Environmental and Occupational Factors Associated with Leptospirosis: A Systematic Review.

Background: Leptospirosis is a neglected emerging zoonotic disease with a profound public health impact worldwide with higher burden of disease in resource-poor countries. The environmental and occupational exposures contribute to human and animal transmission, but the interaction was less explored. A deeper understanding of the critical environmental and occupational drivers in different contexts will provide useful information for disease control and prevention measures. Objective: This review aimed to summarize the potential environmental and occupational risk factors associated with leptospirosis infection. Methods: Four databases (Scopus, Web of Science, Ovid MEDLINE, EBSCOhost) were searched for articles published from 2012 to 2021. Eligible articles were assessed using a checklist for assessing the quality of the studies. The quality of the articles was assessed based on the laboratory diagnosis approach and statistical analysis method. Results: A total of 32 studies were included in this systematic review. Water-related risk factors such as natural water as the primary water source (AOR 1.8-18.28), water-related recreational activities (AOR 2.36-10.45), flood exposure (AOR 1.54-6.04), contact with mud (AOR 1.57-4.58) and stagnant water (AOR 2.79-6.42) were associated with increased risk of leptospirosis. Infrastructural deficiencies such as un-plastered house walls and thatched houses presented a higher risk (AOR 2.71-5.17). Living in low-lying areas (AOR 1.58-3.74), on clay loam soil (OR 2.72), agricultural land (OR 2.09), and near rubber tree plantations (AOR 11.65) is associated with higher risk of leptospirosis. Contact with rats (AOR 1.4-3.5), livestock (AOR 1.3-10.4), and pigs (AOR 1.54-7.9) is associated with an increased risk of leptospirosis. Outdoor workers (AOR 1.95-3.95) and slaughterhouse workers (AOR 5.1-7.5) have higher risk of leptospirosis. Conclusion: The environmental and occupational components related to water, infrastructure, landscape, agriculture, and exposed animals play an essential role in leptospirosis transmission. The magnitude of those risk factors differs with geographical region, climate factor, urbanization and population growth, and the country's socioeconomic status.

Assessing the impacts of climate variables on long-term air quality trends in Peninsular Malaysia.

Climate change is thought to influence the composition of atmospheric air, but little is known about the direct relationship between these variables, especially in a hot tropical climate like that of Malaysia. This work summarizes and analyzes the climate state and air quality of Peninsular Malaysia based on selected ground-based observations of the temperature, precipitation, relative humidity, wind speed, wind direction and concentrations of PM10, O3, CO, NO2, and SO2 over the last 20 years (2000-2019). The relationship between the climate state and air quality is analyzed using the Pearson correlation and canonical correlation analysis (CCA) methods is employed to predict the degree of change in the future air quality under different warming scenarios. It is found that the Peninsular Malaysia mainly experienced strong precipitation in the central and mountainous regions, while air pollutants are primarily concentrated in densely populated areas. Throughout the period of study (interannual, monthly, and diurnal time series analyses), Peninsular Malaysia became warmer and drier, with a significant increase in temperature (+4.2 %), decrease in the relative humidity (-4.5 %), and greater fluctuation in precipitation amount. The pollution conditions have worsened; there has been an increase in the PM10 (+16.4 %), O3 (+39.5 %), and NO2 (+2.1 %) concentration over the last 20 years. However, the amount of SO2 (-53.6 %) and CO (-20.6 %) decreased significantly. The analysis of the monthly variation shows a strong bimodality of the PM10 and O3 concentrations that corresponds to the monsoon transition. Intensive diurnal fluctuations and correlations are observed for all the variables in this study. According to the CCA, the air quality factors are strongly correlated with meteorological factors; in particular, the CO, O3, and PM10 concentrations interact strongly with the air temperature. These findings show that the future air quality in Peninsular Malaysia has high possibility to deteriorate under warming condition.

The Impact of Heatwaves on Mortality and Morbidity and the Associated Vulnerability Factors: A Systematic Review.

BACKGROUND: This study aims to investigate the current impacts of extreme temperature and heatwaves on human health in terms of both mortality and morbidity. This systematic review analyzed the impact of heatwaves on mortality, morbidity, and the associated vulnerability factors, focusing on the sensitivity component. METHODS: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 flow checklist. Four databases (Scopus, Web of Science, EBSCOhost, PubMed) were searched for articles published from 2012 to 2022. Those eligible were evaluated using the Navigation Guide Systematic Review framework. RESULTS: A total of 32 articles were included in the systematic review. Heatwave events increased mortality and morbidity incidence. Sociodemographic (elderly, children, male, female, low socioeconomic, low education), medical conditions (cardiopulmonary diseases, renal disease, diabetes, mental disease), and rural areas were crucial vulnerability factors. CONCLUSIONS: While mortality and morbidity are critical aspects for measuring the impact of heatwaves on human health, the sensitivity in the context of sociodemographic, medical conditions, and locality posed a higher vulnerability to certain groups. Therefore, further research on climate change and health impacts on vulnerability may help stakeholders strategize effective plans to reduce the effect of heatwaves.

Delineation of urban expansion influences urban heat islands and natural environment using remote sensing and GIS-based in industrial area.

Land transformation monitoring is essential for controlling the anthropogenic activities that could cause the degradation of natural environment. This study investigated the urban heat island (UHI) effect at the Asansol and Kulti blocks of Paschim Bardhaman district, India. The increasing land surface temperature (LST) can cause the UHI effect and affect the environmental conditions in the urban area. The vulnerability of the UHI effect was measured quantitatively and qualitatively by using the urban thermal field variation index (UTFVI). The land use and land cover (LULC) dynamics are identified by utilizing the remote sensing and maximum likelihood supervised classification techniques for the years 1990, 2000, 2010, and 2020, respectively. The results indicated a decrease around 19.05 km2, 15.47 km2, and 9.86 km2 for vegetation, agricultural land, and grassland, respectively. Meanwhile, there is an increase of 35.69 km2 of the built-up area from the year 1990 to 2020. The highest LST has increased by 11.55 °C, while the lowest LST increased by 8.35 °C from 1990 to 2020. The correlation analyses showed negative relationship between LST and vegetation index, while positive correlation was observed for built-up index. Hotspot maps have identified the spatio-temporal thermal variations in Mohanpur, Lohat, Ramnagar, Madhabpur, and Hansdiha where these cities are mostly affected by the urban expansion and industrialization developments. This study will be helpful to urban planners, stakeholders, and administrators for monitoring the anthropological activities and thus ensuring a sustainable urban development.

The Malay-Version Knowledge, Risk Perception, Attitude and Practice Questionnaire on Heatwaves: Development and Construct Validation.

BACKGROUND: Heatwaves have long been recognised as a serious public health concern. This study was aimed at developing and validating a Malay-version of a questionnaire for evaluating knowledge, risk perception, attitudes, and practices regarding heatwaves. METHOD: The knowledge construct was evaluated with item analysis and internal reliability. The psychometric characteristics, construct and discriminant validity, and internal consistency of the risk perception, attitude and practice constructs were evaluated with exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). RESULTS: The 16 items in the knowledge construct had a good difficulty, discrimination, and reliability index of 0.81. A total of 16 items were maintained in EFA with Cronbach's alpha of 0.84 and 0.82, 0.78 and 0.84 obtained for total items and risk perception, attitude, and practice constructs, respectively. A total of 15 items were retained after CFA. The finalised model met the fitness indices threshold. The convergent and discriminant validity were good. CONCLUSION: This newly developed Malay-version KRPAP questionnaire is reliable and valid for assessing Malaysians' knowledge, risk perception, attitudes, and practices regarding heatwaves.

The Impact of Meteorological Factors on Communicable Disease Incidence and Its Projection: A Systematic Review.

BACKGROUND: Climate change poses a real challenge and has contributed to causing the emergence and re-emergence of many communicable diseases of public health importance. Here, we reviewed scientific studies on the relationship between meteorological factors and the occurrence of dengue, malaria, cholera, and leptospirosis, and synthesized the key findings on communicable disease projection in the event of global warming. METHOD: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 flow checklist. Four databases (Web of Science, Ovid MEDLINE, Scopus, EBSCOhost) were searched for articles published from 2005 to 2020. The eligible articles were evaluated using a modified scale of a checklist designed for assessing the quality of ecological studies. RESULTS: A total of 38 studies were included in the review. Precipitation and temperature were most frequently associated with the selected climate-sensitive communicable diseases. A climate change scenario simulation projected that dengue, malaria, and cholera incidence would increase based on regional climate responses. CONCLUSION: Precipitation and temperature are important meteorological factors that influence the incidence of climate-sensitive communicable diseases. Future studies need to consider more determinants affecting precipitation and temperature fluctuations for better simulation and prediction of the incidence of climate-sensitive communicable diseases.

Multi-model projections of precipitation extremes in Southeast Asia based on CORDEX-Southeast Asia simulations.

This study examines the projected precipitation extremes for the end of 21st century (2081-2100) over Southeast Asia (SEA) using the output of the Southeast Asia Regional Climate Downscaling/Coordinated Regional Climate Downscaling Experiment - Southeast Asia (SEACLID/CORDEX-SEA). Eight ensemble members, representing a subset of archived CORDEX-SEA simulations at 25 km spatial resolution, were examined for emission scenarios of RCP4.5 and RCP8.5. The study utilised four different indicators of rainfall extreme, i.e. the annual/seasonal rainfall total (PRCPTOT), consecutive dry days (CDD), frequency of extremely heavy rainfall (R50mm) and annual/seasonal maximum of daily rainfall (RX1day). In general, changes in extreme indices are more pronounced and covering wider area under RCP8.5 than RCP4.5. The decrease in annual PRCPTOT is projected over most of SEA region, except for Myanmar and Northern Thailand, with magnitude as much as 20% (30%) under RCP4.5 (RCP8.5) scenario. The most significant and robust changes were noted in CDD, which is projected to increase by as much as 30% under RCP4.5 and 60% under RCP8.5, particularly over Maritime Continent (MC). The projected decrease in PRCPTOT over MC is significant and robust during June to August (JJA) and September to November (SON). During March to May (MAM) under RCP8.5, significant and robust PRCPTOT decreases are also projected over Indochina. The CDD changes during JJA and SON over MC are even higher, more robust and significant compared to the annual changes. At the same time, a wetting tendency is also projected over Indochina. The R50mm and RX1day are projected to increase, during all seasons with significant and robust signal of RX1day during JJA and SON.

Spatiotemporal trends in the southwest monsoon wind-driven upwelling in the southwestern part of the South China Sea.

This study analyzes two wind-induced upwelling mechanisms, namely, Ekman transport and Ekman pumping that occur during the southwest monsoon. The results suggest that the coastline of the east coast of Peninsular Malaysia (ECPM) is affected by upwelling with spatiotemporal variations. Characterization of upwelling by using wind-induced upwelling indexes (UIW) indicate the existence of favorable upwelling conditions from May to September. Upwelling intensity increased in May and peaked in August before declining in September, decreasing intensity from the southern tip towards the northern tip along the coastline of the ECPM. The existence of upwelling along the ECPM has resulted in an important difference between the SSTs of the inshore and the oceanic regions. Nonetheless, the use of the SST gradient between the inshore and the oceanic SSTs to characterize upwelling (UISST) was found to be unsuitable because the SST along the ECPM was affected by water advection from the Java Sea and incessant changes in the SST. In order to indicate the major contributor of wind-induced upwelling along the ECPM in terms of the spatiotemporal scale, a comparison between Ekman transport and Ekman pumping was drawn by integrating Ekman pumping with respect to the distance where the positive wind stress curl existed. The estimation of Ekman transport and Ekman pumping indicated that Ekman pumping played a major role in contributing towards upwelling in any particular month during the southwest monsoon along the entire coastline of the ECPM as compared to Ekman transport, which contributed towards more than half of the total upwelling transport. By dividing the ECPM into three coastal sections, we observed that Ekman pumping was relatively predominant in the middle and northern coasts, whereas both Ekman transport and Ekman pumping were equally prevalent in the southern coast.