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Fulltext A Review of Indoor Air Quality and Respiratory System among Schoolchildren in Malaysia

Foo, Ming Hui

Borneo Journal of Medical Sciences, 2018;12(101):51-0.
MyJurnal

In this era, most of us are suffering some level of respiratory problem. Respiratory system of our children is even more sensitive compare to adults. As our children spending an average of 8 hours in school, indoor air quality of the classroom become an important element. Many studies have shown that indoor air quality not only affecting the respiratory system of schoolchildren but their performance in academy as well.

Matched MeSH terms: Air Pollution, Indoor
Fulltext Prevalence of Penicillium specific Ig E level and allergy symptoms among office workers in a selected company in Bangi, Malaysia

Goh JC, Juliana J, Malina O, Ngah ZU, Norhafizalena O

Trop Biomed, 2007 Jun;24(1):37-46.
PMID: 17568376 MyJurnal

Indoor fungal reservoirs, particularly airborne Penicillium species, were identified throughout the ventilation system of the building and dissemination of fungi from those reservoirs was found to be occurring all the time. The objectives of this study were to determine the association between air concentration of indoor mould (Penicillium) and allergy symptoms among office workers. The study design used in this research was a cross-sectional study. Risk factors were identified through the questionnaire survey. Office workers were selected based on the proximity of their workstations to the microbiological air sampler used for the mould sampling. Results from the current study suggests that individual susceptibility of exposed subjects might be influenced by several factors associated with mould exposure; for example, inhaled mycotoxins or volatile organic compounds, which may, in some complex way, affect the immune response. This study provides the much needed preliminary baseline data for developing guidelines with validated findings that will be of use for policy decisions in Malaysia regarding indoor air quality. Results from this study are recommended for use in planning and implementing control measures in order to reduce the exposure to indoor mould and promote healthy working environment among the workers.

Matched MeSH terms: Air Pollution, Indoor/adverse effects*
Fulltext Hospital indoor air quality and its relationships with building design, building operation, and occupant-related factors: A mini-review

Ibrahim F, Samsudin EZ, Ishak AR, Sathasivam J

Front Public Health, 2022;10:1067764.
PMID: 36424957 DOI: 10.3389/fpubh.2022.1067764

Indoor air quality (IAQ) has recently gained substantial traction as the airborne transmission of infectious respiratory disease becomes an increasing public health concern. Hospital indoor environments are complex ecosystems and strategies to improve hospital IAQ require greater appreciation of its potentially modifiable determinants, evidence of which are currently limited. This mini-review updates and integrates findings of previous literature to outline the current scientific evidence on the relationship between hospital IAQ and building design, building operation, and occupant-related factors. Emerging evidence has linked aspects of building design (dimensional, ventilation, and building envelope designs, construction and finishing materials, furnishing), building operation (ventilation operation and maintenance, hygiene maintenance, access control for hospital users), and occupants' characteristics (occupant activities, medical activities, adaptive behavior) to hospital IAQ. Despite the growing pool of IAQ literature, some important areas within hospitals (outpatient departments) and several key IAQ elements (dimensional aspects, room configurations, building materials, ventilation practices, adaptive behavior) remain understudied. Ventilation for hospitals continues to be challenging, as elevated levels of carbon monoxide, bioaerosols, and chemical compounds persist in indoor air despite having mechanical ventilation systems in place. To curb this public health issue, policy makers should champion implementing hospital IAQ surveillance system for all areas of the hospital building, applying interdisciplinary knowledge during the hospital design, construction and operation phase, and training of hospital staff with regards to operation, maintenance, and building control manipulation. Multipronged strategies targeting these important determinants are believed to be a viable strategy for the future control and improvement of hospital IAQ.

Matched MeSH terms: Air Pollution, Indoor*
Fulltext Interventions to mitigate indoor air pollution: A cost-benefit analysis

Irfan M, Cameron MP, Hassan G

PLoS One, 2021;16(9):e0257543.
PMID: 34559814 DOI: 10.1371/journal.pone.0257543

Globally, around three billion people depend upon solid fuels such as firewood, dry animal dung, crop residues, or coal, and use traditional stoves for cooking and heating purposes. This solid fuel combustion causes indoor air pollution (IAP) and severely impairs health and the environment, especially in developing countries like Pakistan. A number of alternative household energy strategies can be adopted to mitigate IAP, such as using liquefied petroleum gas (LPG), natural gas, biogas, electric stoves, or improved cook stoves (ICS). In this study, we estimate the benefit-cost ratios and net present value of these interventions over a ten-year period in Pakistan. Annual costs include both fixed and operating costs, whereas benefits cover health, productivity gains, time savings, and fuel savings. We find that LPG has the highest benefit-cost ratio, followed by natural gas, while ICS has the lowest benefit-cost ratio. Electric stoves and biogas have moderate benefit-cost ratios that nevertheless exceed one. To maximize the return on cleaner burning technology, the government of Pakistan should consider encouraging the adoption of LPG, piped natural gas, and electric stoves as means to reduce IAP and adopt clean technologies.

Matched MeSH terms: Air Pollution, Indoor*
Fulltext Metagenomic characterization of indoor dust fungal associated with allergy and lung inflammation among school children

Isa KNM, Jalaludin J, Elias SM, Than LTL, Jabbar MA, Saudi ASM, et al.

Ecotoxicol Environ Saf, 2021 Sep 15;221:112430.
PMID: 34147866 DOI: 10.1016/j.ecoenv.2021.112430

The exposure of school children to indoor air pollutants has increased allergy and respiratory diseases. The objective of this study were to determine the toxicodynamic interaction of indoor pollutants exposure, biological and chemical with expression of adhesion molecules on eosinophil and neutrophil. A self-administered questionnaire, allergy skin test, and fractional exhaled nitric oxide (FeNO) analyser were used to collect information on health status, sensitization to allergens and respiratory inflammation, respectively among school children at age of 14 years. The sputum induced were analysed to determine the expression of CD11b, CD35, CD63 and CD66b on eosinophil and neutrophil by using flow cytometry technique. The particulate matter (PM2.5 and PM10), NO2, CO2, and formaldehyde, temperature, and relative humidity were measured inside the classrooms. The fungal DNA were extracted from settled dust collected from classrooms and evaluated using metagenomic techniques. We applied chemometric and regression in statistical analysis. A total of 1869 unique of operational taxonomic units (OTUs) of fungi were identified with dominated at genus level by Aspergillus (15.8%), Verrucoconiothyrium (5.5%), and Ganoderma (4.6%). Chemometric and regression results revealed that relative abundance of T. asahii were associated with down regulation of CD66b expressed on eosinophil, and elevation of FeNO levels in predicting asthmatic children with model accuracy of 63.6%. Meanwhile, upregulation of CD11b expressed on eosinophil were associated with relative abundance of A. clavatus and regulated by PM2.5. There were significant association of P. bandonii with upregulation of CD63 expressed on neutrophil and exposure to NO2. Our findings indicate that exposure to PM2.5, NO2, T. asahii, P.bandonii and A.clavatus are likely interrelated with upregulation of activation and degranulation markers on both eosinophil and neutrophil.

Matched MeSH terms: Air Pollution, Indoor/analysis
Radiological impacts of the amang processing industry on neighbouring residents

Ismail B, Redzuwan Y, Chua RS, Shafiee W

Appl Radiat Isot, 2001 Mar;54(3):393-7.
PMID: 11214872

The processing of amang (one of a number of tin-tailing products) for its valuable minerals has associated with the radiological and environmental problems. The processing and stockpiling of amang and ilmenite in open-air spaces, subject as it is to environmental influences, gives rise to a potential for affecting residents in adjacent area. A case study was carried out in a residential area neighbouring a typical amang plant to investigate the radiological impact to the residents. The average Effective Dose rates, calculated based on the contributions of Effective Dose rates from inhaled suspended radioactive dust, radon-thoron and their progeny, and external gamma radiation, were determined for selected houses. Results show that the occupants of those houses received Effective Dose rate, which cannot be differentiated from background. The major contributor to the average Effective Dose rate came from external radiation sources. Inhaled radon and its progeny was the second major contributor.

Matched MeSH terms: Air Pollution, Indoor/adverse effects; Air Pollution, Indoor/analysis
Fulltext Effects of temperature, humidity, air quality and anthropic activities on the transmission of SARS-CoV-2: a systematic review protocol

Jeevananthan C, Muhamad NA, Jaafar MH, Hod R, Ab Ghani RM, Md Isa Z, et al.

BMJ Open, 2020 11 04;10(11):e039623.
PMID: 33148753 DOI: 10.1136/bmjopen-2020-039623

INTRODUCTION: The current global pandemic of the virus that emerged from Hubei province in China has caused coronavirus disease in 2019 (COVID-19), which has affected a total number of 900 036 people globally, involving 206 countries and resulted in a cumulative of 45 693 deaths worldwide as of 3 April 2020. The mode of transmission is identified through airdrops from patients' body fluids such as during sneezing, coughing and talking. However, the relative importance of environmental effects in the transmission of the virus has not been vastly studied. In addition, the role of temperature and humidity in air-borne transmission of infection is presently still unclear. This study aims to identify the effect of temperature, humidity and air quality in the transmission of SARS-CoV-2.
METHODS AND ANALYSIS: We will systematically conduct a comprehensive literature search using various databases including PubMed, EMBASE, Scopus, CENTRAL and Google Scholar to identify potential studies. The search will be performed for any eligible articles from the earliest published articles up to latest available studies in 2020. We will include all the observational studies such as cohort case-control and cross-sectional studies that explains or measures the effects of temperature and/or humidity and/or air quality and/or anthropic activities that is associated with SARS-CoV-2. Study selection and reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Meta-Analysis of Observational Studies in Epidemiology guideline. All data will be extracted using a standardised data extraction form and quality of the studies will be assessed using the Newcastle-Ottawa Scale guideline. Descriptive and meta-analysis will be performed using a random effect model in Review Manager File.
ETHICS AND DISSEMINATION: No primary data will be collected, and thus no formal ethical approval is required. The results will be disseminated through a peer-reviewed publication and conference presentation.
PROSPERO REGISTRATION NUMBER: CRD42020176756.

Matched MeSH terms: Air Pollution, Indoor
Fulltext Do indoor environments influence asthma and asthma-related symptoms among adults in homes?: a review of the literature

Jie Y, Ismail NH, Jie X, Isa ZM

J Formos Med Assoc, 2011 Sep;110(9):555-63.
PMID: 21930065 DOI: 10.1016/j.jfma.2011.07.003

This review summarizes the results of epidemiological studies focusing on the detrimental effects of home environmental factors on asthma morbidity in adults. We reviewed the literature on indoor air quality (IAQ), physical and sociodemographic factors, and asthma morbidity in homes, and identified commonly reported asthma, allergic, and respiratory symptoms involving the home environment. Reported IAQ and asthma morbidity data strongly indicated positive associations between indoor air pollution and adverse health effects in most studies. Indoor factors most consistently associated with asthma and asthma-related symptoms in adults included fuel combustion, mold growth, and environmental tobacco smoke. Environmental exposure may increase an adult's risk of developing asthma and also may increase the risk of asthma exacerbations. Evaluation of present IAQ levels, exposure characteristics, and the role of exposure to these factors in relation to asthma morbidity is important for improving our understanding, identifying the burden, and for developing and implementing interventions aimed at reducing asthma morbidity.

Matched MeSH terms: Air Pollution, Indoor/adverse effects*
Fulltext Indoor Particulate Matters, Microbial Count Assessments, and Wheezing Symptoms among Toddlers in Urban Day Care Centers in the District of Seremban, Malaysia

Khamal R, Isa ZM, Sutan R, Noraini NMR, Ghazi HF

Ann Glob Health, 2019 01 22;85(1).
PMID: 30741516 DOI: 10.5334/aogh.2425

INTRODUCTION: Indoor air quality in day care centers (DCCs) is an emerging research topic nowadays. Indoor air pollutants such as particulate matter (PM) and microbes have been linked to respiratory health effects in children, particularly asthma-related symptoms such as night coughs and wheezing due to early exposure to indoor air contaminants.
OBJECTIVE: The aim of this study was to determine the association between wheezing symptoms among toddlers attending DCCs and indoor particulate matter, PM10, PM2.5, and microbial count level in urban DCCs in the District of Seremban, Malaysia.
METHODS: Data collection was carried out at 10 DCCs located in the urban area of Seremban. Modified validated questionnaires were distributed to parents to obtain their children's health symptoms. The parameters measured were indoor PM2.5, PM10, carbon monoxide, total bacteria count, total fungus count, temperature, air velocity, and relative humidity using the National Institute for Occupational Safety and Health analytical method.
RESULTS: All 10 DCCs investigated had at least one indoor air quality parameter exceeding the acceptable level of standard guidelines. The prevalence of toddlers having wheezing symptoms was 18.9%. There was a significant different in mean concentration of PM2.5 and total bacteria count between those with and those without wheezing symptoms (P = 0.02, P = 0.006).
CONCLUSIONS: Urban DCCs are exposed to many air pollutants that may enter their buildings from various adjacent sources. The particle concentrations and presence of microbes in DCCs might increase the risk of exposed children for respiratory diseases, particularly asthma, in their later life.

Matched MeSH terms: Air Pollution, Indoor/analysis; Air Pollution, Indoor/prevention & control
Fulltext The Role of Green Building Materials in Reducing Environmental and Human Health Impacts

Khoshnava SM, Rostami R, Mohamad Zin R, Štreimikienė D, Mardani A, Ismail M

Int J Environ Res Public Health, 2020 04 10;17(7).
PMID: 32290074 DOI: 10.3390/ijerph17072589

Conventional building materials (CBMs) made from non-renewable resources are the main source of indoor air contaminants, whose impact can extend from indoors to outdoors. Given their sustainable development (SD) prospect, green building materials (GBMs) with non-toxic, natural, and organic compounds have the potential to reduce their overall impacts on environmental and human health. In this regard, biocomposites as GBMs are environmentally friendly, safe, and recyclable materials and their replacement of CBMs reduces environmental impacts and human health concerns. This study aims to develop a model of fully hybrid bio-based biocomposite as non-structural GBMs and compare it with fully petroleum-based composite in terms of volatile organic compound (VOC) emissions and human health impacts. Using a small chamber test (American Society for Testing and Materials (ASTM)-D5116) for VOC investigation and SimaPro software modeling with the ReCiPe method for evaluating human health impacts. Life cycle assessment (LCA) methodology is used, and the results indicate that switching the fully hybrid bio-based biocomposite with the fully petroleum-based composite could reduce more than 50% impacts on human health in terms of indoor and outdoor. Our results indicate that the usage of biocomposite as GBMs can be an environmentally friendly solution for reducing the total indoor and outdoor impacts on human health.

Matched MeSH terms: Air Pollution, Indoor*
Composition of heavy metals and airborne fibers in the indoor environment of a building during renovation

Latif MT, Baharudin NH, Velayutham P, Awang N, Hamdan H, Mohamad R, et al.

Environ Monit Assess, 2011 Oct;181(1-4):479-89.
PMID: 21181256 DOI: 10.1007/s10661-010-1843-3

The renovation of a building will certainly affect the quality of air in the vicinity of where associated activities were undertaken, this includes the quality of air inside the building. Indoor air pollutants such as particulate matter, heavy metals, and fine fibers are likely to be emitted during renovation work. This study was conducted to determine the concentration of heavy metals, asbestos and suspended particulates in the Biology Building, at the Universiti Kebangsaan, Malaysia (UKM). Renovation activities were carried out widely in the laboratories which were located in this building. A low-volume sampler was used to collect suspended particulate matter of a diameter size less than 10 μm (PM₁₀) and an air sampling pump, fitted with a cellulose ester membrane filter, were used for asbestos sampling. Dust was collected using a small brush and scope. The concentration of heavy metals was determined through the use of inductively coupled plasma-mass spectroscopy and the fibers were counted through a phase contrast microscope. The concentrations of PM₁₀ recorded in the building during renovation action (ranging from 166 to 542 μg m⁻³) were higher than the value set by the Department of Safety and Health for respirable dust (150 μg m⁻³). Additionally, they were higher than the value of PM₁₀ recorded in indoor environments from other studies. The composition of heavy metals in PM₁₀ and indoor dust were found to be dominated by Zn and results also showed that the concentration of heavy metals in indoor dust and PM₁₀ in this study was higher than levels recorded in other similar studies. The asbestos concentration was 0.0038 ± 0.0011 fibers/cc. This was lower than the value set by the Malaysian Department of Occupational, Safety and Health (DOSH) regulations of 0.1 fibers/cc, but higher than the background value usually recorded in indoor environments. This study strongly suggests that renovation issues need to be considered seriously by relevant stakeholders within the university in order to ensure that the associated risks toward humans and indoor environment are eliminated, or where this is not feasible, minimized as far as possible.

Matched MeSH terms: Air Pollution, Indoor/statistics & numerical data*
Secondhand smoke exposures in indoor public places in seven Asian countries

Lee J, Lim S, Lee K, Guo X, Kamath R, Yamato H, et al.

Int J Hyg Environ Health, 2010 Sep;213(5):348-51.
PMID: 20542729 DOI: 10.1016/j.ijheh.2010.05.007

Exposure to secondhand smoke (SHS) is a major threat to public health. Asian countries having the highest smoking prevalence are seriously affected by SHS. The objective of the study was to measure SHS levels in hospitality venues in seven Asian countries and to compare the SHS exposure to the levels in Western countries. The study was carried out in four types of related hospitality venues (restaurant, café, bar/club and entertainment) in China, India, Japan, Korea, Malaysia, Pakistan and Sri Lanka. Real-time measurement of particulate matter of <2.5microm aerodynamic diameter (PM(2.5)) was made during business hour using a handheld laser operated monitor. A total of 168 venues were measured in seven countries. The average indoor PM(2.5) level was 137microg/m(3), ranging from 46microg/m(3) in Malaysia to 207microg/m(3) in India. Bar/club had the highest PM(2.5) level of 191microg/m(3) and restaurants had the lowest PM(2.5) level of 92microg/m(3). The average indoor PM(2.5) level in smoking venues was 156micro/m(3), which was 3.6 times higher than non-smoking venues (43microg/m(3)). Indoor PM(2.5) levels were significantly associated with country, type of venue, smoking density and air exchange rate (p<0.05). In the seven Asian countries, PM(2.5) levels were high due to SHS in public places. The current levels are comparable to the levels in Western countries before the adoption of smoke-free policy. Since Asian country has high prevalence of SHS in public places, there is an urgent need for comprehensive smoke-free regulation in Asian countries.

Matched MeSH terms: Air Pollution, Indoor/analysis; Air Pollution, Indoor/statistics & numerical data*
Fulltext Bacterial constituents of indoor air in a high throughput building in the tropics

Li TC, Ambu S, Mohandas K, Wah MJ, Sulaiman LH, Murgaiyah M

Trop Biomed, 2014 Sep;31(3):540-56.
PMID: 25382482 MyJurnal

Airborne bacteria are significant biotic constituents of bioaerosol. Bacteria at high concentrations in the air can compromise indoor air quality (IAQ) and result in many diseases. In tropical environments like Malaysia that extensively utilize air-conditioning systems, this is particularly significant due to continuous recirculation of indoor air and the potential implications for human health. Currently, there is a lack of knowledge regarding the impact of airborne bacteria on IAQ in Malaysia. This study was prompted by a need for reliable baseline data on airborne bacteria in the indoor environment of tropical equatorial Malaysia, that may be used as a reference for further investigations on the potential role played by airborne bacteria as an agent of disease in this region. It was further necessitated due to the threat of bioterrorism with the potentiality of release of exotic pathogenic microorganisms into indoor or outdoor air. Before scientists can detect the latter, a gauge of the common microorganisms in indoor (as well as outdoor) air needs to be ascertained, hence the expediency of this study. Bacterial counts from the broad-based and targeted study were generally in the order of 10(2) colony-forming units (CFU) per m(3) of air. The most prevalent airborne bacteria found in the broad-based study that encompassed all five levels of the building were Gram-positive cocci (67.73%), followed by Gram-positive rods (24.26%) and Gram-negative rods (7.10%). Gram-negative cocci were rarely detected (0.71%). Amongst the genera identified, Kytococcus sp., Micrococcus sp., Staphylococcus sp., Leifsonia sp., Bacillus sp. and Corynebacterium sp. predominated in indoor air. The most dominant bacterial species were Kytococcus sedentarius, Staphylococcus epidermidis and Micrococcus luteus. The opportunistic and nosocomial pathogen, Stenotrophomonas maltophilia was also discovered at a high percentage in the cafeteria. The bacteria isolated in this study have been increasingly documented to cause opportunistic infections in immuno-compromised patients, sometimes with fatal outcomes. Furthermore, some of them are becoming increasingly resistant to antibiotics. Hence, we propose that indoor reservoirs of these bacteria and their associated clinical and more subtle health effects, if any, be investigated further.

Matched MeSH terms: Air Pollution, Indoor*
Sick building syndrome (SBS) among office workers in a Malaysian university--Associations with atopy, fractional exhaled nitric oxide (FeNO) and the office environment

Lim FL, Hashim Z, Md Said S, Than LT, Hashim JH, Norbäck D

Sci Total Environ, 2015 Dec 1;536:353-61.
PMID: 26225741 DOI: 10.1016/j.scitotenv.2015.06.137

There are few studies on sick building syndrome (SBS) including clinical measurements for atopy and fractional exhaled nitric oxide (FeNO). Our aim was to study associations between SBS symptoms, selected personal factors, office characteristics and indoor office exposures among office workers from a university in Malaysia. Health data were collected by a questionnaire (n=695), skin prick test (SPT) (n=463) and FeNO test (n=460). Office settled dust was vacuumed and analyzed for endotoxin, (1,3)-β-glucan and house dust mites (HDM) allergens group 1 namely Dermatophagoides pteronyssinus (Der p 1) and Dermatophagoides farinae (Der f 1). Office indoor temperature, relative air humidity (RH), carbon monoxide (CO) and carbon dioxide (CO2) were measured by a direct reading instrument. Associations were studied by two-levels multiple logistic regression with mutual adjustment and stratified analysis. The prevalence of weekly dermal, mucosal and general symptoms was 11.9%, 16.0% and 23.0% respectively. A combination of SPT positivity (allergy to HDM or cat) and high FeNO level (≥25 ppb) was associated with dermal (p=0.002), mucosal (p<0.001) and general symptoms (p=0.05). Der f1 level in dust was associated with dermal (p<0.001), mucosal (p<0.001) and general (p=0.02) symptoms. Among those with allergy to D. farinae, associations were found between Der f 1 levels in dust and dermal (p=0.003), mucosal (p=0.001) and general symptoms (p=0.007). Office-related symptoms were associated with Der f 1 levels in dust (p=0.02), low relative air humidity (p=0.04) and high office temperature (p=0.05). In conclusion, a combination of allergy to cat or HDM and high FeNO is a risk factor for SBS symptoms. Der f 1 allergen in dust can be a risk factor for SBS in the office environment, particularly among those sensitized to Der f 1 allergen.

Matched MeSH terms: Air Pollution, Indoor/analysis*; Air Pollution, Indoor/statistics & numerical data
Fulltext Asthma, Airway Symptoms and Rhinitis in Office Workers in Malaysia: Associations with House Dust Mite (HDM) Allergy, Cat Allergy and Levels of House Dust Mite Allergens in Office Dust

Lim FL, Hashim Z, Than LT, Md Said S, Hisham Hashim J, Norbäck D

PLoS One, 2015;10(4):e0124905.
PMID: 25923543 DOI: 10.1371/journal.pone.0124905

A prevalence study was conducted among office workers in Malaysia (N= 695). The aim of this study was to examine associations between asthma, airway symptoms, rhinitis and house dust mites (HDM) and cat allergy and HDM levels in office dust. Medical data was collected by a questionnaire. Skin prick tests were performed for HDM allergens (Dermatophagoides pteronyssinus, Dermatophagoides farinae) and cat allergen Felis domesticus. Indoor temperature and relative air humidity (RH) were measured in the offices and vacuumed dust samples were analyzed for HDM allergens. The prevalence of D. pteronyssinus, D. farinae and cat allergy were 50.3%, 49.0% and 25.5% respectively. Totally 9.6% had doctor-diagnosed asthma, 15.5% had current wheeze and 53.0% had current rhinitis. The Der p 1 (from D. pteronyssinus) and Der f 1 (from D. farinae) allergens levels in dust were 556 ng/g and 658 ng/g respectively. Statistical analysis was conducted by multilevel logistic regression, adjusting for age, gender, current smoking, HDM or cat allergy, home dampness and recent indoor painting at home. Office workers with HDM allergy had more wheeze (p= 0.035), any airway symptoms (p= 0.032), doctor-diagnosed asthma (p= 0.005), current asthma (p= 0.007), current rhinitis (p= 0.021) and rhinoconjuctivitis (p< 0.001). Cat allergy was associated with wheeze (p= 0.021), wheeze when not having a cold (p= 0.033), any airway symptoms (p= 0.034), doctor-diagnosed asthma (p= 0.010), current asthma (p= 0.020) and nasal allergy medication (p= 0.042). Der f 1 level in dust was associated with daytime breathlessness (p= 0.033) especially among those with HDM allergy. Der f 1 levels were correlated with indoor temperature (p< 0.001) and inversely correlated with RH (p< 0.001). In conclusion, HDM and cat allergies were common and independently associated with asthma, airway symptoms and rhinitis. Der f 1 allergen can be a risk factor for daytime breathlessness.

Matched MeSH terms: Air Pollution, Indoor/analysis
Respiratory health among office workers in Malaysia and endotoxin and (1,3)-β-glucan in office dust

Lim FL, Hashim Z, Than LTL, Md Said S, Hashim JH, Norbäck D

Int J Tuberc Lung Dis, 2019 11 01;23(11):1171-1177.
PMID: 31718753 DOI: 10.5588/ijtld.18.0668

OBJECTIVE: To examine the associations between endotoxin and (1,3)-β-glucan concentrations in office dust and respiratory symptoms and airway inflammation among 695 office workers in Malaysia.METHODS: Health data were collected using a questionnaire, sensitisation testing and measurement of fractional exhaled nitric oxide (FeNO). Indoor temperature, relative air humidity (RH) and carbon dioxide (CO₂) were measured in the offices and settled dust was vacuumed and analysed for endotoxin and (1,3)-β-glucan concentrations. Associations were analysed by two level multiple logistic regression.RESULTS: Overall, 9.6% of the workers had doctor-diagnosed asthma, 15.5% had wheeze, 18.4% had daytime attacks of breathlessness and 25.8% had elevated FeNO (≥25 ppb). The median levels in office dust were 11.3 EU/mg endotoxin and 62.9 ng/g (1,3)-β-glucan. After adjusting for personal and home environment factors, endotoxin concentration in dust was associated with wheeze (P = 0.02) and rhinoconjunctivitis (P = 0.007). The amount of surface dust (P = 0.04) and (1,3)-β-glucan concentration dust (P = 0.03) were associated with elevated FeNO.CONCLUSION: Endotoxin in office dust could be a risk factor for wheeze and rhinoconjunctivitis among office workers in mechanically ventilated offices in a tropical country. The amount of dust and (1,3)-β-glucan (a marker of indoor mould exposure) were associated with Th2 driven airway inflammation.

Matched MeSH terms: Air Pollution, Indoor/analysis
Mosquito coil emissions and health implications

Liu W, Zhang J, Hashim JH, Jalaludin J, Hashim Z, Goldstein BD

Environ Health Perspect, 2003 Sep;111(12):1454-60.
PMID: 12948883

Burning mosquito coils indoors generates smoke that can control mosquitoes effectively. This practice is currently used in numerous households in Asia, Africa, and South America. However, the smoke may contain pollutants of health concern. We conducted the present study to characterize the emissions from four common brands of mosquito coils from China and two common brands from Malaysia. We used mass balance equations to determine emission rates of fine particles (particulate matter < 2.5 microm in diameter; PM(2.5)), polycyclic aromatic hydrocarbons (PAHs), aldehydes, and ketones. Having applied these measured emission rates to predict indoor concentrations under realistic room conditions, we found that pollutant concentrations resulting from burning mosquito coils could substantially exceed health-based air quality standards or guidelines. Under the same combustion conditions, the tested Malaysian mosquito coils generated more measured pollutants than did the tested Chinese mosquito coils. We also identified a large suite of volatile organic compounds, including carcinogens and suspected carcinogens, in the coil smoke. In a set of experiments conducted in a room, we examined the size distribution of particulate matter contained in the coil smoke and found that the particles were ultrafine and fine. The findings from the present study suggest that exposure to the smoke of mosquito coils similar to the tested ones can pose significant acute and chronic health risks. For example, burning one mosquito coil would release the same amount of PM(2.5) mass as burning 75-137 cigarettes. The emission of formaldehyde from burning one coil can be as high as that released from burning 51 cigarettes.

Matched MeSH terms: Air Pollution, Indoor/analysis*
Fulltext PRELIMINARY ASSESSMENT OF THE DISTRIBUTION OF PM2.5-BOUND POLYCYCLIC AROMATIC HYDROCARBONS IN PRIMARY SCHOOL ENVIRONMENTS IN KUALA LUMPUR

MOHAMAD FIRDAUS ISMAIL, MUHAMMAD FAIS FADZIL, NORHAYATI MOHD TAHIR, NORHAYATI MOHD TAHIR, MOHD TALIB LATIF, NOORLIN MOHAMAD

UMT Journal of Undergraduate Research, 2019;1(2):51-58.
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: Air Pollution, Indoor
Fulltext House dust mite fauna in the Klang Valley, Malaysia

Mariana A, Ho TM, Sofian-Azirun M, Wong AL

Southeast Asian J. Trop. Med. Public Health, 2000 Dec;31(4):712-21.
PMID: 11414418

Allergy to house dust mites (HDM) is an important cause of asthma and rhinitis in Malaysia. This study was carried out to evaluate the dust mite fauna in the Klang Valley. Dust samples were collected from 20 houses from March 1994 to February 1995. Thirty-three dust samples from mattresses were examined monthly for the occurrence of HDM. A total of 22 species in 9 families of HDM was identified. The most common and densely populated species was Blomia tropicalis with an average density of 8,934 mites/g of dust. Dermatophagoides pteronyssinus was the next in abundance, followed by Malayoglyphus intermedius. All houses surveyed were found to be infested with HDM and every house had at least 6 species of HDM. B. tropicalis and D. pteronyssinus were found in all mattresses. HDM in the Klang Valley were found to be highly prevalent and present in high densities. In this study, counts of D. pteronyssinus was found to exceed the proposed exposure threshold of 500 mites/g dust, for triggering acute asthma. Although counts of B. tropicalis exceeded D. pteronyssinus, no conclusion could be made because there is currently no exposure threshold for triggering acute asthma, for this species. Monthly distribution of B. tropicalis and D. pteronyssinus showed 2 peaks and 4 peaks, respectively. The major peak for D. pteronysinus was in January 1995 whereas for B. tropicalis, the major peak was more variable and occurred between November 1994 to January 1995. Both the species showed minor peak in April 1994.

Matched MeSH terms: Air Pollution, Indoor
Fulltext Determination of chemical content of pm10 and tsp using SEM-EDAX

Masitah Alias, Zaini Hamzah

Journal of Nuclear and Related Technologies, 2007;2007(1):217-226.
MyJurnal

The growing concern over the workers safety and health has lead many factories and organizations do the air monitoring to ensure the airborne at their workplace is safe for the worker’s health and complying the Occupational Safety and Health Act 1994 (Act 514). In this study, the monitoring covers an indoor air quality and chemical exposure to the workers in one of the power plant repair shop. A few workers from different sections namely blasting, welding, grinding, fitting and maintenance area were chosen to assist in the personal monitoring for 8 hours measurement. PM10 were measured at a few sampling points to collect dusts for 24 hours duration. The samples were brought back to the laboratory for gravimetric and SEM-EDAX analysis. The results were certainly exceed the limit for air quality, and many elements were detected such as Fe, Ni, Al, Si, Ca, K, Ba, S, Cr, Zn and Cl. The present of these elements shows that exposure to these particulate matters is quite risky and some measure needs to be taken for remedial action.

Matched MeSH terms: Air Pollution, Indoor

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