"DAMPAK PAJANAN PARTICULATE MATTER 2,5 (PM2,5) TERHADAP GEJALA PENYAKIT" by Ashila Diza Rahmadini and Budi Haryanto
  •  
  •  
 

Abstract

Background. According to studies, one of the places with highest activity that caused the release of this emission in in ports. Port activities such as delivering goods to and from the port caused high amount of PM2,5 to be released to the air and it can affect field worker, one of them is Acute Exacerbation Chronic Obstructive Pulmonary Disease or AECOPD. Methods. The study used observational design study with cross-sectional approach to 75 field workers whom had worked more than 1 year. Results. The results of this study indicate that PM2.5 exposure at the port has exceeded WHO levels of 35 µm / m3 and the number of respondents experiencing symptoms of acute exacerbation of COPD is already above the prevalence of COPD in DKI Jakarta, which is 1.6%. Conclusions. The statistic showed that the PM2,5 level has exceeded WHO limit of 35 µm/m3 while showed that there is no significance between PM2,5 and AECOPD Symtomps. The study suggested that health behavior of the workers should be changed, including using appropriate safety equipment.

References

  1. Airnow.gov. (2018). AirNow. [online] Available at: https://airnow.gov/index.cfm?action=airnow.global_summary#Indonesia$Jakarta_South [Accessed 27 Apr. 2018].
  2. Aqicn.org. (2018). Jakarta South (US Consulate), Indonesia Air Pollution: Real-time PM2.5 Air Quality Index (AQI). [online] Available at: http://aqicn.org/city/indonesia/jakarta/us-consulate/south/m/ [Accessed 27 Apr. 2018].
  3. Canadian Center for Occupational Health and Safety. (2017). How Do Particulates Enter the Respiratory System?. [online] Available at: https://www.ccohs.ca/oshanswers/chemicals/how_do.html [Accessed 6 Apr. 2018].
  4. Classification of Chronic Obstructive Pulmonary Disease (COPD) according to the new Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017: Comparison with GOLD 2011. (2017). COPD: Journal of Chronic Obstructive Pulmonary Disease, 15(1), pp.21- 26.
  5. CDC. (2016). CDC - Spirometry - Spirometry Training Program: NHANES III Reference Values - NIOSH Workplace Safety and Health Topic. [online] Available at: https://www.cdc.gov/ niosh/topics/spirometry/nhanes.html [Accessed 5 Apr. 2018].
  6. Cukic, V., Lovre, V., Dragisic, D. and Ustamujic, A. (2012). Asthma and Chronic Obstructive Pulmonary Disease (Copd) and #8211; Differences and Similarities. Materia Socio Medica, 24(2), p.100
  7. DeMeo, D., Zanobetti, A., Litonjua, A., Coull, B., Schwartz, J. and Gold, D. (2004). Ambient Air Pollution and Oxygen Saturation. American Journal of Respiratory and Critical Care Medicine, 170(4), pp.383-387.
  8. DeVries, R., Kriebel, D. and Sama, S. (2016). Low level air pollution and exacerbation of existing copd: a case crossover analysis. Environmental Health, 15(1).
  9. Direktorat P2PTM. (2016). Kenali Penyakit Paru Obstruktif Kronik (PPOK) - Direktorat P2PTM. [online] Available at: http://p2ptm.kemkes.go.id/bagian/subdit-penyakit-paru-kronik-dan-gangguan-imunologi/kenali-penyakit-paru-obstruktif-kronik-ppok [Accessed 15 Apr. 2018].
  10. Dockery, D., Pope, C., Xu, X., Spengler, J., Ware, J., Fay, M., Ferris, B. and Speizer, F. (1993). An Association between Air Pollution and Mortality in Six U.S. Cities. New England Journal of Medicine, 329(24), pp.1753-1759.
  11. Falcon-Rodriguez, C., Osornio-Vargas, A., Sada-Ovalle, I. and Segura-Medina, P. (2016). Aeroparticles, Composition, and Lung Diseases. Frontiers in Immunology, 7.
  12. Fahri, I., Sutoyo, D. and Yunus, F. (2009). Efek Peradangan Sistemik Pada PPOK Terhadap Sistem Kardiovaskular. Jurnal Respilogi Indonesia, 29(3).
  13. Global Initiative for Chronic Obstructive Lung Disease (2017). Pocket Guide To Copd Diagnosis, Management, And Prevention A Guide for Health Care Professionals. Global Initiative for Chronic Obstructive Lung Disease, p.6.
  14. Grunig, G., Marsh, L., Esmaeil, N., Jackson, K., Gordon, T., Reibman, J., Kwapiszewska, G. and Park, S. (2014). Perspective: Ambient Air Pollution: Inflammatory Response and Effects on the Lung's Vasculature. Pulmonary Circulation, 4(1), pp.25-35.
  15. Haerul, M. (2014). Analisis Pajanan Particulate Matter (PM) 2,5 pada Pekerja di Industri Pengolahan Batu Kapur di Desa Ciampea Kabupaten Bogor pada Tahun 2013. Undergraduate. Universitas Indonesia.
  16. ICD-10-CM Codes (2018). 2018 ICD-10-CM Diagnosis Code J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation. [online] Icd10data.com. Available at: http:// www.icd10data.com/ICD10CM/Codes/J00- J99/J40-J47/J44-/J44.1 [Accessed 27 Apr. 2018].
  17. Janssen, N., Fischer, P., Marra, M., Ameling, C. and Cassee, F. (2013). Short-term effects of PM2.5, PM10 and PM2.5–10 on daily mortality in the Netherlands. Science of The Total Environment, 463-464, pp.20-26.
  18. Kementerian Kesehatan Republik Indonesia (2016). Profil Kesehatan Republik Indonesia 2013. KEMENKES RI.
  19. Kurnia, L. and Keman, S. (2014). Analisis Risiko Paparan Debu PM 2,5 terhadap Kejadian Penyakit Paru Obstruktif Kronis pada Pekerka Bagian Boiler Perusahaan Lem di Probolinggo. Jurnal Kesehatan Lingkungan, 7 (2), pp.118-125.
  20. Li, J., Sun, S., Tang, R., Qiu, H., Huang, Q., Mason, T. and Tian, L. (2016). Major air pollutants and risk of COPD exacerbations: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, Volume 11, pp.3079-3091.
  21. Marpaung, Y. (2015). Pengaruh Pajanan Debu Respirable PM2.5 Terhadap Kejadian Gangguan Fungsi Paru Pedagang Tetap di Terminal Terpadu Kota Depok Tahun 2012. Sarjana. Fakultas Kesehatan Masyarakat Universitas Indonesia.
  22. Mueller, D., Uibel, S., Takemura, M., Klingelhoefer, D. and Groneberg, D. (2011). Ships, ports and particulate air pollution - an analysis of recent studies. Journal of Occupational Medicine and Toxicology, 6(1), p.31.
  23. Nall, R. (2017). COPD hypoxia: Causes, symptoms, and treatment. [online] Medical News Today. Available at: https://www.medicalnewstoday.com/articles/316136.php [Accessed 25 Mar. 2018].
  24. Ni, L., Chuang, C. and Zuo, L. (2015). Fine particulate matter in acute exacerbation of COPD. Frontiers in Physiology, 6.
  25. Pope III, C. (2002). Lung Cancer, Cardiopulmonary Mortality, and Long-term Exposure to Fine Particulate Air Pollution. JAMA, 287(9), p.1132.
  26. Siahaan, E. (2012). Pengembangan Pelabuhan Berwawasan Lingkungan (Ecoport) Dalam Rangka Pengelolaan Pesisir Terpadu (Studi Kasus Pelabuhan Tanjung Priok). Master Degree. Institut Pertanian Bogor.
  27. U.S. Embassy & Consulates in Indonesia (2018). U.S. Embassy Jakarta Air Quality Monitor. [online] U.S. Embassy & Consulates in Indonesia. Available at: https://id.usembassy.gov/embassy-consulates/airqualitymonitor/ [Accessed 27 Apr. 2018].
  28. US EPA. (2016). Particulate Matter (PM) Pollution | US EPA. [online] Available at: https://www.epa.gov/pm-pollution [Accessed 4 Apr. 2018].
  29. US EPA (2017). National Port Strategy Assessment: Reducing Air Pollution and Greenhouse Gases at U.S. Ports | US EPA. [online] US EPA. Available at: https://www.epa.gov/ports-initiative/national-port-strategy-assessment-reducing-air-pollution-and-greenhouse-gases-us [Accessed 24 Mar. 2018].
  30. Wang, H., Song, L., Ju, W., Wang, X., Dong, L., Zhang, Y., Ya, P., Yang, C. and Li, F. (2017). The acute airway inflammation induced by PM2.5 exposure and the treatment of essential oils in Balb/c mice. Scientific Reports, 7, p.44256.Mueller, D., Uibel, S., Takemura, M., Klingelhoefer, D. and Groneberg, D. (2011). Ships, ports and particulate air pollution - an analysis of recent studies. Journal of Occupational Medicine and Toxicology, 6(1), p.31.
  31. World Health Organization Europe Regional Office (2013). Health Effects of Particulate Matter. Copenhagen: WHO Regional Office for Europe.
  32. World Health Organization. (2016). Ambient (outdoor) air quality and health. [online] Available at: http://www.who.int/mediacentre/ factsheets/fs313/en/ [Accessed 4 Apr. 2018].
  33. World Health Organization (2016). GHO | World Health Statistics data visualizations dashboard | Ambient air pollution. [online] GHO. Available at: http://apps.who.int/gho/data/ node.sdg.11-6-viz?lang=en [Accessed 27 Apr. 2018].
  34. Xing, Y., Xu, Y., Shi, M. and Lian, Y. (2016). The impact of PM2.5 on the human respiratory system. Journal of Thoracic Diseases, 8(I), pp.E69-E74.
  35. Zanobetti, A., Franklin, M., Koutrakis, P. and Schwartz, J. (2009). Fine particulate air pollution and its components in association with cause-specific emergency admissions. Environmental Health, 8(1)

Bahasa Abstract

Latar Belakang. Berdasarkan studi, salah satu tempat dengan aktivitas tinggi yang dapat melepas emisi gas buang adalah pelabuhan. Aktivitas pelabuhan seperti bongkar muat barang dan pengantaran barag menghasilkan PM2,5 yang tinggi di lepas ke udara dan dapat mempengaruhi pekerja lapangan. Salah satu risiko yang ditimbulkan adalah risiko Penyakit Paru Obstruktif Kronis (PPOK) Eksaserbasi Akutm terutama pada pekerja yang bekerja lebih dari 1 tahun. Metode. Metode penelitian ini menggunakan studi desain observasional dengan pendekatan cross-sectional teradap 75 pekerja lapangan yang telah bekerja lebih dari 1 tahun. Hasil. Hasil penelitian ini menunjukkan bahwa pajanan PM2,5 pada pelabuhan sudah melebihi kadar diberikan WHO yaitu 35 µm/m3 dan jumlah responden yang mengalami gejala PPOK Eksaserbasi Akut sudah berada di atas prevalensi PPOK DKI Jakarta, yaitu 1,6%. Simpulan. Secara statistic, data menunjukkan tidak ada kaitan antara PM2,5 dengan kejadian gejala PPOK Eksaserbasi Akut. Temuan ini menyarankan bahwa adanya perbaikan dari perilaku hidup pekerja dan pemberian APD yang tepat.

Share

COinS