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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN GANGGUAN FUNGSI PARU PADA POLISI LALU LINTAS DI SATLANTAS POLRESTABES SEMARANG Amaliyah, Ratu Aam; Setiani, Onny; Dangiran, Hanan Lanang
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Urban air pollution is caused by the presence of particulate matter. The result of total dust measurement in 2017 at Simpang Lima and Dr. Sutomo’s street was 136 µgr/Nm3 and 141 µgr/Nm3. Traffic policeman are proffesions that are susceptible to lung function impairment due to frequent exposure to pollutant substances from road dust. The purpose of this study was to know the association between total dust, work period and use of PPE and lung function disorder on traffic policeman Satlantas Polrestabes Semarang. The type of study was observasional analytic with cross sectional design. The total samples were 37 respondens who spread across 5 police post. Data were collected by interviews, measurements of total dust by using High Volume Air Sampler (HVAS) and measurements of lung capacity by using spirometer. Data analysis was conducted with spearman correlation test for temperature variable with total dust variable and chi square test for total dust, work period and use of ppe with lung function disorder. The result of study showed that there were 16 people with lung function disorder (43,2%). There were no association between total dust concentration and lung function disorder (p=0,255>0,05). There were no association between work period and lung function disorder (p=0,571>0,05). There were association between use of PPE and lung function disorder (p=0,02<0,05). The conclusion of this study there is an association between the usage of PPE and lung function disorder on traffic policeman Satlantas Polrestabes Semarang.

ANALISIS RISIKO KESEHATAN LINGKUNGAN KANDUNGAN KADMIUM (Cd) DALAM IKAN BANDENG DI KAWASAN TAMBAK LOROK SEMARANG Angelina, Maria Sylvia; Darundiati, Yusniar Hanani; Dangiran, Hanan Lanang
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat

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Tambak Lorok area is an area around the waters of Tanjung Mas and widely used to embank fish. The abundance of industry and the existence of the harbor caused the polluted waters of cadmium metal. The community always eat milkfish from Tambak Lorok this would pose a risk of health problems. The purpose of this study was to analyze the non-carcinogenic health risk of cadmium contained in milkfish consumed by the people in Tambak Lorok. The type of this study is observational with Environmental Health Risk Assessment (EHRA) approach. The sample in this research are 65 housewives who consumed milkfish from Tambak Lorok area. The results of this research showed that the concentration of cadmium in pond water is < 0,001 mg/L and cadmium concentration in milkfish is 0,01 mg/kg. The averageÂ body weight of respondents is 59.8, the average intake rate is 276 gr/day, the average frequency of exposureÂ is 92.8 days/year, and the average duration of exposure was 23.45 years. The average realtime intake result is 0,0000105 mg/kg/day; 0,0000129 mg/kg/day for lifetime for 30 years; 0,0000215 mg/kg/day for lifetime for 50 years; and 0,0000302 mg/kg/day for lifetime for 70 years. The average RQ at realtime exposure was 0.01056, for 30 years lifetime exposure is 0.01296, for 50 years lifetime exposure is 0.02159, andfor 70 years lifetime exposure is 0,0302. The conclusion is that milkfish in Tambak Lorok area safety consumed until 70 years to go and housewives asrespondent have categories not yet risk of non carcinogenic health by exposure of cadmium through ingestion path to milkfish.

Hubungan Paparan Pestisida Organofosfat dengan Laju Endap Darah (LED) pada Petani di Desa Sumberejo Kecamatan Ngablak Kabupaten Magelang (Association Between Exposure Organophosphate Pesticides with Erythrocyte Sedimentation Rate (ESR) Among Farmers In De Utami, Desi Putri; Dangiran, Hanan Lanang; Darundiati, Yusniar Hanani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat

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Desa Sumberejo which the majority of population is vegetable farmers much found the sprayer farmers using pesticides typeÂ organophosphate.Â SprayingÂ pesticidesÂ that not follows Â the rulesÂ will result health effectsÂ to humans example incidence ofÂ poisoningÂ on farmersÂ andÂ affects theÂ bloodÂ profile of theÂ farmers. The purpose of this research is to know the relation between exposure of organophosphate pesticide with erythrocyte sedimentation rate (ESR) on farmers in Desa Sumberejo, Kecamatan Ngablak, Kabupaten Magelang. The method usedÂ in this research is crossÂ sectionalÂ withÂ a population ofÂ 110Â farmers and sample of 43 farmers obtained by purposive sampling technique of sampling.Â This research and sample as many as 43 farmers obtained by purposive sampling technique of sampling. This research was implemented in April 2017. Statistical test results obtained upon the p-value > 0.05 toÂ the relationship between the working period, the use of the self protective tools, long work, the number of types of pesticides and the type of pesticide, spraying frequency, chollinesterase levels. While the test statistic between doses of pesticides with ESR his p-value < 0,05 that is 0,048. It can be concludedÂ that there is noÂ relationship between theÂ working period,Â the use ofÂ the self protective tools, longÂ work,Â the number ofÂ types ofÂ pesticides andÂ pesticideÂ sprayingÂ frequency,Â type, andÂ chollinesteraseÂ levelsÂ with ESRÂ and there isÂ aÂ relationship between theÂ dose ofÂ pesticidesÂ with ESR onÂ farmers inÂ Desa Sumberejo.

HUBUNGAN RIWAYAT PAPARAN PESTISIDA DENGAN TEKANAN DARAH PADA PETANI PENYEMPROT DI DESA SUMBEREJO KECAMATAN NGABLAK KABUPATEN MAGELANG Zulfania, Kusuma Dara; Setiani, Onny; Dangiran, Hanan Lanang
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Magelang is one of the districts in Central Java with a high rate of pesticide use, most of which is agriculture. From the preliminary study found systolic blood pressure ranged from 110-163 mmHg with an average of 142 mmHg and diastolic blood pressure ranged from 70-91 mmHg with an average of 85 mmHg in 10 farmers, and the researchers found some of the symptoms that farmers often complain of because of dizziness, nausea, numbness, and blurred vision. The purpose of this study was to determine the relationship between the history of exposure to pesticides with blood pressure in sprayer farmers in Sumberejo Village District Ngablak, Magelang. This research is an analytic survey research with cross-sectional approach. Data were obtained through interviews using questionnaires, blood cholinesterase examination, and blood pressure measurements in auscultation of 43 sprayer farmers. Data were analyzed using Chi-Square test. The variables observed were history of pesticide exposure, length of service, duration of work per day, frequency of spray, use of personal protective equipment, blood cholinesterase level. The result of statistical test shows that there is correlation on the variable of pesticide exposure history to systolic pressure (p=0,001), and diastolic (p-value=0,050), on the variable length of service to systolic pressure (p=0,017) and diastolic pressure (p= 0,015), also on variables of blood cholinesterase to systolic pressure (p = 0.041). There is no correlation to the variable of working duration against systolic pressure (p = 0,120), and diastolic pressure (p = 0.637), at variable of spraying frequency to systolic pressure (p = 0,960) and diastolic (p = 0173), on variable of APD usage to systolic pressure (p = 0,864) and diastolic (p = 0,864), and variable of cholinesterase level at diastolic pressure (p = 0.365). From this research, it is suggested to have periodic cholinesterase and blood pressure checks on farmers by health workers.

ANALISIS RISIKO KESEHATAN LINGKUNGAN KANDUNGAN TIMBAL (Pb) PADA KERANG HIJAU YANG DIKONSUMSI ISTRI NELAYAN DI TAMBAK LOROK, SEMARANG Hapsari, Titi; Darundiati, Yusniar Hanani; Dangiran, Hanan Lanang
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat

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Tambak Lorok is the largest fishing village in Semarang. Waters in Tambak Lorok contain PbÂ of 0.0781-0.288 ppm derived from activities in ports, fishing boats, domestic waste, and industrial waste. The purpose of this study is to analyze the risk of Pb content in perna viridis consumed by fishermanâ€™s wife in Tambak Lorok. This study is an observational research with Environmental Health Risk Assessment approach. Population of this study is 130 perna viridis fisherman and the sample is 57 fishermanâ€™s wife who consumed perna viridis in Tambak Lorok.Â Measurement of Pb in sea water on 3 sample points and greenÂ on 2 sample points. The calculation reveals that the concentration Pb of sea water at 1,2, and 3 points are <0,003mg/L, <0,003 mg/L, and 0,007 mg/L. The average Pb concentration of perna viridis is 0,45 mg/kg. The result of univariat analysis showed that the average weight of responden is 53 kg, with an average rate on intake is 255Â gram/days, anÂ average frequency of expossure is 102 days/year, an average duration of exposure is 11 years. The calculation of average realtime intake is 0,00025 mg/kg/days and average lifetimeÂ intake is 0,00067 mg/kg. The conclusion of this study isperna viridis in Tambak Lorok are still safe from non carsinogenik effects consumedÂ in realtime and lifetime exposure (RQ<1).

Faktor-faktor yang Berhubungan dengan Praktek Sanitasi Lingkungan Bersih dan Sehat Melalui 'PHBS' pada Siswa Sekolah Dasar di Kecamatan Banyumanik Istiarti, Tinuk; Dangiran, Hanan Lanang
Jurnal Kesehatan Lingkungan Indonesia Vol 15, No 2 (2016): Oktober 2016
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.15.2.50-55

Title : The factors Related to The Sanitation Practice through Clean and Healthy Life Behaviour on Elementary School Students at Banyumanik DistrictBackground: The high rate of diarrhea incident in Semarang, especially on elementary school students, needs a special attention. The incident rate in the area of Banyumanik district shows a high level compared to those of other working areas. The incident rate of 5-14 year ages shows an increase from 2013 to 2015, from 142 to 187 and to 289 cases. Clean and healthy environment sanitation through â€œPHBSâ€ seems to be the simple way to a self protection against various diseases. Based on the - background mentioned above, the research was conducted to analyze the factors relating to the sanitation practice of clean and healthy environment through â€œPHBSâ€. Method: This research was conducted by using descriptive analysis with a quantitative approach. The research samples were taken using random sampling of 72 elementary school students from 11 elementary schools at Banyumanik district. Results: The research result showed that 68,1% of the respondents experienced a good practice and 31,9% experienced a not-so-good practice. The statistical analysis showed that there was a correlation between knowledge of clean and healthy sanitation environment (p-value = 0,019) and attitude (p-value = 0,029) toward the practice of clean and healthy sanitation environment.Conclusion: Level of knowledge was able to increase attitude toward practice of clean and healthy sanitation environment.Â

Analisis Spasial Kejadian Filariasi di Kabupaten Demak Jawa Tengah Nurjazuli, Nurjazuli; Dangiran, Hanan Lanang; Bari'ah, Asti Awiyatul
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 1 (2018): April 2018
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.17.1.46-51

Latar Belakang: Filariasis merupakan salah satu penyakit tular vektor yang kurang mendapatkan perhatian, termasuk kelompok Neglected Tropical Diseases (NTDs). Kabupaten Demak merupakan salah satu wilayah di Propinsi Jawa Tengah Â yang merupakan daerah endemis filarisis (mf rate>1%). Kejadian filarisis di daerah ini diduga berkaitan dengan kondisi lingkungan fisik dan biologis (nyamuk) yang mempunyai peran penting dalam penyebaran penyakit filarisis. Penelitian ini bertujuan untuk menemukan adanya penderita baru,Â mengidentifikasi kondisi lingkungan fisik dan biologi yang berkaitan dengan sebaran filarisis di Kabupaten Demak.Matede: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Sebanyak 30 kasus filariasis dijadikan indek kasus yang selanjutnya dipilih secara purposif sebanyak 140 yang tinggal di sekitar 30 kasus tersebut untuk dilakukan pengamblan darah jari. Observasi lingkungan dilakukan untuk mengidentifikasi kondisi lingkungan (breeding places dan resting places) dari yang diduga sebagai nyamuk vektor filariasis. Penangkapan nyamuk dilakukan di sekitar rumah penderita filariasis. Pengukuran koordinat kasus filariais dilakukan dengan pesawat Geographic Positioning System (GPS). Pemeriksaan darah jadi jari dilakukan di Laboratorium Kesehatan Daerah (LABKESDA) Propinsi Jawa Tengah. Sedang bedah nyamuk dilakukan di Balai Penelitian Vektor Penyakit Banjarnegara. Analisis data dlakukan secara deskriptif, analisis spasial dilakukan dengan software ArcGis 9.3.Hasil: Penelitian ini tidak menemukan penderita baru filarisis (mf rate=0%). Sebanyak 129 ekor nyamuk telah dilakukan pembedahan dengan hasil semuanya negatip cacing filaria. Hasil identifikasi nyamuk menemukan spesies nyamuk Culex quinquefasciatus merupakan nyamuk yang dominan (72,86%) di lokasi penelitian.Terdapat breeding places (40%) berupa genangan air terbuka (SPAL) dan resting places (83,3%) berupa semak-semak di sekitar rumah penderita. Analisis spasial menunjukkan bahwa kasus filariasi hampir menyebar di seluruh wilayah Kaputaen Demak. Daerah cekungan aliran air nampaknya merupakan kondisi dimana kasus filariasis banyak terjadi.Â Simpulan: Kasus filariasis hampir menyebar di seluruh wilayah Kabupaten Demak dengan konsentrasi lebih banyak pada daerah cekungan aliran air Semarang-Demak.Â ABSTRACTTitle: Spatial Analysis of Lymphatic Filariasis in Demak Dictric, Central JavaBackground: Lymphatic filariasis (LF) is one of vector related diseaseswhich less attention from goverment, It was classified as Neglected Tropical Diseases (NTDs). Demak District is one of area in Central Jawa which was endemic of LF (mf rate>1%). It may be related to the physical and biologycal environment condition which have important role in the spreading of LF. This research aimed to identify new cases, find mosquitoe vector , and asses the condition of physical and biologycal environment related to the distribuion of LF cases in Demak District.Â Methods: It was an observational research using cross-sectional design. As more as 30 LF cases defined as index case and then 140 persons living around index case were selected for blood testing of microfilaria. Observation was conducted to assess the presence of breeding and resting places for mosquitoes development. Mosquito collection was conducted around the houses the LF cases early in the morning. Site of LF cases were measured using Geographic Positioning System (GPS) Apparatus. Blood test for identifying microfilaria was performed at Province Health Labotatory of Centra Java. Mosquotoes dissection was performed at Research Institule ofÂ Disease Vector Banjarnegara. Data would be analyzed descriptively and spatial analysis was performed using ArcGis 9.3.Results: This research didâ€™t find new cases of filariasis (mf rate=0%). As more as 129 mosquitoes had been dissected and all of them indicated negative of filarial worm. This research showed that Culex quinquefasciatus as dominant mosquitoe species with the proportion of 72,86%. Water puddle (40%) and small three (83,3%) were found as a good habitats located around the house of filariasis cases. Spatial analysis indicated that filariasis cases spread in all over area of Demak Distirct, and It concentated in the area of undergroud water flow of Semarang-DemakConclusion: Lymphatif Filariasis cases were nearly distributed all over area of Demak Distict and It was concentrated in area with underground water flow Semarang-Demak.

Analisis Spasial Kejadian Diare dengan Keberadaan Sumur Gali di Kelurahan Jabungan Kota Semarang Dangiran, Hanan Lanang; Dharmawan, Yudhy
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 1 (2020): April 2020
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.19.1.68-75

Latar belakang: Sumur gali adalah salah satu sarana penyedia air bersih yang digunakan oleh masyarakat Kelurahan Jabungan. Dari 31 sumur, terdapat 16 warga yang menggunakan untuk keperluan air minum. Pada tahun 2017 dilakukan pemeriksaan kualitas total coliform air sumur pada 3 sampel dengan hasil masing-masing >300CFU/100ml yang menunjukkan bahwa sampel tersebut tidak layak untuk digunakan sebagai air bersih dan air minum. Penelitian ini bertujuan menganalisis secara spasial kejadian diare dengan keberadaan sumur gali di Kelurahan Jabungan Kota Semarang.Metode: Jenis penelitian ini adalah observasional dengan populasi yaitu seluruh sumur gali dan masyarakat yang terkena diare yang berjumlah 31 sumur dan 20 warga. Penentuan jumlah sampel menggunakan metode total sampling. Data diperoleh dari hasil survei, pengukuran dan sampling yang kemudian dianalisis secara spasial dengan pendekatan overlay.Hasil: Dalam penelitian ini didapatkan hasil yaitu terdapat 87,1% sumur dengan total coliform >50 CFU/100 ml, 87,1% sumur yang jarak dengan jamban <11meter dan 87,1% sumur yang berjarak dengan septictank <11meter. Hasil analisis overlay menunjukkan adanya keterkaitan antara kejadian diare dengan kondisi bakteriologis sumue gai dan jarak sumur gali dengan sumber pencemar, dimana kondisi sumur gali yang kualitas bakteriologis dan jaraknya dengan sumber pencemar tidak memenuhi syarat maka dapat meningkatkan peluang terjadinya kasus diare di rumah dengan kondisi sumur gali tersebut.Simpulan: Penelitian ini menyimpulkan bahwa sebaran kejadian diare di Kelurahan Jabungan banyak ditemukan pada rumah yang memiliki sumur gali dengan kualitas bakteriologis air yang tidak memenuhi persyaratan yaitu >50 CFU / 100 ml sampel dan jarak dengan jamban dan/atau septictank <11 meter.Â ABSTRACTTitle: Â Spatial Analysis of Diarrhea with Quality of Well Water in Jabungan, Semarang CityÂ Background: Dug wells are one of the clean water supply facilities used by the Jabungan Sub-district community. Of the 31 wells, 16 residents are needed to use it for drinking water. In 2017 an examination of total well water quality in 3 samples with results of> 300CFU / 100 ml each indicated that the samples were not suitable for use as clean water and drinking water. This study discusses the spatial analysis of diarrhea events by digging wells in Jabungan Sub-district, Semarang.Method: This type of research is observational with a population of all wells and people who spend diarrhea that requires 31 wells and 20 residents. Determination of the number of samples using the total sampling method. Data obtained from the results of surveys, measurements and sampling are then spatially analyzed by obtaining overlays.Results: In this study the results obtained were about 87.1% of wells with a total coliform> 50 CFU / 100 ml, 87.1% of wells with a distance of <11 meters and 87.1% of wells needed with septic tank <11 meters. The results of the overlay analysis show a link between the incidence of diarrhea with the bacteriological condition of the sumai and the distance of the dug well to the source of the pollutant, where the condition of the dug well with bacteriological quality and the distance from the source of the pollutant are needed to ensure this.Conclusion: This study concludes that the distribution of diarrhea in Jabungan Sub-district is found in homes that have dug wells with water bacteriological quality that do not meet the requirements of> 50 CFU / 100 ml sample and distance from latrines and / or septic tank <11 meters.

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