Awareness and practices in preventing maternal iron deficiency among pregnant women living in urban slum areas in Makassar City, Indonesia.

BACKGROUND: During pregnancy, the body requires more complex nutritional intake. Therefore, problems with fulfilling nutrition during pregnancy occur often. One of the most common nutritional problems in pregnancy is iron deficiency anemia, the most widespread micronutrient problem and the most difficult to overcome worldwide. This study aimed to determine awareness and prevention behavior associated with the incidence of iron deficiency in pregnant women living in urban slum areas. MATERIALS AND METHODS: This was a cross-sectional study. The data collection used KoboToolbox, an Android-based tool. Iron status was examined by serum ferritin level assay using ELISA at the Microbiology Laboratory Unit of Hasanuddin University Hospital. RESULTS: The prevalence of pregnant women who experienced iron deficiency was 78%. The logistic regression analysis showed that poor awareness (AOR = 3.03, CI 95% 1.26-7.29, P = 0.013) and practices in taking iron enhancers (AOR = 2.85, CI 95% 1.18-6.92, P = 0.020) became the main factors associated with iron deficiency among pregnant women. CONCLUSIONS: Poor awareness and practices regarding consuming iron enhancers increased the risk of iron deficiency among pregnant women living in urban slum areas. Iron deficiency is a major health concern for pregnant women, especially those living in slum settlements, which must be addressed. A more optimal healthcare system for pregnant women may reduce the incidence of iron anemia in pregnancy by improving health promotion and optimizing healthcare services.

Essential oil as a new tool for larvicidal Aedes aegypti: A systematic review.

OBJECTIVE: The study aimed to describe the effectiveness of essential oil plants for Aedes aegypti mosquito vector control. METHODS: This systematic review selection process following with 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guideline. The source of the articles from databases international journal were Scopus, Pubmed, Scinapse and Google Scholar. RESULT: Natural control management with essential oil is the way of alternative for larvicidal mosquito control especially A. aegypti. The essential oil for many plants can use for larvicidal against A. aegypti as Piper batle L., Tinospora rhumpii, Azadiractha indica, Persea americana, Piper aduncum, Leucas aspera, Eucaliptus camaldulensis, Ottonia anisum, Salvia Plebeian, Lantana camara, and Syzygium aromaticum with 100% mortality larvae A. aegypti at 48h. CONCLUSIONS: The vector borne diseases must be used to integrate vector management control with essential oils plants.

Essential oil as a new tool for larvicidal Aedes aegypti: A systematic review

Objective: The study aimed to describe the effectiveness of essential oil plants for Aedes aegypti mosquito vector control. Methods: This systematic review selection process following with 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guideline. The source of the articles from databases international journal were Scopus, Pubmed, Scinapse and Google Scholar. Result: Natural control management with essential oil is the way of alternative for larvicidal mosquito control especially A. aegypti. The essential oil for many plants can use for larvicidal against A. aegypti as Piper batle L., Tinospora rhumpii, Azadiractha indica, Persea americana, Piper aduncum, Leucas aspera, Eucaliptus camaldulensis, Ottonia anisum, Salvia Plebeian, Lantana camara, and Syzygium aromaticum with 100% mortality larvae A. aegypti at 48 h. Conclusions: The vector borne diseases must be used to integrate vector management control with essential oils plants. (AU)

Integrated vector management with additional pre-transmission season thermal fogging is associated with a reduction in dengue incidence in Makassar, Indonesia: Results of an 8-year observational study.

Dengue virus transmission is endemic in Makassar, Indonesia, with the majority of cases reported soon after the start of the annual rainy season. Before 2006, larval source reduction, larvaciding, and reactive routine, outdoor, insecticide fogging campaigns did not result in a reduction in seasonal dengue incidence. Beginning in 2006, village volunteers conducted comprehensive surveys for immature Aedes during the dry season, when vector populations were at their lowest. Based on this pre-season vector data, a single additional pre-emptive outdoor fogging with Malathion was conducted once annually before the rains began in villages with a pre-defined proportion of sampled houses positive for Aedes immatures. This additional procedure was associated with reduced temporal larval indices as well as an 83% reduction in reported cases during the transmission season over the 8-year period of implementation. Two cities adjacent to Makassar experienced substantial but smaller reductions in dengue incidence; while other cities further from the intervention area did not. This represents the first time an integrated intervention strategy has been coupled with substantially reduced dengue transmission in Indonesia.

Diversity of Dengue Virus Serotype in Endemic Region of South Sulawesi Province.

The objective of this research was to investigate serotype diversity pattern of dengue hemorrhagic fever virus by using real-time-polymerase chain reaction (RT-PCR) method. It was an explorative laboratory research in endemic dengue fever area in South Sulawesi Province, Indonesia, that is, Makassar municipality and Maros and Gowa region. Serological examination was carried out using real-time-polymerase chain reaction (RT-PCR) method to determine the serotype of dengue virus. The data showed that, of 30 patients, 20 patients (66.67%) were from Makassar municipality: 10 patients (33.33%) from Gowa region and 10 patients (33.33%) from Maros region. The serotypes found were DENV-2 and DENV-4 and no DENV-1 and DENV-3 serotypes were found. Makassar municipality and Gowa region have higher infection with serotype DENV-2, that is, 40% of cases compared with Maros, which is 20.0%. Statistical test results showed no significant differences between the three endemic areas. Maros region has the highest infection with serotype DENV-4, that is, 40% of cases compared with Makassar municipality (5.0%) and Gowa region (0%). Statistical test results showed significant differences between the three endemic areas. This result revealed that serotypes obtained in endemic areas of dengue fever in South Sulawesi are DENV-2 and DENV-4 and not serotypes DENV-1 and DENV-3. Makassar municipality has DENV-2 and DENV-4 serotype, infection dominated by DENV-2, while Maros region also has DENV-2 and DENV-4, but DENV-4 is the dominant serotype. Gowa municipality only has DENV-2 serotype infection.

Impact of a spatial repellent on malaria incidence in two villages in Sumba, Indonesia.

A randomized, double-blinded, placebo-controlled study was conducted to examine the effect of spatial repellent (SR) in households at risk of malaria in Indonesia. Following presumptive radical cure for malaria in 180 adult men representing sentinels of new infection in four clusters within two villages, all households were given either metofluthrin or placebo mosquito coils. Weekly blood smear screening and human-landing mosquito catches were done throughout the 6 months intervention. Malaria infections occurred in 61 subjects living in placebo households and 31 subjects living in SR coil households, suggesting a 52% protective effect of SR. Likewise, anopheles indoor human landing rates were 32% lower in homes receiving SR coils. Differences in the malaria attack rate between SR- and placebo-treated homes was significant when not accounting for the effects of clustering. When the analysis was adjusted for intra-cluster correlation, the differences between SR- and placebo-treated homes were not statistically significant. The findings provide evidence of SR public health benefit and support a larger trial statistically powered to detect those effects.