Environmental and Social Risk Factors in the Event of Dengue Hemorrhagic Fever (DHF) in the Work Area of Jiwan Health Center, Madiun Regency

In the past three years, the Jiwan Health Centre's area has had the highest dengue fever incidence in Madiun Regency. This area still has many water puddles that serve as mosquito breeding grounds. The Jiwan Health Center reported 40 cases and 2 deaths in 2019, 6 cases in 2020, and 16 cases in 2021. This study aimed to identify environmental and social risk factors linked to dengue fever cases in this region. We used an analytical observation method, including a case-control study, and analyzed data with the chi-square test, using probability sampling. A study that looked at just one variable found that air temperature (36.3%), humidity (83.3%), house index (68.8%), container index (41.3%), the lack of mosquito larvae observer cadres (87.5%), fogging activity (55%), and DHF PSN activity (27.5%) were all dangerous. Bivariate test results showed a correlation between the container index (p = 0.000) and fogging activities (p = 0.042) with DHF incidence. There was no significant connection between dengue incidence, air temperature (p = 0.642), humidity (p = 1.000), house index (p = 0.335), jumantic cadre activities (p = 0.737), or PSN DHF activities (p = 0.453). Environmental and social factors, such as positive larvae presence and fogging activities, contribute to the dengue fever incidence in the Jiwan Health Center's area. For the past three years, this area has consistently had the highest dengue fever cases in Madiun Regency, primarily due to persistent mosquito breeding sites.In the past three years, the Jiwan Health Centre's area has had the highest dengue fever incidence in Madiun Regency. This area still has many water puddles that serve as mosquito breeding grounds. The Jiwan Health Center reported 40 cases and 2 deaths in 2019, 6 cases in 2020, and 16 cases in 2021. This study aimed to identify environmental and social risk factors linked to dengue fever cases in this region. We used an analytical observation method, including a case-control study, and analyzed data with the chi-square test, using probability sampling. A study that looked at just one variable found that air temperature (36.3%), humidity (83.3%), house index (68.8%), container index (41.3%), the lack of mosquito larvae observer cadres (87.5%), fogging activity (55%), and DHF PSN activity (27.5%) were all dangerous. Bivariate test results showed a correlation between the container index (p = 0.000) and fogging activities (p = 0.042) with DHF incidence. There was no significant connection between dengue incidence, air temperature (p = 0.642), humidity (p = 1.000), house index (p = 0.335), jumantic cadre activities (p = 0.737), or PSN DHF activities (p = 0.453). Environmental and social factors, such as positive larvae presence and fogging activities, contribute to the dengue fever incidence in the Jiwan Health Center's area. For the past three years, this area has consistently had the highest dengue fever cases in Madiun Regency, primarily due to persistent mosquito breeding sites

Effectiveness of Lime (Citrus amblycarpa) Solution in Improving the Bacteriological Quality of Tableware

According to research on cutlery, it did not meet the bacteriological quality requirements for cleanliness because the disinfection process was not carried out. nfection process is necessary to enhance the cleanliness of cutlery, employing both chemical and natural methods. Lime zest is a natural ingredient that can be used for disinfection because it contains compounds such as alkaloids, tannins, steroids, triterpenoids, saponins, and flavonoids that are antibacterial by damaging cell membranes. The study's goal was to determine the efficacy of lime (Citrus amblycarpa) solution in improving the bacteriological quality of cutlery. This research is experimental, with a posttest-only control group design. The study included a total of 24 cutlery (plate) samples. We collected the data by examining the number of germs and Escherichia coli in each sample. Using Kruskal-Wallis, we analysed bacterial count data. Meanwhile, Escherichia coli could not be tested because all the samples were negative. The results showed that the cutlery (plate) before treatment did not contain Escherichia coli. By taking swab samples of the cutlery (plates), we found that the number of germs after disinfection treatment ranged from 1 to 33 colonies/cm2. Lime solution is ineffective at reducing the number of germs. It is recommended that the shop manager use running water and provide a place for draining and storing closed cutlery. Future researchers can conduct laboratory tests first to prove the effect of lime zest on Escherichia coli and carry out control treatments before concentration treatments.According to research on cutlery, it did not meet the bacteriological quality requirements for cleanliness because the disinfection process was not carried out. nfection process is necessary to enhance the cleanliness of cutlery, employing both chemical and natural methods. Lime zest is a natural ingredient that can be used for disinfection because it contains compounds such as alkaloids, tannins, steroids, triterpenoids, saponins, and flavonoids that are antibacterial by damaging cell membranes. The study's goal was to determine the efficacy of lime (Citrus amblycarpa) solution in improving the bacteriological quality of cutlery. This research is experimental, with a posttest-only control group design. The study included a total of 24 cutlery (plate) samples. We collected the data by examining the number of germs and Escherichia coli in each sample. Using Kruskal-Wallis, we analysed bacterial count data. Meanwhile, Escherichia coli could not be tested because all the samples were negative. The results showed that the cutlery (plate) before treatment did not contain Escherichia coli. By taking swab samples of the cutlery (plates), we found that the number of germs after disinfection treatment ranged from 1 to 33 colonies/cm2. Lime solution is ineffective at reducing the number of germs. It is recommended that the shop manager use running water and provide a place for draining and storing closed cutlery. Future researchers can conduct laboratory tests first to prove the effect of lime zest on Escherichia coli and carry out control treatments before concentration treatments

The Relationship between Noise Intensity and Blood Pressure in Communities Around Bangkal Village

Noise is a serious problem because it can have an impact on health, one of which is high blood pressure (hypertension). Noise can come from inside or outside the house. One source of noise from outside the house is traffic. Noise comes from the sound produced by motorized vehicles, especially from the engine, exhaust, and the interaction between the wheels and the road. This research aims to determine and analyze the relationship between noise intensity and blood pressure in the community around Bangkal Village. This research is observational analytic, using a cross-sectional design. Observations were made on 68 people, consisting of 40 people for the cluster on the side of the road and 28 people for the cluster 32 m from the road. Data were analyzed using the gamma correlation test. A sound level meter was used to collect noise data, a blood pressure meter was used to collect blood pressure data, and a questionnaire was used to collect respondent characteristics. The research results show that noise ranges between 46.6 dBA – 72.3 dBA. Twelve people (40%) suffered from high blood pressure, and 28 people (60%) had normal blood pressure. There is no significant relationship between noise intensity and blood pressure. This information is helpful for future researchers conducting further research by considering other variables or carrying out noise measurements in the house (indoors).Noise is a serious problem because it can have an impact on health, one of which is high blood pressure (hypertension). Noise can come from inside or outside the house. One source of noise from outside the house is traffic. Noise comes from the sound produced by motorized vehicles, especially from the engine, exhaust, and the interaction between the wheels and the road. This research aims to determine and analyze the relationship between noise intensity and blood pressure in the community around Bangkal Village. This research is observational analytic, using a cross-sectional design. Observations were made on 68 people, consisting of 40 people for the cluster on the side of the road and 28 people for the cluster 32 m from the road. Data were analyzed using the gamma correlation test. A sound level meter was used to collect noise data, a blood pressure meter was used to collect blood pressure data, and a questionnaire was used to collect respondent characteristics. The research results show that noise ranges between 46.6 dBA – 72.3 dBA. Twelve people (40%) suffered from high blood pressure, and 28 people (60%) had normal blood pressure. There is no significant relationship between noise intensity and blood pressure. This information is helpful for future researchers conducting further research by considering other variables or carrying out noise measurements in the house (indoors)

Analysis Factor of Diarrhea with Latrine Ownership and Clean Water Availability in Indonesia: Meta Analysis 2016-2021

The study examines the relationship between Diarrhea, Latrine Ownership, and Clean Water Availability in Indonesia, specifically focusing on 2016 to 2021. According to the 2018 RISKESDAS, the age group with the highest diarrhea prevalence, as health workers diagnosed, was 1 to 4 years (1.5%), followed by infants (9%). West Java Province had the highest prevalence of diarrhea by province, with a rate of 186.809. The purpose is to analyze data related to latrine ownership and the availability of clean water about the incidence of diarrhea in Indonesia. The method is meta-analysis. We used a cross-sectional approach to collect secondary data from articles from March to April 2023. The results show that ownership of a latrine that does not meet the requirements is 2,013 times more likely to cause diarrhea than ownership of a latrine that meets the requirements. From the results of the meta-analysis of the variable availability of clean water, it is known that the availability of clean water that does not meet the requirements is 1,858 times more at risk of causing diarrhea than the availability of clean water that meets the requirements. The conclusion is that the variable that has the most significant influence on latrine ownership and the availability of clean water is latrine ownership. We suggest minimizing risk factors by counseling the community, emphasizing the importance and benefits of having healthy latrines that meet requirements and the availability of clean water to prevent diarrheal disease.  The study examines the relationship between Diarrhea, Latrine Ownership, and Clean Water Availability in Indonesia, specifically focusing on 2016 to 2021. According to the 2018 RISKESDAS, the age group with the highest diarrhea prevalence, as health workers diagnosed, was 1 to 4 years (1.5%), followed by infants (9%). West Java Province had the highest prevalence of diarrhea by province, with a rate of 186.809. The purpose is to analyze data related to latrine ownership and the availability of clean water about the incidence of diarrhea in Indonesia. The method is meta-analysis. We used a cross-sectional approach to collect secondary data from articles from March to April 2023. The results show that ownership of a latrine that does not meet the requirements is 2,013 times more likely to cause diarrhea than ownership of a latrine that meets the requirements. From the results of the meta-analysis of the variable availability of clean water, it is known that the availability of clean water that does not meet the requirements is 1,858 times more at risk of causing diarrhea than the availability of clean water that meets the requirements. The conclusion is that the variable that has the most significant influence on latrine ownership and the availability of clean water is latrine ownership. We suggest minimizing risk factors by counseling the community, emphasizing the importance and benefits of having healthy latrines that meet requirements and the availability of clean water to prevent diarrheal disease.

Effectiveness of Corn Shell Activated Carbon Filters in Reducing Iron (Fe) Levels in Clean Water

Corn husk waste often accumulates and lacks optimal management, making its use as active carbon more valuable and beneficial to society. The principle of the activated carbon processing method involves adsorbing pollutants, thereby enhancing its capacity to absorb iron levels. Researchers must create filters using corn husk-activated carbon media to lower the iron levels in clean water. The research aims to determine the effectiveness of the thickness of corn husk-activated carbon filtration media, which can reduce iron levels in clean water. The research design is a True Experiment with Pretest-Posttest and Control Group Design, incorporating four variations in activated carbon thickness and six repetitions. Variations in thickness of corn husk activated carbon are 0 cm, 5 cm, 10 cm, and 15 cm. Data analysis used the Kruskall-Wallis test. The research showed that the iron level before treatment was 1.71 mg/L. After treatment with activated carbon thicknesses of 0 cm (0%), 5 cm (67%), 10 cm (80%), and 15 cm (86%), the iron content decreased. The statistical test results obtained a p-value ≤ α (0.05), indicating that all data groups had significant differences. The public can use filters with an activated carbon thickness of more than 15 cm as an alternative for reducing iron levels in clean water.Corn husk waste often accumulates and lacks optimal management, making its use as active carbon more valuable and beneficial to society. The principle of the activated carbon processing method involves adsorbing pollutants, thereby enhancing its capacity to absorb iron levels. Researchers must create filters using corn husk-activated carbon media to lower the iron levels in clean water. The research aims to determine the effectiveness of the thickness of corn husk-activated carbon filtration media, which can reduce iron levels in clean water. The research design is a True Experiment with Pretest-Posttest and Control Group Design, incorporating four variations in activated carbon thickness and six repetitions. Variations in thickness of corn husk activated carbon are 0 cm, 5 cm, 10 cm, and 15 cm. Data analysis used the Kruskall-Wallis test. The research showed that the iron level before treatment was 1.71 mg/L. After treatment with activated carbon thicknesses of 0 cm (0%), 5 cm (67%), 10 cm (80%), and 15 cm (86%), the iron content decreased. The statistical test results obtained a p-value ≤ α (0.05), indicating that all data groups had significant differences. The public can use filters with an activated carbon thickness of more than 15 cm as an alternative for reducing iron levels in clean water

Analysis of the Influence of Tambakrigagadung Landfill Leachate Characteristics on Water Quality and Heavy Metal Contamination of Reservoirs, Tikung District, Lamongan Regency

The Final Disposal Site (TPA) of Tambakrigadung Village, Lamongan Regency, implements a semi-sanitary landfill system in which waste processing still piles up piles of waste with soil for a certain period, causing a foul odor due to the leachate that collects. Leachate that is not managed correctly is feared to flow into reservoirs as irrigation and productive land that is used by local communities for rice fields or ponds around the Tambakrigadung TPA so that it can disrupt workers, reduce the quality and yield of rice fields, and affect the development of pond fish around the Tambakrigadung landfill. This research aims to test the quality of reservoir water, which refers to the leachate water quality standards of PermenLHK RI No. P.59 Tahun 2016. It analyzes the influence of leachate on reservoir water around Tambakrigadung. The method used in this research is grab sampling. Analysis of pH, BOD, COD, and TSS parameters using simple linear regression quantitative analysis. Quantitative parameter analysis shows that TPA Tambakrigadung leachate influences the pH and TSS parameters of reservoir water in Tikung District, Lamongan Regency, which is indicated by a significance value of <0.05. The analysis of heavy metal parameters shows that the leachate does not meet quality standards, with a total N of 187.7 ppm and cadmium of 0.15 ppm. The mercury parameter meets quality standards, namely 0.00065 ppm. Meanwhile, heavy metal parameters in reservoir water have met quality standards based on PP No. 22 of 2021.The Final Disposal Site (TPA) of Tambakrigadung Village, Lamongan Regency, implements a semi-sanitary landfill system in which waste processing still piles up piles of waste with soil for a certain period, causing a foul odor due to the leachate that collects. Leachate that is not managed correctly is feared to flow into reservoirs as irrigation and productive land that is used by local communities for rice fields or ponds around the Tambakrigadung TPA so that it can disrupt workers, reduce the quality and yield of rice fields, and affect the development of pond fish around the Tambakrigadung landfill. This research aims to test the quality of reservoir water, which refers to the leachate water quality standards of PermenLHK RI No. P.59 Tahun 2016. It analyzes the influence of leachate on reservoir water around Tambakrigadung. The method used in this research is grab sampling. Analysis of pH, BOD, COD, and TSS parameters using simple linear regression quantitative analysis. Quantitative parameter analysis shows that TPA Tambakrigadung leachate influences the pH and TSS parameters of reservoir water in Tikung District, Lamongan Regency, which is indicated by a significance value of <0.05. The analysis of heavy metal parameters shows that the leachate does not meet quality standards, with a total N of 187.7 ppm and cadmium of 0.15 ppm. The mercury parameter meets quality standards, namely 0.00065 ppm. Meanwhile, heavy metal parameters in reservoir water have met quality standards based on PP No. 22 of 2021.

Analysis of Sanitation and Diarrhea Factors with The Incidence of Stunting in Indonesia: A Meta-Analysis Study

Stunting is a significant public health problem for toddlers in developing countries. The prevalence of stunting in Indonesia in 2018 was 30.8%. Referring to the target of the National Medium-Term Development Plan (RPJMN) in 2019, the stunting rate of 28% has yet to be achieved. Determinants of stunting include direct and indirect factors. Direct factors are nutritional intake and infectious diseases. Indirect factors are food adequacy, parenting, sanitation, clean water, and essential health services. This study aims to summarize scientific evidence related to the relationship between sanitation and diarrhea factors and stunting in toddlers. This study uses meta-analysis, and article sources come from Google Scholar, Science Direct, and PubMed. Based on the inclusion requirements of the writing, namely informing about sanitation and diarrhea with stunting cases in toddlers, observational research designs, and publication years 2018–2022, 15 articles were obtained. Based on the meta-analysis results, sanitation (clean water) was the highest risk factor, with a pooled value of PR = 4.437 (95% CI 0.67–2.30). The lowest risk factor was latrines, with a pooled PR = 2.459 (95% CI -0.04–1.39). Analysis of diarrhea variables with pooled value PR = 1,404 (95% CI 0.12–0.56). It was concluded that the most significant risk was the clean water factor. Essential factors to control stunting risk are preparing the availability of clean water, advocating for local governments to take a leading role in providing clean water to areas in need, initiating behavior change, and increasing awareness about stunting risks as part of prevention programs.Stunting is a significant public health problem for toddlers in developing countries. The prevalence of stunting in Indonesia in 2018 was 30.8%. Referring to the target of the National Medium-Term Development Plan (RPJMN) in 2019, the stunting rate of 28% has yet to be achieved. Determinants of stunting include direct and indirect factors. Direct factors are nutritional intake and infectious diseases. Indirect factors are food adequacy, parenting, sanitation, clean water, and essential health services. This study aims to summarize scientific evidence related to the relationship between sanitation and diarrhea factors and stunting in toddlers. This study uses meta-analysis, and article sources come from Google Scholar, Science Direct, and PubMed. Based on the inclusion requirements of the writing, namely informing about sanitation and diarrhea with stunting cases in toddlers, observational research designs, and publication years 2018–2022, 15 articles were obtained. Based on the meta-analysis results, sanitation (clean water) was the highest risk factor, with a pooled value of PR = 4.437 (95% CI 0.67–2.30). The lowest risk factor was latrines, with a pooled PR = 2.459 (95% CI -0.04–1.39). Analysis of diarrhea variables with pooled value PR = 1,404 (95% CI 0.12–0.56). It was concluded that the most significant risk was the clean water factor. Essential factors to control stunting risk are preparing the availability of clean water, advocating for local governments to take a leading role in providing clean water to areas in need, initiating behavior change, and increasing awareness about stunting risks as part of prevention programs

Abilities of Tomatoes (Solanum lycopersicum) as Bait in a Rat Trap

Rats are rodents that harm humans and carry diseases, so it is necessary to control rats by using bait traps to trap rodents. The community commonly uses dried fish as bait, but the nature of rats necessitates other variations. s. The purpose of using tomatoes was to determine the ability of tomatoes and dried fish to act as bait in rat traps. This type of research uses a quasi-experiment. This study employed the post-test-only control group design method, implementing three bait installation treatments: tomato, dried fish, and control. We conducted this research at the Bauntung market in Banjarbaru, repeating it 27 times with three treatments: tomato bait, dried fish, and no bait. The statistical tests revealed no significant difference in the average number of rats trapped in the bait between tomatoes and dried fish. This was because the number of mice trapped between tomato bait and dried fish bait did not show a significant difference. We expect the results of this study to provide valuable suggestions for Bauntung Market managers and future researchers on rat control using tomato bait traps.Rats are rodents that harm humans and carry diseases, so it is necessary to control rats by using bait traps to trap rodents. The community commonly uses dried fish as bait, but the nature of rats necessitates other variations. s. The purpose of using tomatoes was to determine the ability of tomatoes and dried fish to act as bait in rat traps. This type of research uses a quasi-experiment. This study employed the post-test-only control group design method, implementing three bait installation treatments: tomato, dried fish, and control. We conducted this research at the Bauntung market in Banjarbaru, repeating it 27 times with three treatments: tomato bait, dried fish, and no bait. The statistical tests revealed no significant difference in the average number of rats trapped in the bait between tomatoes and dried fish. This was because the number of mice trapped between tomato bait and dried fish bait did not show a significant difference. We expect the results of this study to provide valuable suggestions for Bauntung Market managers and future researchers on rat control using tomato bait traps

Increasing Levels of Hypurat Acid in Urin Shoes Craftsmen Tambak Oso Wilangun, Surabaya

The home industry in the Tambak Oso Wilangun sub-district, Benowo District, Surabaya City was a center for producing shoes in Surabaya. From the entire production process there was a chemical used as a shoe adhesive, namely glue. Toluene contained in the glue used as an adhesive was very volatile so easily inhaled and enters the respiratory tract of workers. The liver and kidneys had an important role in producing toluene metabolites, namely hippuric acid, which were then excreted very quickly into the urine. Urinary hippuric acid is the main metabolite of toluene and has long been considered a biomarker of toluene exposure. The study is based on observational analytical research method while the design uses a cross-sectional study in 2 populations consisting of the exposed group and the unexposed group. The sample size for two groups is 22 people. Measurements of hypuric acid levels using HPLC-UV. The level of hypuric acid in the exposed group had mean value 9,23 mg/g of creatinine was higher than the unexposed group has mean 8,21 mg/g of creatinine. The characteristics respondent related to the levels hypuric acid was the length of work and smoking habits. Conclusion: The level of hypuric acid were higher in the exposed group than the unexposed group.The home industry in the Tambak Oso Wilangun sub-district, Benowo District, Surabaya City was a center for producing shoes in Surabaya. From the entire production process there was a chemical used as a shoe adhesive, namely glue. Toluene contained in the glue used as an adhesive was very volatile so easily inhaled and enters the respiratory tract of workers. The liver and kidneys had an important role in producing toluene metabolites, namely hippuric acid, which were then excreted very quickly into the urine. Urinary hippuric acid is the main metabolite of toluene and has long been considered a biomarker of toluene exposure. The study is based on observational analytical research method while the design uses a cross-sectional study in 2 populations consisting of the exposed group and the unexposed group. The sample size for two groups is 22 people. Measurements of hypuric acid levels using HPLC-UV. The level of hypuric acid in the exposed group had mean value 9,23 mg/g of creatinine was higher than the unexposed group has mean 8,21 mg/g of creatinine. The characteristics respondent related to the levels hypuric acid was the length of work and smoking habits. Conclusion: The level of hypuric acid were higher in the exposed group than the unexposed group

Evaluation of Community Participation in Community-Based Drinking Water and Sanitation Programs

The availability of clean water plays a significant role in fulfilling the need for drinking water and sanitation, which are absolute necessities in human life. The Sustainable Development Goals (SDGs) aim to reduce the proportion of the population without access to safe and sustainable drinking water and basic facilities by half. Access to clean water and sanitation facilities is still tricky in some areas, triggering the implementation of the PAMSIMAS Program. Community involvement is critical to the program's sustainability. This study analyzes the forms and factors supporting and hindering community participation in the PAMSIMAS Program and the environmental benefits of areas that receive the program in Rantau Jaya Ilir village. Central Lampung Regency. This study employs a descriptive qualitative approach, incorporating a SWOT analysis. Planning for community participation in the PAMSIMAS Program is underway. The study shows that community participation can adequately manage the program and meet water needs. Age, gender, level of education, type of work, income, and knowledge are all internal factors. Government policies and regulations play a crucial role as external factors. Based on the research, stakeholders were told to invite the community to each socialization meeting and give suggestions. This way of developing the PAMSIMAS Program community empowerment can be copied and used to create infrastructure development programs in other places. This will help the regional government even more, and the government program for drinking water infrastructure and sanitation is expected to continue and be sustainable so that the infrastructure is kept up and working.The availability of clean water plays a significant role in fulfilling the need for drinking water and sanitation, which are absolute necessities in human life. The Sustainable Development Goals (SDGs) aim to reduce the proportion of the population without access to safe and sustainable drinking water and basic facilities by half. Access to clean water and sanitation facilities is still tricky in some areas, triggering the implementation of the PAMSIMAS Program. Community involvement is critical to the program's sustainability. This study analyzes the forms and factors supporting and hindering community participation in the PAMSIMAS Program and the environmental benefits of areas that receive the program in Rantau Jaya Ilir village. Central Lampung Regency. This study employs a descriptive qualitative approach, incorporating a SWOT analysis. Planning for community participation in the PAMSIMAS Program is underway. The study shows that community participation can adequately manage the program and meet water needs. Age, gender, level of education, type of work, income, and knowledge are all internal factors. Government policies and regulations play a crucial role as external factors. Based on the research, stakeholders were told to invite the community to each socialization meeting and give suggestions. This way of developing the PAMSIMAS Program community empowerment can be copied and used to create infrastructure development programs in other places. This will help the regional government even more, and the government program for drinking water infrastructure and sanitation is expected to continue and be sustainable so that the infrastructure is kept up and working.