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KONDISI FISIK RUMAH (JENIS DINDING, JENIS LANTAI, PENCAHAYAAN, KELEMBABAN, VENTILASI, SUHU, DAN KEPADATAN HUNIAN) MEMPENGARUHI KEJADIAN PENYAKIT TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS KRIAN SIDOARJO TAHUN 2021 Adinda Mega Putri; Imam Thohari; Ernita Sari
Gema Lingkungan Kesehatan Vol. 20 No. 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Pulmonary Tuberculosis is a direct infectious disease caused by TB bacteria (Mycobacterium tuberculosis). In the Krian Health Center Work Area, the number of pulmonary TB patients has increased every year. Based on the profile of the Krian Health Center, Tuberculosis data for the last 3 years in 2017 - 2019 has increased with a percentage of 15% - 56.5% of cases. The purpose of the study was to analyze the relationship between the physical condition of the house and the incidence of pulmonary tuberculosis (TB) in the working area of the Krian Health Center in 2021. This type of research is analytic with a case control approach. Collecting data using observation sheets. The research variable is the physical condition of the house including the types of walls, floors, lighting, humidity, ventilation, temperature and density of residential dwellings with a total sample of 47 patients and 47 non-patients using purposive sampling method. The data were analyzed using the chi-square test to determine the relationship. The value of the test results from the chi square of X2 statistical test results obtained p value = 0.037, then Ha is rejected. It can be concluded that the respondent's house category is related to the incidence of pulmonary TB disease but the odd ratio calculation is obtained a value of 2,424 (CI: 1,047 – 5,611), so respondents who have a house category are quite at risk of pulmonary TB disease 2,424 times greater than respondents with a house category that is good. It is recommended for health workers to increase their role as motivators and counselors for the community in order to increase knowledge about the importance of the physical condition of houses that meet the requirements for health by scheduling periodic counseling about healthy homes.

ALAT PELINDUNG TELINGA (EAR MUFF) DALAM MEREDUKSI TEKANAN DARAH TENAGA KERJA TERPAPAR KEBISINGAN: (Studi Kasus Pada Pekerja di Home Industri Terasi Palang Tuban) Ernita Sari; Demes Nurmayanti; Faizatul Ummah
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Noise is the presence of unwanted loud noises by workers that can be harmful and cause emotional stress and affect hormone production, resulting in increased blood pressure. Increased blood pressure can be reduced by wearing ear protection for workers who are exposed to noise. This study aims to analyze the use of ear protective equipment in an effort to reduce the blood pressure of workers who are exposed to noise. The method used in this research is a field experiment with the same subject (labor) as the unit of analysis, namely the process of comparing the blood pressure of workers before and after work and wearing ear protection. This study used Wilcoxon to analyze the difference in the blood pressure of workers before and after wearing ear protection, and the chi-square test was used with the aim of seing the effect of labor characteristics on increasing blood pressure. The results of this study showed changes in blood pressure, these changes can be seen by the difference between blood pressure before work and after work by wearing ear protection with a value of p= 0,000. and the results of the chi-square test obtained a value of p = 0.401 (p>0.05) which means that age has no effect on blood pressure, smoking habits (p= 0.693) which means that smoking has no effect on blood pressure and years of service (p=0,590) which means that years of service do not affect the blood pressure of workers. After the workers were treated by wearing ear protective equipment their blood pressure decreased, thus there was a difference in the blood pressure of the workers before and after treatment. But on the characteristics of the workforce there is no effect on the increase in blood pressure. Suggestions that can be given to the industry are socialization about the application of proper use of ear protective equipment and providing ear protection equipment (earmuffs) in the workplace. Keywords: Noise, Ear Protection, Blood Pressure

PENERAPAN SISTEM HAZARD ANALYSIS AND CRITICAL CONTROL POINT (HACCP) PADA INDUSTRI RUMAH TANGGA TAPE DI WILAYAH KECAMATAN SUKOSARI, KABUPATEN BONDOWOSO Ikhris Syafira rengganis; Narwati; Ernita Sari; Rusmiati; Pratiwi Hermiyanti
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

In the application of the hazard analysis and critical control point in the tape householdindustry in the Sukosari area, there are still several components that do not meet therequirements, such as the area where the processing is not clean, the use of rusty foodprocessing equipment, food equipment and food ingredients that are not rinsed with cleanwater, the food packaging room that is not tightly packed with vectors, and not wearinggloves when handling food . The purpose of this study is to describe the application ofhazard analysis and critical control points in the household tape industry in the District ofSukosari, Bondowoso Regency.This type of research is descriptive and observational with the object of research beingthe entire home industry of tape production in the District of Sukosari with a population of2 IRTP. The research variables studied included the application of hazard identification,determination of CCP, determination of critical limits, monitoring of CCP, corrective actions,application of hazard analysis and critical control point systems and descriptive dataanalysis.The results showed that the application of hazard identification was in good category(70%), the determination of CCP was in a sufficient category (65%), determination ofcritical limit was in good category (80%), monitoring of CCP was in sufficient category(50%), corrective action was in good category (75%) so that the application of the hazardanalysis and critical control gets a good category (68.41%).The advice given to handlers is to wash their hands regularly after and before theproduction process and not use their hands directly when touching food. The IRTP paysmore attention to hygiene and sanitation in the processing of food production and routinelyperforms cleaning and maintenance at the production site.

KONDISI FISIK RUMAH (JENIS DINDING, JENIS LANTAI, PENCAHAYAAN, KELEMBABAN, VENTILASI, SUHU, DAN KEPADATAN HUNIAN) MEMPENGARUHI KEJADIAN PENYAKIT TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS KRIAN SIDOARJO TAHUN 2021 Adinda Mega Putri; Imam Thohari; Ernita Sari
Gema Lingkungan Kesehatan Vol. 20 No. 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i1.5

Pulmonary Tuberculosis is a direct infectious disease caused by TB bacteria (Mycobacterium tuberculosis). In the Krian Health Center Work Area, the number of pulmonary TB patients has increased every year. Based on the profile of the Krian Health Center, Tuberculosis data for the last 3 years in 2017 - 2019 has increased with a percentage of 15% - 56.5% of cases. The purpose of the study was to analyze the relationship between the physical condition of the house and the incidence of pulmonary tuberculosis (TB) in the working area of the Krian Health Center in 2021. This type of research is analytic with a case control approach. Collecting data using observation sheets. The research variable is the physical condition of the house including the types of walls, floors, lighting, humidity, ventilation, temperature and density of residential dwellings with a total sample of 47 patients and 47 non-patients using purposive sampling method. The data were analyzed using the chi-square test to determine the relationship. The value of the test results from the chi square of X2 statistical test results obtained p value = 0.037, then Ha is rejected. It can be concluded that the respondent's house category is related to the incidence of pulmonary TB disease but the odd ratio calculation is obtained a value of 2,424 (CI: 1,047 – 5,611), so respondents who have a house category are quite at risk of pulmonary TB disease 2,424 times greater than respondents with a house category that is good. It is recommended for health workers to increase their role as motivators and counselors for the community in order to increase knowledge about the importance of the physical condition of houses that meet the requirements for health by scheduling periodic counseling about healthy homes.

ALAT PELINDUNG TELINGA (EAR MUFF) DALAM MEREDUKSI TEKANAN DARAH TENAGA KERJA TERPAPAR KEBISINGAN: (Studi Kasus Pada Pekerja di Home Industri Terasi Palang Tuban) Ernita Sari; Demes Nurmayanti; Faizatul Ummah
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.24

Noise is the presence of unwanted loud noises by workers that can be harmful and cause emotional stress and affect hormone production, resulting in increased blood pressure. Increased blood pressure can be reduced by wearing ear protection for workers who are exposed to noise. This study aims to analyze the use of ear protective equipment in an effort to reduce the blood pressure of workers who are exposed to noise. The method used in this research is a field experiment with the same subject (labor) as the unit of analysis, namely the process of comparing the blood pressure of workers before and after work and wearing ear protection. This study used Wilcoxon to analyze the difference in the blood pressure of workers before and after wearing ear protection, and the chi-square test was used with the aim of seing the effect of labor characteristics on increasing blood pressure. The results of this study showed changes in blood pressure, these changes can be seen by the difference between blood pressure before work and after work by wearing ear protection with a value of p= 0,000. and the results of the chi-square test obtained a value of p = 0.401 (p>0.05) which means that age has no effect on blood pressure, smoking habits (p= 0.693) which means that smoking has no effect on blood pressure and years of service (p=0,590) which means that years of service do not affect the blood pressure of workers. After the workers were treated by wearing ear protective equipment their blood pressure decreased, thus there was a difference in the blood pressure of the workers before and after treatment. But on the characteristics of the workforce there is no effect on the increase in blood pressure. Suggestions that can be given to the industry are socialization about the application of proper use of ear protective equipment and providing ear protection equipment (earmuffs) in the workplace. Keywords: Noise, Ear Protection, Blood Pressure

PENERAPAN SISTEM HAZARD ANALYSIS AND CRITICAL CONTROL POINT (HACCP) PADA INDUSTRI RUMAH TANGGA TAPE DI WILAYAH KECAMATAN SUKOSARI, KABUPATEN BONDOWOSO Ikhris Syafira rengganis; Narwati; Ernita Sari; Rusmiati; Pratiwi Hermiyanti
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v21i1.42

In the application of the hazard analysis and critical control point in the tape householdindustry in the Sukosari area, there are still several components that do not meet therequirements, such as the area where the processing is not clean, the use of rusty foodprocessing equipment, food equipment and food ingredients that are not rinsed with cleanwater, the food packaging room that is not tightly packed with vectors, and not wearinggloves when handling food . The purpose of this study is to describe the application ofhazard analysis and critical control points in the household tape industry in the District ofSukosari, Bondowoso Regency.This type of research is descriptive and observational with the object of research beingthe entire home industry of tape production in the District of Sukosari with a population of2 IRTP. The research variables studied included the application of hazard identification,determination of CCP, determination of critical limits, monitoring of CCP, corrective actions,application of hazard analysis and critical control point systems and descriptive dataanalysis.The results showed that the application of hazard identification was in good category(70%), the determination of CCP was in a sufficient category (65%), determination ofcritical limit was in good category (80%), monitoring of CCP was in sufficient category(50%), corrective action was in good category (75%) so that the application of the hazardanalysis and critical control gets a good category (68.41%).The advice given to handlers is to wash their hands regularly after and before theproduction process and not use their hands directly when touching food. The IRTP paysmore attention to hygiene and sanitation in the processing of food production and routinelyperforms cleaning and maintenance at the production site.

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