scholarly journals Tuberculosis and its Control in Indonesia

2017 ◽  
Vol 15 (11-12) ◽  
pp. 315
Author(s):  
A.S. Gunardi
Keyword(s):  
High Risk ◽  
Health Education ◽  
Tuberculin Test ◽  
Primary Vaccination ◽  
Case Finding ◽  
Vaccination Policy ◽  
Prevalence Survey ◽  
Bcg Vaccination ◽  
Tuberculin Sensitivity ◽  
Tuberculosis Prevalence

Based on a tuberculosis prevalence survey with the assistance of WHO in 1962 - 1965 in the areas fogyakarta and Malang where were found a prevalence of tuberculin sensitivity of 40,6% at the age 10-14 years, a prevalence of bac- teriologically confirmed cases of 0.6% and those with pulmonary shadows 3.6%, a workshop in Ciloto was hold (January 1969), with the following results :a. BCG vaccination without prior tuberculin test to children of 0-14 years of age.b. Case finding and treatment to those with sputum ”afb” positive.c. Health education to the people.In Pelita I priority was given to BCG vaccination with a target of 55 million of which a 75% coverage will be expected particularly in Java and Bali.For Pelita II BCG vaccination policy will be changed. To achieve a more realistic target and to have the most susceptible (high risk) ages vaccinated, every child should have a recent BCG vaccination before entering puberty and to vaccinate children early in life, 0-1 year. Only primary vaccination will be done during Pelita II while revaccination will be performed in Pelita III. As performers will be the smallpox vaccinators in a simultaneous vaccination programme with other vaccines.Case finding and treatment, and Health education will be improved in Pelita II because the health infra structure (organization) and community participation was below expectation in Pelita I; it will be integrated into the existig health activities. Treatment will only be given to patients with bacteriologically confirmed sputum, and free of charge.

Explore the Possible Impact of BCG Vaccination Policy on the Morbidity, Mortality, and Recovery Rates due to COVID-19 Infection. (Preprint)

2020 ◽  
Author(s):  
Yue-Cune Chang
Keyword(s):  
Odds Ratio ◽  
Randomized Clinical Trials ◽  
Vaccination Policy ◽  
Bacille Calmette Guerin ◽  
Recovery Rates ◽  
Bcg Vaccination ◽  
The World ◽  
New Form ◽  
The Relationship ◽  
Disease Specific

BACKGROUND The Coronavirus Disease-19 (COVID-19) is the new form of an acute infectious respiratory disease and has quickly spread over most continents in the world. Recently, it has been shown that Bacille Calmette-Guerin (BCG) might protect against COVID-19. This study aims to investigate the possible correlation between BCG vaccination and morbidity/mortality/recovery rate associated with COVID-19 infection. OBJECTIVE Our findings confirm that the BCG vaccination might protect against COVID-19 virus infection. METHODS Data of COVID-19 confirmed cases, deaths, recoveries, and population were obtained from https://www.worldometers.info/coronavirus/ (Accessed on 12 June, 2020). To have meaningful comparisons among countries’ mortality and recovery rates, we only choose those countries with COVID-19 infected cases at least 200. The Poisson regression and logistic regression were used to explore the relationship between BCG vaccination and morbidity, mortality and recovery rates. RESULTS Among those 158 countries with at least 200 COVID-19 infected cases, there were 141 countries with BCG vaccination information available. The adjusted rates ratio of COVID-19 confirmed cases for Current BCG vaccination vs. non-Current BCG vaccination was 0.339 (with 95% CI= (0.338,0.340)). Moreover, the adjusted odds ratio (OR) of death and recovery after coronavirus infected for Current BCG vaccination vs. non-Current BCG vaccination were 0.258 (with 95% CI= (0.254,0.261)) and 2.151 (with 95% CI= (2.140,2.163)), respectively. CONCLUSIONS That data in this study show the BCG might provide the protection against COVID-19, with consequent less COVID-19 infection and deaths and more rapid recovery. BCG vaccine might bridge the gap before the disease-specific vaccine is developed, but this hypothesis needs to be further tested in rigorous randomized clinical trials. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1101/2020.06.14.20131268

scholarly journals Developing of a Simple Screening Tool for Opportunistic COPD Case Finding

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y M Mohamed ◽  
S H Sharkawy ◽  
D I Darwish
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Early Diagnosis ◽  
Outpatient Clinic ◽  
World Wide ◽  
Screening Tool ◽  
Case Finding ◽  
Screening Questionnaire ◽  
Risk Patients ◽  
Simple Screening

Abstract Background Under diagnosis of COPD is serious problem in many countries world-wide because there are no generally detection tools available to detect high-risk patients for spirometry, and patients will not go for COPD check-up until a serious issue happens like exacerbation. Objective The aim of the work is trying to assess a new screening tool for early diagnosis of COPD. Patients and Methods The present study was conducted upon 500 subjects during the period from march 2018 to august 2018 who admitted to our chest department or visit our outpatient clinic, employees and visitors to Ain Sham hospitals.All subjects >40yrs who smoker or ex-smoker(≥10pack-years) applied a six variants(age,sex,packed years smoked during life ,dyspnea,chronic phlegmand chronic cohgh)questionnaire modified from PUMA questionnaire Subjects with score ≥5 did spirometry Results 500 subjects shared in the study 497 of them were males ( 99.4% )and 3 were females (.6%). 152of them(30.4%) had score <5 and 348 of them (69.6%)had score ≥5 who did spirometry.152 subjects did not perform spirometry. By spirometry we diagnosed 81(23.3) case COPD (fev1-fvc <.7) out of 348 subjects under gone spirometry and 16.2% of total subjects(500) . Conclusion Modified puma score is a simple and easy screening questionnaire for early detection of COPD cases and spirometry should be done to confirm the diagnosis or rule out.COPD is prevalent in many healthy apparent persons.

scholarly journals Point prevalence survey to evaluate the seropositivity for coronavirus disease 2019 (COVID-19) among high-risk healthcare workers

2020 ◽  
pp. 1-6
Author(s):  
Norihiro Yogo ◽  
Kristina L. Greenwood ◽  
Leslie Thompson ◽  
Pamela J. Wells ◽  
Stephen Munday ◽  
...  
Keyword(s):  
High Risk ◽  
Healthcare Workers ◽  
Point Prevalence ◽  
Prevalence Survey ◽  
Unit Type ◽  
Point Prevalence Survey ◽  
Positive Antibody ◽  
Respiratory Coronavirus ◽  
Antibody Tests

Abstract Among 1,770 healthcare workers serving in high-risk care areas for coronavirus disease 2019 (COVID-19), 39 (2.2%) were seropositive. Exposure to severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in the community was associated with being seropositive. Job or unit type and percentage of time working with COVID-19 patients were not associated with positive antibody tests.

scholarly journals Gesondheidsvoorligting by swanger vroue

Curationis ◽  
1992 ◽  
Vol 15 (2) ◽  
Author(s):  
M.E. Bester
Keyword(s):  
Family Planning ◽  
High Risk ◽  
Health Education ◽  
Danger Signs ◽  
Hospital Patients ◽  
A Priority ◽  
Positive Results ◽  
Antenatal Services ◽  
In Pregnancy ◽  
Masters Degree

Health education and information in pregnancy must be a priority, despite the lack of instruments to evaluate the effectiveness of the education and the fact that positive results cannot be guaranteed. During research done for a Masters degree on the utilization of antenatal services by high risk primigravidae at the Tygerberg hospital, patients were interviewed on various aspects that are important during pregnancy, like family planning, breastfeeding, smoking and danger signs that may occur during pregnancy.

scholarly journals Improved health education for pregnant women in performing antenatal care in the COVID-19 pandemic

2021 ◽  
Vol 6 (4) ◽  
pp. 526-533
Author(s):  
Lestari Sudaryanti ◽  
Amellia Mardhika ◽  
Arina Qona’ah ◽  
Anestasia Pangestu Mei Tyas ◽  
Muhammad Ardian Cahya Laksana
Keyword(s):  
High Risk ◽  
Health Education ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Service ◽  
Human Life ◽  
Global Pandemic ◽  
Score Card ◽  
Post Test ◽  
Level Of Knowledge

COVID-19 has been declared by WHO as a global pandemic. COVID-19 affects various lines of human life, especially the health aspect. East Java has ranked second in the COVID-19 cases in Indonesia. One of the efforts made to reduce the spread of COVID-19 is through clean and healthy activities and behaviors stay at home causes people to be limited in their activities except for very important purposes, especially activities for pregnant women. Pregnant women must and should carry out regular antenatal care checks. COVID-19 causes anxiety problems and worries for pregnant women to leave the house, including having pregnancy checks. But the mother is also worried about the condition and development of the fetus. This will increase the risk of maternal and infant mortality and the SDGs target in the third objective will not be met. This community service aims to provide knowledge related to antenatal care to high-risk using Poedji Rochyati Score Card (score 6-10) and very high-risk pregnant women (score 12) during the COVID-19 period. The method used in the implementation of this community service is material from resource persons, implementation of health education, and evaluation. The pregnant women were very enthusiastic about participating in this event, it was seen from the questions given to the team and vice versa. The results of the questionnaire show that there are differences in the level of knowledge of pregnant women for pre-test and post-test.

scholarly journals BCG vaccination policy and preventive chloroquine usage: do they have an impact on COVID-19 pandemic?

2020 ◽  
Vol 11 (7) ◽  
Author(s):  
Abhibhav Sharma ◽  
Saurabh Kumar Sharma ◽  
Yufang Shi ◽  
Enrico Bucci ◽  
Ernesto Carafoli ◽  
...  
Keyword(s):  
Vaccination Policy ◽  
Bcg Vaccination
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