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suhartono suhartono
Magister Kesehatan Lingkungan Program Pascasarjana Universitas Diponegoro
Environmental Science Public Health

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Faktor Risiko Lingkungan Kejadian Leptospirosis di Jawa Tengah (Studi Kasus di Kota Semarang, Kabupaten Demak dan Pati) Riyaningsih Riyaningsih; Suharyo Hadisaputro; suhartono suhartono
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.87-94

Abstract

Background : Leptospirosis is zoonotic disease caused by Leptospira bacteria and transmitted to human through contact with animal urine and contaminated environment.The number of cases increased since 2005, particulary Semarang, Demak, and Pati regency. The purpose of this study is to analyze environmental risk factors related to leptospirosis incidence in Central Java. Method : This research was an explanatory research with  observational method using  case control design. The subjects were 60 cases and 60 controls recruted with  inclusion criteria. Diagnosis  of control was based on  clinical diagnosis and examination of blood sample with  Leptotek Lateral Flow. The data was analyzed in univariate, bivariate and multivariate tests using logistic regression. Result : The results of this research found that  physical environmental factors that influenced the incidence of leptospirosis were stagnant water of the ditch (OR = 3.5; 95% CI: 1,282-9,301; p = 0.014) and habit of taking bath  or washing in the river (OR = 7.5; 95% CI: 1.534- 36.185; p = 0.014). Recomendation: It was sugested for Health Departement to control the risk factors of physical environment by cooperating with relevant agencies, especially PROKASIH (Clean River Program). People need to keep cleaning the house and the neighborhood, especially the existence of  pools of water around the house and do not get a shower and take out the trash / dead mouse in a river. Keywords : Leptospirosis, Environment, Risk Factors
Hubungan Riwayat Pajanan Pestisida Dengan Kejadian Gangguan Fungsi Hati (Studi pada Wanita Usia Subur di Kecamatan Kersana Kabupaten Brebes) Arum Siwiendrayanti; Suhartono Suhartono; Nur Endah Wahyuningsih
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.9-14

Abstract

Background: Women in Kecamatan Kersana Kabupaten Brebes also involved in farming activities using pesticides. Long term of pesticides exposure was able to cause many kinds of health disorder, including liver disfunction. Liver disfunction on women in childbearing-age would make bad impacts not only to themselves but also to their fetus when they were pregnant. Former research indicated that liver disfunction came as a result of pesticides exposure. Health Profiles of Kabupaten Brebes in 2007 and 2008 recorded increasing rate of liver disfunction. The objective of this research was to analize the assossiation between pesticides exposure and liver disfunction on women in childbearing-age at Kecamatan Kersana Kabupaten Brebes. Method : This was an explanatory research with cross sectional approach. This research took sample of 86 women in childbearing-age from four villages which were chosen purposively. Questionare, tool of blood sampling and laboratory testing, and sheet of laboratory result were used as instruments in this research. Data were collected by laboratory testing to blood samples and interviewing childbearing-age women. Result : All childbearing-age women had normal cholinesterase enzyme level, but 50% of them had cholinesterase enzyme below mean level. Envolvement of childbearing-age women in farming activities was 74,4%. Based on cholinesterase enzyme level and envolvement in farming activities, it was concluded that 33 childbearing-age women (38,4%) had pesticides exposure. Occurence of childbearing-age women to have liver disfunction was 23,3%. There was no assossiation between pesticides exposure and liver disfunction on women in childbearing-age (p=0,538). Pesticides exposure, together with other risk factors, also indicated no assossiation to liver disfunction on women in childbearing-age at Kecamatan Kersana Kabupaten Brebes (p=0,651). Keywords : women in childbearing-age, pesticides exposure, liver disfunction
Hubungan Riwayat Paparan Pestisida Dengan Profil Darah Pada Wanita Usia Subur di Daerah Pertanian Cabai Dan Bawang Merah Dwi Marinajati; Nur Endah Wahyuningsih; suhartono suhartono
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.61-67

Abstract

Background : Pesticides use is known to cause serious health impact ob human, one of them is abnormalities of blood profile. District of Brebes is one of the largest consumers of pesticides in Indonesia which correlate with its high production on chili and shallot. Most women of childbearing age in this area ara involved in farming which make them having great risk to have abnormalities of blood profile. The study conducted to search relation between pesticides exposure and blood profile on women child bearing age in agriculture area. Method : This was a cross-sectional study involving 80 women of childbearing age lived in agriculture area. Result : Involvement in agricultural activities (p=0,023, RP=1,52, 95%CI =1,00 to 2,29), pesticides exposure (p=0,007, RP=1,98, 95%CI=1,00 to 3,89), looking for pest (p=0,004, RP=1,52, 95% CI=1,12 to 2,04), harvesting (p=0,001, RP=1,69, 95% CI =0,19 to 2,39), releasing shallot from the stem (p=0,008, RP=1,44); 95%CI = 1.13 to 1,84) associated with increased of monocytes differential count. The result of logistic regression analysis showed pesticides exposure associated with increased of monocytes differential count (p=0,004, RP=7,50, 95% CI=1,92 to 29,29). Conclusion of the findings showed relation between pesticides exposure and increased of monocytes differential count. The finding of this study can be used for information dissemination and pesticide reduction programs in agriculture area.   Keywords: women of childbearing age, pesticide, chili, shallot and blood profile
Beberapa Faktor Yang Berhubungan Dengan Fungsi Tiroid Pada Pasangan Usia Subur (PUS) di Kecamatan Kersana Kabupaten Brebes Ratnasari Kusumawati; Suhartono Suhartono; Sulistiyani Sulistiyani
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.15-21

Abstract

Background  : Pesticide exposure on women who live in agricultural areas can cause health problems such as disruption of thyroid function. Pesticides can inhibit the binding of iodine by the body. Hypothyroidism can cause disturbances in female reproductive system, including disorders of puberty and menstruation, pre menstrual syndrome, sexual disfunction, birth defects and low birth weight infant. Goiter are usually be found in mountainous or highland areas but now mostly found in the lowlands. This is probably due to the exposure to heavy metals such as Pb, the use of hormonal contraceptives, and consumption of thiocyanate.  The purpose of this study was to identify some factors associated with thyroid function on child bearing age woman in  Kersana Subdistrict,  district of Brebes Method  : It was an observational research using cross-sectional design. Research was conducted in 4 villages namely Kemukten, Limbangan, Sutamaja and Kubangpari Kersana Brebes District. The subjects were 87 women. Data obtained from TSH, FT4 serum, Pb in blood, kholinesterase in blood, urinary iodine excretion, thiocyanate, measurement of nutritional status, the interview to find out the type of contraception used by couples. Data were analyzed using chi square test. Result  : The results showed that there was no correlation between levels of kholinesterase, Pb in blood, urinary iodine excretion, urinary thiocyanate, the type of contraception, age and BMI with thyroid function on child bearing age woman in Sub district of Kersana. There was no association between exposure of pesticides and Hypothyroid cases occured in Kersana Sub district. It was recomended that women of childbearing need to reduce the adverse impacts of pesticides by using personal protective equipment in agricultural activities and improve health and clean living, and  health department should monitor and regular inspection for kholinesterase levels in women of childbearing age who live in agricultural areas. Keywords : Pesticides expose, thyroid disfunction, child bearing age woman.
Co-Authors Arum Siwiendrayanti Dwi Marinajati Nur Endah Wahyuningsih Ratnasari Kusumawati Riyaningsih Riyaningsih Suharyo Hadisaputro Sulistiyani Sulistiyani