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All Journal Indonesian Journal of Global Health research Journal of Social Research
Nurdiyanto, Miftakhul
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Humanities Computer Science & IT Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Social Sciences

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Technical Management Impact Assessment Wastewater Against Health Problems in Sanitarian Workers at Hospital X With A Life Cycle Analysis (LCA) Approach Nurdiyanto, Miftakhul; Joko, Tri; Raharjo, Mursid
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.
Hazard Identification and Exposure Assessment for Wastewater Management Workers Nurdiyanto, Miftakhul; Joko, Tri; Raharjo, Mursid
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 Mursid Raharjo Tri Joko