Prevention of acute viral hepatitis incidence is important, in Indonesia which is still found throughout the years and is endemic diseases.
Based on how his passion of transmission of most hepatitis acute virus that is taken orally (by mouth), it is necessary once improved environmental health, and sanitation improvements. Use of clean water should be increased, considering the many people who use dirty water to daily.
Garbage problem until now still difficult to overcome. Waste disposal that have been executed can still be pollute the environment and the spread of disease. By because it was necessary to think about waste disposal business better, and have sought treatment and utilization of garbage with no pollution.
It is important and should not be underestimated is improving nutrition in the community, to improve endurance. Need to get used to eat / drink still fresh and good quality. Eat drink served on the table to keep it closed, to prevent the crowd
germ carrying flies.
The use of medical devices must be observed attempted use disposable and discarded, especially tools that can cause injury, eg needles, knives surgical, dental instruments, etc..
Every patient with hepatitis, should be treated in hospital and isolated, because they can transmit the disease primarily
in the days before ikterik (yellow) and the beginning of ikterik. Therefore, the patient should be seen and treated
cured. Especially in Indonesia, the disease is still classified as endemic. To treat patients in hospital still often have trouble, especially people who living in rural or seeing a health center.
Other prevention efforts are needed imunisation program digalakan. Until now, the vaccine is already in circulation to prevent viral hepatitis A and B only, while others not yet exist. At the close relatives of hepatitis A patients or B, need
given an injection of immunoglobulin. Similarly for those who will travel to the endemic Hepatitis viruses A or B, should be given an injection
In the prevention of viral hepatitis B, according to the purpose the main vaccination to prevent infection B virus in a settlement, then the main target of vaccination is infants and small children, because the younger the age at time B virus infection, the greater infesi possibility of permanent B virus.
Research shows that babies who suffered from infection in the first year of life, will experience the persistence of infection for several years, let alone children which received B virus transmission from mother vertically birth.
In countries where vertical transmission is the transmission The highest infection, the main target is the baby born
of mothers with positive HBsAg in the blood. With only vaccinations for infants born to mothers with HBs Ag positive, then the number of people with children will be suppressed, so that the automatic transmission of the horizontal
sourced from these children will be reduced.
In an effort to prevent B virus infection in a settlement (persistent), then the more effective vaccination can result when
done as early as possible, at a young age may be. For a young growing child infected, the greater the possibility of persistence. About what age is the age limit should be used priority for mass vaccination, there is no explicit provision. But from the results of existing research can be concluded that the risk of persistence of virus B infection most common in aged under 3 years. Therefore, for a while, the limit age is used to determine the priorities in the age mass vaccination in children in Indonesia. Given the cost of vaccination is quite expensive, and limited government funding, so as the main target for vaccination is primarily directed to high-risk groups with the following sequence:
1. Newborns from mothers who have positive HBsAg.
2. Environmental / patient family members Viral hepatitis B.
3. Medical personnel, paramedics, laboratory clinic.
4. They are often received blood transfusions.
5. Those who live in the incidence of B virus Hepatitis
high.
Tags: Garbage, hepatitis A and B, Prevention of acute viral hepatitis incidence, transmission of most hepatitis
