://openalex.org/C2778520758","wikidata":"https://www.wikidata.org/wiki/Q3443277","display_name":"Flushing","level":2,"score":0.4097000062465668},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.40860000252723694},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.39419999718666077},{"id":"https://openalex.org/C97053079","wikidata":"https://www.wikidata.org/wiki/Q1061108","display_name":"Water supply","level":2,"score":0.37290000915527344},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.3474000096321106},{"id":"https://openalex.org/C526734887","wikidata":"https://www.wikidata.org/wiki/Q832237","display_name":"Environmental protection","level":1,"score":0.32589998841285706},{"id":"https://openalex.org/C3019834005","wikidata":"https://www.wikidata.org/wiki/Q156103","display_name":"Acute diarrhea","level":3,"score":0.3206999897956848},{"id":"https://openalex.org/C3020383963","wikidata":"https://www.wikidata.org/wiki/Q180388","display_name":"Waste disposal","level":2,"score":0.305400013923645},{"id":"https://openalex.org/C524765639","wikidata":"https://www.wikidata.org/wiki/Q1501619","display_name":"Water resource management","level":1,"score":0.29789999127388},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2896000146865845},{"id":"https://openalex.org/C198428699","wikidata":"https://www.wikidata.org/wiki/Q1334780","display_name":"Environmental degradation","level":2,"score":0.2870999872684479},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.27489998936653137},{"id":"https://openalex.org/C153823671","wikidata":"https://www.wikidata.org/wiki/Q1049799","display_name":"Water resources","level":2,"score":0.2612000107765198},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.259799987077713}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:edpsciences.org:dkey/10.1051/e3sconf/202568202012","doi":"https://doi.org/10.1051/e3sconf/202568202012/pdf","is_oa":true,"landing_page_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","pdf_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","source":{"id":"https://openalex.org/S4306400744","display_name":"Springer Link (Chiba Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8488066","host_organization_name":"Chiba Institute of Technology","host_organization_lineage":["https://openalex.org/I8488066"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"https://doi.org/10.1051/e3sconf/202568202012","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:edpsciences.org:dkey/10.1051/e3sconf/202568202012","doi":"https://doi.org/10.1051/e3sconf/202568202012/pdf","is_oa":true,"landing_page_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","pdf_url":"https://www.e3s-conferences.org/10.1051/e3sconf/202568202012/pdf","source":{"id":"https://openalex.org/S4306400744","display_name":"Springer Link (Chiba Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I8488066","host_organization_name":"Chiba Institute of Technology","host_organization_lineage":["https://openalex.org/I8488066"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"https://doi.org/10.1051/e3sconf/202568202012","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9786999821662903,"id":"https://metadata.un.org/sdg/13","display_name":"Climate action"},{"score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.9090999960899353,"id":"https://metadata.un.org/sdg/6","display_name":"Clean water and sanitation"},{"score":0.8787999749183655,"id":"https://metadata.un.org/sdg/11","display_name":"Sustainable cities and communities"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[{"id":"https://openalex.org/G2531578534","display_name":null,"funder_award_id":"371/UN27.22/PT.01.03/2025","funder_id":"https://openalex.org/F4320324621","funder_display_name":"Universitas Sebelas Maret"}],"funders":[{"id":"https://openalex.org/F4320324621","display_name":"Universitas Sebelas Maret","ror":"https://ror.org/021hq5q33"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7117257553.pdf","grobid_xml":"https://content.openalex.org/works/W7117257553.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Surakarta,":[0],"Indonesia,":[1],"faced":[2],"an":[3,55],"acute":[4,47],"public":[5,142],"health":[6],"challenge,":[7],"with":[8,97],"diarrhea":[9],"cases":[10],"surging":[11],"by":[12],"58.6%":[13],"(rising":[14],"from":[15,67,113],"7,209":[16],"in":[17,21,101,110,162],"2023":[18],"to":[19,26,116,151,184],"11,434":[20],"2024).":[22],"This":[23],"study":[24,175],"aimed":[25],"examine":[27],"the":[28,36,68,73,79,130,171,177],"temporal":[29],"relationship":[30],"between":[31],"this":[32],"rapid":[33],"increase":[34,109],"and":[35,46,51,78,82,106,129,138,164,188],"dual":[37],"environmental":[38],"burden:":[39],"chronic":[40,126],"sanitation":[41],"failure":[42],"(solid":[43],"waste":[44,104,122,186],"volume)":[45],"climatic":[48],"instability":[49],"(rainfall":[50],"temperature).":[52],"We":[53],"employed":[54],"ecological,":[56],"retrospective":[57],"correlational":[58],"approach,":[59],"integrating":[60],"3":[61],"years":[62],"(2022\u20132024)":[63],"of":[64],"annual":[65,102],"data":[66],"City":[69],"Health":[70],"Office":[71],"(Dinkes),":[72],"Central":[74],"Statistics":[75],"Agency":[76,84],"(BPS),":[77],"Meteorology,":[80],"Climatology,":[81],"Geophysics":[83],"(BMKG).":[85],"The":[86,92,119,157,174],"results":[87],"revealed":[88],"a":[89,98,107,125,167],"direct":[90],"association.":[91],"disease":[93],"outbreak":[94],"occurred":[95],"concurrently":[96],"5.66%":[99],"surge":[100],"solid":[103,121],"volume":[105],"marked":[108],"heavy":[111],"precipitation,":[112],"1,743.40":[114],"mm":[115],"2,456.60":[117],"mm.":[118],"persistent":[120],"acted":[123],"as":[124],"pathogen":[127],"reservoir,":[128],"extreme":[131],"rainfall":[132],"exceeded":[133],"hydrological":[134],"thresholds,":[135],"inundating":[136],"infrastructure":[137],"flushing":[139],"contaminants":[140],"into":[141],"water":[143],"systems.":[144],"Furthermore,":[145],"increasing":[146],"mean":[147],"ambient":[148],"temperatures":[149],"(up":[150],"27.60":[152],"\u00b0C)":[153],"promoted":[154],"microbial":[155],"multiplication.":[156],"high":[158],"case":[159],"rates,":[160],"particularly":[161],"Jebres":[163],"Banjarsari,":[165],"illustrate":[166],"systemic":[168],"breakdown":[169],"at":[170],"community":[172],"level.":[173],"highlights":[176],"urgent":[178],"need":[179],"for":[180],"integrated,":[181],"climate-adaptive":[182],"strategies":[183],"consolidate":[185],"disposal":[187],"protect":[189],"water-hygiene":[190],"infrastructure.":[191]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2025-12-25T00:00:00"}