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Mapping And Analysis of Environmental Risk Factors Leptospirosis Incidence Based Geographic Information System (GIS) In Sampang Regency Annisa Rahim; Ririh Yudhastuti
JURNAL KESEHATAN LINGKUNGAN Vol. 8 No. 1 (2015): Jurnal Kesehatan Lingkungan
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v8i1.2015.48-56

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Abstract: One  of the  zoonosis in Indonesia is leptospirosis. Leptospirosis is caused due  to infection  of bacteria Leptospira. There  were  107 cases and  9 deaths due  to leptospirosis in Sampang. The  incidence of leptospirosis in Sampang was an outbreak. The purpose of this study  was to map the distribution  of leptospirosis cases in Sampang in 2013 and to analyze environmental risk factors of leptospirosis cases (rainfall, altitude, and the presence of flood). This study  was an observational-descriptive study  and used cross-sectional study  design. The unit of analysis  of the study was administrative  regions  based on the districts.  There was patients  of leptospirosis in 4 districts in Sampang regency, there are Sampang district, Camplong district Robatal district and Omben district. The highest incidence of leptospirosis in Sampang regency was occured in Sampang district with rainfall more than 177.6 mm,  altitude less  than 47mdpl, and had experienced flooding.  Mapping  the incidence of leptospirosis showed the distribution  of leptospirosis cases tend to be  concentrated in Sampang district which  had a history of flooding  status.  The conclusion is rainfall, altitude, and presence of flood are risk factors  of leptospirosis. The advice is to improve  surveillance of patients  with leptospirosis particularly during floods,  to do outreach to the community, to perform cross-sector cooperation, to avoid or to reduce the frequency of direct contact with the flood to minimize  transmission of leptospirosis.Keywords: leptospirosis incidence, risk factors,  mapping
Analysis of Distribution Process to the Increasing of Escherichia Coli in Dairy Fresh Milk Products from X Cattle Farm in Surabaya Nina Emsi Pramesti; Ririh Yudhastuti
JURNAL KESEHATAN LINGKUNGAN Vol. 9 No. 2 (2017): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v9i2.2017.181-190

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Fresh milk was one of food ingredients with high nutrition and widely consumed by people with no processed before consumed so it's easily damaged. This research aims to determine the bacteriological quality of the milk before after distribution, and to analyze an increase of the bacteria Escherichia coli during distribution. The research was an descriptive with observational methods. Subjects were selected by purposive sampling with the number of samples were 4 samples of milk before distribution and 20 samples of milk after distribution of Escherichia coli test. Milk samples were tested before and after the distribution. After distribution during 2 hours, 1 sample was taken every 20 minutes every day during 4 days continuously. Data obtained by interviewing, observing and testing of milk samples to the laboratory. Data were analyzed by descriptive and simple linear regression analysis. The results showed that hygiene and sanitation in the milk process and distributions were not good. The result of laboratory test showed that fresh milk positively contaminated with Escherichia coli was exceeds the standard of microbial contamination in food set by SNI 7389: 2009. The number of Escherichia coli increased during 2 hours for distribution based on a statistical test simple linear regression. Escherichia coli bacterial contamination in milk could be caused from lack of awareness to sanitary hygiene of milk process. Bacteria increased during distribution may be due to lack of good hygiene and sanitation during the distribution process. Therefore it necessary to carry out the processing of milk before the consumption, to monitor the sanitation of the farms by prevent the damage, improve of sanitary and to test the samples of fresh milk regularly for keep a good quality of product.
Preventive Behavior Towards Maya Index at DHF Endemic Area Tiwik Suci Pratiwi; Edza Aria Wikurendra; Ririh Yudhastuti; Yudhied Agung Mirasa
JURNAL KESEHATAN LINGKUNGAN Vol. 13 No. 1 (2021): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v13i1.2021.1-8

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Introduction: Primary health care Putat Jaya is an area with the highest number of DHF cases out of the three primary health care in Sawahan District, Surabaya City. The number of breeding sites for mosquitoes and the density of larvae can be the risk factors that affect mosquitoes' spread. Maya Index is an indicator to measure the number of water reservoirs used as breeding grounds for mosquitoes. This study aims to analyze behavioral factors towards virtual index in dengue-endemic areas in the Primary health care Putat Jaya Surabaya. Methods: The research used observational type with a cross-sectional design. The population of this study was all houses in the highest endemic. The sample consisted of 100 houses taken randomly, with research variables including mosquito nests eradication behavior and Maya Index status. Data collection used questionnaires and direct observation. The data were presented in the form of distribution tables and statistically analyzed with the chi-square test. Results and Discussion: The results showed the Maya Index of 74 houses in the high category. There was a significant relationship between the respondent's behavior (knowledge, attitude, action) and the Maya Index. Analysis of the relationship between respondents' knowledge and Maya Index showed that the p-value = 0.00. Analysis of the relationship between respondents' attitudes with the Maya Index shows that p-value = 0.02. Furthermore, there was a significant relationship between the respondent's actions and the Maya Index with a p-value = 0.03. Conclusion: Based on the results of research, community behavior (Knowledge, Attitude, Action) has a significant relationship with the Maya Index level, and the high virtual index affects the risk level of DHF transmission. Knowledge was the most potential factor that affected the Maya Index. It is suggested that the community will often strive to eradicate mosquito nests independently and regularly as well as increase community knowledge with the help of community health center officers regarding the eradication of mosquito nets.
Microbiology Indoor Air Quality at Hospital During the Covid19 Pandemic Aryatama Rahardhiman; Ririh Yudhastuti; R. Azizah
JURNAL KESEHATAN LINGKUNGAN Vol. 12 No. 1si (2020): SPECIAL ISSUE
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v12i1si.2020.89-92

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Introduction: Covid19 was an acute respiratory disease with fever, cough, and out of breath as the symptoms. WHO reported that until June 21st 2020, there were 8,708,008 cases were confirmed with 461,715 number of death (CFR 5.3%). In Indonesia, there were 45,891 cases were confirmed with 2,465 number of death (CFR 37%). People who were most at risk were people who physically close contact with the Covid19 patient, including health workers. The purpose of this study was to know the microbiology indoor air quality of Covid19 patient at Hospital before and during the pandemic. Method: The study design of this research was observational cross sectional. The study was done at a Hospital in East Java on December 2019 – June 2020. The sample of this research was a ward's air in a Hospital. The research variable was the number of microbiology, temperature, and humidity of the ward of Covid19 patient that was measured 3 different points of measurement each rooms. Result and Discussion: The result showed that the average of the number of microbiology before the pandemic was about 46.31 CFU/m3 with the average of the temperature was 27.64°C and the humidity was 44.58%, while during the pandemic the number of microbiology in the air increased to 64 CFU/m3 with the average of the temperature was 27.77°C and the humidity was about 42.46%. Based on the statistic analysis, there were differences between the numbers of the microbiology before and during the pandemic in the ward of Covid19 patients (p value 0.00). Conclusion: The result showed that the number of the microbiology was increased before and during the pandemic although it was still under the quality standard. Increasing of Covid19 patient was the probably reason of the increasing the number of the indoor air microbiology. It was recommended the hospital requires to control the air quality of the treatment room by regulating air ventilation.
HUBUNGAN FAKTOR SUHU DENGAN KASUS DEMAM BERDARAH DENGUE (DBD) DI KECAMATAN SAWAHAN SURABAYA Bella Rosita Fitriana; Ririh Yudhastuti
The Indonesian Journal of Public Health Vol. 13 No. 1 (2018): The Indonesian Journal of Public Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1172.902 KB) | DOI: 10.20473/ijph.v13i1.2018.85-97

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DHF cases is always occured in East Java each year. In 2014, the number of cases reached 14.534 cases with a mortality rate of 146 people. In 2015 reached 9.609 cases with  mortality rate of 108 people. Meanwhile in 2016, it increasing high that 20.129 cases occured with a mortality rate of 283 people. BMKG stated that there are extremes climate change can be a risk the increasing high of DHF cases. The purpose of this study was to analyze the relationship of environmental factors and people’s behaviour with DHF cases in Putat Jaya Public Health Center Surabaya. The type of this research was analytic, using case-control study design. The research samples were 112 respondents, which obtained by simple random sampling. The data were collected by using a questionnaire and observation. The statistical test used in this study was chi square. The results showed a correlation between the temperature and DHF cases (p = 0.019); (OR = 0.319). The conclusion of this study is temperature factor correlated with DHF cases. Putat Jaya Health Center need to increase the awareness of the citizens and it also need a cooperation with BMKG to provide the information related to temperature changes. When the mosquito is in their good temperature for breeding, citizen need to be aware, they need to keep the enviroment clean, such us doing 3M Plus
DBD EVENT MAPPING, STRONG RELATION OF CLIMATE CONDITIONS AND POPULATION MOBILITY NUMBER WITH DBD INCIDENCE Nandella Larasati; Ririh Yudhastuti
The Indonesian Journal of Public Health Vol. 15 No. 1 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1053.387 KB) | DOI: 10.20473/ijph.v15i1.2020.37-48

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ABSTRACTDengue Hemorrhagic Fever (DHF) is influenced by the environmental factors; climate and population mobility. The DHF incident mapping is conducted to know its distribution and the areas belong to high-risk of DHF. This study aims to know the DHF incident mapping, climate conditions, and population mobility at Putat Jaya in 2015-2017.This study is an observation analysis by using the ecology time series study. There were 110 samples population. This study used a correlation test to know the strength and weakness of climate variable, population mobility number towards the DHF incident. The data used a primary and secondary data. Most cases of DHF incident are found in community areas (RW) where the distance between citizen’s house is narrow. The mapping showed the distribution pattern of DHF in each RW was grouping and spreading. Based on the correlation test, if the rainfall is higher, the DHF incident increases (r = 0,278). If the air temperature is higher, the DHF incident decreases (r = -0.480). If the humidity is higher, the DHF incident increases (r = 0.282). If the duration of solar radiation is higher, the DHF incident decreases (r = -0,150). If the population mobility rate is higher, the DHF incident increases (r = 0,413). There was an environmental factor that support the DHF incident at Putat Jaya. It causes a high-risk exposure to DHF, thus the case was grouping and spreading. In addition, it still need a cooperation between the Health Center and the society to control the DHF incident. Keywords: Mobility Rate, Climate, Larva Density, Mapping
OVERVIEW OF SANITATION HYGIENE AND BACTERIOLOGICAL QUALITY OF FOOD AND EQUIPMENT ON FOOD MANAGEMENT SITES AT JUANDA AIRPORT, SURABAYA IN 2019 Devi Shintiya Chilmi; Ririh Yudhastuti; Bangun Cahyo Utomo
The Indonesian Journal of Public Health Vol. 16 No. 2 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.585 KB) | DOI: 10.20473/ijph.v16i2.2021.219-229

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ABSTRACTSites for managing and providing food for the community contribute to the emergence of major foodborne diseases. The airport gives notes on how important it is to prevent food-borne diseases. This study aimed to review the sanitary hygiene and bacteriological quality of the food and equipment on food management sites in Terminal 1 of Juanda Airport, Surabaya. This was a descriptive study using a cross-sectional study design. The research population was all 53 food management sites in Terminal 1 of Juanda Airport. A large sample of four food management sites were taken based on the number of food management sites offered to be surveyed every month. The research variables were sanitation hygiene and bacteriological quality of the food and equipment on the food management sites. Data collection on sanitation hygiene was done through observation and interview. Data collection on bacteriological quality of food and equipment was performed by taking and checking food samples and equipment from each food management site. The assessment of sanitation hygiene on the four food management sites in Terminal 1 of Juanda Airport received a score of > 700. The results of bacteriological food quality showed that Escherichia coli was found in food samples produced by one food management site. The results of bacteriological equipment quality showed that there was no Escherichia coli on the equipment used by four food management sites, but the total plate count value on the equipment was > 0. All food management sites in Terminal 1 of Juanda Airport met sanitation hygiene requirements but did not meet the bacteriological quality requirements for equipment because the total plate count value exceeded the threshold value. In terms of bacteriological food quality, most of the food management sites met the health requirements. Keywords: sanitation and hygiene, Escherichia coli, total plate count, airports
Pattern of Clinical Medication Seeking for Import Malaria by Migrant Workers Muhammad Mahmudi; Ririh Yudhastuti
Jurnal Berkala Epidemiologi Vol. 3 No. 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.088 KB) | DOI: 10.20473/jbe.V3I22015.230-241

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Trenggalek District in 2014 found 83 out of 89 cases of malaria were imported malaria cases carried by migrant workers. The case involved two domiciles that affected the search for treatment. This study aims to provide an overview of the search patterns for imported clinical malaria treatment for migrant workers who come from the area in the Public health center (PHC) of Pandean, Trenggalek District. This type of research is cross-sectional descriptive. Data were collected through interviews with 26 respondents of imported malaria patients who have a history of migrant work in 2013-2015 that were selected purposively. Interviews were conducted to obtain data on the characteristics of the respondents, where they experienced pain when to seek treatment first, place of treatment first, place of diagnosis first, treatment follow-up, and recovery. The results showed that all respondents were male, the majority aged 20-30 years (53.8%), working outside the island as migrant wood care workers (50%), suffering more first pain in the migration destination (53, 8%), the most treatment was on the 3rd day after suffering from symptoms (34.6%). Respondents who experienced illness in the PHC of Pandean area received the most first treatment at the PHC (42.3%) and at the Hospital (19.2%) for the migration destination. The clinical diagnosis of malaria was obtained at the PHC was 69%, but only 11.5% received a post-treatment follow-up visit and another 19.2% did not recover or experience a relapse. Most respondents chose the most advanced treatment at the PHC. All respondents chose clinical treatment as the first place of treatment. Need to be followed up after ongoing treatment.
Faktor Risiko Kejadian Leptospirosis Di Wilayah Kabupaten Gresik (Tahun 2017-2018) Hajar Camelia Dewi; Ririh Yudhastuti
Jurnal Keperawatan Muhammadiyah Vol 4, No 1 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.609 KB) | DOI: 10.30651/jkm.v4i1.2014

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Leptospirosis is a disease derived from animals with Leptospira bacteria as the main cause. Leptospirosis can occur if the host / human is in contact with animals infected with Leptospira bacteria. In 2017-2018, leptospirosis occurs in the community in several sub-districts in Gresik Regency. The purpose of this study was to determine what risk factors related to the incidence of leptospirosis in Gresik Regency. This study uses an observational method with case control study design with 14 respondents and 14 controls. Analysis was performed by chi square statistical test (α = 0.05) and odds ratio (OR) calculation. Factors studied were standing water, ditch conditions, flood history, presence of vegetation, use of APD while doing risky work, washing hands and feet with soap and the habit of closing food. The results showed 54.5% of leptspirosis patients aged 46-55 years, 50% were male, and 66.7% had a risky job. There is a relationship between the presence of stagnant water (p = 0.0001 and OR = 22), ditch conditions (p = 0.053 and OR = 0.205), APD use (p = 0.000), and washing feet and hands with soap (p = 0.000 and OR = 0.031) with the incidence of leptospirosis. There was no relationship between the history of flooding, the presence of vegetation, and the habit of closing food with the incidence of leptospirosis. Rats were caught by placing 28 traps and found 9 trapped rats. It was concluded that the factors associated with the incidence of leptospirosis in Gresik Regency were the presence of stagnant water, ditch conditions, APD use, and washing hands and feet with soap.
CHARACTERISTICS RELATIONSHIP OF WORKERS AND INTENSITY OF WORK ENVIRONMENT NOISE WITH TINNITUS COMPLAINTS IN GAS INDUSTRIAL WORKERS IN SIDOARJO Dwi Sunarto; Ririh Yudhastuti
The Indonesian Journal of Public Health Vol. 17 No. 3 (2022): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (520.803 KB) | DOI: 10.20473/ijph.v17i3.2022.429-438

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Introduction: Industrial progress is characterized by the increasing use of machinery in factory which has a negative impact on workers' health, one of which is tinnitus symptoms. Tinnitus is a hearing loss due to exposure to noise. The purpose of this study was to determine the relationship of worker characteristics and intensity of work environment noise with tinnitus symptoms in gas industry workers in Sidoarjo. Methods: Based on the study design, this study used analytic research, in terms of time including cross-sectional research. Research variables include age, years of service, noise intensity and tinnitus symptoms. Data are from observation, measurement, questionnaire filling and interview. Result: The results showed that there was a relationship between noise intensity and tinnitus symptoms (p = 0.033). There was no relationship between the age of workers and tinnitus symptoms (p = 1.000). There was no significant relationship between years of work (p = 0.505) with tinnitus symptoms suffered by workers at PT. X Sidoarjo Gas Industry. There was no association between exposure pattern and complaints of tinnitus (p=0.165). Conclusion: So as to reduce the risk of tinnitus complaints the company can apply the use of ear protector for workers and install silencers that can absorb sound with high noise intensity such as glasswool, rockwool, foam, cellulose fiber and acourete fiber carpets to reduce noise.
Co-Authors Aditya Sukma Pawitra Afriani, Novi Dian Agus Yohanan Agus Yohanan Agustin, Avita Fitri Aisyah, St. Aisyaroh, Septia Hilda Aldio Yudha Trisandy Alif, Achmad Alyssa Ika Hanna Khusuma Ambar Garjito, Triwibowo Annisa Rahim Arfiani, Novi Arief Wibowo Aris Santjaka Aryatama Rahardhiman Avita Fitri Agustin Babucarr Jassey Bangun Cahyo Utomo Bella Rosita Fitriana Chatarina Umbul Wahyuni Corie Indria Prasasti Corie Indria Prasasti Corie Prasasti Devi Shintiya Chilmi Dewi, Desak Made Sintha Kurnia Dicky Andiarsa Dimjati Lusno, Muhammad Farid Dwi Sunarto Dwirahmadi, Feby Edza Aria Wikurendra Eka Saul Manuel Elizabeth, Anggi Helena Endang Dwiyanti Firdausi Ramadhani Firdausi Ramadhani, Firdausi Fitri Rachmilah Fadmi Hajar Camelia Dewi Hana’ Izdihar Hanisya, Arisma Ifatul Hari B. Notobroto Hari Basuki Notobroto Hari Basuki Notobroto Hari Rudjianto Indro Wardono Hari Susanto Hari Susanto Hasnur Z Arna Hourunisa, Hourunisa Ihya Hazairin Noor ISNAWATI Izdihar, Hana’ J Mukono J.Mukono Jassey, Babucarr Jiwangga Hadi Nata Juhairiyah Juhairiyah Juhairiyah Kayla Shafira Prasanti Kencana, Yulfa Tiara Khairatun Nisa Khomsatun Khuliyah Candraning Diyanah Kuntoro Kuntoro Kusuma Scorpia Lestari Kusuma Scorpia Lestari, Kusuma Scorpia Kusuma Wardani, Ratnaningtyas Wahyu Lagiono Larasati, Alfania Mei Latif, Mohd Talib Lestari, Kusuma Liestiana Indriyati Lilis Sulistyorini Listiyani, Anindita Alisha Lusno, M. Farid D. Lusno, Muhammad Lutiah, Siti Jubaida M. Fadly Kaliky Manjang, Buba Maruf, M. Azmi Melaniani, Soernarnatalina Mufidah, Imro’atul Muhammad Azmi Maruf Muhammad Choirul Hidajat Muhammad Farid Dimjati Lusno Muhammad Farid Dimjati Lusno Muhammad Mahmudi Muhammad Mahmudi, Muhammad Muhammad Nur Muhammad Nur Muhammad Rasyid Ridha Muhashonah, Izzuki Muhtarom, Muhammad Jazilul Mukono, Jojok Murti, I Gde Raju Sathya Musfirah Musfirah Nandella Larasati Naser, Mhd. Izzan Nasichatus Shofa Nina Emsi Pramesti Norjanah, Norjanah Norleyandi, Untung Norsita Agustina, Norsita Novi Dian Arfiani Nur Hilal Nurul Hidayah Nuzulul Kusuma Putri Pratiwi, Ari Mega Puji Astuti, Ratna Dwi Puspikawati, Septa Indra Putri, Eka Zuristia R Azizah R. Azizah R. Azizah R.Azizah Rafada Diandini Putri Rahmania Ragu Harming Kristina Rania Ichwana Wicaksono Ratna Dwi Puji Astuti Ratnaningtyas Wahyu Kusuma Wardani Reny Indrayani Retno Adriyani Rezkita, Sekanya Ardhia Rika Subarniati Rika Subarniati Ringga Fidayanto Ringga Fidayanto Riza, Yeni Rizaldi, M Addin Rockmawati, Dliyau Rohmah, Shofiyatur Saleh, Tania Ardiani Salsa Nuraini Rahmadina Sejati, Eka Nur Setya Haksama Sila, Oktofianus Sitti R. Umniati Soedjajadi Soedjajadi Keman Soernarnatalina Melaniani Sri Subekti Sri Widati Sri Widati Subagyo Yotopranoto Sudarmaji SUDARMAJI SUDARMAJI Syifa'ul Lailiyah Tarra Zettira Tarra Zettira Tiwik Suci Pratiwi Tri Meidya Rahmawati Tri Ramadhani Trisandy, Aldio Yudha Triwibowo Ambar Garjito Triwibowo Ambar Garjito Ulfah Mu'amarotul Hikmah Wahyu Pudji Nugraheni Wanti Wanti Wanti Wanti Wardani, Ratnaningtyas Wasis Budiarto Wiliyani, Erni Y. Denny Ardianto Y. Denny Ardianto Yeni Dhamayanti Yudhied Agung Mirasa Yulfa Tiara Kencana Yustinus Denny Ardyanto Yusva Dwi Saputra Zahra Imalia Zhiana Chairun Nikmah Zida Husnina Zida Husnina