Evaluation of Anemia in the Residents of Tambaklorok Exposed to Plumbum

Authors

  • Budi Santosa Universitas Muhammadiyah Semarang, Semarang, Central Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6430

Keywords:

Anemia, Hemoglobin levels, Hematocrit levels, Erythrocytes levels, Plumbum

Abstract

BACKGROUND: Anemia is a health condition characterized by a decreased in the levels of hemoglobin (Hb), hematocrit (Ht), and the number of erythrocytes. It is usually caused through exposure to plumbum (Pb) common in most industrial areas. Based on several studies, Tambaklorok is located in the Northern part of the city of Semarang in Indonesia with Pb levels higher than the normal threshold.

AIM: Therefore, the purpose of this study was to determine the level of anemia among the residents of Tambaklorok based on the characteristics of the respondents.

METHODS: Characteristics assessed include length of stay in the area, the use of personal protective equipment (PPE), smoking habits, and consumption of shellfish. The methods are the cross-sectional research method was used with analytic study approach. The study sample was made up of 104 respondents with the characteristics evaluated through questionnaires. The levels of Hb, Ht, and erythrocytes were analyzed using Hematology Analyzer.

RESULTS: The results showed that 38.6% of residents with over 30 years of stay, 42.2% with other jobs, 45.3% not wearing PPE, 26.7% smokers, and 38.7% of respondents had anemia. In addition, the Gamma statistical test results showed a significant relationship between the use of PPE with the levels of Hb (p = 0.001) and Ht (p = 0.012).

CONCLUSION: The conclusion is generally, 41% of Tambaklorok residents in Semarang had mild anemia based on the industrial activities in the region.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Hoffbrand AV. Kapita Selekta Hematologi. 2013. p. 20-45.

McLean E. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993-2005. Public Health Nutr. 2009;12(4):444-54. https://doi.org/10.1017/s1368980008002401 PMid:18498676 DOI: https://doi.org/10.1017/S1368980008002401

World Health Organization. World Health Assembly Global Nutrition Targets 2025: Anaemia Policy Brief. Geneva: World Health Organization Publication; 2014.

Indonesian Ministry of Health Research and Development Agency. Basic Health Research, Indonesia: Indonesian Ministry of Health Research and Development Agency; 2013. https://doi.org/10.17501/24246735.2018.4105 DOI: https://doi.org/10.17501/24246735.2018.4105

Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci 2019;1450(1):15-31. https://doi.org/10.1111/nyas.14092 PMid:31008520 DOI: https://doi.org/10.1111/nyas.14092

Republic of Indonesia. Data and Information Center of the Ministry of Health of the Republic of Indonesia Smoking Behavior of Indonesian Society Public. Indonesia: Infodatin; 2014.

Keputusan Menteri Kesehatan. Basic Health Research Agency for Health Research and Development. Keputusan Menteri Kesehatan; 2009.

Arifin MS, Fadilah NA. Relationship between nutritional status and menstruation pattern with anemia incidence in adolescents. Indonesian: Indonesian Public Health Periodic; 2018.

Liu C. Association between blood erythrocyte lead concentrations and hemoglobin levels in preschool children. Environ Sci Pollut Res 2015;22(12):9233-40. https://doi.org/10.1007/s11356-014-3992-3 PMid:25588596 DOI: https://doi.org/10.1007/s11356-014-3992-3

Santoso B. Zinc supplementation improves heme biosynthesis in rats exposed to lead. Univ Med. 2016;32(1):3-9. DOI: https://doi.org/10.18051/UnivMed.2015.v34.3-9

UNEP. Study on the Possible Effects on Human Health and the Environment in Asia and the Pacific of the Trade of Products Containing Lead. Cadmium and Mercury. Nairobi, Kenya: UNEP.

Schwartz J, Landrigan PJ, Baker EL Jr., Orenstein WA, von Lindern IH. Lead induced anemia: Dose response relation and evidence for a threshold. Am J Public Health 1990;80(2):165-8. https://doi.org/10.2105/ajph.80.2.165 PMid:2297059 DOI: https://doi.org/10.2105/AJPH.80.2.165

Drossos CG, Mavroidis KT, Papadopoulou-Daifotis Z, Michalodimitrakis DN, Salamalikis LX, Gounaris AK, et al. Environmental lead pollution in Greece. Am Ind Hyg Assoc J. 1982;43(10):796-8. https://doi.org/10.1080/15298668291410594 PMid:7148684 DOI: https://doi.org/10.1080/15298668291410594

Froom P, Kristal-Boneh E, Benbassat J, Ashkanazi R, Ribak J. Lead exposure in battery-factors workers is not associated with anemia. J Occup Environ Med. 1999;41(2):120-3. https://doi.org/10.1097/00043764-199902000-00007 PMid:10029957 DOI: https://doi.org/10.1097/00043764-199902000-00007

Kariada N. Air quality levels on protocol roads. Sainteknol 2011;29(8s):1675-81.

Lemeshow S. Adequacy of sample size determination in health studies. In: Determination in Health Studies. Hoboken, New Jersey: John Wiley; 1990.

Rustanti I, Mahawati E. Factors related to blood levels of lead (Pb) in public transport fish farmers department of Tambaklorok Semarang city. J Public Health. 2011;10(1).

Soeripto M. Industrial Hygiene. 208:475.

Pratiwi TS. Factors Related to the Content of Blood Pb in Employees in the Vehicle Testing Section, the Department of Transportation. Yogyakarta: Doctoral dissertation, Diponegoro University; 2008.

Qoriah D, Setiani O, Dewanti N. Relationship between service levels and blood levels of lead (Pb) in metal casting industry workers Cv. Bonjor Jaya in Batur Village, Ceper, Klaten. J Public Health 2015.

Lazarević K. Determination of lead and arsenic in tobacco and cigarettes: An important issue of public health. Cent Eur J Public Health 2012;20(1):62-6. https://doi.org/10.21101/cejph.a3728 PMid:22571020 DOI: https://doi.org/10.21101/cejph.a3728

World Health Organization. WHO Food Standards Programme Codex Committee on Contaminants in Foods. Geneva: World Health Organization; 2011.

Lee KR, Ko KD, Hwang IC, Suh HS, Kim KK. Association between blood lead levels and blood pressures in a non-smoking healthy Korean population. Postgrad Med J. 2017;93(1103):513-8. https://doi.org/10.1136/postgradmedj-2016-134208 PMid:27555608 DOI: https://doi.org/10.1136/postgradmedj-2016-134208

Tielman EM, Suprijanto J, Widowati I. Safely intake number of Macridiscus sp. (Kerang Ceplos) from Tambak Lorok Waters, Semarang, Central Java, Indonesia. Yogyakarta, Indonesia: IOP Conference Series: Earth and Environmental Science, Volume 116, 3rd International Conference on Tropical and Coastal Region Eco Development 2017 2-4 October 2017; 2017. https://doi.org/10.1088/1755-1315/116/1/012079 DOI: https://doi.org/10.1088/1755-1315/116/1/012079

Downloads

Published

2021-08-08

How to Cite

1.
Santosa B. Evaluation of Anemia in the Residents of Tambaklorok Exposed to Plumbum. Open Access Maced J Med Sci [Internet]. 2021 Aug. 8 [cited 2024 Apr. 23];9(B):831-5. Available from: https://oamjms.eu/index.php/mjms/article/view/6430