Natural hot spring is one of the recreational water. The public used it for recreation, relaxation, and therapy. The water quality should meet standards, such as free from microorganisms to prevent the onset of health complaints. This paper aimed to identify the pathogenic microorganisms and recreational water illness in natural hot spring users from worldwide studies. Method: This systematic review analysis use PRISMA Protocol as a guide to provide this article and PEO Framework to specified the criteria. Various database used to find those article is NCBI, Google Scholar, and Science Direct. In total of 10 eligible articles to analyse from 2010 -2020. Discussion: The result showed that hot spring users experienced health complaints after using hot springs contaminated with pathogenic microorganisms. The microorganisms identified were Naegleria spp, Naegleria fowleri, Legionella pneumophila, Vittaforma corneae, Mycobacterium avium-intracellulare Complex (MAC), Pseudomonas aeruginosa, and Mycobacterium phocaicum. Recreation water illnesses identified were Primary Amebic Meningoencephalitis (PAM), Legionella pneumonia, Pseudomonas foliculitis, Pseudomonas mastitis, Microsporidial keratitis, Hot tub lung (HTL), and P. aeruginosa pneumonia. Besides the water quality, age, comorbid, and frequency of visiting hot springs were risk factors of recreational water illness. Conclusion: The onset of recreational water illness in users of hot springs was influenced by the quality of water microbiology and age.
Introduction: Exposure to organic dust in the agricultural industry can cause pulmonary function problems for workers. This study aims to know the determinant of pulmonary function impairment on rice mill workers in Ujung Pangkah, Gresik, East Java. Method: This study was an analytical observational study using a cross-sectional design. This study’s population were all rice mill workers in Ketapang and Glatik Villages, Ujung Pangkah, Gresik, East Java there were 25 people. The sample of this study was 16 people. The independent variable in this study was the sex, working period, smoking, and using a mask, while the dependent variable was the pulmonary function status of workers. The data respondent obtained a questionnaire, observations, and measurement of workers’ pulmonary function using a spirometer. Data analysis was performed in analytic descriptive with the Spearman correlation test. Result and Discussion: The Spearman test results are known that the working period (r = -0.022) and smoking (r = -0.160) were very weak and an inverse correlation with pulmonary function status. In comparison, the use of masks (r = 0.462) was adequate and directly correlated with pulmonary function status. Smoking and working period will describe the length of exposure to rice dust, affecting the pulmonary function status. The obedience of using masks to workers will reduce the risk of pulmonary function impairment. Conclusion: Working period, smoking, and using mask are determinants of pulmonary function impairment on rice mill workers in Ujung Pangkah, Gresik, East Java.
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