Mortality among healthcare workers in Indonesia during 18 months of COVID-19

The impact of SARS-CoV-2 infections upon Indonesian health care workers (HCWs) is unknown due to the lack of systematic collection and analysis of mortality data specific to HCWs in this setting. This report details the results of a systematic compilation, ion and analysis of HCW fatalities in Indonesia during the first 18 months of COVID-19. HCW who passed away between March 2020 and July 2021 were identified using Pusara Digital, a community-based digital cemetery database dedicated to HCW. We calculated the mortality rates and death risk ratio of HCWs versus the general population. The analysis indicates that at least 1,545 HCWs died during the study period. Death rates among males and females HCWs were nearly equivalent (51% vs. 49%). The majority were physicians and specialists (535, 35%), nurses (428, 28%), and midwives (359, 23%). Most deaths occurred between the ages of 40 to 59 years old, with the median age being 50 years (IQR: 39–59). At least 322 deaths (21%) occurred with pre-existing conditions, including 45 pregnant women. During the first 18 months of COVID-19 in Indonesia, we estimated a minimum HCW mortality rate of 1.707 deaths per 1,000 HCWs. The provincial rates of HCW mortality ranged from 0.136 (West Sulawesi) to 5.32 HCW deaths per 1,000 HCWs (East Java). The HCW mortality rate was significantly higher than that of the general population (RR = 4.92, 95% CI 4.67–5.17). The COVID-19 pandemic in Indonesia resulted in the loss of many hundreds of HCWs, the majority of whom were senior healthcare workers. The HCW mortality rate is five times that of the general population. A national systematic surveillance of occupational mortality is urgently needed in this setting.

The Potential of ZICURMA Herbal Supplement in Inhibiting Pro-Inflammatory Cytokines as Therapeutic Agents in SARS-CoV2 Infection

nSARS-CoV2 causes pneumonia and acute respiratory distress syndrome that involves exacerbated pro-inflammatory cytokines hyperproduction. ZICURMA, zing-curcuma is a tonic developed from ginger, turmeric, and curcuma that may be adequate to remedy nSARS-CoV2 infections. Therefore, this study aims to predict the effectiveness and possible inhibition of potentially bioactive compounds in ZICURMA against pro-inflammatory cytokines through a molecular docking approach. Three bioactive compounds were identified and extracted from KnapSackFamily, namely bisacumol, curcumin and desmetoxycurcumin;then, the 3D structures were generated from PubChem. The protein targets were prepared using an open babel program integrated into PyRx 0.8;there were TN-α, IL-6 / IL-6R, and IL-1 / IL-1R, respectively. The results showed that the ligands had moderate to solid binding affinity with values ranging from –5.0 kcal/mol to –9.0 kcal/mol. However, it offers a mismatch of bonds, including between curcumin compounds and IL-6, IL-6R, IL-1R and IL-1ß. In silico simulation proves that the bioactive compound in ZICURMA does not allow binding to IL-6, IL-6R, IL-1R and IL-1ß proteins. However, it cannot be used as a standard reference to determine the feasibility of bisacumol, desmethoxycurcumin, and curcumin as an anti-viral candidate. Further in-vitro researches should be conducted to validate the potency of ZICURMA as an anti-viral infection. © 2023, Walailak University. All rights reserved.

Mortality among healthcare workers in Indonesia during 18 months of COVID-19.

The impact of SARS-CoV-2 infections upon Indonesian health care workers (HCWs) is unknown due to the lack of systematic collection and analysis of mortality data specific to HCWs in this setting. This report details the results of a systematic compilation, abstraction and analysis of HCW fatalities in Indonesia during the first 18 months of COVID-19. HCW who passed away between March 2020 and July 2021 were identified using Pusara Digital, a community-based digital cemetery database dedicated to HCW. We calculated the mortality rates and death risk ratio of HCWs versus the general population. The analysis indicates that at least 1,545 HCWs died during the study period. Death rates among males and females HCWs were nearly equivalent (51% vs. 49%). The majority were physicians and specialists (535, 35%), nurses (428, 28%), and midwives (359, 23%). Most deaths occurred between the ages of 40 to 59 years old, with the median age being 50 years (IQR: 39-59). At least 322 deaths (21%) occurred with pre-existing conditions, including 45 pregnant women. During the first 18 months of COVID-19 in Indonesia, we estimated a minimum HCW mortality rate of 1.707 deaths per 1,000 HCWs. The provincial rates of HCW mortality ranged from 0.136 (West Sulawesi) to 5.32 HCW deaths per 1,000 HCWs (East Java). The HCW mortality rate was significantly higher than that of the general population (RR = 4.92, 95% CI 4.67-5.17). The COVID-19 pandemic in Indonesia resulted in the loss of many hundreds of HCWs, the majority of whom were senior healthcare workers. The HCW mortality rate is five times that of the general population. A national systematic surveillance of occupational mortality is urgently needed in this setting.

Lagerstroemia, Euphorbia hirta, and Kleinhovia hospita as inhibitors of heptad repeat (HR) SARS-CoV-2 spike protein based on an in silico study

Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), the causative agent of coronavirus disease-19 (COVID-19), has become a global health issue. Spike proteins from the virus have a vital role in infection. Herbal medicines such as Lagerstroemia, Euphorbia hirta, and Kleinhovia hospita have several pharmacological functions such as anticancer, antiviral, and antioxidant because of their bioactive compound content. Based on an in silico study, this research was conducted on the possibility of phytochemicals from herbal Lagerstroemia, E. hirta, and K. hospita to inhibit spike protein SARS-CoV-2. A three-dimensional (3D) compound structure of each herbal medicine was docked with HR protein using AutoDock Vina software. The docking result, which has the best binding energy value, is continued with the analysis of molecular dynamics simulation. Lagerine, rutin, and nicotiflorin compounds might bind to proteins with lower binding energy. Protein was unstable when complexed with compounds compared with control, as seen from the root-mean-square deviation (RMSD) value. Therefore, this research is pre-experimental to inhibit SARS-CoV-2 spike proteins by herbal medicines.

Shogaol, bisdemethoxycurcumin, and curcuminoid: Potential zingiber compounds against covid-19

Coronavirus disease (COVID-19) is a global pandemic in the world. Some treatments, including vaccines and potential drugs, are still developed. This study investigated the bioactive compounds of Zingiber officinale, Kaempferia rotunda, and Curcuma zedoaria as a potential inhibitor for ACE2 and RdRP proteins. Molecular docking was used for screening the bioactive compounds as ACE2 and RdRP inhibitors. Shogaol (CID 5281794), zingerone (CID 31211), chalcone (CID 637760), Ar-turmerone (CID 558221), bisdemothxycurcumin (CID 5315472), and curcuminoid (CID 101341353) interacted with angiotensin-converting enzyme receptor-2/ACE2 (PDB ID 2xd3) and RNA dependent RNA polymerase/RdRP (PDB ID 6xqb), then analyzed using Discovery studio v.19 program. Shogaol, zingerone, chalcone, ar-turmerone, bisdemethoxycurcumin, and curcuminoid bound to ACE2 and RdRP protein in some active sites. Zingerone, chalcone, and ar-turmerone are attached to the ACE-2 and then RdRP protein in similar active sites, suggesting those compounds stabilize the complex ACE-2 and RdRP protein. Shogaol interacted with the RdRP and ACE2 protein amino acid residues in the Shogaol-RdRP+ACE2 complex, indicating shogaol blocks the RdRP-ACE2 interaction. Then, bisdemethoxycurcumin and curcuminoid change the binding sites of ACE2 and RdRP protein when both compounds are bound to RdRP protein. This study suggested that shogaol, bisdemethoxycurcumin, and curcuminoid are potential drugs for COVID-19 prevention. © 2021 by the authors.