mass vaccination program of hepatitis B vaccination for infants should be reevaluated. Feared that the vaccine failed to establish the pattern of antibodies in children so that it remains vulnerable to the virus.

Professor of Microbiology, University of Airlangga Lusida Maria Inge said, the failure of antibody development was recorded in research in one district in East Java last year.

In a joint research team of the University of Kobe, Japan was known to only 23.6 percent of children had antibodies to hepatitis B. “There are 80 percent of children have received hepatitis B vaccination,”

Thus, there are 76.7 percent of children in the district vulnerable to suffering from hepatitis B. In the long run, the virus can cause liver cancer or cirrhosis of the liver.

“We found there was a pause time of birth and vaccination. Some kids just got a vaccine after the age of two months,” he said.

In fact, there is no certainty of a baby infected with hepatitis B virus from mother or not. If infected, there is a time of month for the virus to adapt to the child’s body. Vaccination after the age of two months instead trigger the feared mutation of the virus.

“I proposed a re-evaluation of hepatitis B vaccination program has been underway since 1997,” he said.

Talking about bone health often discusses the fragility of bone in the elderly. Bone health in childhood and adolescence is sometimes forgotten. In fact, the future of our bones actually determined precisely at these times.

Eating one of the important bone-forming elements, namely calcium, like the opening of deposit. We kept since childhood and adolescence as security in old age. So, before sorry, tabunglah calcium from the outset.

Bone fragility and pain caused a big problem in this country. Ministry of Health noted, the prevalence of osteopenia (early osteoporosis) in Indonesia amounted to 41.7 percent. That means two out of five Indonesian population at risk of osteoporosis.

The figure is higher than the prevalence of the world, ie one in three people at risk of osteoporosis.

Osteoporosis is a systemic disease of low bone mass and deterioration of bone tissue micro-structure, characterized among others by the fragility, vulnerability to fractures.

Osteoporosis is a common disorder of bone metabolism in adults. Lately, there are many studies that have looked at the root of the problem of osteoporosis in childhood. Bones grow and peaked in adulthood.

Childhood is a critical period of bone development. Amounting to 45 percent growth in bone mass occurs at age 00-10 years. At that time, bone grows lengthwise. As a teenager, about 45 percent of adult bone mass is formed up before the age of 18 years.

“As adults, bone mass development continues until the age of 30 years,” said an orthopedic specialist and Traumatology of the Faculty of Medicine, University of Indonesia, Lukman Shebubakar, in the event a media workshop titled “Fulfill The Importance of Calcium Intake on to Optimize Growth of School Age Children” some time ago.

For men, the older bone development. While the time span of bone growth is faster in women.

Conversely, in old age the underlying bone that its velocity exceeds the speed of bone production. Rapid loss of bone is influenced gender, lifestyle, genetic and hormonal status.

In women who give birth and menopause, removal of bone occurs more frequently. Women begin to lose calcium from their bones begin around the age of 40 years and boys from age 60 years.

The main builder

Primary prevention of osteoporosis is to build maximum bone density during childhood and adolescence. Bone growth is influenced by the amount of calcium, phosphorus, and vitamins, especially vitamin D are involved in the absorption of calcium. Another factor is hormone balance.

Calcium is the major mineral-forming bone. Minerals also regulate contraction and relaxation of muscles, are involved in nerve transmission, helps blood clotting, and regulate the body’s hormones and growth factors. Total calcium of about 2 percent of body weight. Amounting to 99 percent is stored in bones and 1 percent in body fluids.

When there is a shortage of calcium, the body will take it from the bones. “Every day we’ve definitely lost as much as 170 mg of calcium lost in the process of secretion through the sweat and urine. Lack of calcium intake at the age of children, adolescents, and adults will be felt after entering old age, “said Lukman.

Standardization Development Section Head Food Consumption Community Nutrition Directorate of the Ministry of Health as well as nutrition experts, IIp Syaiful, said that the amount of nutrient adequacy established the Ministry of Health for children aged 7-9 years is 600 mg of calcium per day and for children aged 10-12 years increased to 1000 mg per day. It needs more than doubled compared with the age of 4-6 years, ie 500 mg of calcium per day.

The problem, he says, one nutritional problem in school-age children is a deficiency of certain substances, including calcium.

When entering the age of six, children begin to show its ability to determine the choice of food and seeing the many food choices outside the home. Children are not easy to start again arranged. Milk is rarely consumed also started.

Absorption of calcium is also a problem when there is deficiency of various other substances. He gave an example, deficiency of vitamin D in active form can affect the absorption of calcium. Oxalic acid and phytic acid can also inhibit calcium absorption.

Excessive protein consumption also causes calcium easily excreted through urine. Once the physical and mental stress also reduces the absorption of minerals. “Basically, every type of food has a role

in balancing the input of nutrients daily. Consumption of food should be diverse, “said IIp.

In order to improve bone health, activities of the child’s body must also be considered. Unfortunately, children are also increasingly limited movement, especially in big cities. More child activities within the home and less active. In fact, exercise influence on bone development.

Lukman said, some exercises to strengthen the bones of the simplest is walking, jogging, climbing stairs, and jump rope. Sports games, like tennis, basketball, soccer, and volleyball, is also good for the bones. Exercises about 30 minutes long with a frequency of more than three times in one week. For children, exercise habits that can be customized with child’s play. Congratulations to play while saving calcium ….


In Indonesia, new cases of cervical cancer is found 40-45 cases per day. It is estimated that every one hour, one woman died of cervical cancer.

“Cervical cancer raises health expenses, emotional and economic support for sufferers and also affects the whole family because this disease can often infect and kill women in productive age 30-50 years,” said Dr. Billy Purwoto of Gynecology Oncology Division, Department of Obstetrics Gynecology (Gynecology and Midwifery) RSCM / FKUI Jakarta, Friday (24 / 7).

Cervical cancer is the most common cancer in women in Indonesia. According to Dr. Melissa S Luwia, Chairman of the Second Division of Social nan ministry Indonesian Cancer Foundation (ICF), Association of Cervical Cancer Care (PPKS) which is part of the ICF was established to promote the dangers of cervical cancer in women in Indonesia. The principle of prevention is better than cure us have been socialized, so the women checked out early and not be able to see a doctor during an advanced stage which is still difficult penangannya.

Cervical cancer is caused by infection or recurrent infections caused by Human Papilloma Virus (HP V) cancer-causing (oncogenic). In the world, every two minutes a woman dies due to cervical cancer. In cervical cancer cases worldwide amounted to some 500 000 cases per year, and mortality rate 270 000 deaths per year.

HPV 16 and 18 is the main cause in 70 percent of cervical cancer cases in the world. Other risk factors among young married, age less than 20 years. “It could also because of multiple sexual partners or alternately,” said Billy.

On last Friday, several members PPKS who are the survivors (survivors) from cervical cancer) comes to visit and confirm the RSCM for cervical cancer patients in RSCM the amount of which as many as 28 patients.

Dr. Laila Nuranna SpOG (K) from the Division of Gynecology Oncology Department of Gynecology Obsterti RSCM / FKUI states that in addition to 28 patients who underwent inpatient care, each day there are 10-50 patients in RSCM outpatient treatment.

“For our medics look at the fact that many patients already in hospital dtaang as advanced stage,” said Laila Nurrana.

Therefore, prevention is the best step, namely the promotion, education and vaccination as primary prevention and screening or papsmear as secondary prevention. “Tertiary prevention with therapy and rehabilitation,” said Billy. Purwoto.


There are indications that more and more deposits of calcium in the body of a woman before menopause, the less risk to suffer from severe osteoporosis. Food supplements containing calcium and will help maintain maximum levels of calcium.

Many physicians recommend supplements to meet calcium needs kalsiun. But recent studies say, the elderly should be careful taking calcium supplements. The study, published in the British Medical Journal says people are taking supplements of calcium 30% more at risk of heart attacks.

Data from 11 studies also suggested medical drugs less effective for preventing bone fractures due to osteoporosis. In fact, today millions of people around the world taking calcium supplements to prevent fractures. That’s why experts recommend a doctor to review the use of calcium supplements.

The study was conducted on 12,000 people over the age of 40 years who took part in the study. They consume 500 mg calcium supplement daily. Heart attack risk found in both men or women and not dependent on age and type of supplement provided.

Completely unclear why calcium supplements increase the risk of heart attack but experts suspect the increase amount of calcium in the blood can lead to hardening of the arteries.


Cervical cancer is the leading cause of cancer deaths in developing countries. In fact, it actually can be minimized cancer sufferer.

This was revealed on the show “Fight for Cervical Cancer” held by the Faculty of vocational Public Relations, University of Indonesia,. This activity aims to increase awareness of women, especially female students about the dangers of cervical cancer (cervical).

Cervical cancer is cancer of the lower area of the uterus that connects the uterus with the vagina. Normal cervical cells infected with human papilloma virus (HPV), especially types 16 and 18, slowly evolved into precancerous.

One of the speakers, content specialists Adrian Setiawan, said that cervical cancer is the leading cause of death of women in developing countries. According to data Globocan 2002, there were 40 000 new cases of cervical cancer with about 22,000 deaths in women in Southeast Asia. Indonesia is ranked first with 15 050 new cases and deaths in the year 7566 souls.

The figure is not much change, even increased compared with the previous year. Premises a growing number of patients, cervical cancer cases occur iceberg phenomenon. “This means about 20 Indonesian women died of cervical cancer per day,” said Adrian.

One of the causes of high incidence in developing countries is limited information about that type of cancer. Early detection of pap smears and vaccines are still relatively expensive. Pap smear costs Rp 400,000-Rp 700,000. HPV vaccine Aementara once to Rp 1 million needles.

Adrian said, about 90 percent of cervical cancers caused by HPV-common viruses. While 80-10 HPV-infected women allegedly had in his life. The virus can be transmitted in women and men. There are about 100 types of HPV and 30 of them on the genitals. Most can be cleaned by the body.

Types of HPV that are known to cause cancer among other types 16 and 18, cause about 70 percent of cervical cancer. Cervical cancer is often without symptoms, so that approximately 70 percent of patients present in advanced stage.

Similar disclosed Adityawati G Parengkuan from Indonesia Cancer Foundation. He said cancer patients continues to increase and 85 percent of the causes of cancer in general is 15 percent of environmental factors and genetic factors.

Risk factors for cervical cancer include sexual intercourse young age (less than 20 years), changing sexual partners, often suffer from infections in the genital area, and gave birth to many children. Another risk factor is a deficiency of vitamins A, C and E as well as exposure to cigarette smoke.

Adrian said, the primary prevention of cervical cancer vaccine may be with HPV types 16 and 18. Other measures to keep sexual behavior.

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