The case of Covid-19 in Indonesia continues to increase, transmitted directly and indirectly. Hygiene and sanitation approaches are needed for prevention. the purpose of this review is to review how the transmission COVID-19, the challenges of Indonesia, and the policy of COVID-19 prevention with hygiene and sanitation approaches. The results show Indonesia's challenges namely urban area density, air pollution, and smokers, low hand washing habits, low access to clean water and drinking water, open defecation behavior, limited personal protective equipment. COVID-19 control policy with the hygiene sanitation approach is carried out with 4 factors namely personal protect equipment, health education, personal hygiene, and sanitation.

BackgroundSeveral Asian countries have implemented pictorial health warnings on cigarette packs as suggested by the World Health Organization with various policies based on countries’ systems. The study is aimed to analyse multiple research studies on the perceived effectiveness of Pictorial Health Warnings as a deterrent to smoking intention and as a stimulant of smoking behaviour in smokers and non-smokers in Asian countries.MethodPeer-reviewed articles were identified through multiple science databases indexed by Scopus, MEDLINE or PubMed. The review was limited to articles that reported original research findings, were conducted in Asian countries and were available for review by January 2010. A PRISMA Flow diagram was used to identify the articles through the process of data screening and extractions.ResultA total of 14 original articles which met the criteria were included in the review, consisting of 12 quantitative studies and 2 studies with both quantitative and qualitative methods from 17 jurisdictions. The reviewed studies found that pictorial health warnings were associated with a greater perception of salience (reading and noticing the warning), emotional effects, and cognitive increase. Additionally, in the reviewed studies, pictorial health warnings were perceived as more effective in deterring smoking initiation and encouraging smoking cessation than text-only warnings. Several studies also evaluated the effectiveness of a new pictorial warning compared with the old one. However, the relevance of refreshing the pictures of pictorial health warnings and the length of the effective period of the implementation of pictorial health warnings were less frequently studied.ConclusionPictorial health warnings perceived as more effective in deterring smoking initiation among non-smokers and as well as in stimulating smoking cessation among smokers. Future studies on pictorial health warnings should study the relevance of changing or refreshing pictorial health warning on cigarette packages in a period of time.

On January 30, 2020, the World Health Organization(WHO) declared 2019-nCOV to be a Public Health Emergency of International Concern (PHEIC), due to the significant increase in confirmed new cases in various countries.1 In Indonesia, the first confirmed COVID-19 case was a female who had a closed contact with the 24th confirmed case in Malaysia and the second case was the mother of the first case.2 As time goes by, the number of new cases has increased significantly, reaching 160.165 confirmed cases with 6,944 deaths by August 27, 2020.3 The time when the COVID-19 pandemic in Indonesia will end is not known, although some studies are attempting to predict this such as in articles, journals, newspapers, and other media.

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There is a continuous increase in the number of COVID-19 cases in Indonesia. To control its spread, the government has implemented several strategies, such as policies associated with large-scale social restrictions (Indonesian: Pembatasan Sosial Berskala Besar or PSBB). The purpose of this study is to determine the variables that influence attitudes toward PSBB policies in Indonesia. This is a cross-sectional study with data obtained from 856 respondents from all provinces in Indonesia using the partial least squares and structural equation model (PLS-SEM). A total of 23 indicators were used to examine these policies, which were grouped into five variables: benefits of the PSBB (5 indicators), positive perception (5 indicators), negative perception (3 indicators), threatened perceptions of COVID-19 (5 indicators), and attitude toward the PSBB policy (5 indicators). The model explains over 50% of attitudes exhibited toward PSBB policy implementation and how it is influenced by the perceived benefits, negative and positive perceptions as well as the threat associated with COVID-19. The policy of stay at home, physical distancing, and always using face masks needs to be continued for the public to have a supportive attitude of the PSBB policy in preventing the transmission of COVID-19.

AbstrakKejadian luar biasa hepatitis A di Kabupaten Ciamis telah terjadi beberapa kali, satu di antaranya terjadi di Pondok Pesantren X. Penelitian ini bertujuan untuk menganalisis kondisi kesehatan lingkungan serta perilaku hidup bersih dan sehat dengan kejadian hepatitis A siswa/siswi di Pondok Pesantren X Kabupaten Ciamis. Rancangan penelitian menggunakan desain kasus kontrol dengan jumlah kasus 40 orang dan kontrol 80 orang, total sampel 120 orang. Populasi penelitian adalah siswa/siswi madrasah tsanawiyah dan madrasah aliyah negeri yang tinggal di asrama pondok pesantren. Data kasus merupakan data sekunder yang diperoleh dari Tim Surveilans Kabupaten Ciamis, dengan hasil pemeriksaan serologis positif. Sedangkan kontrol berdasarkan tidak adanya gejala klinis. Data kondisi kesehatan lingkungan serta perilaku hidup bersih dan sehat diperoleh langsung dengan observasi dan wawancara menggunakan kuesioner. Hasil analisis bivariat menunjukan, usia, kebiasaan minum air masak, kebiasaan makan bersama antar teman, tukar menukar alat makan, dan kebiasaan jajan merupakan variabel yang berhubungan dengan kejadian hepatitis A. Hasil analisis multivariat dengan uji regresi logistik ganda diperoleh tiga variabel yang berhubungan dengan kejadian hepatitis A, yaitu kebiasaan makan bersama dalam satu tempat (OR = 21,48), kebiasaan tukar menukar alat makan (OR = 6,15), dan status imunisasi sebagai faktor pencegah hepatitis A (OR = 0,056). Risiko responden apabila belum diimunisasi hepatitis A serta terbiasa tukar menukar alat dan makan bersama dalam satu tempat adalah 3, 36 kali untuk terjadinya hepatitis A.Kata kunci: Hepatitis A, kebiasaan makan bersama, kondisi kesehatan lingkungan, perilaku hidup bersih dan sehat Abstract Hepatitis A outbreaks in Ciamis District has occurred several times, one of them has occurred in X Islamic Boarding School in 2012. This research aimed to analyze environment health condition dan personal hygiene with incident of hepatitis A among students in X Islamic Boarding School Ciamis District. The research used case control with 40 cases and 80 controls, total 120 subjects. The research population are students of tsanawiah madrassa and aliyah public madrassa who stayed at Islamic boarding school. The case data was secondary data gained from Ciamis District Surveilance Team, with the examination result was serologically positive. Meanwhile, the control was based on no clinical symptoms found. The data of environment health condition and personal hygiene was gained directly from the observation and interview by questionnaire. The Chi-Square test analysis showed that age, drinking habit, food sharing habit, utensil exchanging, and snack habit were the variables which related to hepatitis A incidence. The logistic regression analysis test gained of three variables which related to hepatitis A incidents, they are food sharing habit (OR = 21.48), utensil exchanging habit (OR = 6.15), and immunization status as prevention factor (OR = 0.056). The risk of respondents who did not had hepatitis A immunizati...

COVID-19 has become a global pandemic and threatens public health systems worldwide. Virus transmission can be influenced by several factors, one of which is climatic conditions. Temperature, humidity, precipitation, wind speed, and solar radiation play an important role in the transmission of infectious diseases and are variables that can determine the resistance of the SARS virus. This paper aimed to critically assess and provide evidence-based on the impact of climate variables on COVID-19 cases in Asia based on current knowledge to form the basis of guidelines for health care and prevention efforts. This systematic review used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The articles were searched from ProQuest, Scopus, PubMed, and Springerlink databases. It has been screened 2.784 abstracts, 103 full-text publications, and ultimately included 11 systematic reviews. The review found a consistently positive relationship between climate variables and COVID-19. Average temperature, maximum temperature, minimum temperature, and humidity (r = 0.83, 0.94, 0.93, 0.30) were significantly correlated with COVID-19 cases. Temperature, maximum humidity, and population density (adjusted R2 = 0.53, p < 0.05), can be used as references in planning interventions during potential future pandemics. Linear regression framework, high humidity, and high temperature (p < 0.05) significantly reduce the transmission of COVID-19. This systematic review shows that climate plays a role in the spread of the COVID-19 pandemic in Asia.

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