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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

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.

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

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.

PEMANFAATAN ISI RUMEN SAPI DI RUMAH POTONG HEWAN PEGIRIAN SEBAGAI BIOGAS Andy Susilo; Darjati .; Deddy Adam
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.v18i2.1122

Pengolahan limbah cairan isi rumen dan kotoran sapi dapat dilakukan dengan cara fermentasi anaerob (tanpa oksigen), dan merupakan salah satu alternatif untuk mengurangi pencemaran lingkungan. Dalam proses tersebut bahan organik akan didegrasi oleh mikroba yang dapat menghasilkan biogas.Penelitian ini bertujuan untuk mengetahui perbedaan kadar gas metan (CH4) yang dihasilkan dari proses biogas dengan 3 (tiga) dosis aktivator EM4 yang berbeda. Metode penelitian adalah eksperimen murni dengan menggunakan desain penelitian Rancangan “Post Only With Control Grup”. Sampel menggunakan Purposive random sampling berupa isi rumen sapi. Selanjutnya uji dilakukan dengan 4 perlakuan setiap 1 perlakuan 6 replikasi. Berdasarkan pemeriksaan laboratorium pada gas metan (CH4) dapat diketahui bahwa kadar gas metan (CH4) yang tidak diberi penambahan aktivator EM4 sebesar 0,47950 dan penambahan aktivator EM4 yang efektif yaitu variasi dosis 20% sebesar 3,33103, penambahan dosis aktivator EM4 15% sebesar 2,55065 dan penambahan dosis aktivator EM4 10% sebesar 1,68862. Terdapat perbedaan kadar gas metan dengan variasi aktivator EM4 10%, 15%, dan 20% pada proses bioga dengan menggunakan isi rumen sapi. Penelitian ini dapat digunakan masyarakat sebagai bahan bakar alternatif untuk kegiatan sehari-hari. Penlitian ini juga dapat dilanjutkan dengan mengukur kadar gas metan total pada proses biogas.Kata kunci: Biogas, Isi Rumen Sapi

EVALUASI PENERAPAN PROTOKOL KESEHATAN DALAM MENCEGAH PENULARAN COVID-19 DI GEREJA-GEREJA WILAYAH KECAMATAN GUDO KABUPATEN JOMBANG TAHUN 2021 Lois Putu Primawidani; Ferry Kriswandana; Deddy Adam
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.v20i1.1675

In March 2020 the government determined that the COVID-19 outbreak was a national disaster that spread through splashes, so gatherings of large numbers of people could increase the risk of spreading COVID-19. The church is a place for Christians to carry out religious activities. During this activity, there was interaction between congregations that could increase the potential for the spread of COVID-19. The purpose of this study was to describe and evaluate the application of health protocols in preventing the transmission of COVID-19 in churches in the Gudo District, Jombang Regency in 2021.This study uses a descriptive observational method. The variables of this research are socialization and education of COVID-19 health protocols, use of masks, hand washing facilities or hand sanitizers, disinfection, social distancing systems, thermoguns, restrictions on the number of congregations and duration of worship, as well as air circulation and floor types. Data collection used observations and interviews to describe the implementation of the COVID-19 health protocol in seven churches in Gudo District, Jombang Regency. Data analysis in this study is to collect data, process and compile, then presented in tabulation then each variable is analyzed descriptively.Observation results show that all churches get the Good category with a minimum score of 76.92%. The results of the interview show that the manager has facilitated the congregation in implementing the COVID-19 health protocol.The conclusion from this research is that the implementation of the COVID-19 health protocol is not optimally implemented, namely socialization and education of the COVID-19 health protocol and measuring body temperature. Suggestions for other researchers who want to continue this research are researching the implementation of the COVID-19 health protocol in places of worship using quantitative research methods.

EVALUASI PENERAPAN PROTOKOL KESEHATAN DALAM MENCEGAH PENULARAN COVID-19 DI GEREJA-GEREJA WILAYAH KECAMATAN GUDO KABUPATEN JOMBANG TAHUN 2021 Lois Putu Primawidani; Ferry Kriswandana; Deddy Adam
Gema Lingkungan Kesehatan Vol. 20 No. 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

In March 2020 the government determined that the COVID-19 outbreak was a national disaster that spread through splashes, so gatherings of large numbers of people could increase the risk of spreading COVID-19. The church is a place for Christians to carry out religious activities. During this activity, there was interaction between congregations that could increase the potential for the spread of COVID-19. The purpose of this study was to describe and evaluate the application of health protocols in preventing the transmission of COVID-19 in churches in the Gudo District, Jombang Regency in 2021. This study uses a descriptive observational method. The variables of this research are socialization and education of COVID-19 health protocols, use of masks, hand washing facilities or hand sanitizers, disinfection, social distancing systems, thermoguns, restrictions on the number of congregations and duration of worship, as well as air circulation and floor types. Data collection used observations and interviews to describe the implementation of the COVID-19 health protocol in seven churches in Gudo District, Jombang Regency. Data analysis in this study is to collect data, process and compile, then presented in tabulation then each variable is analyzed descriptively. Observation results show that all churches get the Good category with a minimum score of 76.92%. The results of the interview show that the manager has facilitated the congregation in implementing the COVID-19 health protocol. The conclusion from this research is that the implementation of the COVID-19 health protocol is not optimally implemented, namely socialization and education of the COVID-19 health protocol and measuring body temperature. Suggestions for other researchers who want to continue this research are researching the implementation of the COVID-19 health protocol in places of worship using quantitative research methods.

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

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.

Effectiveness of Green Mussel Shells as a Natural Coagulant for Domestic Wastewater Treatment Ernita Sari; Ferdian Akhmad Ferizqo; Deddy Adam
Jurnal Teknokes Vol 16 No 1 (2023): March
Publisher : Jurusan Teknik Elektromedik, POLTEKKES KEMENKES Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/teknokes.v16i1.521

Coagulation is one of the wastewater treatment processes. Aluminum sulfate is usually used as a chemical coagulant. On the other way, the use of alum can cause a new problem that was the inorganic residues produced are carcinogenic and can harm the environment and human health. Then people try to use natural materials such as chitosan as the coagulant. Chitosan can be produced from the skin of marine animals such as green mussels. This study aimed to determine the effectiveness of natural coagulant green mussel shells. The research method was an experimental study by testing the effectiveness of green mussel shells as a natural coagulant with one group post design. This research used small dose of chitosan that is 0,15 g/l until 0,4 g/l to know which one is the most effective to reduce turbidity and suspended solid. The sample in this study was domestic wastewater. The parameters were total suspended solids (TSS) and turbidity. The data were analyzed by the ANOVA test. The result showed that both TSS and turbidity were decreased by about 100% (14 mg/l to 0,65 mg/l) for optimum decreasing of TSS parameter and 73% (2.38 NTU to 0 NTU) for turbidity parameters. The optimal dose of natural coagulant green mussel shells for domestic wastewater was 0,4 g/l. The ANOVA test showed that there was an effect of green mussel shells coagulant dose on TSS and turbidity level (p-value = 0,000). The potential of using these green mussel shells as a coagulant is indeed very high. However, it takes a combination with other natural ingredients to make an effective and safe coagulant.

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