Aktivitas pelayanan medis rumah sakit menghasilkan limbah medis yang berbahaya jika tidak dikelola dengan baik, dapat berdampak buruk bagi kesehatan lingkungan sekitar. Penelitiam ini bertujuan untuk mengevaluasi pengelolaan limbah B3 medis di RSUD. dr. M. Soewandhie Surabaya. Penelitian ini bersitaf deskriptif dengan metode kualitatif. Responden penelitian yaitu kepala instalasi sanitasi lingkungan, koordinator penanggung jawab limbah B3 medis, dan petugas pelaksana yang menangani limbah B3 medis. Obyek yang diteliti adalah pengelolaan limbah B3 medis menggunakan lembar check list. Kemudian dianalisis secara deskriptif. Hasil penelitian ini menunjukkan bahwa pperencaaan, pengorganisasian, pelaksanaan, dan pengawasan pengelolaan limbah B3 medis masing – masing mendapatkan kriteria penilaian “Baik”. Berdasarkan hasil penilaian tersebut. Evaluasi Pengelolaan Limbah B3 Medis Di RSUD. dr. M. Soewandhie Surabaya Pada Tahun 2020 mendapatkan prosentase 93,3% yang termasuk dalam kriteria penilaian “Sangat Baik” dan sesuai dengan Peraturan Menteri Kesehatan Nomor 7 Tahun 2019 Tentang Persyaratan Kesehatan Lingkungan Rumah Sakit. Disarankan kepada RSUD. dr. M. Soewandhie Surabaya untuk meninjau kembali perjanjian dengan pihak transporter dan segera melakukan pengadaan cold storage untuk mengantisipasi jika terjadi permasalahan keterlambatan pengangkutan oleh pihak transporter agar limbah B3 medis yang tidak terangkut dapat disimpan dalam jangka waktu yang lebih lama dengan suhu yang sesuai.

Vegetable waste that is not utilized causes an unpleasant odor effect and disturbs the aesthetics of the environment, wet waste thrown away can become a breeding ground for insects. One of the waste utilization methods is the manufacture of fish pellets. The purpose of this study is to utilize household vegetable waste used for fish feed pellets. The research design used was a pre-experimental design with a posttest only research design. The object of this research is vegetable waste originating from household activities. The treatments used were 3 variations of vegetables (20%, 30%, 40%) repetition which was carried out 3 times with a concentration of 1 kg. Making fish pellets using a machine that has been modified as a supporting tool for making pellets. The pellets produced were subjected to laboratory tests to determine the water content, ash content, fat content, crude fiber content, protein content referring to SNI (01-4087-2006) concerning catfish feed regulations. The results showed that from variation 1 (20%), variation 2 (30%) and variation 3 (40%) none of them met the Indonesian National Standard with water content, ash content, fat content, and protein content. crude fiber still does not meet because it is still under the provisions of SNI. It was concluded that there were no pellets made from vegetable waste that met the stipulation value of SNI. The percentage that can be reviewed for the formulation is that the percentage of shrimp head flour can be increased to 20% and the fine bran can be reduced to 40%. For the community, it can be useful to overcome the problem of vegetable waste being dumped directly into the surrounding environment without any processing of the vegetable waste to be used as fish feed pellets.

Abstrak Kualitas pengolahan air limbah saat pandemi Covid-19 pada parameter BOD, COD, Phospat, NH3 dan MPNColiform di RSUD Bhakti Dharma Husada tidak memenuhi syarat. Tujuan penelitian ini untuk mengetahuiefektifitas pengolahan air limbah terkait pandemic covid-19. RSUD Bhakti Dharma Husada wajib melakukanpengelolaan air limbah sesuai protokol kesehatan hingga air limbah aman untuk dibuang kelingkungan. Metode penelitian adalah deskriptif analitik dengan desain pre dan post cross sectional . Populasi adalah airlimbah dari IPAL RSUD Bhakti Dharma Husada sebelum dan sesudah diolah berjumlah 10 sampel denganmetode grab sampel. Instrumen yang digunakan adalah hasil uji sampel yang diperiksa di Laboratorium yangterakreditasi. Hasil uji laboratorium dibandingkan dengan Keputusan Gubernur Jawa Timur Nomor 72 tahun2013 tentang Baku Mutu Limbah Cair Bagi Kegiatan Industri dan atau kegiatan lainnya. Hasil penelitianmenunjukkan efektifitas IPAL di RSUD Bhakti Dharma Husada dalam menurunkan parameter BOD, COD NH3,phospat dan total koliform.Hasil analisa menunjukkan pengolahan limbah cair sebelum dan sesudah parameterBOD dan COD efektif namun untuk parameter Phospat dan Total koliform kurang efektif. Sehingga air limbahpada parameter phospat, amoniak dan total coliform masih belum memenuhi baku mutu limbah cair menurutPeraturan Gubernur nomor 72 tahun2013 Tentang Baku Mutu Limbah industry dan atau kegiatan lainnya.Instalasi Pengolahan Air Limbah (IPAL) system biofilter anaerob aerob RSUD Bakti Dharma Husada kurangoptimal saat pandemic covid-19, sehingga perlu di lakukan modifikasi atau perbaikan pada bak aerob.Kata kunci : Air limbah rumah sakit, Covid -19, BOD, COD, Phospat, Amoniak, Total Coliform

Dengue Hemorrhagic Fever (DHF) in Indonesia has increased from year to year. Community usually used chemical insecticides to control dengue fever. However, the continuous use of chemical insecticides will have a negative impact on the environment and humans and the possibility of resistance to mosquitoes. An alternative that can be done is to use a bioinsecticide made from noni leaves (Morinda Citrifolia L.) which contains flavonoids, saponins and alkaloids. This study aimed to analyze the toxicity of noni leaf (Morinda citrifolia L.) as an electric mat to the death of the Ae. aegypti. The type of research is a quasi-experimental study with a posttest only research design with a control group design using 4 variations of 1 gram, 1.5 gram, 2 gram, 2.5 gram with five repetitions. The samples used were 25 Ae. aegypti mosquitoes.  Statistical analysis used is One Way Anova Test and Probit Test. The results of the average percentage of deaths during 24 hours of observation were 30%, 41%, 54% and 68%. One Way Anova test showed the value (p-valuee=0.000). The probit test showed the LC50 of 1.735 gram/6m3. The conclusion of this research is noni leaf has toxicity to kill the Ae. aegypti mosquito. However, its effectiveness is still below the WHO requirements because it has not reached 90%.