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Spatial Clustering and Hotspot Analysis of Dengue Fever in West Java Province, 2020–2024 Mardhiyah, Lailatul; Suhartono, Suhartono; Raharjo, Mursid; Wahyuningsih, Nur Endah; Sulistiyani, Sulistiyani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.563

Abstract

Introduction: Dengue fever, a vector-borne disease caused by the dengue virus (DENV) and transmitted by Aedes aegypti and Aedes albopictus mosquitoes, has become a major public health problem in West Java, Indonesia. Objective: This study aimed to map high-risk zones of dengue fever in West Java from 2020 to 2024 using spatial analysis techniques. Method: The study used confirmed dengue case data obtained from the West Java Health Profile and applied ArcMap version 10.5 for spatial mapping and analysis, including Global Moran’s Index, Getis-Ord Gi*, Local Indicators of Spatial Association (LISA), and hotspot analysis. Result and Discussion: The results showed a shift in the spatial distribution pattern of dengue cases from random in 2020 to significantly clustered in subsequent years. LISA analysis consistently identified high-high clusters in Bandung Regency, Bandung City, Bogor Regency, Bogor City, Depok City, and Bekasi City, indicating persistent spatial hotspots. Getis-Ord Gi* analysis further confirmed these hotspots with varying levels of statistical significance throughout the study period. Conclusion: These findings indicate the presence of endemic pockets and underscore the need for targeted public health interventions in high-risk areas. This study highlights the value of spatial analysis in understanding disease patterns and in informing evidence-based dengue control strategies in West Java.
Cross-Sectional Analysis of Rayon Fiber Exposure and Lung Function Among Weavers in Pemalang, Indonesia Sulistiyani; Mursid Raharjo; Nikie Astorina Yunita Dewanti; Retno Murwani; Muhammad Auliya Rahman
JURNAL KESEHATAN LINGKUNGAN Vol. 18 No. 1 (2026): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v18i1.2026.26-35

Abstract

Introduction: Sarung Goyor is one of the popular textile industries in Indonesia. The manual production process results in the release of a high number of dust particles into the air, including rayon fibers, which are a major component of the fabric. Inhaling fine fibers causes respiratory tract irritation and impaired lung function. There hasn't been much research exploring rayon dust exposure related to small-scale weaving crafts. This study aims to find a relationship between rayon fibers and lung function among sarong weavers in Indonesia. Methods: A cross-sectional study was carried out at the Sarung Goyor Industry Center North Wanarejan, Pemalang, involving 101 male weavers. The data collected includes total dust and inhalable dust levels, lung function values, and ventilation area.Dust sampling was performed using the Hi-Q HVP-2000 and SKC PCXR 8000, and lung function values were measured using the Spiro LAB III according to ATS standards. Data were analyzed using the Kolmogorov-Smirnov test and correlation test. Results and Discussion: 78% of respondents experienced impaired lung function, obstructive 22%, restrictive 46.5%, and mixed 18.8%. There is a strong relationship between age and restriction (p = 0.001) as well as inhaled dust and restriction (p = 0.026). A statistically significant inverse association was identified between ventilation area and the presence of obstructions. Conclusion: Rayon has a significant impact on lung function, causing restriction and obstruction over time. Therefore, it is essential to advocate for improved workplace ventilation and the consistent use of protective masks among weavers.
Analysis of the Quality of the Physical Environment of the House on the Incidence of Tuberculosis in Tembalang Subdistrict Vanessa Rizky Aditya; Mursid Raharjo; Onny Setiani
Jurnal Penelitian Pendidikan IPA Vol 11 No 5 (2025): May
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i5.11393

Abstract

Tuberculosis (TB) remains a major health problem in Indonesia, including in Tembalang Sub-district, Semarang City, which is listed as one of the areas with high cases. Indonesia ranks among the top three countries in the world with the highest number of TB cases exceeding one million cases. This research is an observational analytic study with a case-control study design. The purpose of this study was to assess the risk factors of household physical environment that affect the incidence of Tuberculosis in Tembalang Sub-district. The results showed that most of the houses with tuberculosis patients had unhealthy environmental conditions, such as poor air circulation (37.5%), high occupancy density (35%), improper flooring (57.5%), insufficient ventilation (67.5%), low lighting (85%), and high humidity (87.5%). These factors were found to have a significant association with an increased risk of TB. However, ceiling conditions and room temperature did not show a significant association with increased TB risk. These findings emphasize the importance of improving the living environment through education and community involvement in improving housing quality as a preventive measure to reduce TB transmission.
Hubungan Riwayat Penyakit Infeksi dengan Kejadian Stunting (Studi Kasus di Wilayah Kerja Puskesmas Tanjung Kabupaten Brebes) Fitria, Ida; Joko, Tri; Raharjo, Mursid
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 3 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i3.5310

Abstract

Stunting merupakan masalah gizi kronis pada balita yang masih menjadi perhatian serius di Indonesia, termasuk di Kabupaten Brebes. Penyakit infeksi dan kualitas air minum diduga berperan dalam meningkatkan risiko terjadinya stunting. Penelitian ini bertujuan untuk menganalisis hubungan riwayat penyakit infeksi dan kualitas air minum dengan kejadian stunting pada balita usia 24–59 bulan di wilayah kerja Puskesmas Tanjung Kabupaten Brebes. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 70 balita yang dipilih menggunakan teknik simple random sampling. Pengumpulan data dilakukan melalui wawancara, observasi, pengukuran antropometri, serta pemeriksaan laboratorium kandungan Coliform pada air minum. Analisis data meliputi analisis univariat, bivariat menggunakan uji Chi-Square, dan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara riwayat penyakit diare, sumber air minum, pengolahan air minum, serta kandungan Coliform dengan kejadian stunting, sedangkan riwayat ISPA, kecacingan, TBC, dan penyimpanan air minum tidak berhubungan signifikan. Analisis multivariat menunjukkan bahwa sumber air minum merupakan faktor paling dominan yang berpengaruh terhadap kejadian stunting. Temuan ini mengimplikasikan bahwa upaya penurunan stunting tidak cukup hanya dengan intervensi gizi, tetapi harus diintegrasikan dengan program penyediaan air minum yang layak, pengawasan kualitas air secara berkala, serta pengendalian penyakit infeksi, khususnya diare. Kesimpulan penelitian ini menunjukkan bahwa peningkatan kualitas air minum dan pencegahan penyakit infeksi, khususnya diare, sangat penting dalam upaya penurunan stunting.
Literature Review: Factors Affecting the Microbiological Quality of Drinking Water at Drinking Water Depots Ningrum, Cuciatun; Nurjazuli, Nurjazuli; Mursid Raharjo
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.589

Abstract

Introduction: Refillable Drinking Water Depots (DAM) are one of the main alternatives in meeting people's drinking water needs because they are easily accessible and relatively affordable. However, several studies show that the microbiological quality of drinking water in DAM is still a problem, especially related to the presence of Escherichia coli bacteria and total coliform which has the potential to cause waterborne diseases such as diarrhea. Objective: This literature review aims to identify and analyze the factors that affect the quality of drinking water microbiology in DAM based on research in 2022–2025, article search via Google Scholar. Method: The method used was a literature review of five studies with a cross-sectional design that examined the variables of sanitation hygiene, equipment maintenance, processing process, personal hygiene operator, sanitation of the place, raw water source, and water storage time. Result and Discussion: The results of the study showed that the most consistent factors related to the quality of microbiology were equipment sanitation, operator/handler hygiene, and drinking water maintenance and treatment process. Meanwhile, some studies have found that raw water sources and storage times do not necessarily show a significant relationship. Conclusion: These findings confirm that aspects of hygiene, sanitation, and operational management of DAM have an important role in preventing bacteriological contamination. Therefore, routine supervision, coaching, and increased compliance with sanitation hygiene standards are needed to ensure the safety of refillable drinking water for the community
Determinan Gangguan Fungsi Paru Pekerja Terpapar Silika: Systematic Review Sunindy Wahyunita; Nikie Astorina Yunita Dewanti; Mursid Raharjo
KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Vol 7 No 1 (2021): January-June
Publisher : Universitas Widya Gama Mahakam Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/kujkm.v7i1.1180

Abstract

Background: Chronic obstructive pulmonary disease is the third leading cause of death in the world. At least 10-20% of chronic obstructive pulmonary disease cases are found in the work environment. One of the causes of lung function disorder suffered by workers is due to inhalation of silica dust. Objectives:To identify the determinants of lung function disorder in workers exposed to silica dust. Research Metodes: Systematic quantitative review that was implemented through a meta-analysis study with initial search results for articles matched to the title and abstract was 44 articles and it was eliminated by using inclusion criteria resulting 20 articles. The publication year of the articles was 2007-2020 and has been indexed by Garuda Dikti, SINTA, DOAJ and Scopus. Results: The number of samples from the combined study of 20 articles was 2.561 workers that 33% of the sample had lung function disorder. The p value for each variable included age p= 0,001, sex p= 0,854, nutritional status p= 0,033, inhaled dust level p= 0,007, working period p= 0,000, length of exposure p= 0,027, history of lung disease p= 0,880, exercise habit p= 0,098, PPE use p= 0,004, and smoking habit p= 0,014. Conclusion: The variables as determinant with the greatest risk of pulmonary function disorder were individual smoking habit and work environment factors.
Environmental and Behavioral Factors of “3M Plus” Practices (Cover, Drain and Recycle) Associated with Dengue Fever Incidence in Cilongok District, Banyumas Regency Lailatul Mardhiyah; Suhartono Suhartono; Mursid Raharjo; Nur Endah Wahyuningsih; Sulistiyani Sulistiyani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27790

Abstract

Dengue hemorrhagic fever has been a public health concern in Cilongok District evident by a sharp increase in its cases in the last two years. This study aims to analyze the relationship between physical, biological, and social environmental factors, as well as the behavior of 3M Plus, with the incidence of dengue hemorrhagic fever in Cilongok District, Banyumas Regency. The research followed a quantitative approach of observational analytics with a case-control design. A total of 60 respondents were involved, consisting of 30 cases and 30 controls that were selected using neighborhood-matched controls based on a residential distance of less than 100 meters. Data analysis was carried out using chi square test and logistic regression. The results of the study show a cumulative increase in dengue cases from 26 cases in 2023 to 126 cases in 2024. Spatial analysis showed an uneven distribution of cases with high concentrations in densely populated areas, especially Langgongsari Village, Pageraji Village, and Panusupan Village. Indoor temperature was significantly associated with the incidence of dengue (p = 0.038; OR = 3.500), as well as air humidity (p = 0.039; OR = 3.455). Biological factors measured through the House Index (p = 0.398; OR = 1.902) and Container Index (p = 0.398; OR = 1.902) do not indicate a meaningful relationship. In social environmental factors, the habit of hanging clothes was significantly related to the incidence of dengue (p = 0.004; OR = 5.675), as well as the absence of gauze wire in house ventilation (p = 0.008; OR = 5,231). The other 3M Plus behavioral variables did not show a significant relationship. This study shows that the incidence of dengue fever in Cilongok District is influenced by microclimatic conditions in the house and specific behaviors that increase the chances of human-vector contact. Efforts to control dengue need to integrate ventilation and humidity management of the house with targeted behavior change interventions, especially reducing clothing storage in the room and increasing household physical protection Keyword: dengue hemorrhagic fever, environmental factors, 3M Plus behavior
Technical Management Impact Assessment Wastewater Against Health Problems in Sanitarian Workers at Hospital X With A Life Cycle Analysis (LCA) Approach Miftakhul Nurdiyanto; Tri Joko; Mursid Raharjo
Journal of Social Research Vol. 4 No. 6 (2025): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v4i6.2574

Abstract

Hospital wastewater, laden with organic, microbial, and chemical contaminants, poses significant environmental and occupational health risks. Despite regulations, gaps persist in integrated assessment and mitigation strategies. This study evaluates the environmental and health impacts of wastewater management at Hospital X using LCA, identifying hotspots in energy use, chemical toxicity, and worker exposure. A mixed-methods approach combined LCA (SimaPro 9.0, ReCiPe 2016 Midpoint) with surveys of 33 sanitarian workers. Data included WWTP performance metrics, effluent quality, and health complaints. The WWTP (100 m³/day) exceeded capacity (105 m³/day), with aeration (45% of GHG emissions) and chlorine use (20% human toxicity) as key hotspots. Health surveys revealed 85% of workers suffered respiratory/skin issues, correlating with LCA-identified exposure risks. The study underscores the need for capacity expansion (?300 m³/day), automation (sludge handling), and renewable energy integration, offering a model for sustainable hospital wastewater management in Indonesia.
Hazard Identification and Exposure Assessment for Wastewater Management Workers Miftakhul Nurdiyanto; Tri Joko; Mursid Raharjo
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6696

Abstract

Sanitation workers in hospitals are at high risk of developing health disorders due to direct exposure to wastewater during the operation and maintenance of wastewater treatment plants (WWTP). This study aims to identify the types of health problems experienced by 33 sanitation personnel at Sentra Medika Cibinong Hospital and to analyze the contribution of wastewater treatment processes to these health risks using the Life Cycle Assessment (LCA) approach. Methods: This study employed a qualitative descriptive method using a Life Cycle Assessment (LCA) approach. From a total population of 33 individuals, the researcher selected all 33 as the study sample. Data were analyzed using both quantitative and qualitative approaches. Additionally, the Life Cycle Assessment (LCA) methodology was employed to identify environmental impacts and potential health risks arising from the hospital's wastewater management system. Results: The results showed that 87.9% of the workers reported health complaints, including skin irritation, respiratory symptoms (shortness of breath, coughing), dizziness, nausea, vomiting, and gastrointestinal disorders. The highest exposure occurred during chemical dosing, sludge pit cleaning, and wastewater sampling. The LCA results indicated that the aeration and disinfection stages contributed significantly to hazardous emissions such as hydrogen sulfide (H₂S), chlorine, and fine particulates, which can pose serious health risks. Conclusion: This study highlights the urgent need to improve occupational health protection through proper use of personal protective equipment (PPE), routine training, and redesigning WWTP systems to be more worker-friendly. LCA proved to be an effective tool in identifying health-related risk hotspots throughout the wastewater management cycle.
Hubungan Sanitasi dan Air terhadap Kejadian Diare: Literature Review: The Relationship between Sanitation and Water and the Occurrence of Diarrhea: Literature Review Nickolas Fernando Parmualan; Mursid Raharjo; Nurjazuli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 2 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i2.4927

Abstract

Latar belakang: Diare merupakan penyakit yang yang ditandai dengan buang air besar lebih dari tiga kali sehari dengan perubahan bentuk dan konsistensi tinja yang lembek sampai mencair. Diare dapat disebabkan oleh berbagai bakteri, virus dan organisme parasit. Faktor lingkungan menjadi faktor risiko terjadinya penyakit berbasis lingkungan salah satunya diare. Lingkungan tidak sehat yang didukung dengan perilaku yang tidak sehat dapat menjadi potensi berkembangbiaknya bakteri penyebab diare. Tujuan: Penelitian ini menganalisis hubungan sanitasi dan air pada kejadian diare. Metode: Penelitian yang digunakan yaitu studi literature dengan metode pencarian pada tinjauan pustaka, dimana mencari literatur yang sesuai dengan media yang relevan seperti google scholar, garuda, e-jurnal dalam bidang kesehatan tentang kejadian diare. Penelusuran literatur sebagai referensi dari tahun 2013-2023 dan mendapatkan 22 artikel atau jurnal yang relevansi dalam 10 tahun terakhir. Hasil: Penelitian ini menunjukkan bahwa faktor lingkungan meliputi jenis penampungan tinja, kualitas air minum dan jenis sarana air minum serta perilaku cuci tangan pakai sabun (CPTS) dengan kejadian diare. Kesimpulan: Adanya hubungan antara jenis penampungan tinja, kualitas air minum, jenis sarana air minum dan perilaku cuci tangan pakai sabun (CTPS) dengan kejadian.
Co-Authors AA Sudharmawan, AA Agus Subagio Aini Nurul Alfia Nugrahani Sidhi Amarullah, Novi Ana Fauziah Andika Agus Iryanto Annisa Zolanda Annisa Zolanda Antonius Tae Asa, Antonius Tae Apoina Kartini Arumdani, Intan Sekar Aslina, Enna Astri Wulandari Atyaf Umi Faizah Bagoes Widjanarko Bahri Bahri Bahri Bahri Bahri Bahri Baji Subagyo Budi, Waella Septamari Budiyono Budiyono Budiyono Budiyono Charisna Neilal Muna Damayanti, Wida Ayulia Dewi, Candrawati Puspita Dinar Andaru Mukti Dwi Fitriani Dwi Fitriani Dwi Sutiningsih Fachrizal Ganiwijaya Familiantoro Familiantoro Familiantoro, Familiantoro Farid Agushybana Farid Farid Agushybana Fauziah El Syani Ferawati, Nour Baeti Fitni Hidayati Fitri, Clara Fitria, Ida Ghinaa Maniiah Hansen Hanung Nurany Hariyanti, Fika Harmendo Hartini Sulistyandari, Hartini Haryanti, Nelly Hasim, Jamal Hisham Hasrah Junaidi Helmin Rumbiak, Helmin Hendrika Puspita Sari, Hendrika Puspita i Joko, Tr Irawati, Roosdiana Jamal Hisham Hashim Kartika Permatasari Khaira Ilma Lailatul Mardhiyah Lewinsca, Maurend Yayank Liena Sofiana Mardhiyah, Lailatul martini Martini Martini Martini Martini Martini Martini2 Masyithah, Wulan Mateus Sakundarno Adi, Mateus Sakundarno Maulida Khairunnisa Maurend Yayank Lewinsca Maurend Yayank Lewinsca Maurend Yayank Lewinsca Miftakhul Nurdiyanto Miftakhul Nurdiyanto Mitha Karunia Baeti Mohammad Zen Rahfiludin Muhammad Auliya Rahman Mutia Permata Iryanti Nadiva Dzikriyati Nadiva Dzikriyati Nickolas Fernando Parmualan Niki Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nilna Fasyya Salsabila Ningrum, Cuciatun Nopi Reknasari Nopi Reknasari Novia Luthviatin Nugraha, Ferry Satya Adi Nur Endah Wahyuningsih Nur Endah Wahyuningsih Nuraini Nuraini Nurjazuli Nurjazuli Nurjazuli Nurjazuli Nurjazuli Nurjazuli Nur’Aini Nur’Aini Onny Setiani Onny Setiani Philomena Larasati Adilasari Pramudiyo Teguh Sucipto, Pramudiyo Teguh Pratiwi, Dian Eka Puguh Ika Listyorini Purnama, Wary Purnamasari, Nor Aisyah Raharjo, Puspito Rahman, Muhammad Auliya Rasyid, Khairul Restiana, Shafira Azura Retno Hestiningsih Retno Murwani Richard Victor Ombuh Robby Setiadi Rosa Rantetoding, Rosa Saffira Kusuma Anggraeni Sakundarno Adi Sari Lestari Rahmawati Saudin Yuniarno Setiadi, Robby Setiani , Onny Sigit Tri Ambarwanto, Sigit Tri Sri Mulyati Sri Slamet Mulyati, Sri Slamet Subekhi, Tatag Fajar Suci Kurniawati Sugeng Juwono Mardihusodo Suhartono Suhartono Suhartono Suhartono, Suhartono Sujarwo Sujarwo Sularno, Suryo Sulistiyani Sulistiyani Sulistiyani SULISTIYANI SULISTIYANI Sulistiyani Sulistiyani Sulistyani Sulistyani Sunindy Wahyunita Supri Ahmadi, Supri Sutikno Sutikno Sutrisno, Sutrisno Suwito Suwito Tika, Vira Tri Joko Tri Joko Tri Joko Vanessa Rizky Aditya Vijja Ratano Vira Tika Yuniar Wahyudi Wahyudi Wahyunita, Sunindy Watmanlusy, Efraim Wayangkau, Erich C. Wayangkau, Erich Christian Windy Cintya Dewi Windy Cintya Dewi Yana afrina Yundari, Yundari Yusniar Hanani Yusniar Hanani Darundiati Yusniar Hanani Darundiati Yusran Fauzi Yusuf Afif Zahra, Nabilah