Displaying publications 121 - 140 of 158 in total

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  1. Yue X, Ma NL, Sonne C, Guan R, Lam SS, Van Le Q, et al.
    J Hazard Mater, 2021 03 05;405:124138.
    PMID: 33092884 DOI: 10.1016/j.jhazmat.2020.124138
    Indoor air pollution with toxic volatile organic compounds (VOCs) and fine particulate matter (PM2.5) is a threat to human health, causing cancer, leukemia, fetal malformation, and abortion. Therefore, the development of technologies to mitigate indoor air pollution is important to avoid adverse effects. Adsorption and photocatalytic oxidation are the current approaches for the removal of VOCs and PM2.5 with high efficiency. In this review we focus on the recent development of indoor air pollution mitigation materials based on adsorption and photocatalytic decomposition. First, we review on the primary indoor air pollutants including formaldehyde, benzene compounds, PM2.5, flame retardants, and plasticizer: Next, the recent advances in the use of adsorption materials including traditional biochar and MOF (metal-organic frameworks) as the new emerging porous materials for VOCs absorption is reviewed. We review the mechanism for mitigation of VOCs using biochar (noncarbonized organic matter partition and adsorption) and MOF together with parameters that affect indoor air pollution removal efficiency based on current mitigation approaches including the mitigation of VOCs using photocatalytic oxidation. Finally, we bring forward perspectives and directions for the development of indoor air mitigation technologies.
    Matched MeSH terms: Particulate Matter
  2. Wan Mansor WN, Abdullah S, Jarkoni MNK, Vaughn JS, Olsen DB
    Data Brief, 2020 Dec;33:106580.
    PMID: 33304969 DOI: 10.1016/j.dib.2020.106580
    A diesel engine has been a desirable machine due to its better fuel efficiency, reliability, and higher power output. It is widely used in transportations, locomotives, power generation, and industrial applications. The combustion of diesel fuel emits harmful emissions such as unburned hydrocarbons (HC), particulate matter (PM), nitrogen oxides (NOx), and carbon monoxides (CO). This article presents data on the efficiency, combustion, and emission of a 4-stroke diesel engine. The engine is a 6.8 L turbocharged 6-cylinder Tier II diesel engine fitted with a common rail injection system. The test was carried out at the Powerhouse Energy Campus, Colorado State University Engines and Energy Conversion facility. The ISO Standard 8178:4 Cycle D2 cycle was adopted for this study consists of five test runs at 1800 rpm. During the testing, CO, carbon dioxide (CO2), oxygen (O2), NOx, PM, unburned HC as a total HC (THC), methane (CH4), formaldehyde (CH2O), and volatile organic compound (VOC) emissions were measured. At the same time, the data acquisition system recorded the combustion data. The engine's performance is characterized by the brake specific fuel combustion (BSFC) and thermal efficiency. A dataset of correlations among the parameters was also presented in this article.
    Matched MeSH terms: Particulate Matter
  3. Huang L, Liu Z, Li H, Wang Y, Li Y, Zhu Y, et al.
    Geohealth, 2020 Jul 07.
    PMID: 32838101 DOI: 10.1029/2020GH000272
    The outbreak of COVID-19 in China has led to massive lockdowns in order to reduce the spread of the epidemic and control human-to-human transmission. Subsequent reductions in various anthropogenic activities have led to improved air quality during the lockdown. In this study, we apply a widely used exposure-response function to estimate the short-term health impacts associated with PM2.5 changes over the Yangtze River Delta (YRD) region due to COVID-19 lockdown. Concentrations of PM2.5 during lockdown period reduced by 22.9% to 54.0% compared to pre-lockdown level. Estimated PM2.5-related daily premature mortality during lockdown period is 895 (95% confidential interval: 637-1081), which is 43.3% lower than pre-lockdown period and 46.5% lower compared with averages of 2017-2019. According to our calculation, total number of avoided premature death associated PM2.5 reduction during the lockdown is estimated to be 42.4 thousand over the YRD region, with Shanghai, Wenzhou, Suzhou (Jiangsu province), Nanjing, and Nantong being the top five cities with largest health benefits. Avoided premature mortality is mostly contributed by reduced death associated with stroke (16.9 thousand, accounting for 40.0%), ischemic heart disease (14.0 thousand, 33.2%) and chronic obstructive pulmonary disease (7.6 thousand, 18.0%). Our calculations do not support or advocate any idea that pandemics produce a positive note to community health. We simply present health benefits from air pollution improvement due to large emission reductions from lowered human and industrial activities. Our results show that continuous efforts to improve air quality are essential to protect public health, especially over city-clusters with dense population.
    Matched MeSH terms: Particulate Matter
  4. Takahashi M, Feng Z, Mikhailova TA, Kalugina OV, Shergina OV, Afanasieva LV, et al.
    Sci Total Environ, 2020 Nov 10;742:140288.
    PMID: 32721711 DOI: 10.1016/j.scitotenv.2020.140288
    Air pollution and atmospheric deposition have adverse effects on tree and forest health. We reviewed studies on tree and forest decline in Northeast and Southeast Asia, Siberia, and the Russian Far East (hereafter referred to as East Asia). This included studies published in domestic journals and languages. We identified information about the locations, causes, periods, and tree species exhibiting decline. Past air pollution was also reviewed. Most East Asian countries show declining trends in SO2 concentration in recent years, although Mongolia and Russia show increasing trends. Ozone (O3) concentrations are stable or gradually increasing in the East Asia region, with high maxima. Wet nitrogen (N) deposition was high in China and tropical countries, but low in Russia. The decline of trees and forests primarily occurred in the mid-latitudes of Japan, Korea, China, and Russia. Long-term large N deposition resulted in the N saturation phenomenon in Japan and China, but no clear forest health response was observed. Thereafter, forest decline symptoms, suspected to be caused by O3, were observed in Japan and China. In East Russia, tree decline occurred around industrial centers in Siberia. Haze events have been increasing in tropical and boreal forests, and particulate matter inhibits photosynthesis. In recent years, chronically high O3 concentrations, in conjunction with climate change, are likely have adverse effects on tree physiology. The effects of air pollution and related factors on tree decline are summarized. Recently, the effects of air pollution on tree decline have not been apparent under the changing climate, however, monitoring air pollution is indispensable for identifying the cause of tree decline. Further economic growth is projected in Southeast Asia and therefore, the monitoring network should be expanded to tropical and boreal forest zones. Countermeasures such as restoring urban trees and rural forests are important for ensuring future ecosystem services.
    Matched MeSH terms: Particulate Matter
  5. Li L, Li Q, Huang L, Wang Q, Zhu A, Xu J, et al.
    Sci Total Environ, 2020 Aug 25;732:139282.
    PMID: 32413621 DOI: 10.1016/j.scitotenv.2020.139282
    The outbreak of COVID-19 has spreaded rapidly across the world. To control the rapid dispersion of the virus, China has imposed national lockdown policies to practise social distancing. This has led to reduced human activities and hence primary air pollutant emissions, which caused improvement of air quality as a side-product. To investigate the air quality changes during the COVID-19 lockdown over the YRD Region, we apply the WRF-CAMx modelling system together with monitoring data to investigate the impact of human activity pattern changes on air quality. Results show that human activities were lowered significantly during the period: industrial operations, VKT, constructions in operation, etc. were significantly reduced, leading to lowered SO2, NOx, PM2.5 and VOCs emissions by approximately 16-26%, 29-47%, 27-46% and 37-57% during the Level I and Level II response periods respectively. These emission reduction has played a significant role in the improvement of air quality. Concentrations of PM2.5, NO2 and SO2 decreased by 31.8%, 45.1% and 20.4% during the Level I period; and 33.2%, 27.2% and 7.6% during the Level II period compared with 2019. However, ozone did not show any reduction and increased greatly. Our results also show that even during the lockdown, with primary emissions reduction of 15%-61%, the daily average PM2.5 concentrations range between 15 and 79 μg m-3, which shows that background and residual pollutions are still high. Source apportionment results indicate that the residual pollution of PM2.5 comes from industry (32.2-61.1%), mobile (3.9-8.1%), dust (2.6-7.7%), residential sources (2.1-28.5%) in YRD and 14.0-28.6% contribution from long-range transport coming from northern China. This indicates that in spite of the extreme reductions in primary emissions, it cannot fully tackle the current air pollution. Re-organisation of the energy and industrial strategy together with trans-regional joint-control for a full long-term air pollution plan need to be further taken into account.
    Matched MeSH terms: Particulate Matter
  6. MOHAMAD FIRDAUS ISMAIL, MUHAMMAD FAIS FADZIL, NORHAYATI MOHD TAHIR, NORHAYATI MOHD TAHIR, MOHD TALIB LATIF, NOORLIN MOHAMAD
    MyJurnal
    Fine particulate matter (aerodynamic diameter ≤2.5 μm) (PM2.5) has become a major concern because it can adsorb chemicals e.g. polycyclic aromatic hydrocarbons (PAHs) onto its surface. Although PAHs are priority pollutants that can cause adverse health effect, there is still limited information concerning indoor exposures to PAHs in Malaysia. This study aimed to characterise the distribution of PAHs bounded to PM2.5in primary school environments. Indoor and outdoor PM2.5 were collected between May and July 2017 using low volume samplers (LVS) at three public primary schools in the Federal Territory of Kuala Lumpur. PAHs were extracted by ultrasonic extraction with Dichloromethane: n-Hexane (1:1, v/v) as the extraction solvent and analysed using gas chromatography coupled with mass spectrometer (GC-MS). Based on the results, the average total concentration of PAHs (∑PAHs) ranged from 3.8 to 10.1 ng m-3and 1.6 to 8.0 ng m-3for outdoors and indoors, respectively. PAHs in PM2.5samples indicated the potential contribution of combustion at high temperature and indoor sources and the infiltration of outdoor PAHs were the important sources for outdoor and indoor, respectively. In addition, the diagnostic ratio analysis showed that vehicular emissions were the most predominant sources of PAHs in school environments.
    Matched MeSH terms: Particulate Matter
  7. Norfazillah Ab Manan, Rozita Hod, Hanizah Mohd Yusoff, Mazrura Sahani, Rosnah Ismail, Wan Rozita Wan Mahiyuddin
    Int J Public Health Res, 2016;6(1):707-712.
    MyJurnal
    Air pollution has been widely known to have an influence on health of the general population.
    Air pollution can result from natural causes, human activities and transboundary air pollution.
    Weather and climate play crucial role in determining the pattern of air quality. In recent years,
    air pollution and recurrent episodes of haze has become a major concern in Malaysia.
    Surveillance data on concentrations of main air pollutants such as carbon dioxide, (CO2),
    Nitrogen Dioxide (NO2), Ozone (O3), sulphur dioxide (SO2) and particulate matter (PM10)
    were found to be higher during the haze days and this may have an impact on health of the
    community as reflected by an increase in hospital admissions particularly the respiratory and
    cardiovascular diseases.
    Matched MeSH terms: Particulate Matter
  8. Ahmad NA, Ismail NW, Ahmad Sidique SF, Mazlan NS
    Environ Sci Pollut Res Int, 2021 Feb;28(7):8709-8721.
    PMID: 33068244 DOI: 10.1007/s11356-020-11191-3
    Although industrialisation is a crucial aspect of economic growth across developing nations, through the release of air contaminants, industrial activities may also create adverse environmental health consequences. Noting that continuous production and other economic activities are crucial for continued survival, this study explores this issue by including the role of governance that is deemed essential but the literature is relatively sparse particularly in the context of developing countries. This research empirically analyses the relationship between air pollution and adult mortality rates from 72 developing countries from the period of 2010 until 2017. Particulate matter (PM2.5) and carbon dioxide (CO2) are used as indicators of air pollution. From the generalized method of moments (GMM) estimations, the results reveal that air pollution negatively affects adult mortality rate. The result reveals that a 10% increase in the PM2.5 level induces the adult mortality rates to increase between 0.04% and 0.06%. In addition, the government significantly moderates the negative effect of air pollution on adult mortality, whereby a one-unit enhancement in governance quality index reduces mortality among the adults in the developing countries by 0.01%. On the other hand, CO2 emission also appears to be positive, but not statistically significant. The results suggest that governance and public health interplay in the sense of a transition towards economic development for improved living and health states can be achievable with improved governance quality.
    Matched MeSH terms: Particulate Matter
  9. Masseran N, Razali AM, Ibrahim K, Latif MT
    Environ Monit Assess, 2016 Jan;188(1):65.
    PMID: 26718946 DOI: 10.1007/s10661-015-5070-9
    The air pollution index (API) is an important figure used for measuring the quality of air in the environment. The API is determined based on the highest average value of individual indices for all the variables which include sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3), and suspended particulate matter (PM10) at a particular hour. API values that exceed the limit of 100 units indicate an unhealthy status for the exposed environment. This study investigates the risk of occurrences of API values greater than 100 units for eight urban areas in Peninsular Malaysia for the period of January 2004 to December 2014. An extreme value model, known as the generalized Pareto distribution (GPD), has been fitted to the API values found. Based on the fitted model, return period for describing the occurrences of API exceeding 100 in the different cities has been computed as the indicator of risk. The results obtained indicated that most of the urban areas considered have a very small risk of occurrence of the unhealthy events, except for Kuala Lumpur, Malacca, and Klang. However, among these three cities, it is found that Klang has the highest risk. Based on all the results obtained, the air quality standard in urban areas of Peninsular Malaysia falls within healthy limits to human beings.
    Matched MeSH terms: Particulate Matter/analysis
  10. Ee-Ling O, Mustaffa NI, Amil N, Khan MF, Latif MT
    Bull Environ Contam Toxicol, 2015 Apr;94(4):537-42.
    PMID: 25652682 DOI: 10.1007/s00128-015-1477-9
    This study determined the source contribution of PM2.5 (particulate matter <2.5 μm) in air at three locations on the Malaysian Peninsula. PM2.5 samples were collected using a high volume sampler equipped with quartz filters. Ion chromatography was used to determine the ionic composition of the samples and inductively coupled plasma mass spectrometry was used to determine the concentrations of heavy metals. Principal component analysis with multilinear regressions were used to identify the possible sources of PM2.5. The range of PM2.5 was between 10 ± 3 and 30 ± 7 µg m(-3). Sulfate (SO4 (2-)) was the major ionic compound detected and zinc was found to dominate the heavy metals. Source apportionment analysis revealed that motor vehicle and soil dust dominated the composition of PM2.5 in the urban area. Domestic waste combustion dominated in the suburban area, while biomass burning dominated in the rural area.
    Matched MeSH terms: Particulate Matter/analysis*
  11. Soyiri IN, Reidpath DD, Sarran C
    Int J Biometeorol, 2013 Jul;57(4):569-78.
    PMID: 22886344 DOI: 10.1007/s00484-012-0584-0
    Asthma is a chronic condition of great public health concern globally. The associated morbidity, mortality and healthcare utilisation place an enormous burden on healthcare infrastructure and services. This study demonstrates a multistage quantile regression approach to predicting excess demand for health care services in the form of asthma daily admissions in London, using retrospective data from the Hospital Episode Statistics, weather and air quality. Trivariate quantile regression models (QRM) of asthma daily admissions were fitted to a 14-day range of lags of environmental factors, accounting for seasonality in a hold-in sample of the data. Representative lags were pooled to form multivariate predictive models, selected through a systematic backward stepwise reduction approach. Models were cross-validated using a hold-out sample of the data, and their respective root mean square error measures, sensitivity, specificity and predictive values compared. Two of the predictive models were able to detect extreme number of daily asthma admissions at sensitivity levels of 76 % and 62 %, as well as specificities of 66 % and 76 %. Their positive predictive values were slightly higher for the hold-out sample (29 % and 28 %) than for the hold-in model development sample (16 % and 18 %). QRMs can be used in multistage to select suitable variables to forecast extreme asthma events. The associations between asthma and environmental factors, including temperature, ozone and carbon monoxide can be exploited in predicting future events using QRMs.
    Matched MeSH terms: Particulate Matter/analysis
  12. Hassan NA, Hashim Z, Hashim JH
    Asia Pac J Public Health, 2016 Mar;28(2 Suppl):38S-48S.
    PMID: 26141092 DOI: 10.1177/1010539515592951
    This review discusses how climate undergo changes and the effect of climate change on air quality as well as public health. It also covers the inter relationship between climate and air quality. The air quality discussed here are in relation to the 5 criteria pollutants; ozone (O3), carbon dioxide (CO2), nitrogen dioxide (NO2), sulfur dioxide (SO2), and particulate matter (PM). Urban air pollution is the main concern due to higher anthropogenic activities in urban areas. The implications on health are also discussed. Mitigating measures are presented with the final conclusion.
    Matched MeSH terms: Particulate Matter/analysis
  13. Razak HA, Wahid NBA, Latif MT
    Arch Environ Contam Toxicol, 2019 Nov;77(4):587-593.
    PMID: 31359072 DOI: 10.1007/s00244-019-00656-3
    Anionic surfactants are one of the pollutants derived from particulate matter (PM) and adversely affect the health of living organisms. In this study, the compositions of surfactants extracted from PM and vehicle soot collected in an urban area were investigated. A high-volume air sampler was used to collect PM sample at urban area based on coarse (> 1.5 µm) and fine (
    Matched MeSH terms: Particulate Matter/analysis
  14. Ming CR, Ban Yu-Lin A, Abdul Hamid MF, Latif MT, Mohammad N, Hassan T
    Respirology, 2018 10;23(10):914-920.
    PMID: 29923364 DOI: 10.1111/resp.13325
    BACKGROUND AND OBJECTIVE: The Southeast Asia (SEA) haze is an annual problem and at its worst could produce respirable particles of concentrations up to 500 μg/m3 which is five times the level considered as 'unhealthy'. However, there are limited reports examining the direct clinical impact of the annual haze. This study examines the effects of the SEA haze on respiratory admissions.

    METHODS: Data from all respiratory admissions in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from 1st January 2014 to 31st December 2015 were collected retrospectively from chart and electronic database. A total of 16 weeks of haze period had been formally dated by the Department of Environment using the definition of weather phenomenon leading to atmospheric visibility of less than 10 km. Multivariable regression analyses were performed to estimate rate ratios and 95% CI.

    RESULTS: There were 1968 subjects admitted for respiratory admissions in UKMMC during the study period. Incidence rates per week were significantly different between the two groups with 27.6 ± 9.2 cases per week during the haze versus 15.7 ± 6.7 cases per week during the non-haze period (P < 0.01). A total of 4% versus 2% was admitted to the intensive care unit in the haze and the non-haze groups, respectively (P = 0.02). The mean ± SD lengths of stay was 12.1 ± 5.2 days; the haze group had a longer stay (18.2 ± 9.7 days) compared to the non-haze groups (9.7 ± 3.9) (P < 0.001).

    CONCLUSION: The annual SEA haze is associated with increased respiratory admissions.

    Matched MeSH terms: Particulate Matter*
  15. Andersen ZJ, Pedersen M, Weinmayr G, Stafoggia M, Galassi C, Jørgensen JT, et al.
    Neuro-oncology, 2018 02 19;20(3):420-432.
    PMID: 29016987 DOI: 10.1093/neuonc/nox163
    Background: Epidemiological evidence on the association between ambient air pollution and brain tumor risk is sparse and inconsistent.

    Methods: In 12 cohorts from 6 European countries, individual estimates of annual mean air pollution levels at the baseline residence were estimated by standardized land-use regression models developed within the ESCAPE and TRANSPHORM projects: particulate matter (PM) ≤2.5, ≤10, and 2.5-10 μm in diameter (PM2.5, PM10, and PMcoarse), PM2.5 absorbance, nitrogen oxides (NO2 and NOx) and elemental composition of PM. We estimated cohort-specific associations of air pollutant concentrations and traffic intensity with total, malignant, and nonmalignant brain tumor, in separate Cox regression models, adjusting for risk factors, and pooled cohort-specific estimates using random-effects meta-analyses.

    Results: Of 282194 subjects from 12 cohorts, 466 developed malignant brain tumors during 12 years of follow-up. Six of the cohorts also had data on nonmalignant brain tumor, where among 106786 subjects, 366 developed brain tumor: 176 nonmalignant and 190 malignant. We found a positive, statistically nonsignificant association between malignant brain tumor and PM2.5 absorbance (hazard ratio and 95% CI: 1.67; 0.89-3.14 per 10-5/m3), and weak positive or null associations with the other pollutants. Hazard ratio for PM2.5 absorbance (1.01; 0.38-2.71 per 10-5/m3) and all other pollutants were lower for nonmalignant than for malignant brain tumors.

    Conclusion: We found suggestive evidence of an association between long-term exposure to PM2.5 absorbance indicating traffic-related air pollution and malignant brain tumors, and no association with overall or nonmalignant brain tumors.

    Matched MeSH terms: Particulate Matter/adverse effects*
  16. Plusquin M, Guida F, Polidoro S, Vermeulen R, Raaschou-Nielsen O, Campanella G, et al.
    Environ Int, 2017 11;108:127-136.
    PMID: 28843141 DOI: 10.1016/j.envint.2017.08.006
    Long-term exposure to air pollution has been associated with several adverse health effects including cardiovascular, respiratory diseases and cancers. However, underlying molecular alterations remain to be further investigated. The aim of this study is to investigate the effects of long-term exposure to air pollutants on (a) average DNA methylation at functional regions and, (b) individual differentially methylated CpG sites. An assumption is that omic measurements, including the methylome, are more sensitive to low doses than hard health outcomes. This study included blood-derived DNA methylation (Illumina-HM450 methylation) for 454 Italian and 159 Dutch participants from the European Prospective Investigation into Cancer and Nutrition (EPIC). Long-term air pollution exposure levels, including NO2, NOx, PM2.5, PMcoarse, PM10, PM2.5 absorbance (soot) were estimated using models developed within the ESCAPE project, and back-extrapolated to the time of sampling when possible. We meta-analysed the associations between the air pollutants and global DNA methylation, methylation in functional regions and epigenome-wide methylation. CpG sites found differentially methylated with air pollution were further investigated for functional interpretation in an independent population (EnviroGenoMarkers project), where (N=613) participants had both methylation and gene expression data available. Exposure to NO2 was associated with a significant global somatic hypomethylation (p-value=0.014). Hypomethylation of CpG island's shores and shelves and gene bodies was significantly associated with higher exposures to NO2 and NOx. Meta-analysing the epigenome-wide findings of the 2 cohorts did not show genome-wide significant associations at single CpG site level. However, several significant CpG were found if the analyses were separated by countries. By regressing gene expression levels against methylation levels of the exposure-related CpG sites, we identified several significant CpG-transcript pairs and highlighted 5 enriched pathways for NO2 and 9 for NOx mainly related to the immune system and its regulation. Our findings support results on global hypomethylation associated with air pollution, and suggest that the shores and shelves of CpG islands and gene bodies are mostly affected by higher exposure to NO2 and NOx. Functional differences in the immune system were suggested by transcriptome analyses.
    Matched MeSH terms: Particulate Matter/analysis
  17. Nazariah SS, Juliana J, Abdah MA
    Glob J Health Sci, 2013 Jul;5(4):93-105.
    PMID: 23777726 DOI: 10.5539/gjhs.v5n4p93
    In the last few years, air within homes have been indicates by various and emerging body as more serious polluted than those outdoor. Prevalence of respiratory inflammation among school children aged 8 and 10 years old attending national primary schools in urban and rural area were conducted in Klang Valley. Two population studies drawn from the questionnaires were used to investigate the association between indoor particulate matter (PM2.5 & PM10) in a home environment and respiratory implication through the understanding of biological responses. Approximately 430 healthy school children of Standard 2 and Standard 5 were selected. Indication of respiratory symptoms using adaptation questionnaire from American Thoracic Society (1978). Sputum sample collection taken for biological analysis. IL-6 then was analyse by using ELISA techniques. Indoor PM2.5 and PM10 were measured using Dust Trak Aerosol Monitor. The mean concentration of PM2.5 (45.38 µg/m3) and PM10 (80.07 µg/m3) in urban home environment is significantly higher compared to those in rural residential area (p=0.001). Similar trend also shows by the prevalence of respiratory symptom. Association were found with PM2.5 and PM10 with the level of IL-6 among school children. A greater exposure to PM2.5 and PM10 are associated with higher expression of IL-6 level suggesting that the concentration of indoor particulate in urban density area significantly influence the health of children.
    Matched MeSH terms: Particulate Matter/adverse effects*; Particulate Matter/analysis
  18. Tajudin MABA, Khan MF, Mahiyuddin WRW, Hod R, Latif MT, Hamid AH, et al.
    Ecotoxicol Environ Saf, 2019 Apr 30;171:290-300.
    PMID: 30612017 DOI: 10.1016/j.ecoenv.2018.12.057
    Rapid urbanisation in Malaysian cities poses risks to the health of residents. This study aims to estimate the relative risk (RR) of major air pollutants on cardiovascular and respiratory hospitalisations in Kuala Lumpur. Daily hospitalisations due to cardiovascular and respiratory diseases from 2010 to 2014 were obtained from the Hospital Canselor Tuanku Muhriz (HCTM). The trace gases, PM10 and weather variables were obtained from the Department of Environment (DOE) Malaysia in consistent with the hospitalisation data. The RR was estimated using a Generalised Additive Model (GAM) based on Poisson regression. A "lag" concept was used where the analysis was segregated into risks of immediate exposure (lag 0) until exposure after 5 days (lag 5). The results showed that the gases could pose significant risks towards cardiovascular and respiratory hospitalisations. However, the RR value of PM10 was not significant in this study. Immediate effects on cardiovascular hospitalisations were observed for NO2 and O3 but no immediate effect was found on respiratory hospitalisations. Delayed effects on cardiovascular and respiratory hospitalisations were found with SO2 and NO2. The highest RR value was observed at lag 4 for respiratory admissions with SO2 (RR = 1.123, 95% CI = 1.045-1.207), followed by NO2 at lag 5 for cardiovascular admissions (RR = 1.025, 95% CI = 1.005-1.046). For the multi-pollutant model, NO2 at lag 5 showed the highest risks towards cardiovascular hospitalisations after controlling for O3 8 h mean lag 1 (RR = 1.026, 95% CI = 1.006-1.047), while SO2 at lag 4 showed highest risks towards respiratory hospitalisations after controlling for NO2 lag 3 (RR = 1.132, 95% CI = 1.053-1.216). This study indicated that exposure to trace gases in Kuala Lumpur could lead to both immediate and delayed effects on cardiovascular and respiratory hospitalisations.
    Matched MeSH terms: Particulate Matter/analysis; Particulate Matter/toxicity
  19. Abdul Wahab S, Hassan A, Latif MT, Vadiveel Y, Jeyabalan T, Soo CI, et al.
    Asian Pac J Cancer Prev, 2019 07 01;20(7):1959-1965.
    PMID: 31350951 DOI: 10.31557/APJCP.2019.20.7.1959
    Objective: Epidemiological studies have reported the close relationship between risk for lung cancers and air pollution
    in particular, for non-smoking related lung cancers. However, most studies used residential address as proxies which may
    not estimate accurately an individual’s air pollution exposure. Therefore, the aim of this study was to identify risk factors
    such as occupation and mode of transportation associated with lung cancer diagnosis and death. Methods: Subjects
    with lung cancer (n=514) were evaluated both by chart reviews for clinical data and interviews to determine residential
    address for ten years, main occupation and main mode of transportation. Annual particulate matter with diameter size
    less than 2.5 micrometre (PM2.5) concentration were calculated based on particulate matter with diameter size less than
    10 micrometre (PM10) data recorded by Malaysian Department of Environment. Logistic regression analysis, cluster
    analysis and the Cox regression analysis were performed to the studied variables. Results: This study concurred with
    previous studies that lung adenocarcinoma were diagnosed in predominantly younger, female non-smokers compared
    to the other types of lung cancers. Lung adenocarcinoma subjects had annual PM2.5 that was almost twice higher than
    squamous cell carcinoma, small cell carcinoma and other histological subtypes (p=0.024). Independent of smoking,
    the κ -means cluster analysis revealed two clusters in which the high risk cluster involves occupation risk with air
    pollution of more than four hours per day, main transportation involving motorcycle and trucks and mean annual PM2.5
    concentration of more than 30 based on residential address for more than ten years. The increased risk for the high-risk
    cluster was more than five times for the diagnosis of lung adenocarcinoma (OR=5.69, 95% CI=3.14-7.21, p<0.001).
    The hazard ratio for the high-risk cluster was 3.89 (95% CI=2.12-4.56, p=0.02) for lung adenocarcinoma mortality at
    1 year. Conclusion: High-risk cluster including PM2.5, occupation risk and mode of transportation as surrogates for
    air-pollution exposure was identified and highly associated with lung adenocarcinoma diagnosis and 1-year mortality.
    Matched MeSH terms: Particulate Matter/adverse effects*
  20. Chin YSJ, De Pretto L, Thuppil V, Ashfold MJ
    PLoS One, 2019;14(3):e0212206.
    PMID: 30870439 DOI: 10.1371/journal.pone.0212206
    As in many nations, air pollution linked to rapid industrialization is a public health and environmental concern in Malaysia, especially in cities. Understanding awareness of air pollution and support for environmental protection from the general public is essential for informing governmental approaches to dealing with this problem. This study presents a cross-sectional survey conducted in the Klang Valley and Iskandar conurbations to examine urban Malaysians' perception, awareness and opinions of air pollution. The survey was conducted in two languages, English and Malay, and administered through the online survey research software, Qualtrics. The survey consisted of three sections, where we collected sociodemographic information, information on the public perception of air quality and the causes of air pollution, information on public awareness of air pollution and its related impacts, and information on attitudes towards environmental protection. Of 214 respondents, over 60% were positive towards the air quality at both study sites despite the presence of harmful levels of air pollution. The air in the Klang Valley was perceived to be slightly more polluted and causing greater health issues. Overall, the majority of respondents were aware that motor vehicles represent the primary pollution source, yet private transport was still the preferred choice of transportation mode. A generally positive approach towards environmental protection emerged from the data. However, participants showed stronger agreement with protection actions that do not involve individual effort. Nonetheless, we found that certain segments of the sample (people owning more than three vehicles per household and those with relatives who suffered from respiratory diseases) were significantly more willing to personally pay for environmental protection compared to others. Implications point to the need for actions for spreading awareness of air pollution to the overall population, especially with regards to its health risks, as well as strategies for increasing the perception of behavioural control, especially with regards to motor vehicles' usage.
    Matched MeSH terms: Particulate Matter/analysis
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