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INDONESIA
Gema Lingkungan Kesehatan
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Articles 172 Documents
DETEKSI E. coli PENGHASIL Extended Spectrum Beta-Lactamase (ESBL) MENGGUNAKAN METODE PCR PADA SAMPEL AIR BERSIH Lella Rahmawati; Retno Sasongkowati; Anita Anggraini; Deddy Adam
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.135 KB) | DOI: 10.36568/gelinkes.v20i2.35

Abstract

Escherichia coli is a normal flora in the human body that plays an important role in the digestive process. The presence of Escherichia coli ESBL (Extended Spectrum Beta-Lactamase) bacteria in clean water samples indicates environmental pollution originating from feces. The aquatic environment is the most influential ecosystem in human life. These contaminated ecosystems provide optimal conditions for antibiotic-resistant bacteria from various sources to mix and transfer their resistance genes to clinically important bacteria for the development of human pathogens with novel resistance mechanisms. This study aims to determine the percentage of ESBL-producing E. coli bacteria in clean water samples. This study uses a descriptive observational design. The total sampling is 195 clean water samples. After going through screening in the form of membrane filter tests, KIA, and IMVIC, 25 isolates were found which were declared as E. coli. Analysis of the ESBL-producing E. coli gene using conventional PCR. Analysis of the Molecular Weight value in the sample using the GelAnalyzer 19.1 application. Based on these calculations, it was found that samples of E. coli isolates containing the ESBL gene were 24% of the 25 E. coli isolates. This percentage indicates that there is a large enough contamination in clean water. The results of this study indicate a potential risk to public health. The participation of health workers, government and the community in maintaining sanitary hygiene is needed to avoid greater contamination of antibiotic-resistant bacteria.
HUBUNGAN SANITASI LINGKUNGAN DAN PERSONAL HYGIENE MAKANAN JAJANAN DENGAN KELUHAN PENYAKIT GANGGUAN PENCERNAAN (Gastrointestinal) PADA PEDAGANG DI SIMPANG KANDIS KOTA BENGKULU Aplina Kartika Sari; Kinanti Dwi Widiarti; Yusmidiarti
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.571 KB) | DOI: 10.36568/gelinkes.v21i1.36

Abstract

 Food is a basic need for humans. Snack food is very likely to be contaminated due to lack of attention to environmental sanitation and personal hygiene when processing snack food with disease complaints at Kandis Simpang, Bengkulu City. The purpose of this study was to analyze the relationship between environmental sanitation and personal hygiene on traders' complaints of digestive disorders.This type of research is observational analytic with a cross sectional approach. The sample is 42 traders. The variables studied were environmental sanitation, personal hygiene and traders' complaints of digestive disorders. Data analysis used the chi square test.The results showed that 16.7% of traders had poor environmental sanitation, 26.2%of traders had poor personal hygiene and complaints of gastrointestinal diseases. The results of the chi-square test found that there was a relationship between environmental sanitation and gastrointestinal complaints with a significance value of P=Value 0.009 andthere was no relationship between personal hygiene and gastrointestinal complaints with a significance value of P=Value 0.021. There is a relationship between environmental sanitation and complaints of digestive disorders, but not with personal hygiene of traders. The researcher's suggestion for tradersis to understand the importance of environmental sanitation and personal hygiene for street food vendors at the Kandis intersection in Bengkulu City
PENERAPAN SISTEM HAZARD ANALYSIS AND CRITICAL CONTROL POINT (HACCP) PADA INDUSTRI RUMAH TANGGA TAPE DI WILAYAH KECAMATAN SUKOSARI, KABUPATEN BONDOWOSO Ikhris Syafira rengganis; Narwati; Ernita Sari; Rusmiati; Pratiwi Hermiyanti
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.213 KB) | DOI: 10.36568/gelinkes.v21i1.42

Abstract

In the application of the hazard analysis and critical control point in the tape householdindustry in the Sukosari area, there are still several components that do not meet therequirements, such as the area where the processing is not clean, the use of rusty foodprocessing equipment, food equipment and food ingredients that are not rinsed with cleanwater, the food packaging room that is not tightly packed with vectors, and not wearinggloves when handling food . The purpose of this study is to describe the application ofhazard analysis and critical control points in the household tape industry in the District ofSukosari, Bondowoso Regency.This type of research is descriptive and observational with the object of research beingthe entire home industry of tape production in the District of Sukosari with a population of2 IRTP. The research variables studied included the application of hazard identification,determination of CCP, determination of critical limits, monitoring of CCP, corrective actions,application of hazard analysis and critical control point systems and descriptive dataanalysis.The results showed that the application of hazard identification was in good category(70%), the determination of CCP was in a sufficient category (65%), determination ofcritical limit was in good category (80%), monitoring of CCP was in sufficient category(50%), corrective action was in good category (75%) so that the application of the hazardanalysis and critical control gets a good category (68.41%).The advice given to handlers is to wash their hands regularly after and before theproduction process and not use their hands directly when touching food. The IRTP paysmore attention to hygiene and sanitation in the processing of food production and routinelyperforms cleaning and maintenance at the production site.
SHOWER UNTUK PENURUNAN KADAR BESI (Fe) AIR TANAH Anif Nur Fauziah Arin; Sri Poerwati; Karno
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.846 KB) | DOI: 10.36568/gelinkes.v21i1.48

Abstract

 Ground water that is consumed as drinking water is water which has passed processing system or water which has not passed any process that meets the healthstandard/requirements and can be consumed/drunk directly. Drinking water that fulfills the requirements according to the minister of health no 492 of 2010 has the maximum limit of iron (Fe) content which is 0.3 mg/l. The iron (Fe) content of ground water for drinking water in this research location exceeds the established quality standards, which yields 1,20 mg/.The objective of this research is to measure the iron content (Fe) before and after the treatment with the shower by using several variations of height 30 cm, 50 cm, 160 cm.Sampling method applied in this research was the grab sample with 9 times of replication and analyzed by using the Friedman statistic test. And the laboratory tests were carried out by using spectrophotometry.The results of laboratory examinations of iron (Fe) levels in ground water for drinking water after treatment using a shower with a height variation of 30 cm has reduced the iron content.in groundwater by 30.45%, height variation of 50 cm has reduced the iron (Fe)content in groundwater for drinking water which was 50.45%, and a height variation of 160 cm has effectively reduced iron (Fe) level by 80.75% which was the most effective height in reducing iron (Fe) levels. The results obtained have met the quality standards set by Minister of Health No. 492 In 2010. The results of the Friedman Statistical Test showed that there were differences in the decrease in iron (Fe) levels with the use of a circularshower with variations in height of 30 cm, 50 cm and 160 cm, so the hypothesis wasaccepted. In this research, the most effective height can be found by increasing the height of the shower and adding a longer contact time.
HUBUNGAN KARAKERISTIK TENAGA KERJA TERHADAP KADAR ELEKTROLIT DALAM DARAH TENAGA KERJA DI LINGKUNGAN PANAS Putri Arida Ipmawati; Maria Nadila Putri; Demes Nurmayanti; Irwan Sulistio; Winarko
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.687 KB) | DOI: 10.36568/gelinkes.v21i1.61

Abstract

 The performance of an industri is influenced by several factors, one of which is the productivity of its workforce. The decrease in work efficiency and productivity can be caused by the working climate, including working air temperature, working air humidity,moving air velocity, and temperatures associated with a hot workplace. In addition, inadequate conditions, such as uncomfortable weather that does not meet the criteria given, can result in a decrease in work capacity which in turn causes a decrease in work efficiency and production. The purpose of this study was to determine the relationship between labor characteristics and electrolyte levels in the blood of workers.The research method used was observational analysis which was carried out in a cross sectional manner. Sampling was carried out using a direct random approach, and the required number of samples was 31 people from a total population of 33 workers in the manufacturing department. Observation and measurement of bivariate, univariate,and descriptive data are the methods used in the data collection process.The findings show that workers have a 100% working climate above 28.2OC, withpeak temperatures reaching 30.9OC. Based on the findings, there was no relationship between workers' nutritional status and electrolyte levels in their blood (p value = 0.326; p > 0.05); however, there was a correlation between the age of the workers and their blood electrolyte levels (p value = 0.007; p 0.05); there is no relationship between years of service and electrolyte levels in the blood (p value = 0.213; p > 0.05); and there is no correlation between the electro workers
FAKTOR-FAKTOR YANG MEMPENGARUHI TINDAKAN MASYARAKAT DALAM MEMBUANG SAMPAH RUMAH TANGGA DI DANAU SINGKARAK Trisfa Augia; Lucy Akhila; Fitriyani
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (135.971 KB) | DOI: 10.36568/gelinkes.v21i1.62

Abstract

Household waste is waste that comes from daily activities in the household. Garbage can cause environmental damage, a source of disease, and disrupt public health. Many rersidents of Jorong Ombilin live on the outskirts of Lake Singkarak and there are many community actions that dispose of household waste around the lake. This study aims to determine the factors that influence people's behavior in disposing of household waste in Lake Singkarak Jorong Ombilin in 2022. This research is a quantitative study with a cross-sectional design, which was conducted from February - September 2022 with a total sample of 90 respondents in Jorong Ombilin. Sampling using systematic random sampling technique. Data were processed using SPSS and analyzed using the chi square statistical test. The results showed that 67.8% of respondents took action to dispose of household waste in the lake, 58.9% had low level of education, 68.9% had bad knowledge, 56.7% had inadequate facilities, and 70.0% assume had inappropriate supervision. There is a correlation of variables of education (p=0.011), knowledge (p=0.000), availability of facilities (p=0.000), supervision (p=0.018) with community actions. Factors that have a significant relationship with community actions in disposing of household waste in Lake Singkarak Ombilin are the level of education, knowledge, availability of facilities, and supervision. It is recommended that the local government improve supervision of community actions and providing supporting facilities, create written regulation, and impose penalty of community actions in disposing of household waste.
PERAN PETUGAS KESEHATAN DAN PEMERINTAH DESA TERHADAP PERUBAHAN PHBS SELAMA PANDEMI COVID-19 Ahdatul Islamiah; Sri Mega Ayu
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.077 KB) | DOI: 10.36568/gelinkes.v21i1.63

Abstract

 Indonesia is being hit by an outbreak of the Covid-19 virus which attacks therespiratory tract and the process of transmission can be through activities without paying attention to clean and healthy lifestyle (PHBS), for example not wearing a mask, not washing your hands, not keeping your distance because the transmission can be through fluids coming from the nose and mouth. Meanwhile, health workers and village government are elements that can support achieving optimal PHBS in the community, especially during the Covid-19 pandemic. Thus, this study aims to identify the relationship between the roles of health workers and village government towards changes in community PHBS during the COVID-19 pandemic.This type of research is quantitative research with an internal statistical research design through a cross sectional approach. A sample of 75 respondents obtained through purposive sampling technique. The Independent Variable is the role of health workers and the village government, while the Dependent Variable is the change in community PHBS. The data analysis used is the Chi Square test.The results showed that there was a relationship between the role of health workers and changes in community PHBS during the Covid-19 pandemic with a p value (0.022) <(0.050). Likewise, the role of the village government also has a relationship with changes in community PHBS during the Covid-19 pandemic with a p value (0.039) < (0.050).The positive role of health workers and village government has been shown to have a relationship with changes in community PHBS during the Covid-19 pandemic, so it is recommended for health workers to maintain the quality of service to the community, especially in providing health education about PHBS in household settings. The village government is advised to continue to approach the community and work with health workers in an effort to provide information about the importance of implementing PHBS, especially during the Covid-19 pandemic.
JUMLAH TIKUS TERTANGKAP MENGGUNAKAN UMPAN IKAN ASIN, KELAPA BAKAR, DAN GORENGAN: (Studi Di Terminal Kalimas Pelabuhan Tanjung Perak Surabaya) Mas Adhi Hardian Utama; Suhartono; Budiyono
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.009 KB) | DOI: 10.36568/gelinkes.v21i1.64

Abstract

 Mechanical rat control usually uses traps, and bait is an important factor in successful rat catching. The aim of this study was to describe the diversity of species and sex of rats, as well as to measure the differences in the effectiveness of using salted fish, roastedcoconut and fried foods on the number of rats caught at Kalimas Terminal, Tanjung Perak Port, Surabaya.This research is a quasi-experimental research with a Posttest Only Design research design and was conducted at Kalimas Terminal, Tanjung Perak Port, Surabaya. The variables in this study were the type of bait used, namely salted fish, grilled and fried coconut and the number of rats caught. The tools used were 150 single live traps, each of which 50 traps were baited with salted fish, roasted coconut and fried foods. The ratscaught were identified for their type, sex and number. Species and sex were analyzed using a frequency distribution table, then an ANOVA test with α of 5% was used to analyze differences in the number of rats based on the type of bait installed.The rat species caught were Rattus norvegicus with 57 individuals (15 males and 42 females) and Rattus tanezumi 17 individuals (6 males and 11 females). The number of rats that entered the trap using salted fish bait was 41 tails, 18 rats used roasted coconut bait, and 15 rats used fried bait. There is a difference in the use of salted fish, roasted coconut and fried food on the number of rats caught at the Kalimas Port of Tanjung Perak, Surabaya(p-value = 0.001).Salted fish is the most effective bait compared to roasted and fried coconut. Its use can be replaced with fried bait periodically if the trap success drops drastically.
PENGAMATAN VEKTOR AEDES AEGYPTI INFEKTIF VIRUS DENGUE DI JAKARTA UTARA TAHUN 2022 Syakhroni Syakhroni; Dwi Sutuningsih; Nurjazuli
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.628 KB) | DOI: 10.36568/gelinkes.v21i1.66

Abstract

 Dengue Hemorrhagic Fever (DHF) is a public health problem that needs seriousattention, because this disease has high morbidity and mortality rates and has the potential to cause extraordinary events (KLB). Dengue Hemorrhagic Fever cases tend to increase from year to year and have the potential to cause Extraordinary Events, so that the Special Capital Region of Jakarta Province is an endemic area for Dengue Hemorrhagic Fever. Thepurpose of this literature review is to analyze the density of Aedes aegypti mosquitoes, to analyze infective Aedes aegypti mosquitoes, to increase efforts to control DHF vectors and to be aware of an increase in DHF cases.This study uses an observational method. The data source used comes from primarydata taken directly in residential areas, the selected location is the village with the highest IR number and the test sample is examined in the laboratory.Data owned by the DKI Jakarta Health Service, until the end of January 2021, thenumber of Dengue Fever sufferers reached 3,091 people. Meanwhile, in the same period last year, the number of dengue fever sufferers increased by 35%. The mosquito surveywas conducted in areas that have high cases of dengue fever in North Jakarta, namely Warakas Village, Tanjung Priok District. Of the 100 houses that had been visited and a search for adult mosquitoes was carried out, 69 houses were found. The number of Aedes aegypti mosquitoes caught was 17, consisting of 15 females and 2 males. Then a separate extraction process was carried out between female mosquitoes and male mosquitoes to determine whether or not the dengue virus was present. After obtaining the extraction, the samples were then subjected to PCR testing.The results of testing samples of male and female mosquitoes using the PCR methodin the Warakas Village, Tanjung Priok District, obtained negative results (-) for dengue virus. Vector surveys carried out for disease control program implementers need to expand the sampling locations so that they can represent the population in an area
Pengaruh Lingkungan Fisik Rumah Dan Perilaku Terhadap Kejadian Penyakit Infeksi Saluran Pernapasan Akut (ISPA) Susiani Hariningsih; Aries Prasetyo; Sujangi
Gema Lingkungan Kesehatan Vol. 21 No. 2 (2023): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v21i2.71

Abstract

ISPA adalah infeksi yang terjadi di saluran pernapasan bawah ataupun atas dan bisa berdampak pada berbagai penyakit, baik infeksi ringan sampai penyakit berat yang parah, tergantung dari patogen, faktor inang, dan faktor lingkungan. Melalui data yang dihimpun terdapat 4 (empat) juta orang meninggal akibat dari infeksi saluran pernapasan akut, kemudian ketika di perinci didapat infeksi saluran pernapasan ataslah penyebab utamanya dengan menyumbang data 98%.Tujuan dari penelitian ini adalah untuk mengetahui pengaruh lingkungan fisik rumah dan perilaku terhadap kejadian  penyakit ISPA di Wilayah Puskesmas Pangkur. Penelitian di sini menggunakan penelitian exposed facto dengan pendekatan crosssectional. Populasi dalam penelitian ini merupakan semua kepala keluarga yang ada pada Wilayah Kerja Puskesmas Pangkur. Metode penentuan titik sampling dengan fixed disease sampling adalah metode pengambilan sampel berdasarkan status penyakit ISPA data Bulan Juni, Juli, Agustus yang ada di Wilayah Kerja Puskesmas Pangkur. Hasil penelitian tentang kejadian penyakit ISPA di Wilayah Kerja Puskesmas pangkur menunjukkan bahwa penghitungan resiko prevalensi komponen fisik rumah tehadap kejadian penyakit ISPA sebesar 8,636 dengan nilai r sebesar 0,020. Penghitungan resiko prevalensi perilaku penghuni rumah terhadap kejadian penyakit ISPA sebesar 2,017 dengan nilai r sebesar 0,124. Komponen rumah dan perilaku memiliki besar pengaruh 55,3% terhadap kejadian ISPA. Penelitian yang dilakukan dapat disimpulkan bahwa ada pengaruh antara lingkungan fisik rumah dan perilaku penghuni rumah terhadap kejadian penyakit ISPA. Diharapkan bagi penderita ISPA ada upaya perbaikan lingkungan fisik rumah dan menerapkan perilaku sehat.

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