Suchergebnisse

Hepatitis A is a fecal oral disease which is still a public health problem in Indonesia. The Pacitan Regency Government has determined an extraordinary event (KLB) of Hepatitis A since June 25th, 2019, there were 1,310 confirmed cases. This research aims to determine the relation between well contamination and the incidence of Hepatitis A.This study used a case control design by means of observation and measurement of 36 dug wells randomly selected from 18 cases and 18 controls based on inclusion criteria. The water microbiology examination was carried out at the Surabaya Health Polytechnic Laboratory with the Most Probable Number (MPN) method, and the data analysis technique used was the serial point coefficient correlation.The results suggested that all observed well water was contaminated by E. coli bacteria, and more than half of them did not meet the construction requirements, namely from the aspect of distance from pollutant sources, walls, lips and well floors. The analysis results suggested a relation between Escherichia coli contamination and well construction (p-value = 0.036). However, it did not show a significant relation with the incidence of Hepatitis A (p-Value = 0.514).Improved well construction, increased knowledge, and hygiene behavior are efforts of which must be made in managing Hepatitis A.

Introduction: The increase in medical waste in health service facilities in Indonesia is linearly consistent. The quantity of medical waste that causes a complex problem is a high cost of processing clinical waste. Legislation requires medical or clinical waste to be processed not to cause nosocomial and other environmental pollution. Medical or clinical waste treatment requires excessive technology and very high processing expenses. Processing medical waste requires innovation in processing medical waste to be applied easily in health care facilities (Public Health Center). Method: This research was conducted by simulating variations in the stages of processing medical waste used to be the Experiment Pre and Post Test only without Control Group design. Simulation variations used include contact time Chlorine (5 minutes, 10 minutes) and Chlorine Dose Variation (25 ppm, 50 ppm). This research was conducted in the Public Health Center of the City of Banjarbaru in 2018. Result and Discussion: The content of bacteriological numbers in medical waste before processing is, on average, 1,973 MPN / 100 ml; after being treated with MWT-P, the bacteria is reduced to 4 MPN/100 ml. The content of the liquid waste bacterial number of the final processing decreases to 0 MPN/100 ml. Conclusion: The study results concluded that the use of MWT-P decreases the quantity of medic or clinical waste microorganisms or bacteria. The final waste processing with MWT-P resulted in the number of medical waste bacteria in the treatment reaching zero. MWT-P is a low cost and easy to perform medical or clinical waste management tool. MWT-P is a stage of the B3 waste management framework, especially medical waste, in health care facilities.