Cestodes In Man In Indonesia

Cestodes are found endemic in certain areas of Indonesia. The most common cestodes found are Taenia saginata and Taenia solium. Eggs of Taenia are found in stool samples during surveys in Irian Jaya (2-9 %), Nusa Tenggara Timur (7 %), Bali and resettlement areas of people from Bali (0,4 - 3,3%). Interviews, with questions concerning expelled segments, recovered a prevalence of 9,5 % in inhabitants of the island of Samosir (North Sumatra) and 2 % in the people of 6 villages in Abiansemal (Bali). Cases are also reported from Jakarta. Hymenolepis nana (0,2 -1%) and Hymenolepis diminuta (0,4 %) are rarely found in surveys. A case of hyperinfection with H. nana has been reported in Jakarta in 1968. Occasionally there are reports of infections with Dipylidium caninum, Raillietina Madagascariensis, Bertiella studeri and sparganum. Report on treatment of taeniasis in Indonesia mentioned the use of atabrine, mebendazole, bithionol and praziquantel with different results

Intestinal Helminthic Infections in School Children, Cibubur, East Jakarta

An integrated study was conducted on nutrition, physical examination and soil transmitted helminthes (S-TH) in four priminary schools in Cibubur, East Jakarta. In this report is shown data on prevalence and intensity of S-TH infections. Very low prevalences were found for Ascaris lumbricoides (0.0 – 1.6 %) and Trichuris trichiura (2.5 – 8.9 %). Also egg counts per gram (EPG) were very low. The prevalence and intensity rates were very low possibly due to factors such as self-medication, reguler health education and efforts of surrounding factories to improve the health of the community

Improving Competency of Community Health Workers in Non- Infectious Disease Screening in Sleman, Yogyakarta

Background: Non-communicable diseases (NCDs) kill 41 million people each year, equivalent to 71% of all deaths globally. Detection, screening and treatment of NCDs, as well as palliative care, are key components of the response to NCDs. Disease screening is one of the most basic tools of modern public health and preventive medicine. This study aimed to assess the effect of improving competency of community health workers (CHWs) in non-infectious disease screening in Sleman, Yogyakarta. Subjects and Method: This was a quasi experiment before and after with control design was carried out at 12 Posbindus in Sleman, Yogyakarta. A sample of 60 CHWs was selected for this study by non-probability sampling. The sample was divided into three groups of training: simulation, leaflet, and demonstration. The dependent variable was knowledge on non-infectious disease screening. The independent variable was training. The data were collected by questionnaire and analyzed by one way ANOVA. Changes in knowledge before and after training were tested by paired t-test. Results: Knowledge score on non-infectious disease screening after training was higher than before training, and it was statistically significant (p= 0.023). Knowledge score after training was the highest in the simulation group (Mean= 88.07; SD= 2.45), moderate in the leaflet group (Mean= 87.17; SD= 2.05), and lowest in the demonstration group (Mean= 86.96; SD= 1.99), but they were statistically non-significant (p= 0.127). Conclusion: Training is effective to improve knowledge on non-infectious disease screening among CHWs. Keywords: non-infectious disease, screening, training, community health worker

Dampak Pengelolaan Tinja Terpadu Terhadap Infeksi Ascaris Lumbricoides Di Daerah Kota (I)

A study on the health impact of integrated environmental sanitary management was done in the village of Pisangan Baru, East Jakarta. As an indicator of health status, Ascaris lumbricoides infection in school children was used. The result of the study before the intervention showed that the prevalence of A. lumbircoides infec­tion in school children who lived in RW 06 Pisangan Baru was 46.3% and 45.7% who lived in RW 013. Ex­amination of sewage water in ditches showed 42% positive with A. lumbircoides eggs in RW 06 and 30% in RW 013. The result of soil examination in RW06 was 18% positive while in RW 013 was 20% positive with tion of sewage water in ditches showed 42% positive with A. lumbricoides eggs in RW 06 and 30% in RW 013. The result of soil examination in RW06 was 18% positive while in RW 013 was 20% positive with A. lumbricoides eggs. The result of a post - intervention study showed a prevalence of 33.7% in school children from RW 06 and 25.8% from RW 013, whereas the sewage water examination in ditches around RW 06 was 14% positive with A. lumbricoides eggs and 24% in RW 013. The soil ecamination in RW 06 revealed 6% positive while in RW 013 was 16% positive with A. lumbricoides eggs. The result of the study showed that the impact of intervention was clearly evident on the waste water contamination but not on the reinfection of school children with A. lumbricoides as well as the degree of soil contamination

Perilaku Anak Jalanan dan Strategi Pengentasannya di Bandung, Bogor, dan Jakarta

Street child problems, like iceberge phenomenon, of which the regional pockets, the distribution and the age tremendously increase day by day. Since 1997 the government of Indonesia through the Social Ministry has been carrying out efforts to overcome the problems, but up to now the efforts have not yielded the expected results because of the limited information of the problems. The present research was addressed to provide informations on the phenomenon profiles of street children and strategies for their elimination in Bandung, Bogor and Jakarta. Data were collected using structured interviews, focus group discussion and direct observation. The collected data were analysed using parametric and non-parametric statistics. Population were street children, 5-21 years of age. Sample in each region was consisted of 75 persons, 50 males and 25 famales, drawn using cluster random sampling technique, and 25 parents of the respondens as a cross check. The influence of family background on the street children behavior, direct or indirectly, was more obvious compared to that of environmental background. The latter was indirect through sociologic characteristics of the street children particularly on the non formal education. Strategy for elimination of the street children could be equally applied for the whole regions, except for its approach, which can use the TRIBINA, which means Human Building, Environmental Building and Efforts Building could be employed

Soil-transmitted Helminthic Infection Among People of Different Socio-economic Level (the Prevalence and Intensity of Infection)

Penyelidikan tentang prevalensi dan intensitas dari "Soil transmitted helminthic infection" pada tiga golongan penduduk dengan perbedaan tingkat ekonomi-sosial telah dilakukan di Mundu, Cirebon, Jawa Barat. Dimulai dari penduduk dengan golongan ekonomi-sosial yang relatif terbaik sampai yang terburuk, maka prevalensi untuk Ascaris lumbricoides adalah: 31,5 persen, 59,0 persen dan 80,0 persen; Trichuris trichiura: 43,8 persen, 74,9 persen dan 98,5 persen; cacing tambang 21,7 persen, 44,1 persen dan 81,5 persen, sedang Stronglyloides stercoralis ditemukan hanya 0 persen, 0 persen dan 5.1 persen. Intensitas infeksi dari A. lumbricoides menunjukkan angka-angka: 8935, 18514 dan 20581; T. trichiura; 348,993 dan 2225 dan pada cacing tambang 407,677 dan 1461 telur per satu gram tinya. A. lumbricoides dan T. trichiura menunjukkan prevalensi maupun intensitas yang lebih tinggi pada wanita, sedang cacing tambang baik prevalensi maupun intensitasnya adalah lebih tinggi pada pria. Berdasarkan pembagian menurut umur, maka prevalensi dan intensitas A. lumbricoides dan T. trichiura didapatkan tertinggi pada umur-umur dibawah 14 tahun, sedang cacing tambang pada umur lebih tinggi dari 15 tahun

Taenia solium Cysticercosis, Irian Jaya, Indonesia

Centers for Disease Control and Prevention, Toni, Wandra ; Akira, Ito ; Hiroshi, Yamasaki ; Thomas, Suroso ; Sri S. Margono, Emerging Infectious Diseases, 9(7), 2003, 884-885. publishe