Introduction: Indonesia is a country with a high geographical distribution of hepatitis A. In June 2019, the government established the status of hepatitis A outbreaks in Pacitan District, which is spread across several districts. Based on data from the District Health Office of Pacitan, there were 1,310 peoples with hepatitis A on October 2019. Through this study, the relation between knowledge, attitudes, and personal hygiene as risk factors of hepatitis A outbreaks in Pacitan District can be identified. Methods: Observational analytic methods and case control research design were used in this study. The population was 280 people. The sample consisted of 60 peoples with case of 30 peoples and control of 30 peoples. Case and control samples were taken randomly (simple random sampling). The research data were collected using the interview method, then analyzed using the Chi Square test and the Contingency Coefficient. Results and Discussion: There was a correlation between knowledge level with the occurrence of hepatitis A outbreaks (p-value = 0.002 <0.05), attitudes with hepatitis A (pvalue = 0.004 <0.05), and personal hygiene with the occurrence of hepatitis A outbreaks (pvalue = 0.001 <0.05). Conclusion: Inadequate knowledge, inappropriate personal hygiene lead to the spread of hepatitis A outbreaks in the working area of Primary Health Care of Ngadirojo, Pacitan District.

Poor habits of food handlers are primary and secondary source of pathogens or toxigenic micro-organisms which are ready to be infected through food, either via direct or indirect contactwhich is causing enteric diseases among humans. Food borne diseases can be prevented bygiving education to food handlers as suggested by the regulation issued by MoH No.1096/Menkes/Per/VI/2011 about Hygiene Sanitation for Catering Service, which is known as FoodHygiene and Sanitation Course. This course is conducted by two methods, i.e. through lectureand tutorial. The aim of the study was to identify the difference about knowledge mastering between pre-couse and post-course, among the food handlers of PT “X” Catering Service in Madiun. The study was a true experiment with pre-test post-test control group design. From 55food handlers as the study population, 32 were randomly selected as the sample, of which 16were assigned to lecture group and the other 16 to tutorial one. The data were analyzed by ttest, and the results show that the knowledge receiveness about food hygiene and sanitationamong the food handlers between pre-course and post-course is significantly different, either inthe lecture group (p-value<0,001) or in the tutorial group (p-value<0,001). The mastering ofcourse material through tutorial method increased higher (17,3 %), compared with that of lecture method which was only 17,3 %. To conclude, the mastering of course material betweenpre-course and post-course is different, either through lecture method or tutorial method.

Prevalensi kecacingan masyarakat Indonesia tinggi. Upaya mewujudkan tercapainya derajat kesehatan masyarakat yang optimal melalui upaya pengawasan terhadap kualitas makanan yang dikonsumsi oleh masyarakat. Pemeriksaan kualitas lalapan kubis, daun kemangi, selada dan mentimun merupakan jenis sayuran yang banyak dikonsumsi oleh masyarakat menjadi fokus dalam upaya pengawasan. Tujuan dari penelitian ini adalah untuk mengetahui adanya kontaminasi telur cacing parasit usus pada lalapan pecel lele yang dijual pedagang kaki lima di sekitar Kampus 7 dan Kampus 8 Poltekkes Kemenkes Semarang tahun 2022. Penelitian ini menggunakan jenis penelitian deskriptif yang dilaksanakan pada tempat pecel lele pedagang kaki lima sekitar Kampus 7 dan Kampus 8 Poltekkes Kemenkes Semarang Kabupaten Banyumas Provinsi Jawa Tengah. Hasil penelitian menunjukkan 3 (37,5%) sampel lalapan kubis yang diambil pada tempat pecel lele pedagang kaki lima positif mengandung telur cacing parasit usus. Teridentifikasi telur cacing parasit usus dari jenis Ascaris lumbricoides dan Enterobius vermicularis. Hasil observasi kondisi sanitasi pada tempat pedagang kaki lima menunjukkan sebesar 100% tempat tidak memiliki tempat sampah tertutup, 5 (62,5%) tempat yang tidak memiliki fasilitas cuci tangan yang memenuhi syarat yaitu tersedia tempat cuci tangan, tersedia sabun cuci tangan serta air yang mengalir, dan 7 (87,5%) tempat yang tidak memiliki fasilitas tempat mencuci peralatan yang terdiri dari lebih dari 2 bak pencucian. Puskesmas setempat perlu memberikan penyuluhan terkait prinsip higiene sanitasi makanan dan sanitasi tempat penjualan makanan kepada pedagang kaki lima di sekitar kampus 7 dan kampus 8 Poltekkes Kemenkes Semarang agar kualitas dan keamanan makanan yang dijajakan meningkat serta tidak menjadi media penularan infeksi parasit usus.