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Jurnal Kesehatan Lingkungan indonesia
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ISSN : 14124939     EISSN : 25027085     DOI : -
Core Subject : Health, Social,
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Jurnal Kesehatan Lingkungan Indonesia (JKLI, p-ISSN: 1412-4939, e-ISSN:2502-7085, http://ejournal.undip.ac.id/index.php/jkli) provides a forum for publishing the original research articles related to: Environmental Health Environmental Epidemiology Environmental Health Risk Assessment Environmental Health Technology Environmental-Based Diseases Environmental Toxicology Water and Sanitation Waste Management Pesticides Exposure Vector Control Food Safety
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 439 Documents
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Distribusi Kasus Leptospirosis di Kabupaten Demak Jawa Tengah kuswati, Kuswati; Suhartono, Suhartono; Nurjazuli, Nurjazuli
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.15.2.56-61

Abstract

Title: Distribution of Leptospiosis Incidence in Demak District, Central JavaBackground: Leptospirosis is zoonotic disease caused by Leptospira bacteria and transmitted to human through contact with animal urine into contaminated environment. Demak District is one of the endemic area in Central - Java. The number of cases is fluctuative  over the year 2011-2016 with the peak of 20 cases in 2011, and It decreased at low number in 2016. Many factors may contributed such as water puddle, rat, and behaviour. Nowdays,the information about the distribution and spreading of cases was lacking. The purpose of this study was to describe the leptospiroses incidence based on the epidemiological variable and  spatially in Demak District.Method: It was an observational research using cross sectional design. The subjects were 89 cases over the year 2011-2016. The variables studied consisted of epidemiological variabels (man, place, and time), physical and biological environment factors, and behaviour aspects. Interviews and observation were conducted as the data collection  techniques.The collected data would be analysed descriptively and spatially.Result: The results of this research showed that the lepstospirosis incidence was –suffered more by male (66%) compared to female. Most of them (67,4%) were farmers. The peak of leptospirosis incidence occured in 2011. The existence of water puddle around the house, and drainage functioning as the media where the rat died. There were rats in the house where the cases occured (98,7%). Most of the subjects (66,7%) stated that they did their activities everyday in bare foot. Spatial analysis showed that Mranggen and Karangawen sub district had high numbers of leptospirosis cases.Conclusion: Most of the leptispirosis cases were suffered more by male compared to female and the subjects worked as  farmers. Mranggen and Karangnawen were two districts  with  high incidence of leptospirosis relatively. These areas  held a history as flooding areas in previous time.
Analisis Faktor Risiko Keracunan Pestisida Organofosfat Pada Keluarga Petani Hortikultura di Kecamatan Ngablak Kabupaten Magelang Prijanto, Teguh Budi; Nurjazuli, Nurjazuli; Sulistiyani, Sulistiyani
Jurnal Kesehatan Lingkungan Indonesia Vol 8, No 2 (2009): Oktober 2009
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.8.2.76 - 81

Abstract

ABSTRACT Background: Pesticides is poison and dangerous materials. It can cause negative effects to human health directly or indirectly. Pesticide poisoning can be detected by examination of the blood cholinesterase activity. The main factors influencing the occurrence of pesticides poisoning came from both inside and outside of the human body. Based on farmer’s blood cholinesterase activity examination result at Sub District of Ngablak in 2006, with samples examinated 50 persons, it  showed 98% poisoning incidence. In December 2008, based on pra-survey of 10 sample families of farmers on Sumberejo showed that 50% of them suffered pesticide poisoning. The objective of this research was to determine factors related to the chronic effect of organophosphate pesticide poisoning on families farmers of horticulture at Sub District of Ngablak. Method: It was an observational research using cross sectional approach. The population ware farmer’s families of horticulture at Sumber Rejo village, Sub District of Ngablak. Sixty nine samples were taken using the simple random sampling. Data collected by examining cholinesterase, and interviewing to respondents. Result: The result of this research showed that there were a significant relationship between knowledge (p=0,005), method of  pesticide storage (p = 0,011), formulation method (p = 0,030), handling of pesticide after spraying (p = 0,001) with the occurrence of pesticide poisoning. Conclusion: Based on this research and cholinesterase examination on farmer’s families of horticulture who suffered pesticide poisoning  was about 71,02 %. To avoid pesticide poisoning, it is suggested to make better knowledge  about pesticide handling (storage, formulation of pesticide and washing the clothes of farmers). KeyWords : Risk Factors, pesticide poisoning, farmer’s families.
Kajian Pengelolaan Sumber Daya Air Dalam Upaya Penyehatan Lingkungan Daerah Kejadian Luar Biasa Dusun Beran Desa Kanigoro Kecamatan Ngablak Kabupaten Magelang Tahun 2007 Setiawan, Danny; Setiani, Onny; Hanani D., Yusniar
Jurnal Kesehatan Lingkungan Indonesia Vol 6, No 2 (2007): Oktober 2007
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.6.2.59 - 61

Abstract

ABSTRACT Background : Outbreak case in Kanigoro Village, Ngablak Sub District, Magelang Regency in July 2007 resulted in 31 victims and 10 people lost their lives with a symptom of being poisoned by toxic material. The condition of water sanitary system which did not meet health requirements was assumed as the cause. From the survey, it could be concluded that water used by the people was at high possibility of being polluted by pollutants because the distribution system did not meet requirements. Method : This research used a qualitative approach in order to find out various influences of the existing environmental sanitary conditions, the method used was survey (observation research) by conducting in-depth interview and observation by using questionnaires and check lists which had been composed, the sampling technique used was purposive sampling. The source of water for the people is Tuk Ngetuk Spring. The potential of water resource with a volume of 3.5 litres per second from quantity perspective has been able to meet the needs of Beran Hamlet’s people for the next 5 years. The risk factor for water pollution physically, bacteriological, and chemically had a value of high level of water pollution. Result : The finance for water resources management in an effort to sanitize the environment was so limited that influenced the infrastructure and the activity of watching water quality done by Health Service of Magelang Regency. Kanigoro Village’s head handed over the task and duty in managing water to his villagers, a person per hamlet respectively, who were being called ili-ili. The participation of the people in voluntary collective work activities every six months was hard to realize. Conclusion : To prevent water resources from being polluted with pesticide used in farming, there was a need for information given continually, the application of integral germ control, organic farming or biopesticide, and a building for catching water from the spring had to conform to the manual of practicing guide for capturing water from the spring. With regard to limited finance, there was a need for the empowerment of the people through the founding of a group of water users in Beran Water Reservoir Keywords: Water Resources, Management, Environmental Sanitation
Pengaruh Iklim Terhadap Peluang Umur Nyamuk Mansonia spp di Daerah Endemis Filariasis di Kabupaten Kapuas Ridha, Muhammad Rasyid; Juhairiyah, Juhairiyah; Fakhrizal, Deni
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 2 (2018): Oktober 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.17.2.74-79

Abstract

Latar belakang: Filariasis merupakan penyakit menular menahun yang disebabkan oleh cacing filaria jenis Wuchereria bancrofti, Brugia malayi dan Brugia timori melalui nyamuk sebagai vektor. Penelitian ini bertujuan untuk mengetahui pengaruh iklim terhadap peluang hidup di alam nyamuk Mansonia spp. di daerah endemis filariasis di Kelurahan Mandomai, Kabupaten KapuasMetode: . Koleksi nyamuk dengan metode human landing collection  di dalam dan diluar rumah, nyamuk yang tertangkap setelah di identifikasi dilakukan pembedahan. Pembedahan abdomen nyamuk untuk mengetahui paritas. Data iklim dan curah hujan diambil dari data BMKG.Hasil: Hasil penelitian diketahui Aktivitas menghisap darah Ma. uniformis di luar rumah banyak tertangkap pada pukul 21.00-22.00 dan di dalam rumah pada pukul 22.00-23.00. Aktivitas Ma. dives banyak tertangkap pada pagi hari yaitu pukul 04.00-05.00 di luar rumah, sedangkan di dalam rumah paling banyak pukul 23.00-24.00. Aktivitas Ma. annulata di luar rumah paling banyak tertangkap pada pukul 18.00-19.00 dan di dalam rumah paling banyak tertangkap pada pukul 19.00-20.00. Kepadatan tertinggi per hari (MBR) dan perjam (MHD) pada Ma. annulata  di luar rumah, sedangkan yang terendah pada Ma. dives. Berdasarakan data dari BMKG dan pengukuran di lapangan,  suhu di daerah Kelurahan Mandomai dari bulan juli sampai desember berkisar antara 28° C, dimana kelembaban dan curah hujan tertinggi terjadi pada bulan Desember. Peluang hidup di alam nyamuk Ma. uniformis 4,4 hari, Ma. dives 1,3 hari dan Ma. annulata 32,2 hari. Hasil uji statistik diketahui ada pengaruh indeks curah hujan dan kelembaban dengan Peluang hidup di alam Ma. annulataSimpulan: Ditemukannya nyamuk Mansonia yang berperan sebagai vektor dengan peluang hidup di alam lebih dari 14 hari sehingga iklim di Kelurahan Mandomai mendukung perkembangan nyamuk sebagai vektor ABSTRACT Title: Climate Influence on Mansonia spp Mosquito Age Spend in Endemic Filariasis Region in Kapuas DistrictBackground: Filariasis is a chronic infectious disease caused by filarial worms, i.e.  Wuchereria bancrofti, Brugia malayi and Brugia timori species and transmitted by mosquitoes as vectors. Aim this study to determine the effect of climate on the chances of living in the nature of mosquito Mansonia spp. in the filariasis endemic area of Mandomai Village, Kapuas DistrictMethods: Mosquitoes are collected by human landing collection of people in and out the home, abdominal surgery mosquitoes to know parity. Climate dan rainfall index are taken from BMKG.Results: The result showed activity of blood sucking outdoors caught at 21.00-22.00 and indoor 22.00-23.00 for Ma. uniformis. Caught in the morning at 04.00-05.00 outside, while indoor 23.00-24.00 for Ma. dives. Outdoors Activity caught at most at 18.00-19.00 and indoor at 19.00-20.00 for Ma. annulata. The highest density man bitting fate and man hour density in Ma. annulata is outdoors, while the lowest on Ma. dives. Based on data from BMKG and field measurements, the temperatures in the Mandomai Urban Village from July to December ranged from 28 ° C, while humidity and the highest rainfall occurred in December. Longevity of mosquito 4.4 days for Ma. uniformis, 1.3 days for Ma. dives and 32.2 days Ma. annulata. The results of statistical test known to have influence of temperature dan index of rainfall with longevity of Ma. uniformis and Ma. dives.Conclusion: The discovery of Mansonia mosquito that acts as a vector with longevity more than 14 days, so that the climate in Mandomai village supports the development of mosquitoes as vectors
Analisis Risiko Pencemaran Bahan Toksik Timbal (Pb) pada Sapi Potong di Tempat Pembuangan Akhir (TPA) Sampah Jatibarang Semarang Wardhayani, Sutji; Setiani, Onny; Hanani D., Yusniar
Jurnal Kesehatan Lingkungan Indonesia Vol 5, No 1 (2006): APRIL 2006
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.5.1.11 - 16

Abstract

ABSTRACT Background: Final waste disposal site in Jatibarang represent accumulative site of various waste from various activities in Semarang city and its surroundings. It may become an environmental contamination sources, such as air, water, land contamination, and also in living organism. The contamination substance that generally exists in the waste disposal site is toxic substance, such as lead (Pb). The disposal site in Jatibarang is used as pasturing site for beef cattle. The beef cattle consumed the organic disposal and leachate as food sources. By consuming the organic disposal and leachate from the area, the cattle may be contaminated from toxic substance (for example, Lead) that can be distributed to all part of the body of the cattle. If human being consume the meat of cattle, the body maybe contaminated by toxic substance. It may couse an adverse effect since it is accumulated in the body. Lead (Pb) may cause erythrocytes, and kidney degenerative, disorder on reproduction system, nerve system, stimulate cancer and IQ degradation. The objective of this  research was  to analyze the risk of toxic substance contamination from lead on beef cattle at  waste disposal site Jatibarang Semarang. Methods: This Study was a survey research with a cross sectional approach. Total sample of beef cattle (41, 6 samples) were taken from disposal site and  3 samples of leachate were taken from waste disposal site Jatibarang Semarang. Data were analysed using AAS for  laboratorium examination and also observation of the site. The data obtained was  analyzed by partial correlation analysis (to know the correlation between independent variable and dependent variable) Results: Analysis showed that there was significant correlation between Pb concentration in waste and Pb concentration in cattle urine  p = 0,865 r = 0,0281 old disposal (unorganic disposal that has been serapped by the cattle) p = 0,427 r = 0,1309, leachate (cattle drinking water) p = 1,000 r = 0,0001, cattle’s weight p = 0,0001 r = 0,8114, cattle’s age p = 0,0001 r = 0,7049.The conclusion of this  research is that independent variable such as Pb has in waste correlation  in waste with risk contamination of lead in beef cattle at waste disposal site Jatibarang. Keywords: lead contamination, beef cattle, final waste disposal site
Klasifikasi Wilayah Provinsi Aceh Berdasarkan Tingkat Kerentanan Kasus Malaria Tahun 2015 – 2018 Zohra, Aja Fatimah; Anwar, Samsul; Fitri, Aida; Nasution, Muhammad Haikal
Jurnal Kesehatan Lingkungan Indonesia Vol 18, No 1 (2019): April 2019
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.18.1.25-33

Abstract

Latar belakang: Malaria merupakan salah satu kasus penyakit yang tidak pernah hilang. World Health Organization (WHO) memperkirakan sebanyak 300 hingga 500 juta orang terinfeksi malaria tiap tahunnya dengan angka kematian berkisar antara 1,5 hingga 2,7 juta pertahun. Pemerintah melalui Rencana Pembangunan Jangka Menengah Nasional (RPJMN) tahun 2015-2019 menargetkan sebanyak 300 kabupaten/kota akan memiliki sertifikasi eliminasi malaria pada tahun 2019. Penelitian ini merupakan penelitian pendahuluan terkait dengan distribusi dan prevalensi kejadian malaria di Provinsi Aceh. Meskipun sebagian besar kabupaten/kota di Provinsi Aceh sudah memiliki sertifikat eliminasi malaria, akan tetapi sebagian wilayah masih terdapat kasus malaria yang relatif tinggi. Penelitian ini bertujuan untuk mengetahui jenis parasit plasmodium yang paling dominan menyebabkan penyakit malaria dan mengklasifikasikan wilayah Provinsi Aceh yang rentan terserang kasus malaria berdasarkan indikator Annual Parasite Incidence (API).Metode: Penelitian ini adalah penelitian analitik kuantitatif dengan pendekatan data panel. Sampel pada penelitian ini adalah kasus malaria yang terjadi di 23 kabupaten/kota di Provinsi Aceh dari tahun 2015 sampai 2018 yang bersumber dari Dinas Kesehatan Provinsi Aceh. Metode statistik yang digunakan adalah analisis non-parametrik Kruskal-Wallis test, Mann-Whitney test dan K-Means Clustering. Hasil: Terdapat tiga jenis parasit yang paling dominan menyebabkan kasus malaria di Provinsi Aceh yaitu plasmodium vivax, plasmodium falcifarum dan plasmodium knowlesi. Berdasarkan indikator Annual Parasite Incidence (API), metode K-means clustering menunjukkan bahwa Kabupaten Aceh Jaya, Kota Sabang dan Kabupaten Aceh Selatan merupakan tiga wilayah yang paling rentan untuk terserang kasus malaria di Provinsi Aceh.Simpulan: Jenis-jenis parasit penyebab kasus malaria tertinggi adalah plasmodium vivax, plasmodium falcifarum dan plasmodium knowlesi. Tiga wilayah di Provinsi Aceh yang paling rentan terserang kasus malaria berdasarkan indikator API adalah Kabupaten Aceh Jaya, Kota Sabang dan Kabupaten Aceh Selatan.ABSTRACTTitle: Classification of Aceh Province Region Based on Vulnerability Levels of Malaria Cases in 2015 - 2018Background: Malaria is a case of an emerging disease. World Health Organization (WHO) estimates that 300 to 500 million people are infected with malaria each year with mortality rate ranging from 1.5 to 2.7 million per year. The government through the National Medium Term Development Plan (RPJMN) for 2015-2019 targets as many as 300 districts/cities to have certification of malaria elimination in 2019. This is a preliminary study related to the distribution and prevalence of malaria incidence in Aceh Province. Although most districts/cities in Aceh Province have been awarded malaria elimination certificates, some regions still have relatively high cases of malaria. This study aims to determine the type of plasmodium parasite that is the most dominant cause of malaria and to classify the regions in Aceh Province that is vulnerable to malaria cases based on the Annual Parasite Incidence (API) indicator.Method: This study is a quantitative analytical research study with panel data approach. The sample in this study was malaria cases that occurred in 23 districts/cities in Aceh Province from 2015 to 2018 obtained from the Aceh Provincial Health Office. The statistical methods used in this study were the non-parametric Kruskal-Wallis test, Mann-Whitney test and K-Means Clustering analyses.Result: There are three types of parasites which are the most dominant causes of malaria cases in Aceh Province, namely plasmodium vivax, plasmodium falcifarum and plasmodium knowlesi. Based on the Annual Parasite Incidence (API) indicator, the K-means clustering method shows that Aceh Jaya District, Sabang City and South Aceh District are the three most vulnerable areas for malaria in Aceh Province.Conclusion: The types of parasites that cause the highest malaria cases are plasmodium vivax, plasmodium falcifarum and plasmodium knowlesi. Three regions in Aceh Province that are most vulnerable to malaria cases based on API indicator are Aceh Jaya District, Sabang City and South Aceh District.
Analisis Faktor Risiko kadar debu Organik di udara terhadap Gangguan fungsi Paru pada Pekerja Industri Penggilingan Padi di Demak Nugraheni S., F. S.; Joko, Tri; Setiani, Onny
Jurnal Kesehatan Lingkungan Indonesia Vol 3, No 2 (2004): OKTOBER 2004
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.3.2.41 - 45

Abstract

ABSTRACT Background: Industry will not only increase the prosperity of society, but also could bring on an effect of pollution, included rice mill industry at Demak Regency. The effect is air pollution, in which it would take along a disturbance on lung’s function of, especially, workers of the industry. The aim of this research is to find out risk factor of dust’s amount on air at working area to lung’s function of the workers inside, and also to measure the prevalence ratio of dust exposure’s effect to the disturbance of lung’s function on workers. Disturbance of lung’s function, on this research, is limited on lung function parameter, which are FVC, FEV1 and FEV1/FVC ratio and all are classified as dichotomy. Methods: This research is classified as survey analitic research with cross sectional approach. The population is workers on industry at Demak Regency. Research is carried on by measuring lung’s function parameter using Spirometer. The samples are 45 peoples of 3 (three) rice mill industry. They are taken by Simple Random Sampling method of 85 existing workers. Results: The result shows that 34 of 45 respondents are working indoor with the amount of dust is bigger than Limiting Value. From the Statistical Test, we get that the incidence of disturbance of lung’s function on workers is influenced by the amount of dust on air at working area (p value = 0,002), and also strengthened by working duration (p value = 0,000), smoking habit (p value = 0,001), and the existence of history of lung disease (p value = 0,001). The prevalence ratios of each independent variables to the incidence of disturbance of lung’s function are : the amoung of organic dust on air (PR = 3,018, p value = 0.039), and also strengthened by the existence of history of lung disease (PR = 3.535, p value = 0.021), working duration (PR = 4.130, p value = 0.024). Meanwhile, the utilization of masker is proven not influencing in decreasing the incidence of disturbance of lung’s function. It is caused by the utilization on observation is not the real one during the working duration of respondents. Conclusions: Based on the results explained above, we need to implement some exact steps in order to decrease work diseases, which are caused by organic dust of the grain’s grinding, in form of monitoring and controlling held by the industrialists and related institutions to the amount of dust, safety aid (masker) and the workers’ healthy by doing a continue examination of lung’s function Keyword : Organic dust, Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV1), FEV1/FVC, Rice mill industry.
Analisis Faktor-Faktor Risiko Malaria Di Daerah Endemis Dengan Pendekatan Spasial Di Kabupaten Purworejo Darundiati, Yusniar Hanani
Jurnal Kesehatan Lingkungan Indonesia Vol 2, No 2 (2003): OKTOBER 2003
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.2.2.57 - 61

Abstract

ABSTRACK Background: Malaria remains serious public health problem in Indonesia. More than  half of the total population of Indonesia still live in area where are malaria transmission occurred.  The biggest number of prevalence in Central Java occurred in Purworejo District, i.e. 15,156 cases in 2001.  Malaria transmissions are influenced by several factors besides epidemiological factors : environmental factors, health services factors, the mobility of the population, socio-economic factors and behavior factors.  Malaria control programme should estimates the environmental condition and involves several epidemiological components which have much contribution in malaria control programme. Methods : This study is an observational research using cross-sectional approach.  The independent variables are outdoor and indoor environmental factors, behavior factors, health services factors, socio-economic factors and mobility of  population.  The dependent variable is malaria cases among family members.  Samples concist of 168 respondents from two MCI villages and two HCI villages of  Pituruh Sub district. Analysis were conducted by applying multiple logistic regression. Results : The bivariate analysis shows that there are significant associations between the environmental, behavior, health services factors and the malaria occurance among respondent’s family members.  The multivariate analysis concludes that distance between respondents’ house and the breeding places more than 2 km (OR = 0.263; 95% CI = 0.102 – 0.676), the absence of cattles in respondents’ house (OR = 0.395; 95 % CI = 0.160 – 0.676) and the absence of kapulaga/salak plants (OR = 0.209; 95% CI = 0.098 – 0.446) are the protective factors of malaria occurance among respondent’s family members. Conclusions : Repondents who live in houses where the distance is more than 2 km away from the breeding places have risk 0.263 times less than those who live in houses where the distance is less than 2 km.  Respondents who don’t have cattles  and kapulaga/salak plants around their houses have risk 0.395  and 0.209 times less than those who have cattles and kapulaga/salak plants around their houses.   Key words :  Malaria,  Risk Factors,  Endemic Area, Spatial Approach
Analisis Spasial Sebaran Kasus Tuberkulosis Paru Ditinjau Dari Faktor Lingkungan Dalam dan Luar Rumah di Kabupaten PekalonganAnalisis Spasial Sebaran Kasus Tuberkulosis Paru Ditinjau Dari Faktor Lingkungan Dalam dan Luar Rumah di Kabupaten Pekalongan Bambang Ruswanto; Nurjazuli Nurjazuli; Mursid Raharjo
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.11.1.22-28

Abstract

Background : Pulmonary tuberculosis (TB) is caused by “mycobacterium tuberculosis”. In Pekalongan, the prevalence rate of TB is 1,08 per 1000 population. Approximately 75% of those is the economically productive group. No information of TB distribution based on the environmental characteristic. This research aimed to anlyze the association between demographic,  physical environment factors and to conduct spatial analysis of regional characteristics that influence the distribution of tuberculosis cases in Pekalongan Regency. Method: It  was an observasional research using case control design. Data analysis performed by chi-square  (univariate and bivariate analysis). Multivariate analysis uses logistic regression test to determine of risk factors which the association is significant with pulmonary tuberculosis. Result : The statistical test showed that occupancy density, ventilation area, humidity of room in the house, air temperature, natural lighting in the house, kind of floor, air temperature outside the house, knowledge, nutrition status, and contact with the cases (p=0,05). While the result of multivariate analysis proved that there are seven factors which have significantly association with tuberculosis: knowledge, occupancy density, temperature in the home, natural lighting in the house, kind of floor, nutrition status, and contact with cases (OR>1,00). It was recommended to improve thr physical environment of the house, increase investigation and counselling for amily contact in the same house.   Keywords: Risk factors, Pulmonary tuberculosis, Spatial analysis
Pajanan Personal PM2.5 dan Perubahan Biokimia Darah pada Petugas Penyapu Jalan Ramdhan, Doni Hikmat; Fajriyah, Nurul; Yuniarti, Astri
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 2 (2020): Oktober 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.19.2.89-94

Abstract

Latar belakang: Pajanan partikulatjalan raya akibat hasil pembakaran bahan bakar kendaraan dapat menyebabkan gangguan kesehatan yang dimulai dari perubahan kadar biokimia darah. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan biokimia darah pada sampel terpajan partikulatdan tidak terpajan partikulat..Metode: Penelitian ini bersifat deskriptif analitik dengan desain studi cross sectional. Populasi dalam penelitian ini adalah penyapu jalan raya yang bekerja membersihkan sampah dan kotoran di jalan raya. Melalui teknik purposive sampling didapatkan51 sampel yang diambil darahnya untuk diuji oleh laboratorium dan melihat kadar glukosa, insulin, hs-CRP, MDA dan TNF-α. Data dianalisis dengan uji t independen dan uji kai kuadrat.Hasil: Hasil penelitian menunjukkan bahwa terdapat perbedaan kadar glukosa, insulin, MDA dan TNF-α pada kelompok terpajan partikulatdan kelompok tidak terpajan partikulat(p=0,025; p=0,001; p=0,006; p=0,039).  Namun, tidak terdapat perbedaan kadar hs-CRP pada kelompok terpajan partikulatdan kelompok tidak terpajan partikulat(p=0,169).Simpulan: Disimpulkan bahwa pajanan partikulat halus atau ukuran diameter kurang 2.5 μm dapat berpengaruh terhadap kadar biokimia darah pada pekerja yang terpajan secara terus menerus, dilihat dari terdapat perbedaan pada glukosa, insulin, MDA dan TNF-α pada kedua kelompok sampel. ABSTRACTTitle: PM2.5 Personal Exposure and Blood Biochemical Changes among Road SweeperBackground: Highway particulate exposure due to the burning of vehicle fuel can cause health problems that begin with changes in blood biochemical levels. This study aims to determine whether there are differences in the biochemical blood samples exposed to PM2.5 and unexposed to PM2.5.Methods: This study is a descriptive-analytic with a cross-sectional design study. The population is the road sweeper who works cleaning trash and dirt on the highway. Through a purposive sampling technique, 51 blood samples were taken to be tested by the laboratory and looked at glucose, insulin, hs-CRP, MDA and TNF-α levels. Data were analyzed by independent t-test and chi-square test.Result: there were differences in the levels of glucose, insulin, MDA and TNF-α between exposed of PM2.5 and unexposed groups of PM2.5 (p = 0.025, p = 0.001, p = 0.006, p = 0.039). However, there was no difference in the levels of hs-CRP in the PM2.5 exposed group and the PM2.5 unexposed group (p = 0.169).Conclusion: The conclusion was that exposure to fine particulate or PM2.5 can affect the blood biochemical level in workers who exposed continuously, seen from differences in glucose, insulin, MDA and TNF-α in both groups of samples.

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