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Hanan Lanang Dangiran

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PENGARUH FAKTOR-FAKTOR KESEHATAN LINGKUNGAN INDUSTRY TERHADAP TEKANAN DARAH PADA PEKERJA DI PT. X CIBITUNG, BEKASI Asma Afifah; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

In every production process in the workplace, labor can gain exposure from environmental health factors industries such as noise, heat stress, and lighting. When the noise, heat stress, and the lighting uncompliancewithThreshold Limit Value (TLV) may cause health problems, one of them is the change in blood pressure level. This study aimed to determine the effect of environmental health factors on blood pressure in workers in PT.X Cibitung, Bekasi. The type of research was observational with cross sectional approach. The sample used in this study was the whole of population in line B and line G in PT. X Cibitung, Bekasi with non-probability sampling technique and 32 population. Analysis of data used univariate and bivariate analysis with paired T-test. The results of this study showed that there are effects of environmental health the industry on systolic (p = 0.036) and diastolic (p = 0.023)blood pressure workers. The conclusion of this study was there were the effects of environmental health industry factors on systolic and diastolic blood pressure workers. Researcher gave recommendation to companyfor having counseling programe about the effects of environmental industry to health factors (noise, lighting, and heat stress).

HUBUNGAN INTENSITAS KEBISINGAN DENGAN TEKANAN DARAH SISTOLIK DAN DIASTOLIK PADA PEKERJA PERTAMBANGAN PASIR DAN BATU PT. X ROWOSARI, SEMARANG Martyna Widya; Onny Setiani; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Noise can affected human health. Industrial noise with high intensity and prolonged exposuretincreases the risk of hypertension. The noise level in the sand and rock mining area PT. X was measured 88.3 dB(A). This studytaimed to analyzedtthe associationtbetweentthe intensity oftnoise andtblood pressuretin sand and rock mining workers PT. X Rowosari, Semarang. Thistwas antobservational researchtwith crosstsectionaltdesign, totaltsample was 31tpeople. This research was conducted at subdistrict Rowosari, Semarang City with research instrument as a questionnaire to interview personal characteristic, sound level meter to measure noise and digital sphygmomanometer to measure blood pressure before and after work. Datatweretanalyzed usingtChi Squarettest at α = 5%. Thetresults showedtthat 18 people (58.1%) had increasedtsystolictblood pressuretand 19tpeople (61,8%) had increasedtdiastolictbloodtpressure. There was an associationtbetween noisetintensity andtsystolic bloodtpressure (p = 0.017; RP = 3.273; 95% CI = 0.93-11.4). There were no associationtbetween noisetintensity andtdiastolic bloodtpressure (p =t0.253; RPt= 1.534; 95%tCI =t0.70-3.36). There were no association between working period and systolic blood pressure (p = 0.972, RP = 1,135, 95% CI = 0.6-2.11) and diastolic blood pressure (p = 0.252; RP = 0.650; 95% CI = 0.37- 1.12). There was no association between prolonged exposure with systolic blood pressure (p = 0.701, RP = 1.238, 95% CI = 0.61-2.50) and diastolictblood pressure (p = 0.697; RP = 0.816; 95% CI = 0.47- 1.41). The conclusion of this study, there is antassociation betweentnoise intensitytand systolic bloodtpressure on sandtand rock mining workers at PT. X Rowosari, Semarang.

PENURUNAN KADAR SIANIDA LIMBAH CAIR INDUSTRI TAPIOKA DENGAN LARUTAN KAPUR TOHOR (Ca(OH)2) DI DESA NGEMPLAK KIDUL, MARGOYOSO, PATI Sharadifa Putika Apsari; Onny Setiani; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Based on the preliminary studies, cyanide level of tapioca industry waste water in UD SM was 44,40 mg/l. This level exceeds standart quality of cyanide in tapioca industry waste water is 0,3 mg/l. Therefore, it was necessary to waste water treatment, one of them with coagulation-flocculation system using quicklime solution (Ca(OH2)). The purpose of this study was to determined the effect of the addition of quicklime soluiton (Ca(OH)2) on various doses to reduced cyanide level in tapioca industry waste water. The type of research was quasi experimental research with pretest-postest with control group design. The sample in this research was part of waste water from UD SM that taken directly through the waste water tank outlet pipe. Total sample for 4 treatment (2,5%; 5%; 7,5%; and 10%) with 6 replication was 36 samples. Data analysis used One Way Anova test showed that there was difference in cyanide (CN) levels of tapioca industry waste water in various groups variations in the concentration of quicklime solution (Ca(OH2)) with p-value = 0,000 (p≤0,05). The result of Post Hoc test, showed that groups between variations in dose that has a significant difference with cyanide level reduction is 7,5% dose which has a significant difference to all groups of dose treatment. The average cyanide level after treatment has decreased gradually as more doses of tohor lime solution (Ca(OH2)). The largest decrease occurred at a dose concentration of 7,5%, which decreased cyanide level to 16,32 mg/l with a percentage decrease was 66,88%. These results still exceed standard, so further research is needed to reduce cyanide level of tapioca waste water to below the quality standard.

EVALUASI PENGELOLAAN LIMBAH MEDIS PADAT BAHAN BERBAHAYA DAN BERACUN (B3) DI RUMAH SAKIT TK. II 04.05.01 dr. SOEDJONO MAGELANG Nila Himayati; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Hospital TK. II 04.05.01 dr. Soedjono Magelang is a grade B hospital which already has accreditation plenary. Health care facilities has side result was medical and non medical waste. Medical waste generated belongs to the hazardous materials and toxic waste. Hazardous and toxic medical solid waste has mandatory be well managed must be managed properly in the waste began to phase reduction and sorting, storage phase and the transport phase to reduce the risk of employment, health, and environmental impact. The purpose of this research was to evaluate the management of hospital B3 solid waste from reduction and sorting stage, the storage stage, carriage stage under Regulation Ministry of Environment and Forestry No. 56 in 2015 on Procedures and Technical Requirements for the management of hazardous and toxic of Health Care Facilities. This research is observational research which has qualitative descriptive with cross sectional approach. This research subject is taken using purposive sampling technique that consists of 9 key informants and 3 triangulation informants. The results of this research showed that the average B3 solid medical waste generated each day reach 82.37 kg. Assessment of the evaluation based on the regulation of the Minister of environment and Forestry Number 56 year 2015 get a percentage of 76,39%, which means do not meet the standard of 100%. Problems were found in the stages of management, such as there is no system of labelling on the containers and bags of waste, errors in the storage and transport, as well as negligence officer in usage self tool protection (APD) in the storage and carriage stage.

HUBUNGAN KONDISI LINGKUNGAN FISIK, BIOLOGI DAN PRAKTIK PEMBERANTASAN SARANG NYAMUK (PSN) DENGAN KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI WILAYAH KERJA PUSKESMAS NGAWI (STUDI KASUS DI WILAYAH KERJA PUSKESMAS NGAWI, KECAMATAN NGAWI, KABUPATEN NGAWI) Novita Dian Rahmawati; Nurjazuli Nurjazuli; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Puskesmas Ngawi was one of 24 Puskesmas in the Ngawi District that in 2015 is the case most many 116 some cases. This study aimed to analyze the relationship physical environment, biology, and PSN practices with dengue hemorrhagic fever at Puskesmas Ngawi work area. The design for this research use case control. The population are cases population and control population There are 102 sample which consists of 51 cases and 51 control .The research using chi-square show variable are associated with DHF are potential breeding place in the house (p-value=0,016; OR=3,429), resting place in the house (p-value=0,001; OR = 6,667), resting place outdoors (p-value=0,001; or = 5,405 ), practices draining TPA (p-value=0,001; OR = 11,985), practices close TPA (p-value=0,001; or = 8,727), practices recycling thrift (p-value=0,001; OR=4,785 ), avoid contact practices with Aedes aegypti (p-value=0,005; OR= 3,217), while variables unconnected are the existence of potential breeding place outdoors (p-value=0.338; OR=1,869), fish eaters existence larva (p-value=0,4; OR =0,480) and the existence of plant mosquitoes’s adverse (p-value=1 =; OR=1). The conclusion of research there is a relationship between the existence of breeding place potential in the house, the existence of resting place in the house, the existence of the resting place outside of the house, closing the landfill practices, draining the landfill practices, rescycling practices second-hand goods, practices avoid contact Aedes aegypti with of DHF in the Puskesmas Ngawi work area. Therefore, need to intensified campaign PSN 3M plus with public to prevent occurrence of DHF.

EFEKTIVITAS DOSIS FERRI KLORIDA (FeCl3) DALAM MENURUNKAN KADAR CHEMICAL OXYGEN DEMAND (COD) PADA LIMBAH PABRIK TAHU DI TEMPELSARI KALIKAJAR WONOSOBO Nelly Rofiatul Umah; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Tofu liquid waste to contain high COD that cause environmental pollution and adverse health effects. Based on preliminary studies, COD level of liquid waste in tofu was 5.600 mg/l and 5.120 mg/l. This level exceeds standart quality of COD in tofu liquid waste is 275 mg/l. Therefore, it is necessary to treat wastewater, with coagulation-focuculation system using ferri chloride coagulant. The purpose of this study was to determined the effectiviness of ferric chloride to reduced COD level in tofu liquid waste. The type of research was true experimental research with pretest-postest wiith control group design. The sample in this research was tofu liquid waste in Tempelsari, Kalikajar, Wonosobo taken directly from the factory. Total sample for 6 treatment (7 gr, 9 gr, 11 gr, 13 gr, 15 gr and 17 gr) with 4 replication was 32 samples. Data analysis used Kruskal Wallis test showed that there was difference average in decreasing COD level of tofu liquid waste with various dose of ferri chloride (p-value = 0,0001). The result of Man Whitney test, showed that all treatments given to the waste ample had significant differences in lowering the COD level of tofu waste (p ≤ 0,05). The average COD after treatment has decreased gradually as more doses of ferri chloride. The large of efficiency was in the dose 17 gr with a decrease percentage was 90,74% or can decreased COD to 463,25 mg/l. The ability of ferri chloride in reducing COD of liquid waste in tofu has not been able to score up to below Central Java Regulation no. 5 Year 2012 of 275 mg/l. Therefore, the need for further treatment with biological treatment such as using water hyacinth.

EVALUASI PENGELOLAAN LIMBAH BAHAN BERBAHAYA DAN BERACUN (LB3) DI RSUD Dr. SOEDRIMAN KABUPATEN SEMARANG Elisa Maharani; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Regional General Hospital Dr. Soedirman Kebumen is one of the Government’s assests that provide health services in Kebumen Regency area. A wide range of health services provided have an impact on the high hospital waste is generated. One of the hospital waste is hazardous materials and toxic waste (LB3). Hazardous materials and toxic waste (LB3) that are not managed properly will cause the impact of environmental pollution, work accident as well as the transmission of the disease. The purpose of this research was to evaluate the management of hazardous materials and toxic waste on sorting, storage, and transport based on the regulation of the Minister of Environment and Foresty Number 56 Year 2015 of Ordinances and Technical Requirements of Waste Management Hazardous Materials and Toxic from Healthcare Facilities. The method of this research is descriptive research with cross sectional approach using kualitatif analysis. The object of this research is the management of hazardous materials and toxic waste (LB3) stage of sorting, storage, and transport. The results showed that most of management of hazardous materials and toxic waste (LB3) were in accordance with the standards eztablished. The requirements have not been met on the stage of sorting, storage and transport is not yet the presence of labeling and symbol on the pastic bag waste, waste pharmaceutical and chemical wastes are categorized using the pastic bag brown, storage of waste that is stored for more than 2 days in a polling station, a temporay storage area that does not yet have an alaarm alerting and first aid facilities, still found the presence of compaction or emphasis on waste using feet, and negligence of the officers against the use of protective tools myself in the process of transporting the waste.

ANALISIS SPASIAL FAKTOR LINGKUNGAN DENGAN KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS SALAMAN I, KABUPATEN MAGELANG Wardah Wardah; Nurjazuli Nurjazuli; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Malaria is still a public health problem in the world including Indonesia. Magelang regency is one of the areas in Central Java which has got certification of malaria elimination in 2014 but again experience increased cases until 2016. Salaman I public health is an endemic malaria areas in Magelang regency. In 2016, 100 cases of malaria positive has found (API= 2.39/1000 inhabitants). This research aims to analyze the relationship between environmental factors toward malaria incidence in the region of Salaman I public health center by using the spatial approach. It is an observational analytical with case control study design. The sample of this research as much as 108 people consisting of 54 cases and 54 controls. Data analysis includes the univariate, bivariate, and spatial analysis. Chi-square test results showed that there is relationship between the habit of being outdoors at night (p = 0.041, OR = 2.340) and the use of mosquito-nets (p = 0.026, OR = 2.523) toward malaria incidence. Spatial analysis showed that the majority of malaria incidence is near the livestock cage, being around breeding place up to 400 m, and many found resting place in vicinity. The conclusion of this research is the habit of being outdoors at night and the use of mosquito-nets had relation with malaria incidence in the region of Salaman I public health center. It requires to distribute mosquito-nets evenly by the health agencies and the citizens should use long clothes and repellent especially when being outdoors at night.

ANALISIS POLA PERSEBARAN PENYAKIT LEPTOSPIROSIS DI KOTA SEMARANG TAHUN 2014 – 2016 Lirih Setyorini; Nurjazuli Nurjazuli; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Leptospirosis is carried by a pathogenic species of the genus Leptospira, a obligate spirochaeta aerobic bacteria. Leptospirosis continues to be a significant problem in areas with high populations as in SEA countries. In Indonesia, leptospirosis still acts as a dangerous disease that continues to be neglected and continues to be a health problem. While in Semarang Health Profile in 2015, Semarang City is still at the first rank of cases and death of leptospirosis. The general objective of this research was to analyze the pattern of the spread of leptospirosis disease based on physical environmental risk factors in Semarang City in 2014-2016. The design of this study was cross sectional with the type of observational study with total sampling technique. The number of samples is 134. Spatial analysis using 9.3 Arcgis software. The result of spatial analysis showed that the measurement of case-by-river distance buffer was 73 cases (54,5%) with radius 50 - 300 m. Based on the flood area, the incidence of Leptopsirosis in Semarang City in 2014 - 2016 was 26.11% (35 respondents). More respondents in this study had drain distances of ≥ 2 meters of 51.5% (69 respondents) .The leptospirosis cases were present in areas with 101 to 300 mm / month or medium rainfall, which was 76 cases (56.7%). While the distance of garbage disposal most of the respondents (91.8%) are at a distance less than 500 meters. The results of the nearest neighbor analysis ratio show the pattern of split distribution. Prevention advice may be used for hypochlorite powder to anticipate the presence of leptospira bacteria and use personal protective equipment.

ANALISIS PERBEDAAN FUNGSI PARU PADA PEKERJA BERDASARKAN KADAR DEBU DI PT. BOGOWONTO PRIMALARAS SEMARANG Shadna Sari; Nurjazuli Nurjazuli; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

One of the negative impacts of the wood processing industry is the air pollution produced by wood dust from the processing of raw materials or the end product of industrial products. Workers and communities around the industry are potential to be exposed to the dust generated by wood production. The study aimed to analyze the difference of lung function (prediction value of FVC and FEV1) on workers based on total dust concentration at PT. Bogowonto Primalaras Semarang. This research used observational analytic research with cross-sectional approach. 36 workers as respondents taken by purposive sampling from 110 people as the popullation. The results of dust concentration by measurement using High Volume Air Sampler (HVAS) (Finishing Coating=6,46 mg/m3, Finishing Raw=5,67 mg/m3, Flush Door=2,33 mg/ m3. While the result of lung function measurement there are 69,4% of workeres have lung function disorder (Light Restriction=41,7%, Middle Restriction=25,0%, Heavy Restriction=2,8%) average value (μ FVC=69.63, σ FVC=12.8 and μ FEV1= 78.88, σ FEV1=14.7). Data were analyzed using one way anova test with (α=0,05). The statistical test result of FVC prediction value (p=0,853) and FEV1 prediction value (p=0,814) meaning no difference (prediction value of FVC and FEV1) on workers based on total dust concentration at PT Bogowonto Primalaras Semarang and dust concentration do not affect the insidence of lung function disorder. It is recommended that the company doing replacement on workers and improve the supervision of PPE (mask) use on workers continually.

Co-Authors Abd. Rasyid Syamsuri Amalia Safira Koesputri Ana Qomariah Anak Agung Istri Sri Wiadnyani Anju Stefani Arivia Ulliaji Asma Afifah Ayu Larasati Azzahra Pratadina Bella Arieza Andriyana Burhanuddin Thohir Dimas Triyadi Elisa Maharani Evy Ratnasari Faridatul Umaroh Fianti andua Firdaus Duwila Fitria Andriani Ilya Farokha Rizqiyana Kusuma Dara Zulfania Lirih Setyorini Magfira Adha Hernayati Martyna Widya Miftah Hermaning Putri Muhammad Agus Muljanto Muttia Hazsya Naura Sepridha Nabilla Nelly Rofiatul Umah Nikie Astorina Yunita Dewanti Nila Himayati Novita Dian Rahmawati Nurjazuli Nurjazuli Onny Setiani Rajid Fariz Rasako Riska Triafryani Putri Risma Dwi Yulianti Shadna Sari Shalichah Talita Sharadifa Putika Apsari Tesa Cahyaningsih Tri Joko Ulima Salsabila Vinidia Pertiwi Wardah Wardah Yusniar Hanani Darundiati

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