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All Journal Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat VISIKES JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan Jurnal Berkala Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Journal of Public Health for Tropical and Coastal Region Jurnal Serambi Engineering Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Pengabdian Kesehatan Journal of Social Research Malahayati International Journal of Nursing and Health Science KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat
Tri Joko
Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang|Universitas Diponegoro
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Relationship of Noise Levels with Hypertension in Textile Workers in Semarang City Intan Sekar Arumdani; Onny Setiani; Tri Joko; Mursid Raharjo; Sakundarno Adi
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 19, No 3 (2022): November 2022
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v19i3.638-650

Abstract

Noise is associated with a risk factor for several cardiovascular diseases, one of which is hypertension. Hypertension is estimated to cause 7,5 million deaths, or about 12.8% worldwide. The textile industry is exposed to high noise intensity because it constantly uses machines. The results of a preliminary study of noise measurement showed that the average at 6 points reached 90 dBA. The Threshold Value for the noise level contained in permitted government regulation is ≤ 85 dBA for duration of exposure of 8 hours. The measurement results exceed the threshold value. This study was analytical observational research with a Cross-sectional study design. The sample in this study was 74 workers textile industry in Semarang city. The average noise intensity measurement in the entire machine area of spinning unit 5 of the Semarang City Textile Industry is 87.49 dBA. Based on statistical test analysis, the results of noise levels (p-value = 0.037), working period (p-value = 0.015), and continuity of use of ear protection equipment (p-value = 0.048) and duration of exposure per day (p-value 0.510) were obtained. There is a significant relationship between noise level, working period, and continuity of Ear Protection Equipment use with the incidence of hypertension.
Risk Factor Analysis of Dust Exposure with Symptoms of Respiratory Disorder in Brick Industry Workers in Tegowanuh Sub-District, Kaloran District, Temanggung Regency Muhammad Fadli Ramadhansyah; Onny Setiani; Budiyono Budiyono; Sulistiyani Sulistiyani; Tri Joko
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 20, No 1 (2023): March 2023
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v20i1.126-139

Abstract

The brick industry has the potential to create a source of pollution in the form of dust which is harmful to the environment and workers health from the burning process. This study aims to determine the risk factors and analyze the relationship between dust exposure and symptoms of respiratory disorder in workers. This study used the total sampling technique to choose a sample of 75 participants for an observational study with a cross-sectional approach. The results showed that the average total dust particulate levels at 13 points was 1748.47 µg/Nm3 and the average inhaled dust content in 75 respondents of 4.56 mg/m3. The results of the analysis showed that the variables associated with symptoms of respiratory disorder were inhaled dust levels (p=0.023), working period (p=0.040), length of exposure (p=0.032), and use of personal protective equipment (p=0.015). Workers in the brick sector in Tegowanuh Sub-District may have respiratory symptoms more frequently depending on their exposure to amounts of inhaled dust, working period, exposure duration, and use of personal protective equipment. During the work process, it is advised to use personal protective equipment as a mask to prevent the onset of respiratory problems.
Water Pollution Index and The Distribution of Waterborne Diseases on The East Flood Canal, Semarang City : An Analysis Spatial Yura Witsqa Firmansyah; Onny Setiani; Yusniar Hanani Darundiati; Tri Joko; Mursid Raharjo
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2525.899 KB) | DOI: 10.30604/jika.v6i3.701

Abstract

High environmental health quality status is an environmental condition that needs to be preserved. Poor environmental health quality is closely related to the level of heavy pollution status and the high incidence of waterborne disease. In 2018 there were 25 rivers with heavy pollution status in Indonesia and the condition is worsened in 2019 with as many as 38 rivers in the condition of heavy pollution status. Water pollution can be a factor in the emergence of waterborne diseases such as diarrhea, typhoid and leptospirosis. This study aimed to provide an overview of the water pollution index and the incidence of waterborne disease on the Semarang East Flood Canal with a spatial modelling approach. This research was a spatial analysis approach. The type of data in this study is quantitative with retrieval 6 sampling points on the east bank of The Canal Flood which was then analyzed with spatial-Gis modelling. Parameters for the water pollution index were total coliform, faecal coliform, dissolved oxygen, and anionic detergent. From the results of the calculation of the water pollution index, sample points 1-6 (T1-T6) are categorized with mild pollution status. However, when viewed from each parameter, there are total coliform, faecal coliform, dissolved oxygen parameters that exceed the quality standard. Existing results and interviews obtained, waterborne disease in the work area of the public health centre related to istewater from the Semarang East Flood Kanal. From the existing results, most of the contamination from domestic activities that do not have a istewater treatment plant and in T6 is an industrial area, which allows the contamination to come from industrial activities. Efforts are also needed to make istewater treatment installations either individually, semi-communally or communally to minimize water parameters exceeding quality standards.  Status kualitas kesehatan lingkungan yang tinggi merupakan kondisi lingkungan yang perlu dilestarikan. Kualitas kesehatan lingkungan yang buruk erat kaitannya dengan tingkat status pencemaran berat dan tingginya insiden penyakit yang ditularkan melalui air. Pada tahun 2018 terdapat 25 sungai dengan status pencemaran berat di Indonesia dan kondisi tersebut diperparah pada tahun 2019 sebanyak 38 sungai dalam kondisi status pencemaran berat. Pencemaran air dapat menjadi faktor munculnya penyakit yang ditularkan melalui air seperti diare, tifus dan leptospirosis. Penelitian ini bertujuan untuk memberikan gambaran indeks pencemaran air dan kejadian penyakit yang ditularkan melalui air pada Banjir Kanal Timur Semarang dengan pendekatan pemodelan spasial. Penelitian ini merupakan penelitian dengan pendekatan analisis spasial. Jenis data dalam penelitian ini adalah kuantitatif dengan pengambilan 6 titik sampling di tepi timur Banjir Kanal yang kemudian dianalisis dengan pemodelan spasial-Gis. Parameter indeks pencemaran air adalah total coliform, fecal coliform, oksigen terlarut, dan deterjen anionik. Dari hasil perhitungan indeks pencemaran air, titik sampel 1-6 (T1-T6) dikategorikan dengan status pencemaran ringan. Namun jika dilihat dari masing-masing parameter terdapat parameter total coliform, fecal coliform, oksigen terlarut yang melebihi baku mutu. Hasil eksisting dan wawancara yang diperoleh, waterborne disease di wilayah kerja Puskesmas terkait dengan air limbah dari Kanal Banjir Timur Semarang. Dari hasil yang ada, sebagian besar pencemaran dari kegiatan domestik yang tidak memiliki instalasi pengolahan air limbah dan di T6 merupakan kawasan industri, yang memungkinkan pencemaran berasal dari kegiatan industri. Upaya juga diperlukan untuk membuat instalasi pengolahan air limbah baik secara individual, semi-komunal maupun komunal untuk meminimalkan parameter air yang melebihi baku mutu.
Analysis of the implementation of the ISO 14001 environmental management system in a concrete manufacturing plant Elza Muthia; Tri Joko; Onny Setiani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.822

Abstract

Background: One of the main efforts in promoting sustainability is the implementation of ISO 14001, an international standard for Environmental Management Systems (EMS). In addition to helping companies comply with environmental regulations and reduce the risk of legal sanctions, ISO 14001 also contributes to improving operational efficiency, reducing costs, and achieving business sustainability. Effective implementation not only supports environmental preservation but also creates healthier and more productive working conditions. Purpose: To analyze the implementation of the ISO 14001 environmental management system in a concrete production plant. Method: Descriptive observational research with a qualitative approach using a cross-sectional design. This research was conducted at a concrete production company in Demak City, namely PT Varia Usaha Beton Plant Sayung, which has been operating since 1991 and employs 59 workers. The researcher determined the main informant as the subject of this research, namely the manager who is directly responsible for the implementation of ISO 14001 and workers from the quality control section, while for the triangulation informant the researcher chose the Factory Head. ISO 14001 contains 10 clauses, but the researcher only used six clauses with a checklist to assess the implementation of ISO 14001, including organizational context, leadership, planning, support, operations, performance evaluation, and continuous improvement. Results: The implementation of ISO 14001 is in accordance with the standard of 87.2%. Around 71.1% of respondents have a smoking habit which is a major concern in the context of occupational health. This habit can increase the prevalence of health problems such as shortness of breath and flu/prolonged cough observed in some respondents. As many as 20.3% of respondents experienced shortness of breath while working, and 76.2% experienced flu or cough for more than a week. These figures are quite high and may indicate exposure to dust, air pollution, or poor ventilation in the workplace. Most respondents had no history of illness (83.1%), but the high prevalence of respiratory symptoms indicates the need for an environmental evaluation in the workplace. The results of dust measurements also showed that there were areas where the threshold value was exceeded. Conclusion: Although the company has taken positive steps in implementing an environmental management system, controlling dust and enhancing protection for workers remains a critical focus to prevent occupational diseases that are still occurring. Suggestion: To improve the effectiveness of the Environmental Management System (EMS), organizations need to strengthen operational control and communication with external suppliers to ensure that all processes and business partners meet the established environmental standards. In addition, emergency preparedness should be improved through regular evaluation of emergency response procedures, so that responses to critical situations can be faster and more effective.
Study of Household Environmental Sanitation Risk Factors on Stunting Incidence in Toddlers in Dongos Village, Kedung I Health Center Working Area, Jepara Regency Wakhid Anwar; Nurjazuli; Tri Joko
Jurnal Penelitian Pendidikan IPA Vol 11 No 2 (2025): February
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i2.9967

Abstract

Stunting is a condition of linear growth disorders due to chronic lack of intake and occurs in many developing countries including Indonesia. Stunting is a problem because it is associated with an increased risk of illness and death, suboptimal brain development so that motor development is delayed and mental growth is inhibited, this can hinder the Indonesian government's program towards a superior and quality golden generation in 2045. The purpose of this study was to determine the risk factors for household environmental sanitation on the incidence of stunting in toddlers in Dongos Village, Kedung I Health Center, Jepara Regency. This study is an observational analytical study using a quantitative method with a case-control study design, namely a study comparing case and control groups and then retrospectively examining risk factors that might explain the incidence of stunting. The study sample was stunted and non-stunted toddlers, calculated using lemmeshow formula with the absolute accuracy proportion estimate with a total sample of 100 respondents divided into 50 case groups and 50 control groups. Data analysis with Chi Square test then further using logistic regression test using prediction modeling. The results of the study showed that unsafe household waste management has a risk factor of 3.6 times greater for stunting in toddlers (p-value 0.029; Odds Ratio = 3.632; 95% CI = 1.082- 12.183). Houses with unsafe household waste management have a 5.2 times greater risk of experiencing stunting in toddlers (p-value 0.025; Odds Ratio = 5.268; 95% CI = 1.077- 25.779). Household toilet ownership (p value = 0.400) and household drinking water consumption patterns (p value = 0.338) were not proven to be risk factors for stunting in toddlers in Dongos Village, Kedung I Health Center working area, Jepara Regency.
Pajanan Pestisida Sebagai Faktor Risiko Kejadian Berat Badan Lahir Rendah (BBLR) : Sebuah Kajian Sistematik Amanda Luky Ernawati; Tri Joko; Suhartono
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.v7i1.1181

Abstract

Background: Low birth weight (LBW) is one of the causes of infants death. One of the factors that is proven to be associated with LBW incidence is pesticide exposure to pregnant women. The high number of female farmers in the agricultural sector will increase the risk of pesticide exposure in pregnant women. Objectives: This study aims to describe how pesticide exposure can be a risk factor for the incidence of LBW. Research method: This study is a systematic study that used meta-synthesis aggregation approach. The search for articles focused on articles that examined the risk factors for pesticide exposure on the incidence of LBW in pregnant women which was conducted on the online databases of Science Direct, Scopus, PubMed, Springer, Google Scholar, and Garuda Portal. The criteria for the articles used were national observational journals indexed at least 4 and indexed international journals published in 2010-2020. Result: There were 9 articles that match to the criteria and research topic. Factors that were proven to increase the risk of LBW incidence in pregnant women were agricultural activities related to pesticide, participation in agricultural activities, completeness of PPE, storage of pesticide, duration of exposure to pesticide, frequency of exposure to pesticide, amount of pesticide mixture, and types of pesticide used. Conclusion: Pesticide exposure to pregnant women causes the accumulation of pesticide residues in the body, thus reducing the formation of thyroid hormones and IGF-1 which can cause LBW.
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.
Multidimensional Drivers of Dengue Transmission in Kalimantan: Climate, Spatial, Entomological, Behavioral, and Socioeconomic Factors - A Systematic Literature Review Agung Waskito; Tri Joko; Mursid Mursid; Nurjazuli Nurjazuli
Jurnal Berkala Kesehatan Vol 11, No 2 (2025): JURNAL BERKALA KESEHATAN 1 (NOVEMBER - APRIL)
Publisher : Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i2.25576

Abstract

Dengue fever (DF) remains a significant public health problem in Kalimantan. Its transmission is influenced by the interaction of multiple factors, including climate, spatial conditions, entomological aspects, behavioral factors, and socioeconomic conditions. However, scientific evidence regarding these factors in Kalimantan remains limited and has not been comprehensively synthesized. This study aims to examine the climatic, spatial, entomological, behavioral, and socioeconomic drivers of dengue transmission in Kalimantan to inform future control strategies. This study employed a systematic literature review design following the PRISMA 2020 guidelines. A total of 7,410 articles published between 2016 and 2025 were identified from several databases, of which 7 articles met the inclusion criteria and were included in the final analysis. Data were analyzed using narrative synthesis by grouping key findings. The results show that DF incidence in Kalimantan is spatially heterogeneous and forms risk clusters associated with population density and settlement structure. Climatic factors, particularly temperature, humidity, and rainfall, influence seasonal patterns of DF, but do not fully explain variations in risk across regions. Evidence related to entomological and behavioral dimensions remains limited, despite their important role in modifying transmission risk. Socioeconomic factors are generally assessed using proxy indicators. DF in Kalimantan is a multidimensional phenomenon that requires an integrative and predictive research approach to support effective control strategies.
Environmental Health Risk Control in the Management of Infectious Medical Waste in Hospitals Using the FMEA Method Muhammad Nasir; Tri Joko; Budiyono Budiyono
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6359

Abstract

Medical waste refers to the waste generated from medical activities within healthcare facilities, including hospitals. Other studies indicate that 15-25% of medical waste is toxic, infectious, or radioactive, while 75-85% is non-hazardous. Despite the smaller volume of medical waste compared to other waste types, its improper management can pose significant health and environmental risks. This research aims to investigate the control of environmental health risks in the handling of infectious medical waste at hospitals using the FMEA method. This study employed an observational research design using a cross-sectional approach. A mixed-methods approach was applied, combining both quantitative and qualitative analyses to assess environmental health risk management related to medical waste processing based on priority or critical risks at RSUP Persahabatan. The target population included individuals involved in both the handling and treatment stages of medical waste using an incinerator at the facility. The sample selection for the FMEA analysis employed purposive sampling with a quota sampling technique.The study utilized an environmental risk analysis framework based on the Failure Mode and Effect Analysis (FMEA) method. The critical Risk Priority Number (RPN) analysis revealed the following three primary environmental health risks: (1) The risk of contracting environmental health-based infectious diseases through the transmission of pathogenic microorganisms or hazardous materials, associated with 12 failure modes in the medical waste handling process. (2) The risk of ambient air (work environment) contamination, associated with 5 failure modes in the medical waste handling process. (3) The risk of contamination of facilities and rooms where medical waste is generated, associated with 4 failure modes related to the operation of the incinerator during the medical waste treatment process. Environmental health risks with a high potential to arise from failure modes during the medical waste management stage at RSUP Persahabatan, as indicated by critical Risk Priority Number (RPN) scores.
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.
Co-Authors Agung Waskito Aisya Nursabrina Alfadhylla Rosalina Wibisono Ali Wafa Amanda Luky Ernawati Apoina Kartini Aqila Tischana Dewi Aqmariza Wisnu Wijayanti Arumdani, Intan Sekar Atka Kurnia Sari Bagoes Widjanarko Bayu Kusuma Adi Budiyono Budiyono Budiyono Budiyono Dhea Pramesti Regita Dini Kusumastuti Dyah Ratri Nurjanah Edo Muhammad Elza Muthia Ghodiq Ufthoni Hendrixus Eko Surani Putro Heru Budianto Isye Dianti Linda Yanti Julian Noya Miftakhul Nurdiyanto Miftakhul Nurdiyanto Mochamad Abdul Hakam Muhammad Fadli Ramadhansyah Muhammad Nasir Muhlisan Muhlisan Mursid Mursid Mursid Rahardjo Mursid Raharjo Nikie Astorina Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nur Endah Wahyuningsih Nurjazuli Nurjazuli Nurjazuli Onny Septiani Onny Setiani Onny Setiani Ranindyta Elda Cintya Rezka Rahmadhana Riyana Husna Sakundarno Adi Suhartono Suhartono Suhartono, Suhartono Sulistiyani Sulistiyani Wakhid Anwar Yusniar Hanani Darundiati