Evaluating entomological measures and cypermethrin use in pest control

Agus Susanto — 2024-03-27

Purpose: This study aims to analyze entomological indicators and the susceptibility status of the Aedes aegypti mosquito to cypermethrin in the Tanjung Balai Karimun Port Health Office area.

Methods: This type of study is observational, using a cross-sectional design approach. Entomology indicator data collection is carried out routinely every month by observing containers in each building both inside and outside. The vulnerability test uses the WHO susceptibility test method.

Results: The results of entomological indicators in the perimeter area showed no density of Aedes aegypti mosquito larvae. In contrast, the density of larvae in the buffer area was low to moderate. A susceptibility test showed that 0.05% cypermethrin was still susceptible to Aedes aegypti mosquitoes.

Conclusion: These findings underscore the efficacy of the current control measures implemented in the study area and emphasize the critical need for continuous monitoring and surveillance. Maintaining such efforts is paramount for sustaining effective mosquito control initiatives and mitigating the potential risks posed by Aedes aegypti mosquitoes, thereby reducing the threat of vector-borne disease.

A case report of unsuccessful VBAC in primary care: highlighting the lesson learned

Nafi'atul Ummah — 2024-03-27

Purpose: To delve into the patient’s attempt at vaginal birth after cesarean section (VBAC) in the primary care center and to highlight the importance of the primary care center for women opting for VBAC.

Methods: This case report describes a woman with unsuccessful VBAC in primary care. Informed consent was obtained before the study.

Results: A woman in her mid-thirties with a history of a prior cesarean section and a failed trial of labor was referred to the hospital at 40 weeks gestational age due to prolonged labor. The patient was referred to the hospital after 14.5 hours of trial labor in primary care. After delivery, the patient had urinary retention caused by pelvic nerve injury. The newborn baby had an APGAR Score of 3/5 and was treated in the Neonatal Intensive Care Unit (NICU) with respiratory distress syndrome and meconium aspiration syndrome.

Conclusion: Vaginal birth after cesarean can be done by considering its indications and contraindications. However, it is recommended to perform VBAC in hospitals equipped with emergency cesarean facilities, in which the cesarean section can be done within 30 minutes after the decision has been made. Primary care centers have a role in educating patients, providing guidance, and selecting patients for referral. This case also highlights the importance of a holistic approach to social obstetrics, addressing medical, social, economic, and systemic factors. By doing so, healthcare systems can ensure equitable access to timely and appropriate care, ultimately enhancing the well-being of pregnant women and improving VBAC success rates.

BKM Public Health and Community Medicine

Evaluating entomological measures and cypermethrin use in pest control

A case report of unsuccessful VBAC in primary care: highlighting the lesson learned