JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan
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Exposure to Cigarette Smoke in the Home and the Risk of Pneumonia in Toddlers in Indonesia: Systematic Study
Pneumonia is a respiratory disease that affects more than 287,000 children under five in Indonesia, with 444 deaths among those under five. One of the factors causing pneumonia is exposure to tobacco smoke in the home. This study aimed to describe the association between exposure to indoor tobacco smoke and the incidence of pneumonia among under-fives in Indonesia. This study method was a systematic review using articles from national and international journal databases. Databases used included Google Scholar, Garuda Portal, Scopus, Science Direct, ProQuest, and Springer Link. Articles in this study used the case-control method, published between 2013 and 2023, and focused on the association between indoor tobacco smoke exposure and under-five pneumonia incidence. There were 15 articles reviewed in this study. From the review of 15 articles, factors of exposure to secondhand smoke found in the home include the smoking habits of family members, the presence of family members who smoke, the number of family members who smoke, the location of smoking in the house, the presence of secondhand smoke exposure in the house, the number of cigarettes consumed by family members, the togetherness of infants with smokers, and the smoking status of the father. Most articles show a significant association between exposure to tobacco smoke in the home and the incidence of under-five pneumonia, so it can be concluded that exposure to tobacco smoke in the house is associated with pneumonia in under-fives.Pneumonia is a respiratory disease that affects more than 287,000 children under five in Indonesia, with 444 deaths among those under five. One of the factors causing pneumonia is exposure to tobacco smoke in the home. This study aimed to describe the association between exposure to indoor tobacco smoke and the incidence of pneumonia among under-fives in Indonesia. This study method was a systematic review using articles from national and international journal databases. Databases used included Google Scholar, Garuda Portal, Scopus, Science Direct, ProQuest, and Springer Link. Articles in this study used the case-control method, published between 2013 and 2023, and focused on the association between indoor tobacco smoke exposure and under-five pneumonia incidence. There were 15 articles reviewed in this study. From the review of 15 articles, factors of exposure to secondhand smoke found in the home include the smoking habits of family members, the presence of family members who smoke, the number of family members who smoke, the location of smoking in the house, the presence of secondhand smoke exposure in the house, the number of cigarettes consumed by family members, the togetherness of infants with smokers, and the smoking status of the father. Most articles show a significant association between exposure to tobacco smoke in the home and the incidence of under-five pneumonia, so it can be concluded that exposure to tobacco smoke in the house is associated with pneumonia in under-fives
Environmental and Social Risk Factors in the Event of Dengue Hemorrhagic Fever (DHF) in the Work Area of Jiwan Health Center, Madiun Regency
In the past three years, the Jiwan Health Centre's area has had the highest dengue fever incidence in Madiun Regency. This area still has many water puddles that serve as mosquito breeding grounds. The Jiwan Health Center reported 40 cases and 2 deaths in 2019, 6 cases in 2020, and 16 cases in 2021. This study aimed to identify environmental and social risk factors linked to dengue fever cases in this region. We used an analytical observation method, including a case-control study, and analyzed data with the chi-square test, using probability sampling. A study that looked at just one variable found that air temperature (36.3%), humidity (83.3%), house index (68.8%), container index (41.3%), the lack of mosquito larvae observer cadres (87.5%), fogging activity (55%), and DHF PSN activity (27.5%) were all dangerous. Bivariate test results showed a correlation between the container index (p = 0.000) and fogging activities (p = 0.042) with DHF incidence. There was no significant connection between dengue incidence, air temperature (p = 0.642), humidity (p = 1.000), house index (p = 0.335), jumantic cadre activities (p = 0.737), or PSN DHF activities (p = 0.453). Environmental and social factors, such as positive larvae presence and fogging activities, contribute to the dengue fever incidence in the Jiwan Health Center's area. For the past three years, this area has consistently had the highest dengue fever cases in Madiun Regency, primarily due to persistent mosquito breeding sites.In the past three years, the Jiwan Health Centre's area has had the highest dengue fever incidence in Madiun Regency. This area still has many water puddles that serve as mosquito breeding grounds. The Jiwan Health Center reported 40 cases and 2 deaths in 2019, 6 cases in 2020, and 16 cases in 2021. This study aimed to identify environmental and social risk factors linked to dengue fever cases in this region. We used an analytical observation method, including a case-control study, and analyzed data with the chi-square test, using probability sampling. A study that looked at just one variable found that air temperature (36.3%), humidity (83.3%), house index (68.8%), container index (41.3%), the lack of mosquito larvae observer cadres (87.5%), fogging activity (55%), and DHF PSN activity (27.5%) were all dangerous. Bivariate test results showed a correlation between the container index (p = 0.000) and fogging activities (p = 0.042) with DHF incidence. There was no significant connection between dengue incidence, air temperature (p = 0.642), humidity (p = 1.000), house index (p = 0.335), jumantic cadre activities (p = 0.737), or PSN DHF activities (p = 0.453). Environmental and social factors, such as positive larvae presence and fogging activities, contribute to the dengue fever incidence in the Jiwan Health Center's area. For the past three years, this area has consistently had the highest dengue fever cases in Madiun Regency, primarily due to persistent mosquito breeding sites
Analysis of Sanitation and Diarrhea Factors with The Incidence of Stunting in Indonesia: A Meta-Analysis Study
Stunting is a significant public health problem for toddlers in developing countries. The prevalence of stunting in Indonesia in 2018 was 30.8%. Referring to the target of the National Medium-Term Development Plan (RPJMN) in 2019, the stunting rate of 28% has yet to be achieved. Determinants of stunting include direct and indirect factors. Direct factors are nutritional intake and infectious diseases. Indirect factors are food adequacy, parenting, sanitation, clean water, and essential health services. This study aims to summarize scientific evidence related to the relationship between sanitation and diarrhea factors and stunting in toddlers. This study uses meta-analysis, and article sources come from Google Scholar, Science Direct, and PubMed. Based on the inclusion requirements of the writing, namely informing about sanitation and diarrhea with stunting cases in toddlers, observational research designs, and publication years 2018–2022, 15 articles were obtained. Based on the meta-analysis results, sanitation (clean water) was the highest risk factor, with a pooled value of PR = 4.437 (95% CI 0.67–2.30). The lowest risk factor was latrines, with a pooled PR = 2.459 (95% CI -0.04–1.39). Analysis of diarrhea variables with pooled value PR = 1,404 (95% CI 0.12–0.56). It was concluded that the most significant risk was the clean water factor. Essential factors to control stunting risk are preparing the availability of clean water, advocating for local governments to take a leading role in providing clean water to areas in need, initiating behavior change, and increasing awareness about stunting risks as part of prevention programs.Stunting is a significant public health problem for toddlers in developing countries. The prevalence of stunting in Indonesia in 2018 was 30.8%. Referring to the target of the National Medium-Term Development Plan (RPJMN) in 2019, the stunting rate of 28% has yet to be achieved. Determinants of stunting include direct and indirect factors. Direct factors are nutritional intake and infectious diseases. Indirect factors are food adequacy, parenting, sanitation, clean water, and essential health services. This study aims to summarize scientific evidence related to the relationship between sanitation and diarrhea factors and stunting in toddlers. This study uses meta-analysis, and article sources come from Google Scholar, Science Direct, and PubMed. Based on the inclusion requirements of the writing, namely informing about sanitation and diarrhea with stunting cases in toddlers, observational research designs, and publication years 2018–2022, 15 articles were obtained. Based on the meta-analysis results, sanitation (clean water) was the highest risk factor, with a pooled value of PR = 4.437 (95% CI 0.67–2.30). The lowest risk factor was latrines, with a pooled PR = 2.459 (95% CI -0.04–1.39). Analysis of diarrhea variables with pooled value PR = 1,404 (95% CI 0.12–0.56). It was concluded that the most significant risk was the clean water factor. Essential factors to control stunting risk are preparing the availability of clean water, advocating for local governments to take a leading role in providing clean water to areas in need, initiating behavior change, and increasing awareness about stunting risks as part of prevention programs
Analysis Factor of Diarrhea with Latrine Ownership and Clean Water Availability in Indonesia: Meta Analysis 2016-2021
The study examines the relationship between Diarrhea, Latrine Ownership, and Clean Water Availability in Indonesia, specifically focusing on 2016 to 2021. According to the 2018 RISKESDAS, the age group with the highest diarrhea prevalence, as health workers diagnosed, was 1 to 4 years (1.5%), followed by infants (9%). West Java Province had the highest prevalence of diarrhea by province, with a rate of 186.809. The purpose is to analyze data related to latrine ownership and the availability of clean water about the incidence of diarrhea in Indonesia. The method is meta-analysis. We used a cross-sectional approach to collect secondary data from articles from March to April 2023. The results show that ownership of a latrine that does not meet the requirements is 2,013 times more likely to cause diarrhea than ownership of a latrine that meets the requirements. From the results of the meta-analysis of the variable availability of clean water, it is known that the availability of clean water that does not meet the requirements is 1,858 times more at risk of causing diarrhea than the availability of clean water that meets the requirements. The conclusion is that the variable that has the most significant influence on latrine ownership and the availability of clean water is latrine ownership. We suggest minimizing risk factors by counseling the community, emphasizing the importance and benefits of having healthy latrines that meet requirements and the availability of clean water to prevent diarrheal disease.
The study examines the relationship between Diarrhea, Latrine Ownership, and Clean Water Availability in Indonesia, specifically focusing on 2016 to 2021. According to the 2018 RISKESDAS, the age group with the highest diarrhea prevalence, as health workers diagnosed, was 1 to 4 years (1.5%), followed by infants (9%). West Java Province had the highest prevalence of diarrhea by province, with a rate of 186.809. The purpose is to analyze data related to latrine ownership and the availability of clean water about the incidence of diarrhea in Indonesia. The method is meta-analysis. We used a cross-sectional approach to collect secondary data from articles from March to April 2023. The results show that ownership of a latrine that does not meet the requirements is 2,013 times more likely to cause diarrhea than ownership of a latrine that meets the requirements. From the results of the meta-analysis of the variable availability of clean water, it is known that the availability of clean water that does not meet the requirements is 1,858 times more at risk of causing diarrhea than the availability of clean water that meets the requirements. The conclusion is that the variable that has the most significant influence on latrine ownership and the availability of clean water is latrine ownership. We suggest minimizing risk factors by counseling the community, emphasizing the importance and benefits of having healthy latrines that meet requirements and the availability of clean water to prevent diarrheal disease.
Effectiveness of Decoction of Cinnamon Bark (Cinnamomum Burmanii) as A Fly Repellant In The Drying Process of Salted Fish
Flies are vectors that can transmit disease to humans. Therefore, it needs to be controlled. To control flies, use natural insecticides (natural repellents). This study aimed to determine the effectiveness of the decoction of cinnamon bark (Cinnamomum burmanii) as a fly repellent in the drying process of salted seat fish. This type of study is quasi-experimental, with a posttest-only control group design. The samples in this study were flies found in the wild. It consisted of 5 treatments, one control, and four repetitions (replications). The ANOVA test showed that varying doses of boiled cinnamon bark (Cinnamomum burmanii) as a fly repellent affected drying salted fish. The sig value is 0.00 < 0.05. The difference in the repellent power of the 12% dose was 14.47%, the 15% dose was 37.35%, the 18% dose was 55.2%, the 21% dose was 67.71%, and the 24% dose was 83.63%. It is hoped that the public can use a decoction of cinnamon bark as a natural repellent for fly vectors.Flies are vectors that can transmit disease to humans. Therefore, it needs to be controlled. To control flies, use natural insecticides (natural repellents). This study aimed to determine the effectiveness of the decoction of cinnamon bark (Cinnamomum burmanii) as a fly repellent in the drying process of salted seat fish. This type of study is quasi-experimental, with a posttest-only control group design. The samples in this study were flies found in the wild. It consisted of 5 treatments, one control, and four repetitions (replications). The ANOVA test showed that varying doses of boiled cinnamon bark (Cinnamomum burmanii) as a fly repellent affected drying salted fish. The sig value is 0.00 < 0.05. The difference in the repellent power of the 12% dose was 14.47%, the 15% dose was 37.35%, the 18% dose was 55.2%, the 21% dose was 67.71%, and the 24% dose was 83.63%. It is hoped that the public can use a decoction of cinnamon bark as a natural repellent for fly vectors
Room Air Quality at Husada Prima Hospital, East Java Province
The microbiological quality of the air in the NICU and surgical rooms exceeds standards. The physical quality of the NICU and operating room exceeds the standard. This study aimed to determine the microbiological and physical quality of hospital room air (NICU room and surgical rooms) at Husada Prima Hospital, East Java Province. This research design was descriptive. Observation, field measurements, and laboratory tests collected data. The measurement results will be compared with RI Minister of Health Regulation No. 2 for 2023. The results of air microbiology sampling in the NICU, surgical room 1, and surgical room 2 still need to meet the requirements. The results of physical air quality measurements, namely temperature in the three rooms, humidity in the NICU room, lighting, and ventilation rate in the three rooms, must meet the requirements. The variables that meet the requirements are humidity in both operating rooms and lighting in the surgical room (Table 2). The condition of hospital facilities and buildings in the three rooms has met the requirements. The conclusion is that the room's air quality at Husada Prima Hospital, East Java Province, did not meet the criteria. The condition of the facilities and buildings was good. The hospital is advised to clean and repair air conditioners regularly, use humidifiers to maintain humidity in the room and increase or decrease lighting according to each room's needs.The microbiological quality of the air in the NICU and surgical rooms exceeds standards. The physical quality of the NICU and operating room exceeds the standard. This study aimed to determine the microbiological and physical quality of hospital room air (NICU room and surgical rooms) at Husada Prima Hospital, East Java Province. This research design was descriptive. Observation, field measurements, and laboratory tests collected data. The measurement results will be compared with RI Minister of Health Regulation No. 2 for 2023. The results of air microbiology sampling in the NICU, surgical room 1, and surgical room 2 still need to meet the requirements. The results of physical air quality measurements, namely temperature in the three rooms, humidity in the NICU room, lighting, and ventilation rate in the three rooms, must meet the requirements. The variables that meet the requirements are humidity in both operating rooms and lighting in the surgical room (Table 2). The condition of hospital facilities and buildings in the three rooms has met the requirements. The conclusion is that the room's air quality at Husada Prima Hospital, East Java Province, did not meet the criteria. The condition of the facilities and buildings was good. The hospital is advised to clean and repair air conditioners regularly, use humidifiers to maintain humidity in the room and increase or decrease lighting according to each room's needs
Bacteriological Quality of Tableware in Culinary Tourism Centers
Culinary centers should pay attention to washing tableware if it is not good enough to cause health problems. Microbiological preliminary tests in the culinary tourism center calculated the number of germs on 12 tableware traders and found that six tableware did not meet the requirements. This study aims to determine the process of washing tableware in culinary centers; this study was a descriptive study with purposive sampling. Data collection used observations and laboratory tests, which were analyzed descriptively using tables in the form of narrative; the examination of tableware in the form of plates, spoons, forks, and glasses found germ numbers. At the same time, the examination of the clean watered coliform total parameter was 48 CFU/m2. The washing process obtained results of 60% qualified and 40% did not qualify because it did not comply with the provisions; the conclusion of this study was found the number of germs on tableware, as well as clean water on the total coliform parameters were not qualified, in the washing process most of them were not competent, so the advice of the researcher was that traders must pay attention and increase knowledge about the technique of washing tableware and draining the watered reservoir regularlyments below. I thanked everyone for their suggestions on how to improve this converter.Culinary centers should pay attention to washing tableware if it is not good enough to cause health problems. Microbiological preliminary tests in the culinary tourism center calculated the number of germs on 12 tableware traders and found that six tableware did not meet the requirements. This study aims to determine the process of washing tableware in culinary centers; this study was a descriptive study with purposive sampling. Data collection used observations and laboratory tests, which were analyzed descriptively using tables in the form of narrative; the examination of tableware in the form of plates, spoons, forks, and glasses found germ numbers. At the same time, the examination of the clean watered coliform total parameter was 48 CFU/m2. The washing process obtained results of 60% qualified and 40% did not qualify because it did not comply with the provisions; the conclusion of this study was found the number of germs on tableware, as well as clean water on the total coliform parameters were not qualified, in the washing process most of them were not competent, so the advice of the researcher was that traders must pay attention and increase knowledge about the technique of washing tableware and draining the watered reservoir regularlyments below. I thanked everyone for their suggestions on how to improve this converter
Analysis of Environmental Management at the Container Terminal of PT Pelabuhan Indonesia (Pelindo) III Semarang
This study employs a qualitative approach using a descriptive method. Primary data is obtained through observation, interviews, and documentation, while secondary data is derived from environmental management implementation reports. The data collected is then evaluated for compliance with environmental management regulations, including Law No. 32 of 2009 on Environmental Protection and Management, Government Regulation No. 101 of 2014 on the Management of Hazardous and Toxic Waste Materials, and ISO 14001:2015 on Environmental Management Systems. According to the research findings, environmental management at PT Pelindo III Container Terminal in Semarang is supervised by a certified ecological expert within the HSSE (Health et al.) department. The company manages hazardous liquid waste, air emissions, and hazardous and non-hazardous solid waste. However, non-hazardous liquid waste and dust emissions have not been monitored and managed. The company received a PROPER certification in 2018 and an ISO 14001:2015 certification in 2015 for its environmental management.This study employs a qualitative approach using a descriptive method. Primary data is obtained through observation, interviews, and documentation, while secondary data is derived from environmental management implementation reports. The data collected is then evaluated for compliance with environmental management regulations, including Law No. 32 of 2009 on Environmental Protection and Management, Government Regulation No. 101 of 2014 on the Management of Hazardous and Toxic Waste Materials, and ISO 14001:2015 on Environmental Management Systems. According to the research findings, environmental management at PT Pelindo III Container Terminal in Semarang is supervised by a certified ecological expert within the HSSE (Health et al.) department. The company manages hazardous liquid waste, air emissions, and hazardous and non-hazardous solid waste. However, non-hazardous liquid waste and dust emissions have not been monitored and managed. The company received a PROPER certification in 2018 and an ISO 14001:2015 certification in 2015 for its environmental management
Differences in the Variation of Silencer Media Thickness from Waste Patchwork And Plywood To Reduce The Noise Intensity
One of the most dangerous environmental factors is noise, which is crucial to control. This research aims to determine the differences in silencer media thickness between patchwork and plywood offsets to reduce noise intensity in cutting yarn engines. The method study characteristic experiment with design research conducted in this study used a design pretest-posttest without control. The population in this study is the whole room production source producing intensity noise by PT Trisula Textile Industries. Sample in the study This machine is cutting yarn, which produces the most noise. Purposive sampling is the technique used to conduct sample studies. e in six repetitions, with 36 temperature and moisture measurements. The measurement of the intensity of noise at the source of noise before being given treatment ranged from 97.26 to 97.43. The results of the decline in noise intensity after a given silencer show that variation 1 decreased the average by 5.66%, variation 2 decreased the average by 8.89%, and variation 3 lowered the average by 11.89% dB. We processed the data using the one-way ANOVA test, and the results showed a P value of 0.0001 (significant), which is less than 0.05, which indicates a significant difference in each variation of thickness. Industry can use thicker plywood thickness boards if applied in areas with a higher noise level and install a wheel on a tool reducer that can be used practically. Further, researchers can use different types of damping media and vary the thickness of the cloth patch.One of the most dangerous environmental factors is noise, which is crucial to control. This research aims to determine the differences in silencer media thickness between patchwork and plywood offsets to reduce noise intensity in cutting yarn engines. The method study characteristic experiment with design research conducted in this study used a design pretest-posttest without control. The population in this study is the whole room production source producing intensity noise by PT Trisula Textile Industries. Sample in the study This machine is cutting yarn, which produces the most noise. Purposive sampling is the technique used to conduct sample studies. e in six repetitions, with 36 temperature and moisture measurements. The measurement of the intensity of noise at the source of noise before being given treatment ranged from 97.26 to 97.43. The results of the decline in noise intensity after a given silencer show that variation 1 decreased the average by 5.66%, variation 2 decreased the average by 8.89%, and variation 3 lowered the average by 11.89% dB. We processed the data using the one-way ANOVA test, and the results showed a P value of 0.0001 (significant), which is less than 0.05, which indicates a significant difference in each variation of thickness. Industry can use thicker plywood thickness boards if applied in areas with a higher noise level and install a wheel on a tool reducer that can be used practically. Further, researchers can use different types of damping media and vary the thickness of the cloth patch
Evaluation of Community Participation in Community-Based Drinking Water and Sanitation Programs
The availability of clean water plays a significant role in fulfilling the need for drinking water and sanitation, which are absolute necessities in human life. The Sustainable Development Goals (SDGs) aim to reduce the proportion of the population without access to safe and sustainable drinking water and basic facilities by half. Access to clean water and sanitation facilities is still tricky in some areas, triggering the implementation of the PAMSIMAS Program. Community involvement is critical to the program's sustainability. This study analyzes the forms and factors supporting and hindering community participation in the PAMSIMAS Program and the environmental benefits of areas that receive the program in Rantau Jaya Ilir village. Central Lampung Regency. This study employs a descriptive qualitative approach, incorporating a SWOT analysis. Planning for community participation in the PAMSIMAS Program is underway. The study shows that community participation can adequately manage the program and meet water needs. Age, gender, level of education, type of work, income, and knowledge are all internal factors. Government policies and regulations play a crucial role as external factors. Based on the research, stakeholders were told to invite the community to each socialization meeting and give suggestions. This way of developing the PAMSIMAS Program community empowerment can be copied and used to create infrastructure development programs in other places. This will help the regional government even more, and the government program for drinking water infrastructure and sanitation is expected to continue and be sustainable so that the infrastructure is kept up and working.The availability of clean water plays a significant role in fulfilling the need for drinking water and sanitation, which are absolute necessities in human life. The Sustainable Development Goals (SDGs) aim to reduce the proportion of the population without access to safe and sustainable drinking water and basic facilities by half. Access to clean water and sanitation facilities is still tricky in some areas, triggering the implementation of the PAMSIMAS Program. Community involvement is critical to the program's sustainability. This study analyzes the forms and factors supporting and hindering community participation in the PAMSIMAS Program and the environmental benefits of areas that receive the program in Rantau Jaya Ilir village. Central Lampung Regency. This study employs a descriptive qualitative approach, incorporating a SWOT analysis. Planning for community participation in the PAMSIMAS Program is underway. The study shows that community participation can adequately manage the program and meet water needs. Age, gender, level of education, type of work, income, and knowledge are all internal factors. Government policies and regulations play a crucial role as external factors. Based on the research, stakeholders were told to invite the community to each socialization meeting and give suggestions. This way of developing the PAMSIMAS Program community empowerment can be copied and used to create infrastructure development programs in other places. This will help the regional government even more, and the government program for drinking water infrastructure and sanitation is expected to continue and be sustainable so that the infrastructure is kept up and working.