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BACKGROUND: The condition of solid waste in Medan City is very worrying. 37.3% of waste in Indonesia comes from household activities. The residents of Medan city produce 5,616 m3/day or 2,000 tons/day of waste, the increasing of waste reaches 2%-4% annually and was not transferred to landfill. This condition created problems for the environment both in terms of esthetics, as well as public health problems. The government has issued regulations to limit household waste and reduce and recycle household waste. Community participation is very much needed in the waste problem. AIM: The research aim was to analyze reduced activity across the generations. METHODS: This research was an descriptive survey and used cross-sectional design to measure reuse actions. The data were collected from three generations X, Y, and Z, it was 600 respondents as sample. This study was located in Medan City with 15 sub-districts. The techniques of data collection were using cluster sampling. The techniques of data collection was using cluster sampling. The questiontionare used in this study consist of waste management knowledge and reduce action questions. The type of data is numeric and data analyzed by ANOVA test. RESULTS: The study shown characteristics of the sample by sex; 30.5% male, 69.5% female. The level of education in this study was 18.2% primary education, 71.5% secondary education, and 10.3% higher education. Meanwhile the characteristics by age was 26.8% Gen X, 32.4% Gen Y and 40.8% Gen Z. Amount 42.8% of the sample had taken the reduced action. Generation Z has the most dominant percentage (41%), followed by Generation Y (32.3%) and Generation X (26.8%). The result of analyze reduce action in across generations using ANOVA Test shown p = 0.001. CONCLUSIONS: The reduced action was dominated by Generation Z (42.8%). The most frequent reduce action was the used of towels and old bed linen which are cut into small pieces to be used as rags and the lest was preferred to buy second-hand clothes instead of buying new clothes. There were differences in reduced actions between generations. Each generation is expected to have awareness and cooperation in reducing actions, especially Generation Z, which is an agent of change in reducing the volume of waste. The understanding of each generation toward waste management needs to be improved through health promotion.

The purpose of this study was to analyze the relationship between basic sanitation facilities and personal hygiene with the incidence of diarrhea in breastfeeding infants in Sinabung post-eruption settlement, Berastagi District, Karo Regency in 2021. This study was a quantitative study with a Cross Sectional Study design. Data analysis using chi-square test with a sample of 100 mothers who have toddlers aged 6-24 months. The results showed that the related variables were basic sanitation facilities (p=0.014) and hand hygiene (p=0.020) with the incidence of diarrhea in breastfeeding infants. Suggestions for this study to health workers are expected to carry out health promotion and education about basic sanitation and personal hygiene to mothers whose toddlers do not experience diarrhea to prevent an increase in cases of diarrhea and to provide treatment and education to mothers whose toddlers experience diarrhea so as not to occurrence of complications or severity of diarrhea to prevent death.

Penyakit Demam Berdarah Dengue adalah penyakit endemis di Kota Medan. Iklim mengubah dinamika transisi vektor penyebar penyakit dan kepadatan penduduk menyebabkan peningkatan kontak antara vektor dan manusia. Penelitian ini bertujuan menganalisis secara spasial distirbusi demam berdarah dengue berdasarkan kondisi iklim dan kepadatan penduduk di Kota Medan dengan pendekatan studi ekologi dengan menggunakan data sekunder. Analisis data dilakukan secara univariat, bivariat dengan menggunakan uji korelasi Spearman dan Pearson. Hasil penelitian menunjukkan secara statistik ada hubungan kejadian DBD dengan suhu udara (r = -0,374 dan p=0,001), kelembaban (r = -0,370 dan p= 0,001), sedangkan kejadian DBD tidak memiliki hubungan dengan curah hujan (r = 0,078 dan p= 0,516) dan kepadatan penduduk (r = -0,180 dan p=0,067). Dari hasil secara spasial daerah kerawanan tinggi DBD adalah Kecamatan Medan Tuntungan, Medan Johor, Medan Denai, Medan Selayang, Medan Sunggal, Medan Helvetia, Medan Deli