Respiratory Health of Children Exposed to PM10: Consequence of Construction Waste Open Dumping

@#Introduction: Due to rapid urbanization, Malaysia is currently undergoing extensive amount of construction activities and significant rise in the construction waste. Improper construction wastes management practices have led to rise in the waste open dumping sites which may significantly affect the environment and public health. This study was undertaken to assess air pollution in such a site and the impact to the respiratory health of children studying in a nearby school. Methods: A comparative cross-sectional study was conducted in Sungai Buloh (exposed) and Kuala Selangor (comparative). Concentration of PM10 was monitored at the open dumping site (n=15), a nearby primary school (n=45) and a comparative primary school (n=12). Parents who gave consent (n=229) answered a questionnaire related to child’s respiratory health whereas their children participated in lung function assessment. Results: Concentration of PM10 at the dumping site, exposed school and comparative school was 0.245±0.048mg/ m3, 0.270±0.020mg/m3 and 0.051±0.016mg/m3 respectively, with the first two significantly exceeded the 24-hour Malaysian Air Quality Standard (MAQS) for PM10 (0.150mg/m3). Besides, PM10 concentration in the exposed school was similar to the dumping site (p>0.05) and many folds higher than the comparative school (p<0.001). There was a significant risk of cough (PR=1.55), phlegm (PR=1.70), wheezing (PR=1.55) and obstructive pattern of lung function defect (PR male = 4.36; PR female = 3.65) among the exposed group children than their comparative counterpart. Conclusion: Open dumping of construction waste would release substantial amount of PM10 into ambient air and ultimately affect the respiratory health of community, especially children.

Physicochemical Properties and Water Quality Parameter of Paddy Soil and Water and Their Relationship With Pesticides Concentration

@#Introduction: Pesticides may influence the physicochemical properties of soil and the water quality parameters, which is vital in maintaining soil fertility and producing high quality crops. Objective: This study aims to determine the relationship between the concentration of pesticides, the physicochemical properties of the paddy soil samples and the water quality parameters of paddy water samples. Methods: A total of 72 soil and 72 water samples were collected in Tanjung Karang, Malaysia. The paddy soil and water were extracted using Quick, Easy, Cheap, Efficient, Rugged and Safe (QuEChERS) and solid phase extraction (SPE) techniques respectively. The concentrations of pesticides were analysed in ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS). The relationship of the concentration of target pesticides and the paddy soil and water physicochemical properties were studied using Spearman correlation. Results: In paddy soil, the concentration of propiconazole shows moderate positive correlation with manganese (Mn) (r = 0.587) (p≤ 0.01). Meanwhile buprofezin-total organic carbon (TOC) (r = -0.55) (p≤ 0.01), imidacloprid-cation exchange capacity (CEC) (r = -0.519) (p≤ 0.01), pymetrozine-sodium (Na) (r = -0.588) (p≤ 0.01), and trifloxystrobin-calcium (Ca) (r = 0.566) (p≤ 0.01) showed moderate negative correlation. Whereas in water, trifloxystrobin showed significant positive correlation with turbidity (r = 0.718) (p≤ 0.01) and tebuconazole showed negative correlation to dissolved oxygen (DO) (r = 0.634) (p≤ 0.01). Conclusion: The presence of pesticides in paddy field may influence the soil and water quality, thus regular monitoring of pesticides usage and nutrient management in soil is deemed important.

Respirable Particulate (PM10) and Its Heavy Metals Concentrations from Bauxite Mining in the Vicinity of Urban Kuantan, Malaysia: Inhalation Health Risk Assessment

@#Introduction: Bauxite ore contain various heavy metals especially aluminum, if exposed excessively is detrimental to the respiratory system. Objective: This study aimed at determining the PM10 and its Al, As, Cd, Cr, Ni and Pb content and assessing the inhalation health risk assessment (HRA) among the community. Method: This cross-sectional study was conducted in Kuantan on 162 randomly selected respondents in three residential areas; Felda Bukit Goh (FBG), Jalan Besar Bukit Goh (JBBG) and Kuantan Port Consortium Flat (KPCF). Questionnaires were used to obtain the background information and health symptoms. PM10 with its heavy metals were subsampled for 24 hours using air sampling pumps in 42 randomly sub-sampled households from the 3 areas. Results: PM10 exceeded 150 µg/m3 and the Al, Cd, As, Cr, Ni and Pb levels exceeded the standard limit. The hazard quotient (HQ) of Cd in JBBG (4.13), Cr in FBG (74.06), JBBG (84.41), KPCF (76.87) and Ni in FBG (60.53), JBBG (66.95) and KPCF (58.81) exceeded the HQ value of 1. The lifetime cancer risk (LCR) exceeded the level of 0.0000001 for Cr in FBG (0.0252), JBBG (0.0288) and KPCF (0.0262), as well as for Ni in the FBG (0.000184), JBBG (0.000204), and KPCF (0.000179) areas. Conclusion: The PM10 levels exceeded the USEPA guidelines while Al, Cd, As, Cr, Ni and Pb exceeded the ATSDR limit. The Cd, Cr and Ni posed non-carcinogenic and carcinogenic health risks. Therefore, health risks from the PM10, Cd, Cr and Ni exposures were found in this study.

Sick Building Syndrome among Office Workers in relation to Office Environment and Indoor Air Pollutant at an Academic Institution, Malaysia

Abstract@#Introduction: Good indoor air quality (IAQ) is important for workers’ well-being whilst simultaneously optimize work productivity and job performance of the workers in an office. This study aims to determine the association between the sick building syndrome (SBS) in relation to the personal factors, indoor office environment and indoor air pollutants at an academic institution in Malaysia. Methods: A total of 342 office workers; made up of 188 (55%) female and 154 male (45%), from 14 different office buildings; made up of administrative, faculties, centers, institutes and school, participated in this study. A self-administered questionnaire was used to determine symptoms related to SBS. Real time readings of IAQ parameters were conducted three times daily for 15 minutes /sampling point. Results: Results showed higher prevalence of the SBS symptoms generally among women; diagnosed asthma was positively associated with mucosal symptoms; current smoking was significantly associated with skin symptoms; and centralized air conditioning system, the use of photocopiers, printers or fax machines for more than 1 hour per day and installation of a new carpet in the office environment were significant risk factors of SBS. After adjusting for demographic characteristics, formaldehyde, ultrafine particle and total volatile organic compounds were significantly associated with mucosal symptoms. Conclusion: Demographic characteristics, indoor office environment and indoor air pollutants were significant risk factors of SBS among workers in this study. It is highly recommended to maintain good housekeeping and to isolate printers and photocopier machines from the main workplace since both were sources of particulates.

Exposure to Microbial Contaminants in Metalworking Fluids (MWF) and the Fractional Exhaled Nitric Oxide (FeNO) Levels among Machining Industry Workers

Abstract@#Introduction: Water based Metalworking fluids (MWF) are commonly used in machining industries and are excellent media for microorganism growth. The study aimed at determining the relationship between the airway inflammation as indicated by fractional exhaled nitric oxide (FeNO) with the microbial contaminants of MWF in aerosol and bulk sample as well as the workers’ reported respiratory health symptoms. Methods: This cross sectional study was carried out on 138 machining workers. Their FeNO were measured using NIOX-MINO instrumentation. The microbial assessments of bacteria and fungus were carried out on the MWF bulk samples and the aerosol using a sampler DUO SAS SUPER 360TM. Results: Findings showed significant difference in the FeNO levels in workers from various job sections (p=0.01). Significant relationships found between high FeNO levels with their closeness to the machines (p=0.03), high number of machines in the workplaces (p=0.02), high environmental bacteria colonies (p=0.04), longer employment years (p<0.001) and more frequent cough reported (p=0.03). Conclusion: Risk factors in the workplace which contributed to higher airway inflammation include their short distance and high number of machines, high environmental bacteria colonies in aerosol and bulk samples as well as longer employment years. Exposures to MWF had also resulted in significantly increased coughing among the respondents.

The Chromosomal DNA Damage in Buccal Mucosa Cells among Schools Children in The Vicinity Of Mobile Base Stations in Selangor

Abstract@#Introduction: The increased use of mobile phones has increased the mobile base stations (MBS) deployment. While understanding of radiation protection is growing among the public, questions regarding early-life exposure to radiofrequency radiation (RFR) from MBS in children are of importance as to whether it will raise the chances of developing chronic diseases during adulthood. Taking into account the sitting location of MBS, the purpose of this study is to evaluate the chromosomal DNA damage in buccal mucosal cells between school children exposed to RFR emitted from base station antennas. Method: This is a comparative cross-sectional study in which two group of school children were sampled i.e. exposed groups are children whose school located near MBS (≤200 meters); unexposed groups are children whose school located distant far from the MBS (>200 meters). Digital RF Analyzer was used to measure RFR at the school surrounding. Buccal mucosa cells from the oral cavity were sampled to examine the level of micronuclei (MN) frequencies. Results: This study found that the densities of the RFR energy differed in range. Although all measurements showed the RFR reading below the acceptable exposure level, there were still significant variations at each location assessed. Statistically, the MN frequency is significantly different when compared to the exposed and non-exposed group. Conclusion: To understand the mechanism of health effects from exposure to low-level RFR emited from MBS, further study should consider environmental factors influencing MBS sitting on RFR emission, as well as examining the health effects into molecular levels.

A Survey on Pesticide Use and Self-Reported Respiratory Health Symptoms Among Paddy Farmers in Tanjung Karang, Malaysia

@#Introduction: Tanjung Karang is a paddy growing town in Selangor, Malaysia. The paddy farmers in Tanjung Karang were using pesticides to control pests from invading the crops during agricultural activities with limited knowledge of its deleterious effects on their health. Objective: This study aims to (i) determine the respiratory health symptoms of paddy farmers due to occupational exposure of commonly used pesticides through inhalation and (ii) assess correlations between climatological conditions and the concentrations of pesticides in personal air samples among paddy farmers in Tanjung Karang, Malaysia. Methods: A cross-sectional study was carried out to assess the occupational exposures to pesticides among 83 paddy farmers in Kampung Sawah Sempadan. The data were collected with face-to-face interviews with the farmers based on a set of questionnaire. Results: The self-reported respiratory health symptoms of paddy farmers were as follows: breathing difficulty (16.9%), chest pain (15.7%), cough (41.0%), phlegm (39.8%), and wheezing (18.1%). Simple logistic regressions analysis indicated that exposure to azoxystrobin, buprofezin, chlorantraniliprole, fipronil, isoprothiolane, pretilachlor, propiconazole, tricyclazole and trifloxystrobin were contributing factors that affect self-reported respiratory health symptoms in this study. Spearman’s correlation coefficient test stated that the concentrations of chlorantraniliprole, fipronil and pymetrozine were affected by wind speed and temperature. Conclusion: The information obtained in this study is useful to understand the exposure of pesticides among paddy farmers and useful for risk management in the agricultural community.

The Association of Reported Respiratory Symptoms among Children in Malaysia with Particulate Matter Exposure in Municipal Solid Waste Landfills

@#Background: Prolonged exposure of heavy metals in the respirable particulate matter (PM10) from municipal solid waste (MSW) landfills may affect children health. Objective: To investigate the association of reported respiratory symptom with heavy metals in PM10, with heavy metals in fingernails among children residing close to MSW landfills. Methods: Two groups of children age 7 to 12 years old were involved in this cross-sectional study. Those residing within 3 km radius from a landfill were the exposed group and those residing more than 3 km radius as the unexposed group. Questionnaires adapted from American Thoracic Society were applied in the survey. Fingernails were used as biomarker. Ten heavy metals elements in PM and fingernail samples were analysed using inductively coupled plasma mass spectrometry (ICP-MS). Results: The cadmium, chromium, copper, manganese, nickel and lead concentrations in PM around the MSW landfills and residential areas exceeded the Canada and USEPA standard permissible limit. Heavy metals in fingernails (p<0.001) of exposed group were significantly higher than the unexposed group. Children with no pets have less reported respiratory symptoms. Elevated level of heavy metals in PM and fingernails were associated with high risk of reported respiratory symptoms. Conclusion: Heavy metals in PM10 and fingernails were associated with potential risk factor of respiratory health in children.

How likely does the Microenvironnmental Interaction at a Pesticide-Treated Farming Village could Potentially Affect their Community through Dermal Pathway in a Developing Country, Malaysia?

This paper aims to investigate the potential pesticide dermal contamination among the agricultural community by observing the microenvironmental and macroactivity interaction between farm children and adult farmer. A 24 hours timeline activity was observed and recorded in the agricultural farming village, Kuala Selangor. In this study, 2 homes were monitored for 2 days following a pesticide application. A total of 2 adult farmers and 5 children (7-10 year old) were recruited to participate in this study. Twenty-four hour videotape segments and time-activity diaries were collected during the study. The microenvironment and macroactivity interaction were modelled in this study. By considering only the potential dermal exposure pathway, the different biological vulnerability and exposure pattern to pesticides were observed. Finding showed a greater extent of interaction between human and its environment, where adult farmers are the main contributor of environmental contaminants, and children is one of the vulnerable receivers of the contaminants’ residuals from the environment. The daily activities and behaviors practiced by the agricultural community were among the contributing factors which help to highlight the pesticide dermal contamination pathway in the farming village. This study recommends the necessary to consider the microenvironment and macroactivity of the target community when assess their exposure levels to the environment contaminants.​

Drinking water studies: a review on heavy metal, application of biomarker and health risk assessment [a special focus in Malaysia]

Malaysia has abundant sources of drinking water from river and groundwater. However, rapid developments have deteriorated quality of drinking water sources in Malaysia. Heavy metal studies in terms of drinking water, applications of health risk assessment and bio-monitoring in Malaysia were reviewed from 2003 to 2013. Studies on heavy metal in drinking water showed the levels are under the permissible limits as suggested by World Health Organization and Malaysian Ministry of Health. Future studies on the applications of health risk assessment are crucial in order to understand the risk of heavy metal exposure through drinking water to Malaysian population. Among the biomarkers that have been reviewed, toenail is the most useful tool to evaluate body burden of heavy metal. Toenails are easy to collect, store, transport and analysed. This review will give a clear guidance for future studies of Malaysian drinking water. In this way, it will help risk managers to minimize the exposure at optimum level as well as the government to formulate policies in safe guarding the population