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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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PENGARUH KONDISI FISIK RUMAH TERHADAP PENULARAN TB PARU PADA ANGGOTA KELUARGA (Studi Kasus di Wilayah Kerja Puskesmas Perak Timur Surabaya Tahun 2018) Evi Nurdiana; Nur Haidah; AT Diana Nerawati
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.v16i2.824

Abstract

Tuberculosis is an infectious disease that caused by the bacterium Mycobacterium tuberculosis and more often infects lung organs than the other body organs . Healthy people at home with pulmonary TB sufferers are a group that is very susceptible to contracting the disease. One of possible factors that is at risk for pulmonary TB is the physical condition of the house which includes ventilation, occupancy, density, lighting, floor conditions, humidity, and temperature. The purpose of this study was to analyze the effect of the physical condition of the house on pulmonary TB transmission in the family members in the working area of Health Center East Perak Surabaya.This research is an observational analytic research with cross-sectional study design. The data collection is done by interviewing, observing, and measuring the physical condition of the house. The population in this study were 51 houses with pulmonary tuberculosis patients and a large sample of 45 houses with pulmonary TB patients. The data obtained were then analyzed analytically using Exact Fisher test.          The results of univariate analysis showed pulmonary tuberculosis transmission in family members (17.8%), the ventilation was unfullfilled the requirements (68.9%), lighting was unfullfilled the requirements (75.6%), the temperature was unfullfilled the requirements (68.9%) , humidity was unfullfilled the requirements (35.6%), floor conditions was unfullfilled the requirements (2.2%), and occupancy of density was unfullfilled the requirements (68.9%). The results of bivariate analysis showed that there was an influence on pulmonary TB transmission in family members, by the temperature (Pvalue = 0.007) and humidity (Pvalue = 0.017).The conclusion, the temperature and humidity affect the transmission of pulmonary TB in family members; ventilation, lighting, floor conditions, and occupancy of density do not affect the transmission of pulmonary TB in family members. It is recommended to do data collection and counseling about healthy homes and TB disease, treatment for all TB patients completely, and check family members immediately if they have symptoms of coughing for more than 2 weeks. Keywords      : Tuberculosis, family members, physical condition of the house.
KEJADIAN DBDDI KELURAHAN MANISREJO KECAMATAN TAMAN KOTA MADIUN TAHUN 2015 Firda Lutfi Pangresti; Tuhu Pinardi; Hery Koesmantoro
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.v14i1.128

Abstract

Manisrejo village incidence of dengue fever is the highest among the City of Madiun. Thenumber of cases of dengue hemorrhagic fever in that village was as many as 84 cases in2010-2014. This study aims to find out about the incidence of dengue fever. By measuringbehavioral factors, assess physical factors, calculating factor-free numbers larva, evaluate PSN(mosquito nest eradication), evaluates health services, measuring the socio-economic factors,and to describe the incidence of dengue fever. This type of research is a descriptive study. Populations were all cases of dengue fever inthe village Manisrejo District of the City of Madiun. The sample is purposive sampling counted84 cases and the controls. The results generated from the calculation of questionnaires and observation done. It isknown that most of the respondents behavior is bad namely 87.8%, physical factors such astemperature and humidity most of the houses of the respondents have optimum temperatureand humidity which is a mosquito breeding sites by 83.67%. Village ofManisrejois still not freefrom larvae, this is because free larva houseswere still below 95%, the mosquito eradicationis bad that is equal to 59.2%, patients with dengue fever in the village Manisrejo utilize healthservices and are willing to seek treatment when exposed to pain, patients with dengue feverat most households were not poor 84,7%. It is recommended to the citizens in order to improve the attitudes and actions ofmosquito control, as well as the mobilization of mosquito eradication movement cadres inparticular for monitoring larvae, as well as public attention to environmental conditions suchas opening a window or vent, this can help to regulate the temperature and humidity.
HUBUNGAN SANITASI TEMPAT PENGGILINGAN DAGING DENGAN KUALITAS BAKTERIOLOGIS (Salmonella sp.) DAGING GILING Rinda Astri Setyawati; Narwati .; Deddy Adam
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.v19i2.1531

Abstract

Daging giling merupakan jenis bahan pangan yang mudah rusak (perishable food). Kerusakan dapat disebabkan oleh bakteri Salmonella melalui faktor sanitasi tempat diantaranya lokasi, bangunan, tata ruang dan fasilitas sanitasi. Faktor sanitasi tempat penggilingan daging di Pasar Tambah Rejo yang tidak memenuhi syarat berdasarkan Perka BPOM No. 5 Tahun 2015 berpotensi menyebabkan kontaminasi. Tujuan penelitian ini adalah untuk mengetahui hubungan sanitasi tempat penggilingan daging dengan kualitas bakteriologis (Salmonella sp.) daging giling di Pasar Tambah Rejo Surabaya Tahun 2020.Desain penelitian merupakan penelitian analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh daging giling di tempat penggilingan daging Pasar Tambah Rejo Surabaya sejumlah 6 dan air bersih di tempat penggilingan daging Pasar Tambah Rejo Surabaya sejumlah 1. Besar sampel ditentukan dengan menggunakan teknik total sampling. Metode pengumpulan data dengan cara observasi dan uji laboratorium. Analisis data menggunakan uji korelasi spearman rank.Hasil penelitian diperoleh 5 lokasi tempat penggilingan daging kurang memenuhi syarat, 4 bangunan kurang memenuhi syarat, 2 tata ruang kurang memenuhi syarat, 5 fasilitas sanitasi cukup memenuhi syarat. Uji hipotesis menunjukkan p value (0,016) (0,05) mengindikasikan bahwa ada hubungan antara sanitasi tempat penggilingan daging dengan kualitas bakteriologis (Salmonella sp.) pada daging giling di Pasar Tambah Rejo Surabaya tahun 2020.Disarankan pekerja membersihkan lantai dengan cara mengepel menggunakan cairan desinfektan, PD Pasar Surya dapat merealisasikan program perbaikan saluran pembuangan yang terbuka dengan memberi penutup berupa penutup dari bahan besi.
ANALISIS KANDUNGAN ZAT PEWARNA Rhodamin B PADA SAUS JAJANAN DAN TINGKAT PENGETAHUAN PEDAGANG DI SEKOLAH DASAR NEGERI (Studi Kasus di Kecamatan Taman Kabupaten Sidoarjo Tahun 2015) Aprillina Yunita; Mamik .; Sukiran Al Jauhari
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.v13i3.96

Abstract

Rhodamin B merupakan zat warna tambahan yang dilarang penggunaannya dalam produkpangan.Tujuan penelitian mengetahui kandungan Rhodamin B secara kualitatif saus jajanan yang di jual disekolah dasar serta untuk mengetahui besar tingkat pengetahuan pedagang tentang penggunaanzat pewarna sintetik yang dilarang penggunaannya.Penelitian ini bersifat “Deskriptif” menggambarkan ada tidaknya kandungan Rhodamin B pada sausyang dijual di Sekolah Dasar Negeri. Populasi dan sampel dalam penelitian ini yaitu semua merksaus yang dijual pedagang jajanan di Sekolah Dasar Negeri dan pedagang tetap yang ada di 31Sekolah Dasar Negeri. Analisa data dilakukan secara deskriptif yaitu pemeriksaan organoleptik,pemeriksaan kimia, serta tingkat pengetahuan pedagang saus . Hasil pemeriksaan fisik saus bahwa 2 dari 3 sampel tidak menampakkan ciri  yang mengandung Rhodamin B sedangkan 1 sampel menampakkan ciri yang mengandung Rhodamin B. Penilaiantingkat pengetahuan pedagang jajanan bahwa 3 pedagang memiliki pengetahuan “Kurang”dan 28pedagang memiliki pengetahuan “Cukup”. Sebagian besar saus menunjukkan ciri penggunaan Rhodamin B dan produsen yang positifmenggunakan saus mengandung Rhodamin B mempunyai pengetahuan “Cukup”. Masyarakatsebagai pembeli harus teliti dalam membeli jajanan yang menggunakan saus, dan harus telitidalam mengetahui ciri-ciri saus yang mengandung Rhodamin B.
PERBEDAAN PENGGUNAAN MEDIA LEAFLET DENGAN VIDEO TENTANG PENGETAHUAN DAN SIKAP SISWA MATERI MAKANAN JAJANAN (Studi Penelitian di SDN Kertajaya IX/215 Kecamatan Gubeng Kota Surabaya Tahun 2018) Dina Rakhmawati; Nurhaidah .; Suprijandani .
GEMA LINGKUNGAN KESEHATAN Vol 16, No 3 (2018): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v16i3.900

Abstract

Makanan jajanan menurut WHO (World Health Organization) adalah makanan dan minuman yang dipersiapkan dan dijual oleh pedagang kaki lima di jalanan dan tempat-tempat yang ramai atau tempat-tempat umum yang dapat dimakan atau dikonsumsi tanpa pengolahan lebih lanjut. Selama ini masih banyak makanan jajanan yang berpotensi dapat mengganggu kesehatan, seperti keracunan makanan. Dalam upaya menghindari terjadinya keracunan makanan maka perlu meningkatkan pengetahuan dan sikap anak usia sekolah tentang makanan jajanan menggunakan alat bantu atau media promosi, seperti media leaflet dan media video. Penelitian ini bertujuan untuk mengetahui perbedaan penyuluhan menggunakan media leaflet dengan video tentang pengetahuan dan sikap siswa materi makanan jajanan.Jenis penelitian ini merupakan penelitian pra-eksperimental dengan rancangan penelitian yang digunakan adalah pra-eksperimen one group pre-post test design. Sampel dalam penelitian ini sebanyak 51 siswa kelas V pada responden kelompok media leaflet dan 51 siswa kelas V pada responden kelompok media video. Data yang diperoleh selanjutnya dianalisis secara analitik menggunakan paired t test pada program komputer.Hasil penelitian menunjukkan bahwa ada perbedaan yang signifikan rata-rata nilai tingkat pengetahuan tentang makanan jajanan sebelum dengan sesudah dilakukan penyuluhan pada kelompok media leaflet dengan p value (0,032) α (0,05), sedangkan pada sikap kelompok media leaflet dan pengetahuan serta sikap kelompok media video tidak terdapat perbedaan yang signifikan p value α (0,05).Kesimpulan dalam penelitian ini diketahui bahwa penggunaan media leaflet dalam penyuluhan lebih baik dibandingkan dengan media video  terhadap peningkatan pengetahuan dan sikap responden. Disarankan agar sekolah melakukan penyuluhan secara berkala menggunakan bantuan media leaflet.Kata Kunci : Pengetahuan, Sikap, Media Leaflet dan Video
IDENTIFIKASI FAKTOR PENCEGAH PENULARAN TB PARU DALAM RUMAH DI WILAYAH KERJA PUSKESMAS WONOKUSUMO SURABAYA TAHUN 2016 Vebrina Arvianti; Umi Rahayu; Khambali .
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.v14i3.254

Abstract

Surabaya ranked the first position for the incident of Pulmonary TB in East Java. In Wonokusumo health center, the number of patients with pulmonary TB increased from 2014 to 2015 by 57% and treatment success rate in 2015 reached 96%. This study aims to determine the relationship of behavior with home sanitation to prevent pulmonary tb infection in the house. This is a Case Control study with study population was family member of patients with pulmonary TB. The sample size was 49 cases and 49 controls. The sampling technique used multistage sampling method. Technique of collecting data used questionnaires and home observation sheets. Data was analyzed by SPSS Chis-Square test. This study shows that ρ (0,000) α (0.05), which means there was relationship between behavior with home sanitation condition to prevent pulmonary TB transmission at home. The conclusion of this study is that family members had poor level of knowledge, attitudes, and sanitation condition. 61.2% did not meet the standard and there was relationship of behavior and home sanitation. the society should add information about pulmonary TB condition and home  sanitary as well as conducting routine mass cleaning program. Wonokusumo health center needs to provide counseling and formation of cadres that serves to provide information and motivation to pulmonary TB patients. Keywords   : Behavior, home sanitation condition, pulmonary tuberculosis
HUBUNGAN HIGIENE PERORANGAN DAN KONDISI FISIK RUMAH DENGAN KEJADIAN PENYAKIT KUSTA (Studi Kasus di Puskesmas Tanjung Bumi Kabupaten Bangkalan Tahun 2019) Tri Agustina Wulansari; Imam Thohari; AT Diana Nerawati
GEMA LINGKUNGAN KESEHATAN Vol 18, No 1 (2020): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v18i1.1119

Abstract

Pada Tahun 2017 Jawa Timur merupakan provinsi yang paling banyak terdapat kusta dengan jumlah kasus baru sebanyak 3373 jiwa. Salah satu kabupaten yang masih ditemukan kasus kusta baru di Jawa Timur yaitu Kabupaten Bangkalan. Dari beberapa penelitian ventilasi, kelembaban,suhu,kepadatan hunian, jenis dinding, jenis lantai, kebiasaan Mandi, Kebiasaan cuci rambut, kebiasaan tidur bersama-sama, serta memakai pakaian dan handuk secara bergantian diyakini berhubungan dengak kejadian penyakit kusta. Tujuan penelitian ini untuk mengetahui hubungan higiene perorangan dan kondisi fisik rumah dengan kejadian penyakit kusta di wilayah kerja Puskesmas Tanjung Bumi Kabupaten Bangkalan. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan (case control). Pengumpulan data dilakukan dengan wawancara dan pengukuran kondisi fisik rumah. Besar sampel sebanyak 35 orang kelompok kasus dan 35 orang kelompok kontrol. Data dianalisis melalui uji Chi Square.Hasil penelitian didapatkan higiene perorangan dan kondisi fisik rumah meliputi pencahayaan, ventilasi berhubungan dengan kejadian penyakit kusta. Sedangkan suhu, kelembaban dan kepadatan hunian tidak berhubungan dengan kejadian penyakit kusta. Disarankan untuk meningkatkan pola hidup bersih dan sehat dengan tidak menggunakan pakaian,handuk, sabun dengan anggota keluarga yang lain, mencuci rambut secara teratur, serta membuka jendela secara rutin.Kata Kunci : Kusta, higiene perorangan, kondisi fisik rumah
PERILAKU MASYARAKAT DALAM BUANG AIR BESAR (Study Kasus di Desa Ngrawan Kecamatan Berbek Kabupaten Nganjuk Tahun 2014) Nita Melina Wati; Sri Mardoyo; Ferry Kriswandana
GEMA LINGKUNGAN KESEHATAN Vol 12, No 2 (2014): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v12i2.64

Abstract

Dealing with defecation remains an important aspect in envirinmental health programs. Accordingto the Expert Commitee on Environmental Health of WHO, defecation was designated as a top priority thatmust be dealt with in the context of environmental health, primarily in rural areas. Imporer defecation maycontaminate soil and drinking water sources. The purpose of the research was to determinane thebehavior of people in relation to defecation.This research employed a descriptive method. Data were collected by observation andquestionnaire. The size of samples to be observed in this study was 89 heads of household. The datacollected were subSequently analyzed descriptively where description and discussion were based on theanswers on the questionnaire.Results of the study on people's behavior in Ngrawan Village, Berbek Subdistrict, Nganjuk Districtindicated that 49.44% (44) of the respondents were aged 25-35 years, 47.29% (42) of respondents hadJunior High School Education, 39.32% (35) of the respondent worked as peasants, 41.57% (37) ofrespondents had low economic status. About 28.09% (25) of the respondents had inadequate knowledge.About 42.70% (38) of the respondents didn't take any action adequately, and 39.33% .(35) ) of therespondents had poor behavior.It is suggested that the primary health center performs a triggedng initiative to boost people'sunderstanding. This way people will know, understand, and implement hygienic and healthy livingbehavior, especially in relation to defecation. Pople need to hold SOCialgatherings (such as women'slottery club) or Jimpitan to facilitate the ideals that at the end everybody have their own latrines
Penurunan Kadar Amonia Limbah Cair Menggunakan Adsorben Abu Terbang Bagas di Industri Penyamakan Kulit Betryana Agnes Pratiwi; Darjati .; Pratiwi Hermiyanti
GEMA LINGKUNGAN KESEHATAN Vol 16, No 1 (2018): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v16i1.815

Abstract

The incidence of odor around the waste of the tannery industry is due to the high ammonia (NH3) content of 3.79 mg/l, so to lower the high levels of ammonia (NH3) it is necessary to process. The purpose of this research is to reduce ammonia (NH3) in the wastewater of tannery industry according to environmental quality standard. The method of this study was experimental, with Pretest-Posttest with control group design comparing ammonia decrease before and after processing, with treatment variation for 2 gram of adsorbent mass; 3 grams; 4 grams and contact time of 60 minutes; 90 minutes; 120 minutes. Measurement of ammonia (NH3) using a spectrophotometer. The highest percentage of ammonia (NH3) decline was 96.83% in a 4 gram treatment variation with 120 minutes contact time, with a decrease in ammonia value of 0.12 mg/l where the environmental quality standard of East Java Governor Regulation No. 52 of 2014 Ie 0.5 mg / l, so that the results meet the environmental quality standards. The results of statistical analysis showed that the most optimum is the mass of 4 gram adsorbent with contact time of 120 minutes. Suggestions for related industries can use the results of this study in the process of decreasing levels of ammonia (NH3) and for other researchers is expected to combine with other technologies to optimize the results in reducing levels of ammonia (NH3). Keywords : Fly ash, ammonia levels of liquid waste
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KECELAKAAN KERJA (Studi Pada Tenaga Kerja Bagian Produksi PT. Arto Metal Internasional Sidoarjo) Havilia Ayu Haznany; Winarko .
GEMA LINGKUNGAN KESEHATAN Vol 11, No 2 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i2.190

Abstract

PT Arto Metal International is one of the metal components manufacturers, where theproduction processes are using machinaries which its operations may lead to accidents. One ofthe effects that can be caused by the production machines might happen if workers are notcareful, they might got pinched by plong engine, etched plates and exposed debris grams.Therefore, this study aims to determine the factors associated with the incidence of workplaceaccidents in this company.The methods used in this study were analytical methods, because this researchexamined the relationship between 2 (two) variables. Based on its times, this study wascategorized as cross-sectional study, due to variables such as risk factors and effect factorswere observed at the same time. Sampling technique was done by simple random sampling,and analysis was used to determine the relationship between 2 (two) variables using Chi Square.The results showed that employees injured at workplace as much as 94.3%. Theresults of analysis of Chi - Square showed that there were four variables significantlyassociated with the incidence of workplace accidents, they were the use of PPD to theincidence of occupational injuries (p value = 0.025), the level of knowledge to the incidence ofoccupational injuries (p value = 0.047), the ages to the incidence of occupational injuries (pvalue 0.025) and the length of services to the incidence of occupational injuries (p value0.005).Therefore, it is suggested that the company perform incident controlling actionswhether technically, administratively as well as adding a number of Personal ProtectiveDevices (PPD) for workers so that all workers can use it while working.Keywords: Workplace Accident, Personal Protective Devices

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