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GEMA KESEHATAN LINGKUNGAN
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : -
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal ini menerima artikel dengan scope sanitasi lingkungan meliputi penyehatan air, pengolahan limbah, penyehatan makanan minuman, penyehatan tanah dan pengolahan sampah, sanitasi tempat umum, kesehatan keselamatan kerja, penyehatan udara sanitasi permukiman dan promosi kesehatan.
Arjuna Subject : -
Articles 298 Documents
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PERBEDAAN TEKANAN DARAH SEBELUM DAN SESUDAH TERPAPAR KEBISINGAN DI AREA FABRIKASI BAJA GRESIK TAHUN 2020 Rohmatul Ummah; Winarko .; Rusmiati .
GEMA LINGKUNGAN KESEHATAN Vol 19, No 2 (2021): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v19i2.1533

Abstract

Kebisingan sebagai suara yang tidak dikehendaki bersumber proses produksi dan atau alat-alat kerja yang pada tingkat tertentu dapat menimbulkan gangguan pendengaran (auditory) dan gangguan non pendengaran (non auditory). Gangguan non pendengaran (non auditory) salah satunya berupa peningkatan sistem kardiovaskuler yang dapat menyebabkan naiknya tekanan darah sistole dan diastole. Penelitian ini bertujuan untuk mengetahui perbedaan tekanan darah pekerja sebelum dan sesudah terpapar kebisingan di area fabrikasi baja Gresik.Rancang bangun penelitian ini termasuk jenis observasional dengan pendekatan waktu pengumpulann dilakukan secara cross sectional. Besar sampel sebanyak 28 pekerja diambail secara random dari 30 pekerja. Data dikupulkan melalui observasi, wawancara dan pengukuran Data yang yang terkumpul diolah dan dianalisis menggunakan program SPSS melalui uji T (Paired Sample T-Test) alpha 0,05.Hasil penelitian menunjukkan bahwa intensitas kebisingan di area fabrikasi baja melebihi Nilai Ambang Batas (NAB) yaitu sebesar 85 dBA, ada perbedaan yang signifikan antara tekanan darah sistole dan diastole sebelum terpapar kebisingan dengan tekanan darah sistole dan diastole sesudah terpapar kebisingan dengan nilai nilai P = 0,000 (P 0,05) dan secara diskriptif tekanan darah tidak memenuhi syarat dipengaruhi oleh umur dan masa kerja, sedangkan kebiasaan kebiasaan merokok dan minuman beralkohol tidak berpengaruh.     Disarankan kepada perusahaan untuk melakukan pengendalian sumber kebisingan dan mewanjibkankan penggunaan Alat Pelindung Diri  serta memberikan pelatihan dan penyuluhan kepada tenaga kerja mengenai kesehatan dan keselamatan kerja, mengingat tingkat kesadaran tenaga kerja mengenai pentingnya keselamatan dan kesehatan kerja masih kurang.
PENGARUH BEKERJA DENGAN SHIFT TERHADAP FAKTOR FISIOLOGIS PEKERJA PABRIK TRIPLEK PT. ADMIRA DI DESA BIBIS KECAMATAN SUKOMORO KABUPATEN MAGETAN TAHUN 2015 Novyta Anggraeni .S; Trimawan Heru Wijono; Handoyo .
GEMA LINGKUNGAN KESEHATAN Vol 13, No 3 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i3.104

Abstract

Shift work affects the occurrence of physiological factors on workers especially night shift workers. Changes in working time from daylight to night resulted in physiological disorders.Workers can not be changed or workers circadian rhythms that are not able to adjust to changes in working time cause physiological disorders. Therefore, research on the effect of shift work on physiological factors plywood factory workers of PT. Admira rural districts Sukomoro Magetan 2015 Magetan district.This research is a descriptive study with the stratified random sampling design of 19 respondents.Based on the results of the study, 94.74% of respondents experienced a physiological disorder. Respondents who experienced a physiological disorder with symptoms of fatigue 75.93%.Male respondents who experience fatigue disorder 47.21%, 47.21% of sleep disorders, and gastrointestinal disorders 55.56%. Female respondents who experience fatigue disorder 38.89%, 27.78% of sleep disorders, and gastrointestinal disorders 27.78%. This indicates that respondents who experienced a physiological disorder that respondents can not be changed circadian rhythm,or the respondents were not able to adjust to the time change from daylight to night work. For that we need additional hour of rest and given special facilities to rest for the nightshift workers. It should also be noted the division of working time, rest periods, and the worker'sage, especially night shift workers to minimize the physiological effects of workers.
PERILAKU DISIPLIN MENCUCI TANGAN MENEKAN JUMLAH KOLONI KUMAN PADA TANGAN PERAWAT RUMAH SAKIT Della Nanda O; Agnes Theresia DN; Nur Haidah
GEMA LINGKUNGAN KESEHATAN Vol 17, No 1 (2019): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v17i1.1051

Abstract

Perilaku mencuci tangan merupakan salah satu upaya kewaspadaan universal untuk mencegah infeksi. Kejadian infeksi di rumah sakit disebut dengan infeksi nosokomial (INOS). Mencuci tangan merupakan teknik mendasar yang dapat dilakukan untuk menghilangkan mikroorganisme, kontaminan fisik dan kimia pada tangan. Pengetahuan yang baik tentang mencuci tangan dapat mempengaruhi sikap dan tindakan perawat dalam melakukan cuci tangan sebagai gambaran perilaku disiplin mencuci tangan. Angka infeksi nosokomial di RSUD Dr. SL diatas batas minimal (≤ 1,5%). Penelitian ini bertujuan mengetahui hubungan perilaku disiplin mencuci tangan dengan jumlah koloni kuman pada tangan perawat.Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan wawancara, observasi dan pengukuran jumlah koloni kuman pada tangan. Besar sampel 24 perawat yang diambil dengan cara random. Data yang diperoleh kemudian dianalisis menggunakan uji Spearman rho.Hasil penelitian menunjukkan bahwa jumlah rata – rata koloni kuman pada tangan perawat sebesar 35,25 CFU/cm2 dan perawat yang memiiki perilaku disiplin sebesar 79%. Uji Spearman rho menunjukkan ada hubungan antara perilaku disiplin mencuci tangan dengan jumlah koloni kuman pada telapak tangan perawat setelah mencuci tangan dengan nilai p= 0,005 (α=0,05).Disarankan agar rumah sakit melakukan tranning tentang cuci tangan secara periodik, memasang poster mencuci tangan, control kualitas mencuci tangan pada tenaga perawat melalui uji swab dan perawat wajib menerapkan Standar Operasional Prosedur. Kata kunci: Perilaku Cuci Tangan, Jumlah Koloni Kuman, Perawat
FAKTOR RISIKO KEJADIAN ISPA PADA BALITA DI KELURAHAN GADINGREJO KOTA PASURUAN TAHUN 2016 Zenita .; Nur Haidah; Sukiran Al Jauhari
GEMA LINGKUNGAN KESEHATAN Vol 14, No 3 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i3.262

Abstract

The proportion of under-five deaths due to pneumonia, according Riskesdas 2007 ranks the second after diarrhea. It is estimated that over 2 million children under five die every year from pneumonia. This study aims to identify risk factors of personal hygiene and home cleaning action with URI incident in children under five in Gadingrejo village, Pasuruan.        This study uses a case control design. The subject of this study were housewives who have children suffering from URI in December 2015 - January 2016. The sample were 40 cases and 40 controls. Sampling was carriedout by Simple Random Sampling. The data collection technique used questionnaire. The collected data was then analyzed by Odd Ratio calculation.        The OR value of personal hygiene with URI was 2.51 and OR  value of cleaning action with URI was 2.57. Poor personal hygiene indicated 2.51 times greater risk of a toddler suffering from URI than good personal hygiene. Poor cleaning action also indicated 2.57 times greater risk of a toddler suffering from URI than good house cleaning action.        This study indicates that personal hygiene and home cleaning action is a risk factor of URI in children under five in Gadingrejo village, Pasuruan 2016. Counseling regarding hand washing and house cleaning on a regular basis can increase public knowledge that leads to changes in people's behavior. Keywords :  Personal Hygiene, House Cleaning Action, URI
ANALISIS FAKTOR SANITASI KAPAL TERHADAP TANDA─TANDA KEBERADAAN TIKUS (Studi pada Kapal Penumpang yang Bersandar di Pelabuhan Kalianget 2019) Nanda Aprillia Mifthakul Ni'ma; Suprijandani .; Ngadino .
GEMA LINGKUNGAN KESEHATAN Vol 18, No 2 (2020): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v18i2.1075

Abstract

Ship sanitation is one of the efforts shown on environmental risk factors in shipbuilding to decide the chain of disease transmission to maintain and enhance health status. This research was conducted to see the relationship between ship sanitation and signs of existence of mice on passenger ships that lean in Kalianget Port in 2019This type of research is descriptive by using a cross sectional approach. The sample in the research was in the form of 4 passenger ships. Data collection through  assessment with forms. Vessel sanitation assessment uses a pH meter, Luxmeter, and Hygrometer tool. The instrument used is a vessel sanitation inspection form and examination of signs of the presence of mice on board. The results of this study indicate that ship sanitation with signs of the presence of mice on board a passenger who has no connectionBased on the obstacles faced during the collection of vessel sanitation data and signs of the presence of rats because of the weather during the rainy season so that many ships are not operating. Suggestions that can be given from this study include the existence of research on ship sanitation implementation on signs of the presence of rats on passenger ships that lean. Keywords: Ship Sanitation, Signs of Rat Existence
FAKTOR YANG MEMPENGARUHI KEPADATANLALATDIBAGIAN INSTALASI GIZI RSUD WALUYO JATI KRAKSAANKABUPATENPROBOLINGGO TAHUN 2014 Aditya Bagus Candra Trisna; Sukiran Al Jauhari; Suparlan .
GEMA LINGKUNGAN KESEHATAN Vol 13, No 1 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i1.72

Abstract

Nutrition division of the Rumah Sakit Umum Daerah Waluyo Jati at Kraksaan is a quantity food procurementand processing. During the procurement and processingof food there is a risk of disease transmission. It canoccur when food and food materials are purchased, storage of processed food, or when food are served inunsanitary state. In terms of siting, the nutrition division is located very close to solid waste holding center,medical waste incineration site and also close to the morgue. Flies found in any room in the nutrition divisionare capable of transmitting diseases. The purpose of this study was to determine the factors that determinethe density of flies in the Nutrition division of the RumahSakit Umum Daerah Waluyo Jati at Kraksaan.This is a non-experimental research and data are analyzed in the study using descriptive procedures Thismethod is normally used to solve or answer problems faced in-the present situation. This study was aimed toidentify the factors that influence fly population in the Nutrition Division of the Rumah Sakit Umum DaerahWaluyo Jati Kraksaan.Resultsof the measurement on the density of flies at the Nutrition Division of the RSUDWaluyo Jati measuredby fly grills are as follow: Fly density was highest at washing room, food processing room, and the receptionof raw materials. Type of food preffered by flies were various types of vegetables, meat, and food scrappingsretrieved from patients. Type of waste preferred by flies is wet garbage. The average temperature was 26°Cat the time of the study, while the average humidity is 73%.In order to control flies at the Nutrition Division, it was suggested to the hospital for immediate repair ofhigyene and sanitation facilities at the Nutrition Division by installing fly traps, such as light tra-psor fly traps,practicing clean and healthy behavior by all employess, move or rearrange room assignment, considering thatthe Nutrition division was too close to solid waste temporary holding site, incinerator, and morgue.
ANALISIS RISIKO KADAR GAS HIDROGEN SULFIDA (H2S) PADA MASYARAKAT SEKITAR PABRIK BIOETHANOL (Studi Kasus : Pabrik Bioethanol PT. Energi Agro Nusantara Kecamatan Gedeg Kabupaten Mojokerto Tahun 2018) Laila Muzdalifatul A; Khambali .; Rachmaniyah .
GEMA LINGKUNGAN KESEHATAN Vol 16, No 2 (2018): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v16i2.823

Abstract

Gempolkerep Village Gedeg Subdistrict Mojokerto District is a residential area that has a distance of ± 100m from Bioethanol Industry PT.Energi Agro Nusantara which is a producer of Ethanol and Biogas, thus the production process produces content of pollutant sources in ambient air one of them is hydrogen sulfide gas. The purpose of this study is to analyze the risk of exposure of H2S gas to communities living around the bioethanol plant i.e Gempolkerep Village, Gedeg Subdistrict, Mojokerto District. This research is a descriptive research using the design of Environmental Health Risk Analysis (ARKL) which was used to predict the size of the risks received by people living in Gempolkerep Village RT.8, RT.9, RT.12 and RT.13 with the sample used was a society with a range of age 20-25 years. Steps on ARKL were used to identify exposure patterns, community anthropometry and minimum H2S concentrations of H2S gas concentrations, on average, to the maximum, so as to determine risk characterization. The risk level was said to be safe when RQ ≤ 1, and the risk level was said to be unsafe when RQ 1.The results showed that from 4 point location overall average concentration of H2S gas 1,95 mg / m3, highest concentration 8,8 mg / m3, lowest concentration 0,4 mg / m3. The physical environment of the air obtained average air temperature was 30.6oC, the average air humidity was 55.1%, and the average wind speed was 1.0 m / s and the wind direction when the measurement blew from the West and South. Agents at risk of causing health problems to people in nearby areas close to the industry were H2S gas levels in the ambient air. The dose of H2S gas response was 0.000571 mg / m3. The entire community as respondents at the research location had a value of RQ 1. It can be concluded that all respondents who live around the bioethanol plant are said to be unsafe and at risk of health problems. So it is expected to be able to control and manage risk. Key words :  ARKL, Hydrogen Sulfide (H2S), Society
ANALISIS RISIKO PAPARAN PB PAOA MAKANAN JAJANAN PINGGIR JALAN 01 SO PUCANG KOMPLEK KABUPATEN SIOOARJO Vivin Elvionita; Siti Surasri; Rachmaniyah .
GEMA LINGKUNGAN KESEHATAN Vol 11, No 3 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i3.198

Abstract

Roadsidefoods sold in Pucang complex elementary school pose risks of lead exposure,but children liked them. These childrena population at risk, in fact they have been exposed tolead, therefore their intellectual dexterity can be severely affected. The extent of lead exposurecan be analyzed to estimate whether or not such food is safe for consumption within a certainperiod of time. Therefore, this study aimed to carry out a risk analysis of lead exposure uponroadside food in SD PucangComplex Sidoarjo.This is an exploratory descriptive study. The population are all roadside foods sold inPucangelementary school especially beside JI. Ahmad Yani. Samplesconsisted of roadside foodthat has been exposed for 2 hours. Data were analyzed descriptively by finding RQvalues fromthe calculated intake.The results of lead examination in roadside food discovered as much as 8.288 ppm inbatagor, 6.637 ppm in siomay and 3.751 ppm in meatballs. Following analyses of theseexposures, a minimum intake of 20 mg/ kg.day and a maximum intake of 44.2 mg/ kg.day. Inthe risk characterization stage, RQminimum value of 2.108 and RQmaximum value of 4,42.108were obtained. The study concluded that the concentration were not safe for consumption. Riskmanagement strategy was carried out by calculating safe concentration limit of lead at theamount of 1,875. 10-8 mg/gr.day and the limit for safe consumption rate of lead at the amountof 1.8. 10-7 gr/ day. Meanwhile, the risk management means consisted of technologicalapproach, socia-economicapproach, and institutional approach.Therefore it is advisable to initiate training for vendors, use of food cover, conductfollow up research and disseminate information on the dangers of contaminated roadside foodto students of Pucangelementary school.Keywords : Lead, roadside foods, risk analysis, SO Pucang Complex
PENERAPAN PRINSIP-PRINSIP HYGIENE SANITASI MAKANAN DI INSTALASI GIZI RUMAH SAKIT ISLAM SITI AISYAH MADIUN TAHUN 2015 Choirul Annisak; Moch. Yulianto; Hurip Jayadi
GEMA LINGKUNGAN KESEHATAN Vol 14, No 1 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i1.127

Abstract

Pengelolaan makanan di Rumah Sakit Islam Siti Aisyah Madiun perlu dilakukan pengawasankhusus diantara kegiatan di rumah sakit, karena pengelolaan makanan merupakan pelayanan darirumah sakit dalam upaya penyembuhan dan pemulihan pada pasien. Untuk itu perlu dilakukanobservasi tentang penerapan prinsip hygiene sanitasi makanan dan pengetahuan penjamahmakanannya. Penelitian ini merupakan penelitian deskriptif yang bertujuan untuk menggambarkanpengetahuan penjamah makanan dalam menerapkan prinsip-prinsip hygiene sanitasi makanan danminuman di instalasi gizi Rumah Sakit Islam Siti Aisyah Madiun. Variabel bebas dalam penelitian iniadalah pengetahuan penjamah makanan sedangkan variabel terikatnya adalah prinsi-prinsiphygiene sanitasi makanan. Analisa data menggunakan editing dan rekapitulasi sedangkanpenyajian dalam betuk tabel dan grafik. Hasil pengetahuan penjamah makanan di instalasi gizi Rumah Sakit Islam Siti Aisyah Madiuntentang 6 prinsip hygiene sanitasi makanan pada umumnya baik. Kegiatan penerapan prinsiphygiene sanitasi makanan di instalasi gizi Rumah Sakit Islam Siti Aisyah Madiun pada umumnyabaik. Pada umumnya penjamah makanan di instalasi gizi Rumah Sakit Islam Siti Aisyah Madiunmemiliki pengetahuan yang baik, dimana pengetahuan mereka mendukung kinerja dalammenerapkan prinsip hygiene sanitasi makanan. Kesimpulan dari penelitian ini adalah penjamah makanan di Instalasi Gizi RSI Siti AisyahMadiun memiliki pengetahuan dan penerapan yang baik. Untuk lebih meningkatan maka penulismenyarankan untuk melakukan pelatihan mauun penyuluhan kepada penjamah makanan tentanghygiene sanitasi makanan dan memperbaiki beberapa fasilitas yang belum memenuhi syaratkesehatan.
STUDI KEPADATAN KECOA PADA TRANSPORTASI AIR (KAPAL PENUMPANG) DI PELABUHAN TANJUNG PERAK SURABAYA TAHUN 2020 Dessy Rahmadany Kartin Hidayat; Ngadino .; Irwan Sulistio
GEMA LINGKUNGAN KESEHATAN Vol 19, No 2 (2021): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v19i2.1538

Abstract

Kapal merupakan transportasi air yang dapat menjadi wahana penularan penyakit yang disebarkan kecoa. keberadaan kecoa dalam kapal perlu diperhatikan karena akan berpengaruh pada kesehatan para penumpang dan ABK kapal. Penelitian ini bertujuan untuk menggambarkan kepadatan kecoa pada transportasi air (kapal penumpang) di Pelabuhan Tanjung Perak, Surabaya tahun 2020.Penelitian ini bersifat deskriptif dengan teknik pengambilan sampel insidental sampling. Data dikumpulkan melalui observasi, pengukuran, dan studi literature.Hasil Penelitian menunjukkan kepadatan kecoa P.americana dan B.germanica pada kapal penumpang di pelabuhan Tanjung Perak Surabaya termasuk dalam kategori rendah atau tidak menjadi masalah. Kepadatan kecoa juga dilihat dari faktor lingkungan fisik suhu, kelembaban, dan pencahayaan. Hasil penilaian suhu terhadap adanya kecoa berkisar antara 250C-300C, penilaian kelembaban 50%-78% dan penilaian pencahayaan terdapat pada ruangan dengan pencahayaan dibawah 100 lux.Dapat disimpulkan bahwa kepadatan kecoa bisa dipengaruhi oleh suhu, kelembaban, dan pencahayaan. Disarankan adanya peningkatan sanitasi untuk mencegah dan meminimalisir keberadaan kecoa di kapal penumpang

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