Latar belakang: Kecacingan merupakan masalah kesehatan yang banyak menyerang anak-anak terutama anak usia sekolah dasar. Infeksi ini dapat mengakibatkan terjadinya anemia, gangguan pertumbuhan dan penurunan fungsi kognitif. Banyak faktor yang mempengaruhi terjadi kecacingan pada anak. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan anak, personal hygiene anak, sanitasi lingkungan rumah dan tingkat pendidikan orang tua dengan terjadinya kecacingan. Metode:  Penelitian ini menggunakan cross sectional design. Sampel berjumlah 51 anak sekolah dasar Alue Naga Banda Aceh serta ibu nya. Data kecacingan diperoleh dari pemeriksaan feses di laboratorium, sedangkan data pengetahuan dan tingkat Pendidikan diperoleh dengan wawancara, serta sanitasi lingkungan mengggunakan observasi. Analisis yang digunakan adalah analisis univariat dan bivariat yaitu uji Fisher’s Exact Test. Hasil: Penelitian ini menunjukkan 11,8% siswa positif kecacingan, terdapat hubungan antara tingkat pengetahuan anak dengan terjadinya kecacingan (p = 0.000), terdapat hubungan antara personal hygiene dengan terjadinya kecacingan (p = 0.011), tidak terdapat hubungan antara sanitasi lingkungan rumah dengan terjadinya kecacingan (p = 0.556) dan terdapat hubungan antara tingkat pendidikan orang tua dengan terjadinya kecacingan (p = 0.034). Kesimpulan:Tingkat pengetahuan anak, personal hygiene anak, tingkat pendidikan orang tua berhubungan dengan terjadinya kecacingan.

IntroductionExact etiology and proper treatment of eczema are still unknown. The hygiene hypothesis and epidermal barrier dysfunction hypothesis attempted to give some plausible explanations for these issues but they still remain unclear. The identification of factors, including hygiene practices, related to eczema symptoms (ES) could shed some light on these matters. Therefore, this study aimed to determine risk factors related to ES and the ES prevalence in two disparate areas in terms of urbanization in Aceh, Indonesia.MethodsA cross‐sectional study with convenience sampling was conducted among schoolchildren living in urban and rural Aceh. Data on ES, socio‐demographic characteristics, environmental factors, partial ablution and other hygiene related factors were collected by parental questionnaires. In addition, children's anthropometric measurements were also collected.ResultsThe prevalence of current ES in the study population was 21%. When stratifying by residency, the prevalence of ES in urban and rural area was 20.93% versus 21.05%. Partial ablution was independently associated with a reduced risk of ES (OR = 0.36; 95% CI 0.13–0.96). Important risk factors for ES were paternal history of allergic disease (OR = 4.09%; 95% CI 1.51–11.11) and belonging to the older group of schoolchildren (10–13 years old) (OR = 2.57; 95% CI 1.03–6.40).ConclusionsThere were no significant differences in the prevalence of ES between urban and rural settings, and partial ablution had a protective effect on ES. These findings support the epidermal barrier dysfunction hypothesis as a possible pathway of eczema.

The transmission of dengue and other medically important mosquito-borne viruses in the westernmost region of Indonesia is not well described. We assessed dengue and Zika virus seroprevalence in Aceh province, the westernmost area of the Indonesian archipelago. Serum samples collected from 199 randomly sampled healthy residents of Aceh Jaya in 2017 were analyzed for neutralizing antibodies by plaque reduction neutralization test (PRNT). Almost all study participants (198/199; 99.5%) presented with multitypic profiles of neutralizing antibodies to two or more DENV serotypes, indicating transmission of multiple DENV in the region prior to 2017. All residents were exposed to one or more DENV serotypes by the age of 30 years. The highest geometric mean titers were measured for DENV-4, followed by DENV-1, DENV-2 and DENV-3. Among a subset of 116 sera, 27 neutralized ZIKV with a high stringency (20 with PRNT90 > 10 and 7 with PRNT90 > 40). This study showed that DENV is hyperendemic in the westernmost region of the Indonesian archipelago and suggested that ZIKV may have circulated prior to 2017.

Background The malaria control programme in Indonesia has successfully brought down malaria incidence in many parts in Indonesia, including Aceh Province. Clinical manifestation of reported malaria cases in Aceh varied widely from asymptomatic, mild uncomplicated to severe and fatal complications. The present study aims to explore the allelic diversity of merozoite surface protein 1 gene (msp1) and msp2 among the Plasmodium falciparum isolates in Aceh Province and to determine their potential correlation with the severity of malaria clinical manifestation. Methods Screening of over 500 malaria cases admitted to the hospitals in 11 districts hospital within Aceh Province during 2013–2015, identified 90 cases of P. falciparum mono-infection without any co-morbidity. The subjects were clinically phenotyped and parasite DNA was extracted and polymerase chain reaction (PCR) amplified for the msp1 and msp2 allelic subfamilies. Results Analysis of clinical manifestation revealed that fever-chill is the most frequent symptom. Based on WHO criteria showed 19 cases were classified as severe and 71 as mild malaria. Analysis of msp1 gene revealed the presence of K1 allele subfamily in 34 subjects, MAD20 in 42 subjects, RO33 in 1 subject, and mixed allelic of K1 + MAD20 in 5 subjects, K1 + RO33 in 4 subjects, and MAD20 + RO33 in 4 subjects. Analysis of msp2 gene revealed 34 subjects carried the FC27 allelic subfamily, 37 subjects carried the 3D7 and 19 subjects carried the mixed FC27 + 3D7. Analysis of multiplicity of infection revealed that msp1 alleles is slightly higher than msp2 with the mean of MOI were 2.69 and 2.27, respectively. Statistical analysis to determine the association between each clinical manifestation and msp1 and msp2 alleles revealed that liver function abnormal value was associated with the msp2 mixed alleles (odds ratio (OR):0.13; 95%CI: 0.03–0.53). Mixed msp1 of K1 + RO33 was associated with severe malaria (OR: 28.50; 95%CI: 1.59–1532.30). Conclusion This study found a strong association between severe malaria in Aceh with subjects carrying the msp1 mixed alleles of K1 and RO33. The liver function abnormal value associated with the msp2 mixed allelic subfamilies. Further study in different geographic areas is recommended.

BACKGROUND: Aedes aegypti is one of the most vicious mosquitoes, known for its role in several deadly diseases, including dengue fever and Zika. Several strategies have been developed over decades to prevent vector-borne diseases; one of them is insecticide to control the mosquito population. However, this strategy would not last long due to the elevation of resistance, environmental problem, and some issues regarding human health. Natural products have become major options to combat the glitches. Lemongrass (Cymbopogon citratus) has known for its toxic effect on mosquito larva. AIM: The objective of this study was to assess the effect of C. citratus extract against fourth instar of A. aegypti larvae. METHODS: Three extract concentrations, 2.5%, 5%, and 7.5%, were used. The larvicide activity was evaluated at 2, 4, and 6 h. Our data indicated that all concentrations contributed to increase larvae mortality. RESULTS: Lethal Concentration (LC) 50 and LC90 were achieved at 2.5% and 4.1% of extract, respectively. CONCLUSION: C. citratus  extract has a larvicide activity against fourth instar of A. aegypti.