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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 30 Documents
ANALISIS FAKTOR RISIKO KONDISI FISIK RUMAH TERHADAP PENYAKIT TB PARU DI WILAYAH KERJA PUSKESMAS BARENGKRAJAN KABUPATEN SIDOARJO TAHUN 2020 Marita Elvina Ulprastika; Narwati; Putri Arida Ipmawati
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 | Full PDF (102.593 KB) | DOI: 10.36568/gelinkes.v20i1.3

Abstract

Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. The high rate of pulmonary TB in the working area of ​​the Barengkrajan Health Center can be caused by the physical conditions of the house such as the type of wall, type of floor, ventilation area, lighting, temperature, humidity, and house occupancy density that does not meet the requirements of 17.9% (2,386 houses). The purpose of the study was to analyze the risk factors for the physical condition of the house on pulmonary TB in the Barengkrajan Health Center Work Area. The method used is observational with an analytical approach and case control design. The sample size is 32 cases and 32 controls using simple random sampling method. Data were analyzed using odds ratio. The results showed that the OR for the type of wall was 0.873, the OR for the type of floor was 1.696, the OR for the ventilation area was 1.457, the OR for lighting was 2.647, the OR for humidity was 1.64, the OR for the density of occupancy was 2.896, and the OR for conditions was large. physical house is 2,707. The risk factors for the occurrence of pulmonary TB are the physical condition of the house, type of floor, lighting, humidity, and residential density of the house, and those that are not risk factors for pulmonary TB are the type of wall, ventilation area, and temperature.
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 | Full PDF (113.641 KB) | DOI: 10.36568/gelinkes.v20i1.4

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.
KONDISI FISIK RUMAH (JENIS DINDING, JENIS LANTAI, PENCAHAYAAN, KELEMBABAN, VENTILASI, SUHU, DAN KEPADATAN HUNIAN) MEMPENGARUHI KEJADIAN PENYAKIT TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS KRIAN SIDOARJO TAHUN 2021 Adinda Mega Putri; Imam Thohari; Ernita Sari
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 | Full PDF (145.27 KB) | DOI: 10.36568/gelinkes.v20i1.5

Abstract

Pulmonary Tuberculosis is a direct infectious disease caused by TB bacteria (Mycobacterium tuberculosis). In the Krian Health Center Work Area, the number of pulmonary TB patients has increased every year. Based on the profile of the Krian Health Center, Tuberculosis data for the last 3 years in 2017 - 2019 has increased with a percentage of 15% - 56.5% of cases. The purpose of the study was to analyze the relationship between the physical condition of the house and the incidence of pulmonary tuberculosis (TB) in the working area of ​​the Krian Health Center in 2021. This type of research is analytic with a case control approach. Collecting data using observation sheets. The research variable is the physical condition of the house including the types of walls, floors, lighting, humidity, ventilation, temperature and density of residential dwellings with a total sample of 47 patients and 47 non-patients using purposive sampling method. The data were analyzed using the chi-square test to determine the relationship. The value of the test results from the chi square of X2 statistical test results obtained p value = 0.037, then Ha is rejected. It can be concluded that the respondent's house category is related to the incidence of pulmonary TB disease but the odd ratio calculation is obtained a value of 2,424 (CI: 1,047 – 5,611), so respondents who have a house category are quite at risk of pulmonary TB disease 2,424 times greater than respondents with a house category that is good. It is recommended for health workers to increase their role as motivators and counselors for the community in order to increase knowledge about the importance of the physical condition of houses that meet the requirements for health by scheduling periodic counseling about healthy homes.
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 | Full PDF (415.007 KB) | DOI: 10.36568/gelinkes.v20i1.6

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.
BONGGOL JAGUNG DAN KULIT PISANG RAJA (Musa Paradisiaca) EFEKTIF SEBAGAI ADSORBEN Fe DALAM AIR SUMUR Fitria Shella Widyayuningsih; Pratiwi Hermiyanti; Darjati
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 | Full PDF (146.637 KB) | DOI: 10.36568/gelinkes.v20i1.8

Abstract

Well water in Kedung Sekar village which contains high levels of iron (Fe) can cause economic losses such as clogged pipes, yellow clothes and skin irritation. Utilization of waste corn cobs and Musa Paradisiaca peels as activated carbon can reduce Fe levels in water. The purpose of this study was to compare the effectiveness of activated carbon made from corn cobs and Musa Paradisiaca peels to reduce Fe content in water. This type of research is pre-experimental. Examination of Fe levels in the laboratory to determine the content before and after treatment. Treatment using a variety of doses of activated carbon 4 g, 6 g, 8 g. Data analysis used a statistical test, namely One Way Anova and compared it with the Minister of Health Regulation Number 32 of 2017 concerning Environmental Quality Standards and Water Health Requirements for Sanitary Hygiene Needs. The results showed that there was a decrease in Fe levels at a dose of 8 g for corn cobs activated carbon by an average of 0.95 mg/l or 94.36% and for Musa Paradisiaca peels activated carbon there was a decrease at a dose of 8 g of 1.56 mg/l or 90.74%. Statistical testing obtained the value of Sig. 0.000, which means that there is a difference in the decrease in iron (Fe) levels after adsorption with activated carbon from corn cobs and Musa Paradisiaca peels. The conclusion that can be formulated is that activated carbon from corn cobs and Musa Paradisiaca peels can reduce iron (Fe) levels in water. Suggestions for other researchers can use variations of activator KOH, CaCl2, NaOH to make activated carbon and check the quality of charcoal according to SNI 06-3730-1995.
ANALISIS RISIKO KESELAMATAN DAN KESEHATAN KERJA DENGAN METODE HIRARC PADA PROSES PRODUKSI INDUSTRI TAHU TAHUN 2021 Bella Rossalama Irwanda; Suprijandani; Demes Nurmayanti
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 | Full PDF (191.434 KB) | DOI: 10.36568/gelinkes.v20i1.10

Abstract

The tofu industrial production process has not implemented Occupational Health and Safety (OHS) properly and there is an OHS risk. Insufficient air circulation, noise from boiler engines, non-ergonomic posture of workers, and not using PPE while working can potentially cause work accidents. The purpose of this study was to assess the OHS risk using the HIRARC method in the tofu production process. This type of research is descriptive of occupational safety and health risks using the HIRARC method through 3 stages including identification of OHS hazards, OHS risk assessment and OHS risk control. Collecting data by observation and interviews. The sample used by all employees in the production process was 21 people. Data were analyzed descriptively by describing OHS risk using the HIRARC method through 3 stages, namely identification of OHS hazards, OHS risk assessment, and OHS risk control. The results of the physical hazard research are 50% (moderate) in the form of noise, heat/temperature, vibration. The chemical hazard is 33.33% (moderate) in the form of flammable and oxidizing chemicals. Ergonomics hazard is 83.33% (height) in the form of non-neutral sitting and standing positions, excessive workload, working hours exceeding 8 hours a day. The risk assessment obtained a moderate level of risk category (Medium). Administrative control is in the form of job rotation and job training, while PPE control is in the form of foot protectors. OHS risk analysis using the HIRARC method obtained an assessment that the most dominant OHS hazard is ergonomic hazard. OHS risk assessment obtained a moderate risk level (Medium). Administrative control and PPE control can be said to have not been implemented. Suggestions given to the company are measuring external environmental factors, monitoring and evaluating risks, making SOPs for controlling OHS risks and providing PPE for workers.
HUBUNGAN ANTARA PERILAKU 3M PLUS DENGAN KEJADIAN DBD DI WILAYAH KERJA PUSKESMAS SEMEMI TAHUN 2021 DWI ERLINA FRISTIANTI; Fitri Rokhmalia; Hadi Suryono
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 | Full PDF (148.945 KB) | DOI: 10.36568/gelinkes.v20i1.11

Abstract

One of the serious public health problems is dengue fever which is influenced by environmental factors. One that can affect the increase in the larva free rate with a percentage of 85%. This is due to a lack of public awareness in 3M plus activities on a regular basis. The purpose of this study was to study the relationship between 3M plus behavior and the incidence of dengue fever in the working area of ​​the Sememi Health Center. This type of research is an analytic study which was carried out by case control. The object of the study was 12 samples of DHF patients. Community behavior data obtained from this study is the level of knowledge, attitudes, and actions. Analysis of the data in this study presented a chi-square test to analyze the relationship between 3M plus behavior and the incidence of DHF. Based on observations made on 24 respondents' houses, the respondents' knowledge level met the criteria of sufficient 42%, the attitude of the respondents met the criteria of less than 42%, and the actions of the respondents met the criteria of less than 46%. The results of the Chi square analysis test that there is a relationship between the incidence of DHF and the behavior of respondents with p value < 0.05 It is necessary to conduct counseling regarding 3M plus efforts, as well as hold community service activities to carry out 3M plus activities directed at cleaning homes and the surrounding environment so that the spread of dengue disease can be reduced.
PENGARUH ANGKA BEBAS JENTIK TERHADAP KEJADIAN PENYAKIT DBD TAHUN 2021: Studi Kasus di Wilayah Kerja Puskesmas Perak Kabupaten Jombang Firda Yusy; Marlik; Irwan Sulistio
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 | Full PDF (106.284 KB) | DOI: 10.36568/gelinkes.v20i1.12

Abstract

Perak Health Center has the highest incidence of dengue cases in Jombang. Mosquito nest eradication activities in the Perak Health Center's working area are not optimal, seen from the larva free rate which is still below 95%. The purpose of the study was to determine the effect of ABJ on the incidence of DHF in the Work Area of ​​the Perak Health Center, Jombang Regency. Observational analytical quantitative research with an evaluation approach using Spearman correlation test data processing to determine the effect of ABJ on DHF cases in Perak Health Center. The data was processed from January 2019 to December 2020. The ABJ value at the Perak Health Center in 2019-2020 is 86-90%, increasing during the dry season and decreasing during the rainy season. DHF cases ranged from 0-22.22%, the highest occurred in the rainy season and decreased during the dry season. The results of the correlation test showed that the value of P = 0.617 > showed that there was no effect between ABJ and DHF cases at the Perak Health Center. The ABJ value at the Perak Health Center increases during the dry season, and vice versa. The highest cases of DHF occur in the rainy season. The ABJ value has no effect on the incidence of DHF at the Perak Health Center. The researcher recommends that the vector control program must be improved so that the ABJ value can be in accordance with government regulations (≥95%) and the number of DHF cases can be further suppressed.
IDENTIFIKASI KANDUNGAN LOGAM BERAT PADA PRODUK TEMPE DI INDUSTRI RUMAH TANGGA DESA KALORAN, KECAMATAN NGRONGGOT, KABUPATEN NGANJUK Awalia Azizah Widyastuti; Imam Thohari; Pratiwi Hermiyanti
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 (100.987 KB) | DOI: 10.36568/gelinkes.v20i2.13

Abstract

Food products produced and distributed in Indonesia must meet food safety requirements and the maximum threshold for contamination of heavy metals in food. It is necessary to pay attention so as to produce food products that are safe and feasible to be consumed. Household Industry that is often found one of them is soybean tempeh. Aspects of hygiene and sanitation in production activities should be considered because it can allow the contamination of heavy metals that enter the tempeh products through the production process and equipment used. The purpose of the study was to identify heavy metal contamination in tempeh products in kaloran village household industry in Ngronggot subdistrict of Nganjuk regency in 2021. This type of research is descriptive with a cross sectional approach. Using purpusive sampling method with the reason in the household industry has given permission to conduct research and according to the criteria of research conducted, namely the results of tempeh products packaged using plastic. Variables studied: equipment, packaging and labels, as well as soybean tempeh products to be inspected heavy metals Cd, and Pb. Data collection conducted observations, interviews and laboratory examinations. The results showed that the equipment used in production is not eligible, namely 75% equipment material, 50% layout and no supervision. 100% packaging selection using plastic packaging. The contamination of heavy metals cadmium (Cd) and lead (Pb) in tempeh is still below the threshold (SNI). The conclusion of the results of the study shows that the content of heavy metals in the household industry tempeh in the category of eligible. However, it is advisable for industry owners to pay attention to the cleanliness of equipment and the selection of safe packaging for food.
PENGARUH GAS HIDROGEN SULFIDA (H2S) TERHADAP KELUHAN SUBYEKTIF PETUGAS PENGOLAHAN SAMPAH DI PUSAT DAUR ULANG JAMBANGAN SURABAYA Istiqomah Farah Novita Devi Suwarno; Rusmiati; Rachmaniyah
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 (149.622 KB) | DOI: 10.36568/gelinkes.v20i2.14

Abstract

The Jambangan Recycling Center (PDU) in Surabaya is a waste management site that applies the 3R principles, namely Reuse, Reduce, Recycle. The amount of waste that comes in every day is 5-6 tons. The waste processing officer complained of subjective complaints in the form of influenza, cough, sore throat and chest pain. The purpose of the study was to determine the effect of H2S gas on subjective complaints of waste processing officers at the Jambangan Recycling Center Surabaya. This research is an analytic observational research with a cross sectional approach. This research was conducted at the Jambangan Recycling Center. Sampling of respondents and ambient air was carried out by saturated sampling with a total population and sample of 27 people. Data collection techniques in this study used measurements, observations, and interviews. Data analysis using SPSS application with Spearman Correlation Test. The results showed that the average level of Hydrogen Sulfide (H2S) in the Jambangan Recycling Center Surabaya was 0.00054 ppm which was included in the eligible category according to the East Java Governor Regulation Number 10 of 2009. This study also showed that 27 waste processing officers who 2 people experienced severe complaints, 25 people had mild complaints, and there were no waste processing officers who had no complaints. The conclusion of the study is that there is no effect between levels of Hydrogen Sulfide on subjective complaints of waste processing officers at the Jambangan Recycling Center Surabaya (P = 0.336) so it is recommended to the relevant agencies to monitor air quality regularly. Waste processing officers are also advised to use personal protective equipment when in the Surabaya Jambangan Recycling Center environment.

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