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Background: The tip of iceberg phenomenon in Indonesia, which is related to drug abuse, is already at an alarming stage. The effects of Tramadol drug abuse are not only on the health side but on the socio-economic aspects of society as well as security and order. The POM Agency has issued Head of POM Agency Regulation No.10 Year 2019 regarding Guidelines for the Management of Certain Drugs which are often misused with the aim of protecting the public from misuse and misuse of certain drugs. PBF is a distribution company for certain drugs which is suspected to still be a gap for the distribution of certain drugs such as Tramadol. This study aims to determine the implementation of the policy of managing certain drugs which are often abused in Jakarta specifically the distribution of tramadol drugs by PBF. Subjects and Methods: This study used a qualitative approach by means of interviews and document review, this research was conducted in March to June 2020. The main informants in this study were BPOM officials, BBPOM in Jakarta, Jakarta Provincial Health Office and 6 PBF. The variables studied were the size and objectives of the policy, resources, characteristics of the implementing agency, communication between organizations, disposition of implementers, and the social, economic, political environment. Data were collected by interview and document review. Data were analyzed descriptively. Result: the implementation of policies on the management of certain drugs which are often abused in Jakarta, especially the distribution of Tramadol drugs by PBF has not been optimal. The size and objectives of the implementation policy are optimal. Resources in the form of budgets have not been allocated specifically, facilities are good, HR is not optimal in terms of numbers, Characteristics of implementing agencies in the form of relationships between organizations are not optimal and fragmentation is good, Communication between organizations namely transmission, consistency and clarity is optimal, Implementing disposition in the form of understanding , the direction of acceptance and intensity is good, and social, economic and political environmental factors have supported the implementation of the policy. Conclusion: The performance of the implementation of policies on the management of certain drugs which are often abused in the Jakarta area, in particular the distribution of Tramadol Medicines in the Regulation of the Head of POM RI Number 10 of 2019 based on the theoretical variable Van meter and Van horn approach in general has not been optimally implemented.
Street food (SF) is popular and loved by people around the world. Every day, as many as 2.5 billion people worldwide and millions of people in developing countries consume street food. In developing countries, SF generally prepares their food in open spaces with poor hygiene practices, inadequate sanitation infrastructure, and a lack of clean water. Many countries reported food contamination by E. coli, including India, Indonesia, Ethiopia, Mexico, Philippines, China, and Sudan. These countries are associated with poor sanitary hygiene. This study aims to analyze the relationship of sanitary hygiene (food ingredients, cooked food storage, equipment, and personal hygiene of food handlers) with Escherichia coli contamination on street food in developing countries. The study design used in this research is a systematic review using the PRISMA method, analyzed by narrative synthesis on 10 works of literature, with details of 9 journals and 1 thesis published between 2012 and 2021. Based on the review result, all literature was conducted in Indonesia, using a cross-sectional study design, and only 1 literature whose instrument was tested for reliability. Most of them use reference journals, books/modules/dictation, and regulations/official publications of relevant agencies. The variable that is widely studied is the personal hygiene of food handlers. The conclusion in this study, on food ingredients the problems found are the open storage and the use of unlicensed food ingredients. The problem with cooked food storage is that the food is stored in open containers. On the equipment variables, the researcher found that they rarely washed and the absence of specific storage. For the personal hygiene of food handlers, the problems are the lack of washing hands with soap, not using PPE, and bad habits, such as smoking, scratching limbs, sneezing, wearing jewelry, and not covering wounds
Outdoor air pollution has become one of the greatest environmental risks to health. Street vendors are considered to be the population at risk because they work long hours and are constantly exposed to air pollution. This study aims to estimate the health risks due to exposure to particulate risk agents, namely Total Suspended Particulate (TSP), PM10, and PM2.5 to street vendors in Glodok Urban Village, West Jakarta. The study used an Environmental Health Risk Analysis (EHRA) approach using primary data with a sample of 65 street vendors. Based on the measurement results, the concentration of TSP was 43 g/m3, PM10 was 25 g/m3, and PM2.5 was 16 g/m3. All particulate concentrations are still below the Indonesian quality standards, but PM2.5 has slightly exceeded the World Health Organization (WHO) quality standards. Based on the results of calculations using the average and median values, the risk level of all particulate exposures (TSP, PM10, PM2.5) shows an RQ1 or is declared safe. Based on the calculation results of each respondent, there are 2 respondents at risk of exposure to PM10 and PM2.5. Risk management that can be done is to reduce the concentration of particulates to a safe limit, one of them is by developing fuel substitution with more environmentally friendly and using alternative sources of low-pollution energy such as electric power.
Kata kunci: PM2,5 , pedagang, terminal kampung rambutan, status merokok, gangguan fungsi paru.
This study aims to determine the relationship between ambient air PM2.5 concentrations to impaired lung function among sellers at Kampung Rambutan Bus Station, Jakarta City. The results showed ambient PM2.5 reached 89 μg / m3. The proportion of impaired lung function was 79% of 68 respondents (restrictive type 73% and restrictive and obstructive mixture 6%). There was no significant relationship between PM2.5 concentration and impaired lung function in Kampung Rambutan Bus Station seller (p value = 0.215, CI: 0.555-13,700). It was found there is significant relationship between smoking status (p = 0.015) and work time (p value = 0.047) with impaired lung function. There were no other factors such as disease history, duration of work, and age with the occurrence of impaired lung function among sellers at Kampung Rambutan Bus Station. Furthermore, it is necessary to improve the terminal environment, change smoking behavior and multisector cooperation related to disease prevention.
Keyword: PM2,5, sellers, kampung rambutan bus station, smoking status, impaired lung function
