Personal hygiene and good sanitation condition play important roles in decreasing diarrheal incidence definition of arthritis in spanish diclofenac 100 mg online buy cheap. Meanwhile Indonesia, with its more than 17,000 islands and population around 240 millions, face huge barriers in establishing those living conditions. Access to safe drinking water is still a problem for more than 100 million people and only around 45% could access good sanitation condition (Adisasmito 2007). There is also another new hope to prevent diarrheal diseases, especially diarrhea which is caused by rotavirus, through vaccination. As one of disease prevention method, rotavirus vaccination is one of the solutions that we can implement. But it is not that easy to implement such a program, moreover a vaccination program. Since 2000, Indonesia has undergone decentralization including health sector, and it was strengthened by government act number 32/2004 (Pemerintah Republik Indonesia 2004) about districts autonomy. Vaccination as a vertical program, nowadays is implemented varies among districts based on their priorities, fiscal capacities, geographical barriers and other reasons. But if we try to add at least one more vaccine that can help to prevent one of the highest burden diseases which contributes to under-five deaths as mentioned above, would it be the government priority? How can we introduce and implement a new vaccination program to prevent diarrhea within decentralization 1 era? That is the challenge, we have to do more efforts to local authorities and make the program as one of the priorities. Burden of rotavirus infection Rotavirus infections are reported as the most common causes of diarrheal diseases. Among those numbers, it is estimated that numbers of deaths due to rotavirus infection are 450,000 cases which mostly occurred in developing countries (Parashar et al, 2003). A systematic review study reported that rotavirus infection contribute to hospitalized diarrheal cases among children around 38% in Asia. The authors also mentioned in their discussion that they found some studies in other regions which stated about rotavirus contribution is around 30% in Latin America, 40% in Europe, and 34-40% in Africa and Middle East (Kawai et al 2012).
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Mazin, 52 years: Oral prednisone taper Amoxicillin Oral decongestants Trimethoprim璼ulfamethoxazole Azithromycin A.
Hjalte, 23 years: Sometimes, these illnesses preclude their participation in the usual child care activities.
