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[ABSTRAK
Pendahuluan: Pekerja penyamakan kulit berpotensi terpajan oleh berbagai polutan pencemar udara, salah satunya kromium. Terhirupnya polutan kromium dapat mempengaruhi kesehatan seperti sesak nafas, batuk, penurunan fungsi paru, hingga kanker paru. Tujuan: Untuk mengetahui hubungan pajaran konsentrasi kromium di tempat kerja dengan gangguan fungsi paru. Metode: Penelitian ini menggunakan desain studi cross sectional terhadap 61 orang pekerja penyamakan kulit di Sukaregang Kabupaten Garut. Kapasitas vital paksa (FVC) dan volume ekpirasi paksa satu detik (FEV1) diukur menggunakan spirometri Datospris mod 120 Sibelmed. Kromium total di tempat kerja diukur menggunakan low volume sampler dan dianalisis menggunakan atomic absorbtion spectrofotometry (AAS). Hasil: konsentrasi kromium total di tempat kerja berkisar antara 3.94-11.79 μg/m3. Kondisi fungsi paru pekera penyamakan kulit sebagaian besar masih besar masih dalam keadaan normal (FEV1/FVC>75%). Analisis multivariat menunjukkan bahwa masa kerja dan pajanan debu kromium meningkatkan risiko tejadinya fungsi paru pada pekerja, (p 0.024) dengan 95% CI (0.086-0.830). Kesimpulan: setelah dikontrol dengan masa kerja, pekerja yang terpajan kromium lebih besar, berisiko terkena gangguan fungsi paru.

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ABSTRACT
Background: tannery workers have been potentially exposed to various air pollutants, such as chromium. Exposed by chromium can affect health status, such as shortness of breath, cough, decreased lung function, and lung cancer. Objective: to determine the relationship of chromium exposure in the workplace and worker?s pulmonary dysfunction. Method: this study used a cross-sectional design on 61 people working at tanneries in Sukaregang, Garut district. Lung function was measured by spirometry. Low volume of sample was used to measure the chromium in the air and analyzed using atomic absorbtion spectrofotometry (AAS). Result: the concentration of total chromium in the workplace ranged from 3.94-11.79 μg/m3, while most of worker?s pulmonary function still in normal condition. Multivariate analysis showed that length of exposure and chromium concentration increases the risk of pulmonary dysfunction in tannery workers, (p 0.024 95% CI 0.068-0.830). Conclusion: control by lenght of exposure showed tannery worker who expose to higher concentration of chromium, have more risk to get pulmonary dysfunction.;Background: tannery workers have been potentially exposed to various air pollutants, such as chromium. Exposed by chromium can affect health status, such as shortness of breath, cough, decreased lung function, and lung cancer. Objective: to determine the relationship of chromium exposure in the workplace and worker?s pulmonary dysfunction. Method: this study used a cross-sectional design on 61 people working at tanneries in Sukaregang, Garut district. Lung function was measured by spirometry. Low volume of sample was used to measure the chromium in the air and analyzed using atomic absorbtion spectrofotometry (AAS). Result: the concentration of total chromium in the workplace ranged from 3.94-11.79 μg/m3, while most of worker?s pulmonary function still in normal condition. Multivariate analysis showed that length of exposure and chromium concentration increases the risk of pulmonary dysfunction in tannery workers, (p 0.024 95% CI 0.068-0.830). Conclusion: control by lenght of exposure showed tannery worker who expose to higher concentration of chromium, have more risk to get pulmonary dysfunction., Background: tannery workers have been potentially exposed to various air pollutants, such as chromium. Exposed by chromium can affect health status, such as shortness of breath, cough, decreased lung function, and lung cancer. Objective: to determine the relationship of chromium exposure in the workplace and worker’s pulmonary dysfunction. Method: this study used a cross-sectional design on 61 people working at tanneries in Sukaregang, Garut district. Lung function was measured by spirometry. Low volume of sample was used to measure the chromium in the air and analyzed using atomic absorbtion spectrofotometry (AAS). Result: the concentration of total chromium in the workplace ranged from 3.94-11.79 μg/m3, while most of worker’s pulmonary function still in normal condition. Multivariate analysis showed that length of exposure and chromium concentration increases the risk of pulmonary dysfunction in tannery workers, (p 0.024 95% CI 0.068-0.830). Conclusion: control by lenght of exposure showed tannery worker who expose to higher concentration of chromium, have more risk to get pulmonary dysfunction.]

Abstrak :
ABSTRAK
Pendahuluan: Skripsi ini membahas mengenai dampak perubahan iklim terhadap kesehatan manusia, salah satunya penyakit diare. Penyakit diare masih menjadi ?pembunuh? kedua setelah pneumonia pada anak-anak. Di Indonesia sendiri, penyakit diare masih menjadi permasalahan kesehatan masyarakat. Penyakit diare yang terjadi masih erat kaitannya dengan kurangnya akses air bersih, sanitasi yang kurang memadai, dan air minum yang belum aman. Dalam penelitian ini mencoba melihat variasi iklim (suhu, kelembaban, curah hujan, dan hari hujan) terhadap kasus diare yang terjadi. Metode dan disain studi: Penelitian ini menggunakan data sekunder yang diambil dari Unit Surveilan Epidemiologi Dinas Kesehatan DKI Jakarta wilayah Jakarta Selatan untuk kasus diare dari tahun 2007-2011. Sedangkan data variasi iklim didapat dari Badan Meteorologi Klimatologi dan Geofisika Wilayah II Ciputat dari tahun 2007-2011. Penelitian ini menggunakan desain studi ekologi dengan menggunakan analisis regresi linear. Hasil: Pengujian statistik terhadap semua variabel bebas dan terikat, ditemukan hubungan yang bermakna antara jumlah kejadian kasus diare dengan curah hujan (p=0,004) dengan kekuatan hubungan sedang (r=370). Sedangkan variabel iklim lain seperti suhu, kelembaban, dan hari hujan tidak menunjukkan hubungan yang bermakna terhadap kejadian kasus diare di Kota Administrasi Jakarta Selatan tahun 2007-2011.

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Abstract
Introduction: This thesis discuss about the impacts of climate change on human health, one of which diarrheal disease. Diarrheal disease is still be the second "killer" after pneumonia in children. In Indonesia, diarrheal disease remains a public health problem. Diarrheal disease that occurs is closely related to the lack of access to clean water, inadequate sanitation, and unsafe-drinking water. In this thesis tried to look at variations of climate (temperature, humidity, rainfall, and rainy days) in cases of diarrhea occur. Methods and study design: This thesis uses secondary data taken from the Epidemiologi Surveillance Unit in Jakarta Health Agency for cases of diarrhea from the years 2007-2011. While the climatic variations data obtained from the Meteorology, Klimatologi and Geophysics Agency Region II Ciputat of the year 2007-2011. This study uses ecological study design, and using linear regression analysis. Results: Statistical testing of all the independent and dependent variables, found a significant association between incident cases of diarrhea diseases with rainfall (p=0.004) with the strength of the relationship being (r = 0.370). While other climate variables such as temperature, humidity, and rainy days do not show a significant relationship to the incidence of diarrhea in South Jakarta in 2007-2011.