Main Article Content

ID Risti Sifa' Fadhillah ID Putri Utami ID Widya Khairunnisa Sarkowi ID Dinda Iryawati

Abstract

Background: Anthrax remains a persistent zoonotic disease in Indonesia, with recurrent outbreaks reported in endemic provinces such as Yogyakarta, Gorontalo, Central Java, and East Nusa Tenggara. Outbreak control is further challenged by the circulation of misinformation, which shapes community perceptions and undermines prevention efforts. Digital epidemiology offers opportunities to complement conventional surveillance by capturing public information-seeking behavior, yet its application in anthrax research in Indonesia remains limited.


Methods: This study analyzed temporal and spatial dynamics of public interest in anthrax using Google Trends data from January 2014 to December 2024. Two search terms, antraks (Indonesian) and anthrax (English), were examined to assess monthly patterns, regional distribution, and related search queries. Descriptive analyses were performed to identify peaks of interest, geographic differences, and themes of related and rising queries.


Results: Overall search activity was low and stable throughout the 11 years, with distinct peaks corresponding to outbreaks, most notably in July 2023 during the Yogyakarta outbreak. Regional analysis revealed Yogyakarta and Gorontalo as the dominant provinces of search activity. Linguistic patterns showed that antraks was more widely used in western Indonesia, while anthrax was relatively more frequent in eastern provinces. Related queries reflected demand for basic knowledge of symptoms, transmission, and prevention, while rising queries aligned with outbreak-related events.


Conclusion: Online search patterns mirror epidemiological risk, cultural context, and digital access. Infodemiology provides timely insights that may enhance outbreak preparedness and risk communication. Integrating digital surveillance with conventional monitoring can support more effective and locally relevant health education strategies for anthrax control in Indonesia.

Downloads

Download data is not yet available.

Article Details

How to Cite
Fadhillah, R. S., Utami, P., Sarkowi, W. K., & Iryawati, D. . (2025). Infodemiology of Anthrax in Indonesia: Insights from Google Trends (2014–2024) . Medical and Health Science Journal, 9(2), 20–27. https://doi.org/10.33086/mhsj.v9i2.8008
Section
Articles
Public Health, Epidemiology, antrhax, infodemiology, google trends, indonesia

References

Carlson CJ, Getz WM, Kausrud KL, Cizauskas CA, Blackburn JK, Bustos Carrillo FA, Colwell R, Easterday WR, Ganz HH, Kamath PL, Økstad OA. Spores and soil from six sides: interdisciplinarity and the environmental biology of anthrax (Bacillus anthracis). Biological Reviews. 2018 Nov;93(4):1813-31. https://doi.org/10.1111/brv.12420

Susanto W. Diagnosis dan Tatalaksana Antraks. Cermin Dunia Kedokteran. 2023 Dec 1;50(12):660-4. https://doi.org/10.55175/cdk.v50i12.985

Xin W, Yue N, Wang J. A review of epidemiological characteristics, risk factors, and prevention strategies of human anthrax in China. 2024. Decoding Infection and Transmission. 2024. 2:100024. https://doi.org/10.1016/j.dcit.2024.100024

Sari IZ, Apriliana S. Gambaran Umum, Prevalensi, dan Pencegahan Antraks pada Manusia di Indonesia General Description, Prevalence, and Prevention of Human Anthrax in Indonesia. https://doi.org/10.22435/blb.v16i2.3401

Djatmikowati TF, Yudianingtyas DW, Haeriah H. Spatio Temporal Distribution of Anthrax in Sulawesi 2015-2018. Acta VETERINARIA Indonesiana. 2019:7-13. https://doi.org/10.29244/avi.0.0.7-13

Hidayatullah AS, Purnomo S, Abdurrahman MA, Lestari SW, Pratiwi AN. Dampak Bakteri Antraks Terhadap Manusia dan Hewan Studi Masyarakat Gunung Kidul. Buletin Pengabdian Multidisiplin. 2023 Nov 4;1(2):82-92. https://doi.org/10.62385/budimul.v1i2.49

Firdaus AR, Hasna RA, Putri LK, Kriswardhani PN, Zidan MH, Triratnawati A. Mengurai Tradisi Brandu dan Penularan Antraks sebagai Strategi Eliminasi Wabah Antraks di Gunungkidul, Yogyakarta. Umbara. 2024 Jul 31;9(1):65-75. https://doi.org/10.24198/umbara.v9i1.57495

Martindah E. Risk Factors, Attitude, and Knowledge of Farmers in Controlling Anthrax. Risk. 2017 Sep;27(3). : http://dx.doi.org/10.14334/wartazoa.v27i3.1689

Abawi I, Fibriana AI. Analisis spasial faktor lingkungan fisik daerah endemik antraks. HIGEIA (Journal of Public Health Research and Development). 2019 May 2;3(2):190-201. https://doi.org/10.15294/higeia/v3i2/25478

Klimiuk KB, Balwicki ŁW. What is infodemiology? An overview and its role in public health. Epidemiological Review/Przegląd Epidemiologiczny. 2024 Jan 1;78(1). https://doi.org/10.32394/pe/188119

Suarez-Lledo V, Alvarez-Galvez J. Prevalence of health misinformation on social media: systematic review. Journal of medical Internet research. 2021 Jan 20;23(1):e17187. https://doi.org/10.2196/17187

Miller M, Romine W, Oroszi T. Public discussion of Anthrax on Twitter: using machine learning to identify relevant topics and events. JMIR Public Health and Surveillance. 2021 Jun 18;7(6):e27976.

Layaly NS, Sagita IA, Anggriawan PA, Hidajah AC, Sari SS, Rahayujati TB, Sawitri AA, Istianah A, Ratgono A. Investigasi Kejadian Luar Biasa (KLB) Antraks di Desa Tinatar, Kecamatan Punung, Kabupaten Pacitan, Provinsi Jawa Timur Tahun 2023. BALABA. 2024 Jul 6;20(1).

FAO EMPRES-i+ Global Animal Disease Information System. Available at: https://empres-i.apps.fao.org/ [Accessed July 15, 2025].

Ashique, S., Biswas, A., Mohanto, S., Srivastava, S., Hussain, M., Ahmed, M., & Subramaniyan, V. Anthrax: A narrative review. 2024. New Microbes and New Infections, 62. https://doi.org/10.1016/j.nmni.2024.101501

Ahmad, T., Baig, M., Othman, S., Malibary, H., Ahmad, S., Rasheed, S., Bataineh, M., & Al-Omari, B. Bibliometric Analysis and Visualization Mapping of Anthrax Vaccine Publications from 1991 through 2021. 2022. Vaccines, 10. https://doi.org/10.3390/vaccines10071007

Jayaprakasam, M., Chatterjee, N., Chanda, M., Shahabuddin, S., Singhai, M., Tiwari, S., & Panda, S. Human anthrax in India in recent times: A systematic review & risk mapping. 2023. One Health, 16. https://doi.org/10.1016/j.onehlt.2023.100564

Serly, V., & Sabri, Y. Anthrax: Deadly Bioterrorism Threat and Prevention Challenges in Indonesia. 2025. Eduvest - Journal of Universal Studies. https://doi.org/10.59188/eduvest.v5i1.50301

The Jakarta Post. Govt steps up efforts to curb anthrax after outbreak kills 3 people. The Jakarta Post. 2023 Jul 7 [cited 2025 Aug 19]. Available from: https://www.thejakartapost.com/indonesia/2023/07/07/govt-steps-up-efforts-to-curb-anthrax-after-outbreak-kills-3-people.html

Direktorat Jenderal Peternakan dan Kesehatan Hewan, Kementerian Pertanian RI (2023). Surat Edaran Nomor 1/SE/TU.020/F.4/07/2023 tentang Tindaklanjut Kejadian/Kasus Penyakit Antraks di Kabupaten Gunung Kidul, Provinsi DIY. Jakarta, 7 Juli 2023. Available at: https://ditjenpkh.pertanian.go.id/storage/photos/shares/konten/File/SuratEdaran%20Antraks%20di%20Gunung%20Kidul%20Tahun%202023.pdf (Accessed: 19 August 2025)

Jayantini, I., Putrayadnya, I., Suparwa, I., & Puspani, I. Naturalization in Translation: A Case Study on the Translation of English-Indonesian Medical Terms. 2019. International Journal of Foreign Language Teaching and Research, 7, 11-28.

Hernina, H., Karlina, Y., & Puspitasari, D. The Indonesian Terms of Disease Names: A Corpus Linguistic Study. 2023. OKARA: Jurnal Bahasa dan Sastra. https://doi.org/10.19105/ojbs.v17i1.8571.

Franssisca, R., & Subekti, A. Indonesian high school students’ attitudes towards varieties of English: A survey study. 2022. Studies in English Language and Education. https://doi.org/10.24815/siele.v9i1.21911.

Zein, S. English, multilingualism, and globalisation in Indonesia. 2018. English Today, 35, 48 - 53. https://doi.org/10.1017/S02660784180001

Widayanti, A., Green, J., Heydon, S., & Norris, P. Health-Seeking Behavior of People in Indonesia: A Narrative Review. 2020. Journal of Epidemiology and Global Health, 10, 6 - 15. https://doi.org/10.2991/jegh.k.200102.001.

Apriliana, U., Wibawa, H., Ruhiat, E., Untari, T., & Indarjulianto, S. Isolation and identification of avirulent strains of Bacillus anthracis from environmental samples in Central Java, Indonesia. 2021. International Journal of One Health. https://doi.org/10.14202/ijoh.2021.204-211.

Yudianingtyas, D., Sumiarto, B., Susetya, H., Salman, M., Djatmikowati, T., Haeriah, H., Rahman, A., & Mangidi, R. Identification of the molecular characteristics of Bacillus anthracis (1982-2020) isolates in East Indonesia using multilocus variable-number tandem repeat analysis. 2022. Veterinary World, 15, 953 - 961. https://doi.org/10.14202/vetworld.2022.953-961.

Nababan, H. Digital health divide in Indonesia: evidence from national-level data. 2024. The European Journal of Public Health, 34. https://doi.org/10.1093/eurpub/ckae144.426.

Bragazzi, N., Alicino, C., Trucchi, C., Paganino, C., Barberis, I., Martini, M., Sticchi, L., Trinka, E., Brigo, F., Ansaldi, F., Icardi, G., & Orsi, A. Global reaction to the recent outbreaks of Zika virus: Insights from a Big Data analysis. 2017. PLoS ONE, 12. https://doi.org/10.1371/journal.pone.0185263.

Lampos, V., Majumder, M., Yom-Tov, E., Edelstein, M., Moura, S., Hamada, Y., Rangaka, M., McKendry, R., & Cox, I. Tracking COVID-19 using online search. 2020. NPJ Digital Medicine, 4. https://doi.org/10.1038/s41746-021-00384-w.

Septiana, A., Kustanto, K., & Remawati, D. Diagnosa Penyakit Antraks dengan Metode Naive Bayes (Studi Kasus: Kambing Jawarandu. 2023. Jurnal Teknologi Informasi dan Komunikasi (TIKomSiN). https://doi.org/10.30646/tikomsin.v11i2.787

Qi, S., Tham, J., Waheed, M., & Hashim, N. From fear to facts: a multi-channel approach to information seeking amid influenza-like illness outbreaks. 2025. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1545942 .

Zhou, S. Impact of perceived risk on epidemic information seeking during the outbreak of COVID-19 in China. 2021. Journal of Risk Research, 24, 477 - 491. https://doi.org/10.1080/13669877.2021.1907609

Tausczik, Y., Faasse, K., Pennebaker, J., & Petrie, K. Public Anxiety and Information Seeking Following the H1N1 Outbreak: Blogs, Newspaper Articles, and Wikipedia Visits. 2012. Health Communication, 27, 179 - 185. https://doi.org/10.1080/10410236.2011.571759

Dillard, J., Li, R., & Yang, C. Fear of Zika: Information Seeking as Cause and Consequence. 2020. Health Communication, 36, 1785 - 1795. https://doi.org/10.1080/10410236.2020.1794554

Effenberger, M., Kronbichler, A., Shin, J., Mayer, G., Tilg, H., & Perco, P. Association of the COVID-19 pandemic with Internet Search 2020. Volumes: A Google TrendsTM Analysis. International Journal of Infectious Diseases, 95, 192 - 197. https://doi.org/10.1016/j.ijid.2020.04.033

Risti Sifa' Fadhillah, Division of Biomedical Sciences and Medical Education, Faculty of Medicine, IPB University, Bogor, 16680, Indonesia

Putri Utami, IPB University, Bogor, 16680, Indonesia

Widya Khairunnisa Sarkowi, Division of Biomedical Sciences and Medical Education, Faculty of Medicine, IPB University, Bogor, 16680, Indonesia

Dinda Iryawati, Division of Public Health and Ethicomedicolegal, Faculty of Medicine, IPB University, Bogor, 16680, Indonesia