Abstract. Djati RRAP, Kusnoputanto H, Utomo SW, Sakundarno M, Dewabrata PW, Duad HAH, Wicaksono MA. 2020. Short Communication: Leptospirosis control based on eco-social factors: Modeling combination in Demak, Central Java, Indonesia. Biodiversitas 21: 5818-5828. Ecological habitats and niches of leptospirosis as one of the environmental-based diseases need to be explored in an in-depth study based on eco-social analysis. The objective of this study was to develop an integrated leptospirosis control model based on eco-social factors. The location of the study was in Demak districts, Indonesia. Geographic coordinate data of cases during 2008-2018 were determined from the survey results of District Health Offices. Climatic and environmental data were obtained from Indonesian Meteorological, Climatological, Geophysical and Geospatial Information Agencies. Data on social factors were obtained by interviewing diseased persons using in-depth interview. Recorded cases and corresponding point location environmental data were then analyzed using ArcGIS and MaxEnt programs. Social network analysis was used to describe the factors involved in efforts to control leptospirosis and the relationship. The model predicted that the intervention was biological control, which had the highest leverage to reduce the morbidity rate. Health workers played an important role in efforts to control leptospirosis, although they were supported by self-supporting roles of the community. Management and control of natural and socio-environmental risk factors are very important. Combination model based on eco-social approach would be a useful tool to design and implement appropriate leptospirosis control.
The health service industry involves activities that provide medical services (hospital), manufacture of medical equipment or drugs, and medical insurance services. Options of research methods to measure the impact of services on environmental aspects are available. One among which is life cycle analysis (LCA), the recently popular practice in Indonesia. This paper attempts to explore whether LCA could be fitted to the health service industry. A literature review would help in procuring related references from various publications accompanied by several research results and related studies. For describing the application of LCA in hospitals, several articles were collected, which were later arranged according to certain systematics from several sources. The LCA methodology used here consists of the following four stages: goal and scope definition, life cycle inventory analysis, impact assessment, and interpretation. The stages follow the International Organization for Standardization (ISO) 14040 and UNEP SETAC, 2011. Several studies using the LCA method in hospitals have reported specific profiles such as the management of biohazardous medical waste (BMW) and waste water. Several studies have also used LCA methods to assess specifically the environmental and health impacts of a specific component of the hospital or hospital activities. For example, studies have assessed the impact of equipment used in the form of containers, catheter, laryngeal mask, gowns and also infrastructures' facilities. The results of this study confirmed that the LCA method is suitable in health service industry, particularly in hospitals. Considering the merits and drawbacks involved in applying this method, one could further apply it to related health service issues.
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