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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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PERILAKU PERAWAT DALAM MEMBUANG LIMBAH MEDIS DI RSUD dr. SAYIDIMAN MAGETAN TAHUN 2014 Vina Septi Andriyani; Sri Poerwati; Handoyo .
GEMA LINGKUNGAN KESEHATAN Vol 13, No 2 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i2.92

Abstract

Medical wastes need to be handled properly. The forefront of this efforts is the waste generationnode. The health worker who are responsible for waste generation are nurses at the nursingwards. The the nurses were in the forefront and determine the fate of the medical waste treatmentin a hospital. The purpose of this study is to reveal nurses’ behavior pertaining to the managementof medical waste.Data were collected through interviews and observation of the behavior of the nurses on themorning duty, than analyzed the data descriptively.Results showed that 64% of waste generation location has made efforts in the sorting of wastes,but all of them (100%) has not been doing well in stowage. It is not easy to understand, since75% of the nurses have good knowledge, but only 54% who carry out the disposal of medicalwaste properly. Therefore it is advisable to provide support to medical waste disposal facilities throughout the waste generating rooms and implementing reward and punishment system for those who should do so.
FAKTOR YANG BERPENGARUH TERHADAP KELELAHAN (Studi Pada Pekerja Proyek Kapal Perang di PT. X Tahun 2018) Nindia Nuraini; Winarko .; SB Eko Warno
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.v16i3.896

Abstract

Kelelahan merupakan masalah yang harus mendapat perhatian dalam suatu industri. Ada banyak faktor yang dapat berpotensi menimbulkan kelelahan. Faktor  tersebut antara lain faktor individu seperti usia, lama kerja, kebiasaan merokok, kebiasaan tidur dan faktor lingkungan seperti iklim kerja dan kebisingan. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi kelelahan kerja pada pekerja yang bekerja di divisi Akomodasi, Deck Tank dan Deck Whool di proyek kapal perang PT. X tahun 2018.Penelitian ini merupakan penelitian analitik observasional dengan desain Cross Sectional. Teknik pengambilan sampel adalah sampel acak sederhana pada 50 pekerja. dengan jumlah sampel (n = 44) dari populasi (N = 50). Data dikumpulkan dengan menggunakan kuesioner, observasi menggunakan checklist, pengukuran WGBT dan pengukuran intensitas kebisingan. Analisis data dilakukan dengan menggunakan univariat dan bivariat menggunakan Fisher Exact Test.Dari analisis statistik, kelelahan kerja kerja secara signifikan dipengaruhi oleh usia, perokok, kebiasaan tidur (p ≤ 0,05) dan tidak dipengaruhi oleh tiga variabel lainnya antara lain iklim kerja, kebisingan lama kerja  ≤ 8 jam / hari (p 0,05).Berdasarkan hasil penelitian ini perusahaan disarankan untuk memberikan pelatihan tentang kelelahan kepada semua pekerja dan melakukan kegiatan olahraga secara teratur. Pekerja disarankan untuk istirahat tidur yang cukup  (7-8 jam/hari). Untuk mencegah kelelahan di lain waktu. Kata kunci: kelelahan, faktor individu, faktor lingkungan
PERBANDINGAN EFEKTIFITAS PENURUNAN KADAR BOD DAN COD PADA LIMBAH CAIR INDUSTRI TAHU MENGGUNAKAN TANAMAN KAYU APU (Pistia stratiotes) DAN TANAMAN ECENG GONDOK (Eichornia crassipes Solms) Enggrit Ariana Sari; Koerniasari .; Soekiran Al Jauhari
GEMA LINGKUNGAN KESEHATAN Vol 14, No 2 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i2.250

Abstract

Tofu waste is the waste generated in tofu manufacturing process. The Waste is generated in the form of solid and liquid wastes. The liquid waste contains organic material.  When it is disposed in water without processing, it will cause pollution, such as the reduction of oxygen dissolved in the water causing disturbance on organisms living in the water. This is an actual experimental research by using "pretest-posttest with Control Group" design. This research was conducted with 9 repetitions; each took 30 liters divided into three tubs. The data were then analyzed by using the percent decline formula. The results showed that each treatment was effective to reduce BOD and COD with 2 days contact. BOD reduction was 49.11% and 42.87% for COD reduction by using  water hyacinth plant. With apu-apu, the reduction of BOD was 33.76% and COD was 36.26%. Small and medium industries experiencing problems with the quality BOD and COD level are suggested to make a pond filled with the plants to absorb the levels of BOD and COD to improve the quality of the liquid waste before it is discharged in water bodies. Government institutions are expected to continue to monitor industry that produces waste. Therefore, BOD and COD levels remain below the quality standard that has been set.Keywords    : BOD, COD, Apu-Apu, Water Hyacinth, Tofu waste
STUDY PELAKSANAAN PENGENDAUAN TIKUS OJ PELABUHAN TANJUNG TEMBAGA KOTA PROBOUNGGO TAHUN 2014 Merina Dea Haruni; Setiawan .; Hadi Suryono
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.v12i2.60

Abstract

Rat is a a type of rodents. One of their characteristics is that their teeth continue to grow so theyneed to gnaw objects in their surroundings. Rats are harmful in terms of economic, health, aesthetics andpublic services. A Report on rat control carried out in port health office (KKP) of Probolinggo in 2013showed that 35 rats were successfully trapped. The Ministry of Health Decree No. 431/2007 stated thatthe KKP must the make every effort to eliminate rats from KKP area. The purpose of this research was tolearn the rat control being implemented in Tanjung Tembaga Port of Probolinggo in 2014.This was a non-experimental study where data were analyzed descriptively by describing the ratcontrol activity performed by the KKP Probolinggo. Rat control was carried out in accordance with Ministerof Health decree No. 431/MENKES/SK/IV/2007. Various data were collected through observation,interviews, installation of rat traps; identification of rats and fleas found on them.The results showed that of among the five variables being investigated, four variables associatedwith rat control activities have not met the designated requirements, and only one variable: ratinspection/identification has satisfied the requirement. The variables that have not met the requirementsinciuded mapping, work schedules, rat proofing observation, and rat trap installation procedures. Mappingand work schedule failed to describe the locations where rat traps were placed. Rat proofing observationwas not conducted regularly and procedures in deploying rat traps were done not in accordance with theMinister of Health decree No. 431/MENKES/SK/IV/2007.It can therefore be concluded that rat control program in Tanjung Tembaga port of Probolinggo in2014 has not satisfied the desiqnated requirements. It was recommended that KKP Probolinggo improveits rat control program with respect to the said decree. Mapping should be enhanced by specifyinglocations of garbage bins, sewer system, and stockpile places in open areas. The work schedule shouldspecify locations of rat control, provide counseling time warehouse/building operators, lists of equipmentand materials required. Rat proofing should be observed regularly. Rat traps should be installed onevenings and the removal should be done in the mornings betore daily activities in full swing, and trapswith captured rats should be labeled accordingly.
UPAYA PENINGKATAN KUALITAS MIKROBIOLOGI AIR BERSIH DI RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN TAHUN 2017 Madina Amalia; Ferry Kriswandana; Ngadino .
GEMA LINGKUNGAN KESEHATAN Vol 15, No 3 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i3.699

Abstract

Rumah sakit merupakan suatu institusi yang memberikan pelayanan kesehatan. Dalam aktivitas rumah sakit, terdapat risiko penimbulan penyakit yang disebabkan oleh interaksi antara orang yang sehat, yang sakit dan beberapa orang yang mempunyai imunitas rendah. Untuk mencegah penularan penyakit dan risiko lingkungan, rumah sakit harus mempunyai program pengendalian seperti yang terdapat pada Permenkes 1204 tahun 2004. Salah satu aspek sanitasi pada rumah sakit adalah air bersih. Peraturan mengenai kualitas air bersih terdapat pada Permenkes 32 tahun 2017. Berdasarkan monitoring kualitas air bersih yang dilakukan oleh Inslatasi Lingkungan RSUD Syamrabu Bangkalan menunjukkan bahwa beberapa point sampling tidak sesuai (50/100 mL sample). Tujuan penelitian ini untuk mengidentifikasi hal- hal yang mempengaruhi kualitas mikrobiologi air bersih.Sampel diambil tiga kali pada 6 titik sampling di reservoir dan yang paling jauh dari tandon tanah dan tandon atas. Teknik dan manajemen sampling juga dideskripsikan.Hasil penelitian menunjukkan bahwa pada sampling pertama, 2 dari 6 sampel tidak sesuai dengan baku mutu. Pada sampling kedua, 1 dari 6 sampel tidak sesuai dengan baku mutu. Dan pada sampling ketiga, 4 dari 6 sampel tidak sesuai dengan baku mutu. Teknik dan manajemen sampling setelah diobservasi juga menunjukkan hasil yang buruk, yaitu 50% dari penilaian dibawah 75 %. Hal ini dikarenakan dosis desinfektan kurang optimal dengan debit air yang dihasilkan sehingga nilai total coliform tinggi. Selain itu, tidak pernah ada tes sisa klor dan inspeksi sanitasi oleh instalasi Lingkungan.Saran yang dapat diberikan untuk RSUD Syamrabu adalah meningkatkan dosis desinfektan yang disesuaikan rata- rata debit air bersih dan merubah alat dan fasilitas pendistribusian air bersih sehingga program air bersih dapat dilaksanakan dengan baik dan efektif. Kata kunci: air bersih, rumah sakit, coliform
PENGETAHUAN DAN SIKAP PEKERJA SEKS KOMERSIAL TENTANG PENYAKIT MENULAR SEKSUAL DI LOKALISASI BANGUNSARI SURABAYA Mardiansari Wahyu Graha Wijaya
GEMA LINGKUNGAN KESEHATAN Vol 11, No 1 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i1.186

Abstract

Surabaya City Health Department (2010) noted that Health Centers located in red-lightregions have indicated highest number of cases of sexually transmitted diseases (STDs).Increased risk of STD spreading relates to behavioral factors such as of the sex workers andtheir partners, reluctance to seek proper treatment, self treatment and incomplete treatmentprotocol. The purpose of this study was to determine the level of applied knowledge andattitudes relating to STDs among commercial sex workers in Bangunsari red-light zone in2012.This research was meant as a descriptive study, where data were collected throughobservation and interviews. The population under study was as many as 255 commercial sexworkers in Bangunsari red-light zone and a sample of 72 sex workers were drawn bysystematic random sampling. Data processing was carried out on the variables usingappropriate computer program set for descriptive analysis.Respondents' level of applied knowledge on Sexually Transmitted Diseases were'good', represented by 34 (47%) respondents, 'fair' represented by 30 (42%) respondents.Their knowledge are influenced by the level of their education, access to media informationand intervention by health workers. With regard to their attitude toward Sexually TransmittedDiseases, commercial sex workers (CSWs) were 'good' as indicated by 67 (93%) respondents,some of them were 'fair' indicated by 4% respondents. Their attitude are influenced by thelevel of their education, access to media information, regular health examination, awareness tostop their occupation knowing the high-risk of the sex workers and the role of health workers.It is recommended that health workers keep up their positive activities such asteaching and training, building on repondents existing skills to encourage commercial sexworkers to improve their knowledge and skills and to leave their present occupation. Effortsshould be made to improve media information on Sexually Transmitted Diseases (STDs) suchas the provision of counseling or pamphlets / leaflets / brochures on a more regular basis andto encourage commercial sex workers (CSW) to be in touch with local health cadres to keep uptheir motivation toward improved health.Keywords : knowledge/ attitude/ commercial sex workers/ Sexually Transmitted Diseases
PENGARUH POSTUR KERJA TERHADAP KELUHAN MUSKULOSKELETAL PADA PEKERJA BATU BATA (Studi Kasus di Desa Kasreman Kecamatan Kandangan Kabupaten Kediri Tahun 2021) Sarah Nurizha Aqilla; Setiawan .; Winarko .
GEMA LINGKUNGAN KESEHATAN Vol 20, No 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v20i1.1672

Abstract

The brick industry is an industry where almost all of the processes are done traditionally. Workers' body postures when working are often not ergonomic, so there is a risk of causing muskuloskeletal complaints. This study aims to determine the effect of work posture on musculoskeletal complaints in brick industry workers in Kasreman Village, Kandangan District, Kediri Regency.This type of research is analytic observational with a cross-sectional approach. This study includes a population study with the entire population as a sample of 57 people. Data were collected by observing work postures using the Ovako Working Analysis System (OWAS) method and interviews about musculoskeletal complaints felt by workers using the Nordic Body Map (NBM) questionnaire. The data were analyzed univariately and bivariately with Chi Square test and continued with Fisher's Exact.The results of this study indicate that most of the workers have a high category of work posture, aged 35 years, and have high category of musculoskeletal complaints. Statistical test results show that there is an effect of work posture and age on musculoskeletal complaints in brick industry workers in Kasreman Village, Kandangan District, Kediri Regency in 2021.It is recommended for workers to pay attention to their work postures, adjust work and rest times, and stretch muscles. Industrial owners should pay more attention to workplace conditions, arrange work and rest times, and be able to provide sufficient and shady land to rest.
EFEKTIVITAS PUPUK ORGANIK CAIR KULIT ARI KEDELAI UNTUK PERTUMBUHAN TANAMAN SAWI (Brassica juncea L.) Shelli Aprilia Stanza Ardini; Rachmaniyah .; Ferdian Akhmad Ferizqo
GEMA LINGKUNGAN KESEHATAN Vol 20, No 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v20i1.1677

Abstract

One of the wastes of making tempe is soybean husk which comes from boiling and soaking. Soybean husk waste that is not utilized causes unpleasant odors and pollutes the environment. Utilization as organic fertilizer can be used to overcome the pollution. This study aims to utilize soybean husk waste as a liquid fertilizer applied to mustard greens (Brassica juncea L.).This type of research is included in the True Experimental Design. With the research design Pretest-Posttest Control Group Design. The object of this research is green mustard (Brassica juncea L.) as many as 30 samples and liquid organic fertilizer from soybean husk waste at concentrations of 5%, 10%, and 15% with 9 replications. The sampling technique used is Simple Random Sampling. Data were obtained from the field in the form of observations and measurements of mustard plant growth parameters including the height of the mustard plant, the number of leaves of the mustard plant, and the diameter of the stem of the mustard plant, the NPK content test in the laboratory, and data analysis was carried out with the Anova test.The application of liquid organic fertilizer from soybean husks did not significantly affect stem diameter and number of leaves, but did affect plant height. The effective concentration treatment on the growth of mustard greens is a 15% concentration treatment for plant height with an average of 35.85 cm.Liquid Organic Fertilizer of soybean epidermis with a concentration of 15% is effective on the growth of mustard greens. Suggestions for further researchers are to conduct research on other plants with higher concentrations in order to obtain optimal results on plant growth to be studied.
PEMANFAATAN SAMPAH SAYURAN RUMAH TANGGA MENJADI PELET PAKAN IKAN LELE (CLARIAS GARIEPINUS) Dimas Putra Pratama; Iva Rustanti Eri W; Ngadino .
GEMA LINGKUNGAN KESEHATAN Vol 20, No 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v20i1.1668

Abstract

Vegetable waste that is not utilized causes an unpleasant odor effect and disturbs the aesthetics of the environment, wet waste thrown away can become a breeding ground for insects. One of the waste utilization methods is the manufacture of fish pellets. The purpose of this study is to utilize household vegetable waste used for fish feed pellets.The research design used was a pre-experimental design with a posttest only research design. The object of this research is vegetable waste originating from household activities. The treatments used were 3 variations of vegetables (20%, 30%, 40%) repetition which was carried out 3 times with a concentration of 1 kg. Making fish pellets using a machine that has been modified as a supporting tool for making pellets. The pellets produced were subjected to laboratory tests to determine the water content, ash content, fat content, crude fiber content, protein content referring to SNI (01-4087-2006) concerning catfish feed regulations.The results showed that from variation 1 (20%), variation 2 (30%) and variation 3 (40%) none of them met the Indonesian National Standard with water content, ash content, fat content, and protein content. crude fiber still does not meet because it is still under the provisions of SNI.It was concluded that there were no pellets made from vegetable waste that met the stipulation value of SNI. The percentage that can be reviewed for the formulation is that the percentage of shrimp head flour can be increased to 20% and the fine bran can be reduced to 40%. For the community, it can be useful to overcome the problem of vegetable waste being dumped directly into the surrounding environment without any processing of the vegetable waste to be used as fish feed pellets.
IMPLEMENTASI METODE CIPP PADA EVALUASI PROGRAM PENGENDALIAN VEKTOR DI RUMAH SAKIT UNTUK MENURUNKAN RISIKO PENULARAN PENYAKIT (Studi di Rumah sakit Royal Surabaya Tahun 2020) Kartika Diyah Rachmawati; Rusmiati .; Khambali .
GEMA LINGKUNGAN KESEHATAN Vol 20, No 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v20i1.1673

Abstract

Vector control is part of efforts to control vector-borne diseases directly or indirectly which aims to reduce the presence of vectors by implementing preventive measures so that disease transmission does not occur. The vector-borne and zoonotic disease control programs carried out include reduction, elimination, and eradication. The number of vectors at the Royal Surabaya Hospital in 2018 contained 52.5% mosquito vectors, 27.5% cockroach vectors, 57.5% ants, and 30% rats. Density increased in 2019, namely mosquito vectors as much as 87.9%, cockroach vectors 30.3%, ants 57.6%, and mice 60.6%. However, it did not experience a significant decrease in 2020 with the number of mosquito vectors as much as 84.6%, cockroach vectors 15.4%, ants 46.2%, and rats 38.5%. The purpose of this study was to evaluate the vector control program using the CIPP method (Context, Input, Process and Product).This research is a descriptive study with an exploratory approach. The sample in this study were 32 heads of the room. Data collection was obtained by conducting interviews using questionnaires and observations at the Royal Surabaya Hospital. The data that has been collected is analyzed descriptively.The result of this research is that the CIPP method can be used to evaluate vector and pest control programs. Context, input, and process evaluations got good categories, while in product evaluation there were still cockroaches, flies, mice, and cats.From this research, it is recommended to close all access to vectors and nuisance animals, to maintain cleanliness, especially in waste management and sewerage, to coordinate with the head of the room, partners and all employees to participate in reducing the presence of vectors.

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