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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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FAKTOR RESIKO DAN KElADIAN LEPTOSPIROSIS DI KABUPATEN PONOROGO (Studi Kasus Di Wilayah Kecamatan Ngrayun Dan Kecamatan Badegan Tahun 2014) Rahma Ika Pratiwi; Siti Surasri; Koerniasari .
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.v12i2.61

Abstract

Leptospirosis is a zoonotic disease with rodents (rat), pigs, cows, goats, sheep, horses, dogs, cats,birds, insectivores (hedgehogs, bats, squirrels) acting as the reservoir that have been infected by theagent of the disease leptospiroses leptospira bacteria. leptospiroses outbreak in Ponorogo namely inNgrayun Sub District in 2011 until 2013 marked the highest the number of cases. In 2013 an incident ofleptospiroses involved 20 patients in Ngrayun sub district and 7 people in the district Badegan subdistrictand in 2013 leptospiroses appeared for the first time in Badegan. The purpose of this study was todetermine the risk factors and the occurrence of leptospirosis cases in Ngrayun and Badegan subdistrictsof Ponorogo in 2014.The type of this research is descriptive with case study design to assessand describe the conditionof the cases and the associated risk factors . The research subjects were leptospiroses patients and theirhomes. Research variables in this study were the physical environment, biological environment, socialenvironment, and behavioral factors.Results of the observations and interviews using Guttman scale factors included the state of thephysical environment, poor water storage, poor use of river/weill, and the distance of the waste collection.Biological environment factors included the presenceof rats, the presence of farm animals or pets. Socialenvironmental factors included the level of education and type of occupation, they were also poor.Behavioral factors which included the habit of bathing, washing hands, use of footwear, treatment ofwounds, were all in poor state.The final conclusion is that the state of the risk factors, that include the physical environment.biological/ social and behavioral factors are in poor state. These call for counseling and testing of ROTtoimprove knowledge and insiqhts and to change people's behavior and to review the leptospirosesprevention program
Hubungan Kondisi Fisik Rumah dengan Kejadian Penyakit Infeksi Saluran Pernafasan Akut (ISPA) di Wilayah Kerja Puskesmas Kadur Tahun 2017 Yeni Rohmatul Istihoroh; Umi Rahayu; 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.v16i1.812

Abstract

Penyakit ISPA menempati peringkat pertama dengan jumlah kasus 284 menurut data dari Puskesmas Kadur pada tahun 2016. Hasil dari survey pendahuluan di 70 rumah pasien penyakit ISPA yaitu 28% rumah yang lantai rumahnya belum memenuhi persyaratan rumah sehat, dan 78% rumah yang jarang membuka jendela sehingga tidak ada cahaya matahari masuk ke dalam rumah, dan masih ada 57% rumah yang pencahayaannya belum memenuhi persyaratan. Penelitian ini bertujuan untuk mengetahui hubungan antara ventilasi, pencahayaan alami, lantai rumah, suhu udara, dan kelembaban udara dengan kejadian penyakit ISPA.Jenis penelitian ini adalah penelitian analitik dengan pendekatan case control. Populasi di penelitian ini adalah semua rumah penduduk yang terdapat pasien penyakit ISPA yang ada di wilayah kerja Puskesmas Kadur Kabupaten Pamekasan dengan sampel 72 rumah penduduk diambil dengan metode simple random sampling. Analisis data dengan metode chi square untuk mengetahui hubungan variabel bebas dengan variabel terkait. Dan dilanjutkan ke analisis koefisien kontingensi untuk mengetahui besarnya keeratan hubungan kondisi fisik rumah dengan kejadian penyakit ISPA.Hasil penelitian menunjukan bahwa ada hubungan yang lemah antara intensitas pencahayaan (p = 0.012, C = 0.12) dengan kejadian penyakit ISPA, sedangkan luas ventilasi, suhu udara, dan kelembaban udara tidak ada hubungan dengan kejadian penyakit ISPA.Kesimpulan dari penelitian ini yaitu ada hubungan antara intensitas pencahayaan dengan kejadian penyakit ISPA dan tidak ada hubungan antara luas ventilasi, lantai rumah, suhu udara, dan kelembaban udara dengan kejadian penyakit ISPA. Sedangkan saran bagi petugas kesehatan yaitu dapat melakukan pencegahan terhadap penyakit ISPA, bagi masyarakat yaitu dapat meningkatkan dan melakukan upaya penyehatan rumah untuk menekan terjadinya penyakit ISPA, dan bagi peneliti lain yaitu dapat melakukan penelitian dengan variabel yang berbeda. Kata kunci : kondisi fisik rumah, ISPA.
RELATIONSHIP SMOKING HABITS OF FAMILY MEMBERS AND NUTRITIONAL STATUS OF INFANTS WITH ACUTE RESPIRATORY INFECTION EVENT ON INFANTS (Case study in the work Area of Larangan Public Health Center of Larangan District, Pamekasan Regency) Afriyani Noviyana; Nurhaidah .; Hadi Suryono
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.v11i2.187

Abstract

Acute Respiratory infection (ARI) is one of the causes of infant mortality in developingcountries, including in Indonesia. This study aimed to investigate the relationship betweensmoking habits of family members and nutritional status of infants with ARI incidence ofinfants in the larangan Public Health Center.This type of research was an observational case control study desiqn, The sample wasmostly infants of ARI patients in Larangan District who have come to the Larangan PublicHealth Center during the last three months that were 53 infants and 53 infants were notsuffered ARI who were neighbors of infans who suffered ARI. Data analysis was performedusing Chi Square test with a = 0,05.Results of this study shown that smoking habits of fdamily members (p = 0,243) thereis no association with incidence of acute respiratory infection of infant, while the nutritionalstatus of infants (p = 0,008) is correlated with the incidence of acute respiratory infection oninfants.It is recommended that larangan public health center to improve the provision ofinformation of the public about the nutritional status of infants in order to avoid acuterespiratory diseases, providing enough food for infants by providing fruit that are around theenvironment such as bananas and papayas, maintain the condition or the air in the house tostay healthy by cleaning the house every day, behave healthy lifestyle, and care sanitation inorder not to become breeding grounds for germsKeywords: ARI, smoking habits, nutritional status
THE FACTORS RELATING TO SELF PROTECTION TOOLS ON THE WORKERS (STUDY IN PT. lAPFA COM FEED INDONESIA TBK, THE DIVISION OF TECHNIQUE AND PRODUCTION) IN 2014 Nita Faradhila Hidayat; Winarko .; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 12, No 3 (2014): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v12i3.116

Abstract

PT. Japfa Comfeed Indonesia Tbk is one of the companies that produce animal feed especiallypoultry feed. Conducive factory environment will optimize operational activities of the company. On thecontrary, inconducive surrounding of the company, where there are lacks of safety, distance to sources ofraw material will induce obstruction to the operation and will create loss to the company. Many workers inPT. Japfa Comfeed Indonesia Tbk who do not wear self protection devices at work, or in the area of thework place. The purpose of this research is to illustrate the factors affecting use of Self Protection devicesat work.This was an observational study. Basedon the time aspect, it was a cross sectional study. Basedon the location this study was classfled as a field research, and considered to be an analytical research tocompare the relationship of variables.Workers who do not wear self Protection devices in PT. Japfa Comfeed Indonesia Tbk of were putunder study and: there were 45,2% workers who do not wear self Protection devices. 40,5% wear itincompletely, and the rest 4,3% wear such devices completely. Results of Chi-Square test indicated thatthere is relationship between knowledge and the use of self protection devices. However, there is norelationship with supervision, training and policy.Workers need to improve their poor habit by complying to the regulation made by the company, orcomply to government polkles which demand workers to wear self protection devices at work. Punishmentshall be given to workers who do not comply to the regulation with regard to the wearing of self protectiondevices at work or in work place area.
EFEKTIVITAS SERBUK KULIT DUKU (Lansium Domesticum Corr) SEBAGAI MAT ELEKTRIK DALAM MEMBUNUH NYAMUK Culex sp Rizky Nabilah S; Ngadino .; Hadi Suryono
GEMA LINGKUNGAN KESEHATAN Vol 17, No 2 (2019): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v17i2.1063

Abstract

Penyakti filariasis merupakan penyakit bersumber vektor yakni nyamuk  Culex sp yang penyebarannya akan semakin luas jika tidak dikendalikan. Pengendalian nyamuk dengan menggunakan insektisida kimia secara kontinyu mengakibatkan resistensi pada nyamuk dan dapat mencemari lingkungan. Kulit buah duku dapat digunakan untuk membunuh nyamuk Culex sp karena memiliki kandunga senyawa aktif Triterpen, flavonoid, dan Saponin. Tujuan penelitian ini yaitu untuk menganalisis efektifitas serbuk kulit duku (Lansium domesticum corr) sebagai mat elektrik dalam membunuh nyamuk Culex sp. Jenis penelitian ini menggunakan eksperimen murni dengan post test only control grup design. Penelitian ini  menggunakan 25 ekor nyamuk Culex sp untuk masing-masing 4 variasi berat kulit serbuk duku yaitu 0,125gr, 0,25gr, 0,5gr, dan 1gr selama 60 menit dengan pengulangan sebanyak 5 kali. Analisis data mengguankan uji one away ANOVA dan  analisis probit.Hasil yag diperoleh menunjukkan bahwa ada perbedaan rata-rata kematian nyamuk Culex sp berdasarkan variasi berat serbuk kulit duku yang digunakan dengan hasil uji one away ANOVA p=0,000. Perbedaan rata-rata kematian nyamuk Culex sp disebabkan karena perbedaan jumlah bahan aktif pada masing-masing variasi serbuk kulit duku. Hasil analisis probit didapatkan LD50 pada konsentrasi berat kulit buah duku 0,392 gr.Penelitian ini menyimpulkanbahwa ada perbedaan jumlah kematian nyamuk Culex sp dengan variasi berat kulit buah duku (Lansium domesticum corr). Perlu dilakukan penelitian lebih lanjut untuk meningkatkan berat kulit buah duku (Lansium domesticum corr) untuk mendapatkan daya bunuh 100% dengan lama waktu pengamatan 24 jam. Kata kunci : Kulit duku, mat elektrik, nyamuk Culek sp
KADAR GAS HIDROGEN SULFIDA (H2S) DAN KELUHAN SUBYEKTIF PEMULUNG TPA BENOWO SURABAYA TAHUN 2016 Suci Chintia Ivana; Rachmaniyah .; Demes Nurmayanti
GEMA LINGKUNGAN KESEHATAN Vol 15, No 1 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i1.577

Abstract

ABSTRACTH2S gas produced from the decomposition of waste with bad odor lead to subjective complaint forscavenger at Benowo, Surabaya the landfill when they are exposed too long. Preliminary survey on subjectivecomplaint showed that there were three people experienced dizziness, 4 people experience eye irritation, 2 withcoughing, and 6 people did not experience any complaint. The aim of the study was to determine the level of H2Sgas and scavengers‟ health complaints in Benowo, Surabaya landfill.This is a descriptive research with cross sectional approach. The population was 350 inhabitants with 36 ofthem were used as population. The primary data collection was carried out by observation, questionnaires andmeasurements of air samples, while the secondary data was the map of Benowo landfill. Data processing techniqueused editing, tabulation, textular.The results of the study on H2S gas examination in Benowo landfill showed that the average exceeds thethreshold value of 0.20 ppm. The result of measurements of the highest temperatures was during the day of 35,0⁰Cwith 54% humidity and wind speed of 1.34 m/s. 14 scavengers suffered minor complaint, 16 suffered minorcomplaint, and 6 suffered heavy complaint. High levels of H2S gas can be influenced by the accumulation of garbageand climate. High levels of H2S gas can also cause the occurrence of subjective complaints of scavengers.The conclusion shows that on the low level of H2S, the scavengers suffered mild and moderate complaints,at high levels of H2S, the scavengers suffered heavy complaints. The relevant institutions should monitor air qualityboth physically and chemically. The scavengers should conduct periodic medical examinations. The next research canuse other air pollutant parameters.Keywords: H2S gas Level, subjective complaints, scavengers
PENGARUH PERILAKU HIDUP BERSIH dan SEHAT TERHADAP PENULARAN SKABIES (Studi Kasus Pada Lembaga Permasyarakatan Kelas 1 Malang Tahun 2020) Dinda Pratiwi; Irwan Sulistio; Deddy Adam; Ferdian Akhmad Ferizqo
GEMA LINGKUNGAN KESEHATAN Vol 19, No 1 (2021): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v19i1.1293

Abstract

Berdasarkan catatan medis di klinik Lembaga Permasyarakatan Kelas 1 Malang jumlah penderita scabies sebanyak 681 kejadian tercatat dari 4 bulan berlalu (bulan Juni 2019 – Oktober 2019) yang dialami oleh narapidana. Tujuan penelitian ini untuk mengetahui faktor penyebab banyaknya penularan skabies di Lapas Kelas 1 Malang.Penelitian ini menggunakan desain kuantitatif dengan metode analitik.  Penelitian ini menggunakan pendekatan cross sectional. Pengumpulan data menggunakan kuisioner dengan sampel sebanyak 97 dari 3200 populasi. Analisis yang digunakan adalah uji statistic Chi Square dengan tingkat kepercayaan 95%.97 warga binaan permasyarakatan yang menjadi sampel penelitian terdapat 64 (66%) warga binaan yang sedang mengalami penyakit skabies dan 33 (34%) warga binaan yang pernah mengalami penyakit skabies. 69 responden memiliki tingkat pengetahuan PHBS yang kurang, 58 narapidana memiliki sikap PHBS kurang, 59 narapidana memiliki tindakan PHBS kuran, 71 narapidana memiliki perilaku hidup bersih dan sehat kurang. Tidak ada hubungan yang signifikan antara perilaku hidup bersih dan sehat dengan penularan penyakit scabies di Lembaga Permasyarakatan Kelas I Malang.Kegiatan pemeriksaan dan pemberian obat secara rutin terlebih kepada penderita scabies. Perlunya dilakukan penyuluhan kesehatan tentang penyakit yang rentan tterjadi di Lembaga Permasyarakatan. Demi meningkatkan terlaksananya PHBS did alam Lapas Klas I Malang maka sarana sanitasi dan kondisi lingkungan  Lapas perlu ditingkatkan. Untuk peneliti selanjutnya perlu diadakan penelitian lanjutan dengan faktor kondisi fisik lingkungan dan sarana sanitasi.
TEST OF COPPER WIRE DOSE EFFECTIVENESS ON LARVAL MORTALITY OF Aedes Aegypti MOSQUITO IN 2015 Pristiana Rahayu; Winarko .; Siti Surasri
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.v13i2.84

Abstract

Control of Aedes aegypti mosquito population still leaves problem that needs to be addressed. Theuse of copper wire as an alternative of  larvicide has been studied yet it has not shown asatisfactory result. This is study pure experimental research using research design post test only control group designwith larvae of Aedes aegypti third instar as samples. Methods of data analysis were descriptiveanalysis and analytical analysis.Experiment result shows that based on the success criteria for effective control and safe for health,this research has not found an effective dose of copper wire to kill larvae of Aedes aegyptimosquito that is safe for health for the percentage of larval mortality with concentration of 38.7%Cu was still below 2 ppm.It is recommended that governments and communities use and promote copper wire as analternative larvicide for vector eradication of dengue with predetermined limit of use that is safe forhealth. Further research can be also carried out with media source of water and variety of concentration.
Hubungan Perilaku Buang Air Besar dengan Kasus Diare (Studi Kasus di Puskesmas Ngulankulon Kabupaten Trenggalek) Raga Dista Syahbaniar; Ngadino .; SB Eko Warno
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.v16i1.888

Abstract

Penyakit Diare merupakan salah satu masalah kesehatan di negara berkembang, terutama di Indonesia baik di perkotaan maupun pedesaan. Penyakit diare bersifat endemis juga sering muncul sebagai Kejadian Luar Biasa. Dalam menangani permasalahan  penekanan kasus diare ini, pemerintah memberlakukan peraturan PERMENKES No. 3 Tahun 2014 tentang Sanitasi Total Berbasis Masyarakat. Untuk mencapai sanitasi total tahap awal yang dilakukan yaitu program Stop Buang Air Besar Sembarangan (BABS) dengan tujuan dari program Stop BABS ini adalah desa ODF. Di Kabupaten Trenggalek, program STBM sudah dilaksanakan sejak tahun 2009 dimana salah satu wilayah terverifikasi sebagai wilayah ODF yakni wilayah kerja Puskesmas Ngulankulon Kecamatan Pogalan, namun setiap tahunnya masih terjadi kasus diare. Adapun tujuan dari penelitian ini adalah mengetahui hubungan perilaku buang air besar dengan kejadian diare di wilayah kerja puskesmas Ngulankulon Kab.TrenggalekJenis penelitian ini merupakan penelitian analitik yang bertujuan untuk mencari hubungan faktor perilaku penderita terhadap kasus diare pada penderita dengan menggunakan studi case control. Untuk analisis data menggunakan univariat dan bivariat. Analisis bivariat yang dilakukan dalam penelitian ini adalah uji Chi Square.Hasil yang didapatkan dalam penelitian ini yaitu pengetahuan memperoleh nilai p kurang dari α (0,05), sikap memperoleh nilai p kurang dari α (0,05), tindakan memperoleh nilai p kurang dari α (0,05) serta perilaku responden terdapat hubungan dengan kejadian diare memperoleh nilai p kurang dari α (0,05).Adapun saran bagi instansi terkait diharapkan rutin mengadakan penyuluhan guna memotivasi masyarakat     merubah perilaku buang air besar yang masih sembarangan. Saran bagi masyarakat diharapkan merubah perilaku buang air besar sembarangan dengan buang air besar di jamban sehat. Saran bagi peneliti lain, dapat dijadikan acuan untuk penelitian selanjutnya dengan variabel dan metode yang berbeda.Kata Kunci : perilaku, BABS, diare
MANAJEMEN LINEN PADA RUMAH SAKIT SITI KHODIJAH SIDOARJO TAHUN 2016 Nurfarida Safitri; A. T. Diana Nerawati; Demes Nurmayanti
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.v14i2.242

Abstract

Linen is a material or a device made of fabric or woven. Linen from the hospital is not used directly in a treatment, yet the effect can be seen when its management is not good. Linen from the hospital will lead to disease transmission through crossinfection with linen as the medium of transmission of the disease. The purpose of this study was to determine the management of linen in laundry unit at Siti Khodijah Hospital, Sidoarjo.This is a descriptive research describing the management of linen which includes the handling of linens, tools and materials, linen laundry, clean linen quality and the behavior of linen management officer in laundry unit of Siti Khodijah Hospital, Sidoarjo. The results showed that the stage of collecting, transporting, sorting and washing did not meet the standard by 60%, 70%, 58% and 70% respectively. While drying and ironing, storage, distribution and laundry met the standard with the percentage of 80%, 75%, 80% and 75% respectively. The quality of clean linen from bacteriological aspect was qualified yet physically ineligible. The behavior of linen management officer was in "good" category (66.7%). In conclusion, the management of linen in laundry unit of Siti Khodijah hospital did not meet the standard (70%). As an improvement, the hospital should have linen management training for officers, provide job descriptions or written and clear work division in unit laundry, pay more attention to the compliance of the officers in the use of personal protective equipment and compliance with Standard Operating Procedure (SOP) of hand washing. Officers should conduct physical checks on and maintain the cleanliness of the clean linen in the distribution process. Keywords: Assessment, Linen management, Clean linen quality

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