METHODOLOGY: The review encompasses historical climate data comprising mean daily temperature, precipitation, mean sea level and occurrences of extreme weather events. Future climate projections have also been reviewed in addition to scholarly papers and news articles related to impacts, contributors, mitigation and adaptations in relation to climate change.
FINDINGS: The review shows that annual mean temperature, occurrences of extreme weather events and mean sea level are rising while rainfall shows variability. Future projections point to continuous rise of temperature and mean sea level till the end of the 21st century, highly variable rainfall and increased frequency of extreme weather events. Climate change impacts particularly on agriculture, forestry, biodiversity, water resources, coastal and marine resources, public health and energy. The energy and waste management sectors are the major contributors to climate change. Mitigation of and adaptations to climate change in Malaysia revolve around policy setting, enactment of laws, formulation and implementation of plans and programmes, as well as global and regional collaborations, particularly for energy, water resources, agriculture and biodiversity. There are apparent shortcomings in continuous improvement and monitoring of the programmes as well as enforcement of the relevant laws.
ORIGINALITY/VALUE: This paper presents a comprehensive review of the major themes of climate change in Malaysia and recommends pertinent ways forward to fill the gaps of mitigation and adaptations already implemented.
METHODS: We conducted a series medical examinations among the forestry, construction and automobile industry workers in Malaysia adopting the compulsory medical examination procedure used by Wakayama Medical University for Japanese vibratory tools workers. We matched the duration of vibration exposure and compared our results against the Japanese workers. We also compared the results of the Malaysian tree fellers against a group of symptomatic Japanese tree fellers diagnosed with HAVS.
RESULTS: Malaysian subjects reported a similar prevalence of finger tingling, numbness and dullness (Malaysian=25.0%, Japanese=21.5%, p=0.444) but had a lower finger skin temperature (FST) and higher vibrotactile perception threshold (VPT) values as compared with the Japanese workers. No white finger was reported in Malaysian subjects. The FST and VPT of the Malaysian tree fellers were at least as bad as the Japanese tree fellers despite a shorter duration (mean difference=20.12 years, 95%CI=14.50, 25.40) of vibration exposure.
CONCLUSIONS: Although the vascular disorder does not manifest clinically in the tropical environment, the severity of HAVS can be as bad as in the temperate environment with predominantly neurological disorder. Hence, it is essential to formulate national legislation for the control of the occupational vibration exposure.