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ARTIKEL PENELITIAN

Volume 19 Nomor 3 Desember 2020

PENGELOLAAN LIMBAH B3 MEDIS RUMAH SAKIT DI SUMATERA BARAT PADA MASA PANDEMI COVID-19

PENGUKURAN TIMBAL PADA AIR SUNGAI DAN BIOINDIKATOR LOKAL DI SUNGAI BRANTAS KOTA KEDIRI, PROVINSI JAWA TIMUR

DETEKSI MIKROFILARIA WUCHERERIA BRANCROFTI DAN BRUGIA SP PADA SPESIES NYAMUK PASCA PEMBERIAN OBAT PENCEGAHAN MASSAL (POPM) DI BEBERAPA KABUPATEN DI INDONESIA

FAKTOR PENYEBAB TERJADINYA KEJADIAN LUAR BIASA (KLB) DIFTERI PADA ANAK DI INDONESIA

PELAKSANAAN GERAKAN SATU RUMAH SATU JUMANTIK (G1R1J) DENGAN POLA PENDAMPINGAN TERHADAP PENGETAHUAN, SIKAP DAN TINDAKAN MASYARAKAT DALAM DI KOTA JAMBI

HUBUNGAN PENGETAHUAN, SIKAP DAN PRAKTIK MASYARAKAT TERHADAP UPAYA PENGENDALIAN VEKTOR DBD DI KOTA TERNATE, PROVINSI MALUKU UTARA

Jurnal Ekologi Kesehatan adalah media informasi hasil penelitian dan pengembangan bidang ekologi kesehatan untuk

Pengelola Program Kesehatan dan masyarakat,

serta merupakan sarana komunikasi para peneliti/pengelola/peminat bidang ekologi kesehatan

Jurnal Ekologi Kesehatan Vol. 19 No. 3 Hal 148-220

Jakarta Desember 2020

ISSN 1412-4025 Terakreditasi Nomor : 762/AU1 /P2MI-LIPI/10/2016

Terbit 3 kali setahun

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Jurnal

Ekologi Kesehatan

The Indonesian Journal of Health Ecology

Diterbitkan oleh

Pusat Penelitian Dan Pengembangan Upaya Kesehatan Masyarakat Badan Penelitian dan Pengembangan Kesehatan

Kementerian Kesehatan RI, Jakarta

Jalan Percetakan Negara 29 Kotak Pos 1226 Jakarta 10560 indonesia Telp/Fax. (021) 42872392, 4241921

Email: jurnalekologikesehatan@gmail.com Website: http://ejournal2.litbang.kemkes.go.id/index.php/jek

Penanggung Jawab/Pimpinan Umum

Kepala Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat

Ketua Dewan Redaksi

Jusniar Ariati, SSi, M.Si (Biologi Lingkungan, Balitbangkes)

Wakil Ketua Dewan Redaksi

Sugiharti, SKM.,MKM (Kesehatan Masyarakat, Balitbangkes)

Anggota Dewan Redaksi

Prof. Dr. Dede Anwar Musadad, S.K.M, M.Kes. (Kesehatan Lingkungan, Balitbangkes) Dr. dr. Felly Philipus Senewe, M.Kes. (Kesehatan Masyarakat, Balitbangkes)

Sri Irianti, SKM., M.Phil, Ph.D. (Kesehatan Lingkungan, Balitbangkes) Dra. Athena, M.Si (Kesehatan Lingkungan, Balitbangkes)

Dr. Dwi Hapsari, S.K.M, M.Kes. (Epidemiologi dan Biostatistik, Balitbangkes) Dr. Miko Hananto, S.K.M., M.Kes. (Kesehatan Lingkungan, Balitbangkes)

Dra. Rr. Rachmalina S.,M.Sc.P.H. (Antropologi Kesehatan, Balitbangkes) Nunik Kusumawardani, S.K.M., M.Sc.P.H., Ph.D. (Promosi Kesehatan, Balitbangkes)

Dr. Joko Irianto, S.K.M, M.Kes. (Epidemiologi dan Biostatistik, Balitbangkes) Dr. Aria Kusuma S.K.M, M.Si (Kesehatan Masyarakat, Balitbangkes) Heny Lestary, S.K.M, M.K.M (Kesehatan Masyarakat, Balitbangkes)

Mitra Bestari

Dr. Mohammad Sudomo (Komisi Etik, Balitbangkes, Indonesia) Dr Jusuf Kristianto, MM, MHA, MKes, PhD (Poltekkes, Indonesia )

Dr.lr. Anies Irawati, M.Kes (APKESI, Indonesia) Puguh Prasetyoputra, SE, MHEcon (LlPI, Indonesia ) Dr. Salahudin Muhidin, Ph.D. (Macquarie University, Australia)

Dr. Ir. Mursid Raharjo, M.Si. (UNDIP, Indonesia) Dr. dr. Suhartono Damas, M.Kes. (UNDIP, Indonesia)

Pandji Wibawa Dhewantara, S.Si., M.I (Balai Litbang, Pangandaran, Indonesia ) Triwibowo Ambar Garjito, S.Si, M.Kes (BBVRP, Salatiga, Indonesia)

Dr. Ir. Inswiasri, M.Kes (APKESI, Indonesia) Atmarita, M.P.H., Dr.P.H. (APKESI, Indonesia) Drh. Basundari Sri Utami, M.Kes (APKESI, Indonesia)

Drg. Sekartuti, M.Si (APKESI, Indonesia) Dr dr. Ardini Raksanagara, M. PH (UNPAD, Indonesia) Dr.dr.Titik Respati, drh.M.Sc.P.H (UNISBA, Indonesia) dr. Maria Endang Sumiwi, MPH (UNICEF, Indonesia )

Redaksi Bahasa

Cahyorini, S.T, M.T. (Kesehatan Lingkungan, Balitbangkes) Eva Laelasari, S.Si, M.K.K.K (Kesehatan Lingkungan Balitbangkes, ) Khadijah Azhar, S.K.M, M.K.M (Kesehatan Lingkungan, Balitbangkes)

Dian Perwitasari, M.Biomed (Biologi Lingkungan, Balitbangkes)

Redaksi Pelaksana

Ginoga Veridona, S.Kom. (Balitbangkes, Indonesia)

Penunjang Teknologi Informasi Rianto Purnama, S.Kom. (Balitbangkes, Indonesia)

Sekretaris Editor Pelaksana

Tities Puspita, SSi, MPubHealth. Adv (Balitbangkes, Indonesia) Siti Masitoh, S.K.M (Balitbangkes, Indonesia)

Bidang Pemasaran

dr. Lidwina Salim, M.Si (Balitbangkes, Indonesia) Siti Mulyani, SKM (Balitbangkes, Indonesia)

Bahtiar (Balitbangkes, Indonesia)

p-ISSN : 1412-4025 Volume 19 Nomor 3 Desember 2020

e-ISSN : 2354-8754

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JURNAL EKOLOGI KESEHATAN The Indonesian Journal of Health Ecology

ISSN 1412-4025

This abstract sheet may be reproduce without permission or charge

Elsa Yolarita, Desi Widia Kusuma

PENGELOLAAN LIMBAH B3 MEDIS RUMAH SAKIT DI SUMATERA BARAT PADA MASA PANDEMI COVID-19

The problem of managing medical waste is still an obstacle for most hospitals, especially during the COVID-19 pandemic. This study aims to determine the amount ofmedical waste, evaluation of hospital medical waste management and the implementation of discretion in West Sumatera during COVID-19 pandemic. Data collection was carried out by distributing questionnaires online with google forms. The results showed that the amount of medical waste almost doubled during the pandemic, with the largest being around 41,670 kg month. Management that does not comply with standards is storage of medical waste, selecting a special route, transportation by special trolly, disinfection and non- compliance with the use of PPE for waste officers. Discretion was carried out by 4 hospitals with obstacles including the incinerator not meeting the requirements and the absence of medical waste transportation. It is recommended that the hospital conduct monitoring and evaluation of medical waste management and compliance with the use of PPE for waste officers. The local government facilitates discretion through the procurement of medical waste transportation to PT. Semen Padang, strive for large hospitals to process medical waste from surrounding health care facilities and build a medical waste transfer depot.

Keywords: Hospital, medical waste, COVID-19, discretion

Forman Novrindo Sidjabat, Vichy Alwi, Mahmudi, Yuli Puspitasari

PENGUKURAN TIMBAL PADA AIR SUNGAI DAN BIOINDIKATOR LOKAL DI SUNGAI BRANTAS KOTA KEDIRI, PROVINSI JAWA TIMUR

Heavy metal contamination has become one of the priorities of global public health problems since it was first published in 1848 as a cause of disease. This study aims to obtain the latest conditions of lead (Pb) contamination along the Brantas River in Kediri City. Sampels were river water and local bio-indicators Barbonymus gonionotus (bader fish) and Ipomoea aquatica (water spinach). Data collected using SNI 6989.8: 2009 for river water, SNI 2354.5: 2011 B. gonionotus and SNI 01-2896-1998 for water spinach. The results of the Atomic Absorption Spectroscopy (AAS) examination at the BARISTAND Laboratory in Surabaya City were compared with the Pb threshold value according to PP No 82 of 2001 for river water, SNI 2729: 2013 for B. gonionotus, and SNI 7387: 2009 for Ipomoea aquatica. Pb contamination in Brantas River is caused by vehicle fuel discharges that cross the bridge before the sampling point, domestic waste, and agriculture. Therefore, river conservation policies and supervision of the industrial and domestic sectors around the Brantas River basin across sectors and across regions are needed. In addition, water treatment techniques for Brantas River water is needed so that in the future it can be consumed.

Keywords: Lead contamination, Brantas River, bioindicators, B. gonionotus, Ipomoea aquatica

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Jusniar Ariati, Dian Perwitasari, Roy Nusa, Rina Marina, Pei-Yu Alison Lee

DETEKSI MIKROFILARIA WUCHERERIA BRANCROFTI DAN BRUGIA SP PADA SPESIES NYAMUK PASCA PEMBERIAN OBAT PENCEGAHAN MASSAL (POPM) DI BEBERAPA KABUPATEN DI INDONESIA

Efforts to break transmission of filariasis chain, through elimination program with preventive mass drug administration (POPM) and vector control, which is currently taking place in all provinces in Indonesia. Known as elephantiasis or lymphatic filariasis, it is a filarial worm with the main species being Wuchereria bancrofti and Brugia sp. The aims of study was to identify mosquitoes that have the potential become vector filariasis. Known as elephantiasis (Elephantiasis) or Lymphatic filariasis is a major species of filarial worms with that Wuchereria bancrofti and Brugia sp. Mosquito collection conducted in 23 districts / cities in Indonesia using modificated Human Landing Collection (HLC) method that is double net to feed humans inside, while the method of Transcription Insulated Isothermal Polymerase Chain Reaction (iiPCR) was used to detect the presence of filarial worms in the mosquitoes. The number of samples collected was 26,276 mosquitoes, 38 were identified. The results of the examination used iiPCR showed that positive W. bancrofti was found in 6 districts / cities and positive Brugia sp were found in 9 districts / cities where the study was conducted.

There are other mosquito species that are not confirmed as filarial vectors, but found DNA traces both the parasite in mosquitoes that have not been confirmed as vectors.

Keywords: Microfilariae, Wulcheria brancrofti, Brugia malayi, Mass Drug Administration (MDA)

Noer Endah Pracoyo

FAKTOR PENYEBAB TERJADINYA KEJADIAN LUAR BIASA (KLB) DIFTERI PADA ANAK DI INDONESIA

The diphtheria is pathogen re-emerging diseases caused by Corynebacterium diphtheriae. In 1920 that were pandemic outbreak that caused of the death a thousand of children and there still was found fluctuated cases until 2018. The diphtheria could be prevented by immunization but still to be causing disease as an outbreak (KLB). The article is a review of several articles that aim to analyze the factors causing diphtheria in Indonesia. The number of selected articles were 25 with diphtheria incidence variables and risk factors for diphtheria causes. The result shown that the risk factors which was caused of the diphtheria outbreak i.e; children not to get immunization properly, incomplete basic immunization in children under 5 years old, the lack of parents knowledge about the importance of vaccinations in children and and environmental conditions that are less hygiene sanitation in residential areas. From the results was concluded that immunization is very important in the prevention of diphtheria Education is needed to public about the importance of vaccination, and the importance of maintaining healthy environment.

Keywords: Diphtheria, immunization, outbreaks

Milana Salim, Lasbudi P Ambarita, Indah Margarethy, Rizki Nurmaliani

PELAKSANAAN GERAKAN SATU RUMAH SATU JUMANTIK (G1R1J) DENGAN POLA

PENDAMPINGAN TERHADAP

PENGETAHUAN, SIKAP DAN TINDAKAN MASYARAKAT DALAM DI KOTA JAMBI

The implementation of 1 Home 1 Inspector (G1R1J) is one of government program to prevent DHF transmission in community active role specially family member to eradication mosquitoes breeding places at house hold environment. The aim of study was to determine the level of knowledge, attitudes and actions of the community regarding G1R1J in areas. The research design was a quasi-experimental and data analyzed was used the non-parametric statistical Wilcoxon Test. The research area in Talang Bakung as intervention areas and Kenali Besar as control. Data were collected through interviews using questionnaire. The analized results shown that it was significant (Z <0.025 and Asymp. Sig. (2- tailed) <0.05) for knowledge, attitudes, and actions of respondents in Talang Bakung), Whereas for Kenali Besar a significant result were only on the knowledge and attitude categories. Based on the Mann Whitney test, it seem that there is a mean rank difference in the knowledge and action criteria between the intervention and control villages, while the attitude criteria are relatively similar. The Asymp Sig. value of the mean of knowledge and action between two areas was 0,000 (<0,005), while attitude value was 0,674 (>0,005 = not significant). According to data analized, It was concluded that the intervention of mentoring influenced the increase in the respondent's knowledge and actions, but has no effect the attitude value.

Keywords: G1R1J, DHF, knowledge, attitude, action

Amalan Tomia

HUBUNGAN PENGETAHUAN, SIKAP DAN PRAKTIK MASYARAKAT TERHADAP UPAYA PENGENDALIAN VEKTOR DBD DI KOTA TERNATE, PROVINSI MALUKU UTARA

The Eradication of Mosquito Nest (PSN) program through depleting, burying, and closing (3M) plus aims to break the chain of mosquito breeding by eradicating the eggs and larvae of Ae. aegypti mosquito. This study aims to determine the relationship between knowledge, attitudes, and practices of respondents to the DHF vector control in Ternate City. The research was conducted in Ternate City, in October 2017- February 2018. The data on knowledge, attitudes, and practices were collected from 391 respondents using a structured questionnaire. The analysis of relationship between knowledge, attitudes, and practices on DHF vector control were measured using Chi Square test. The results of the analysis of the relationship between respondents' knowledge had a significant effect on the age group and education level (p <0.05), but not significant to the respondent's occupation (p> 0.05) on the control of the DHF vector. The attitude of the respondent was significantly related to the respondent's age group (p <0.05), but not significant to the level of education and occupation of the respondent (p> 0.05). The respondent practice only had a significant relationship with the respondent's age group (p <0.05) on the effort to control the dengue vector. The relationship between the respondents' practice of controlling the dengue vector was 0.376 greater than the knowledge and attitudes of the respondents towards controlling the vector of dengue fever in Ternate City.

Keywords: DHF, knowledge, attitude, behavior, Ternate City

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JURNAL EKOLOGI KESEHATAN The Indonesian Journal of Health Ecology

DAFTAR ISI I. Editorial

II. Artikel Halaman

1. Pengelolaan Limbah B3 Medis Rumah Sakit di Sumatera Barat Pada Masa Pandemi Covid-19 ………...

Oleh : Elsa Yolarita, Desi Widia Kusuma

148-160

2. Pengukuran Timbal Pada Air Sungai dan Bioindikator Lokal di Sungai Brantas Kota Kediri, Provinsi Jawa Timur ………...…………..

Oleh : Forman Novrindo Sidjabat, Vichy Alwi, Mahmudi, Yuli Puspitasari

161-173

3. Deteksi Mikrofilaria Wuchereria Brancrofti dan Brugia Sp Pada Spesies Nyamuk Pasca Pemberian Obat Pencegahan Massal (POPM) di Beberapa Kabupaten di Indonesia ………...

Oleh : Jusniar Ariati, Dian Perwitasari, Roy Nusa, Rina Marina, Pei-Yu Alison Lee

174-183

4. Faktor Penyebab Terjadinya Kejadian Luar Biasa (KLB) Difteri Pada Anak di Indonesia ………...……....

Oleh : Noer Endah Pracoyo

184-195

5. Pelaksanaan Gerakan Satu Rumah Satu Jumantik (G1R1J) Dengan Pola Pendampingan Terhadap Pengetahuan, Sikap dan Tindakan Masyarakat Dalam di Kota Jambi ………...

Oleh : Milana Salim, Lasbudi P Ambarita, Indah Margarethy, Rizki Nurmaliani, Ritawati

196-210

6. Hubungan Pengetahuan, Sikap dan Praktik Masyarakat Terhadap Upaya Pengendalian Vektor DBD di Kota Ternate, Provinsi Maluku Utara ……….………..………..

Oleh : Amalan Tomia

211-220

Volume 19 Nomor 3 Desember 2020 ISSN : 1412-4025

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EDITORIAL

Permasalahan pengelolaan limbah B3 medis masih menjadi kendala di sebagian besar rumah sakit terutama pada masa pandemi COVID-19, yang berdampak pada meningkatnya jumlah limbah medis sehingga membebani fasilitas pelayanan kesehatan. Dalam penerbitan edisi kali ini, menyajikan hasil penelitian pengelolaan limbah B3 medis rumah sakit di Provinsi Sumatera Barat pada masa pandemi covid-19.

Artikel lain yang disajikan terkait kesehatan lingkungan adalah cemaran timbal (Pb) di sepanjang Sungai Brantas Kota Kediri, penelitian ini bertujuan untuk mendapatkan kondisi terbaru mengenai cemaran Pb di sepanjang sungai Brantas di Kota Kediri. Artikel lain yang tidak kalah menarik adalah pengendalian penyakit Demam Berdarah Dengue (DBD), kali ini terdapat 2 artikel terkait dengan pengendalian DBD, yang pertama adalah keterlibatan masyarakat dalam program Gerakan 1 Rumah 1 Jumantik (G1R1J), yang melibatkan peran aktif masyarakat khususnya anggota keluarga untuk melaksanakan Pemberantasan Sarang Nyamuk (PSN) di lingkungan rumah tangga, Sementara artikel lainnya mengenai hubungan pengetahuan dan sikap serta perilaku responden terhadap pencegahan penyakit DBD di Kota Ternate.

Selain DBD, penyakit filariasis dan difteri masih menjadi salah satu masalah Kesehatan di Indonesia. Filariasis limfatik atau elephantiasis yang dikenal sebagai penyakit kaki gajah merupakan penyakit menular yang banyak terjadi didaerah tropis, disebabkan oleh infeksi parasit cacing dari genus filaria, dalam artikel ini membahas deteksi parasit mikrofilaria dengan metode iiPCR yang terdapat pada nyamuk yang dapat langsng dilakukan di lokasi penelitian. Sedangkan penyakit difteri adalah penyakit pathogen re-emerging yang disebabkan oleh Corynebacterium diphtheriae. Penyakit difteri ini dapat dicegah dengan imunisasi, artikel ini merupakan artikel review, penelusuran beberapa artikel yang bertujuan untuk melakukan analisis faktor penyebab kejadian difteri di Indonesia

Demikian editorial Jurnal Ekologi Kesehatan edisi ini

SELAMAT MEMBACA

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