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Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Salahuddin L, Ismail Z, Abd Ghani MK, Mohd Aboobaider B, Hasan Basari AS

J Eval Clin Pract, 2020 Oct;26(5):1416-1424.
PMID: 31863517 DOI: 10.1111/jep.13326

OBJECTIVES: The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals.
METHODS: Semi-structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementation of the Total Hospital Information System (THIS) between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes.
RESULTS: Five themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time.
CONCLUSIONS: This study provided the key factors as to why doctors were involved in workarounds during the implementation of the HIS. It is important to understand these factors in order to help mitigate work practices that can pose a threat to patient safety.

Matched MeSH terms: Hospital Information Systems
External factors in hospital information system (HIS) adoption model: a case on Malaysia

Lee HW, Ramayah T, Zakaria N

J Med Syst, 2012 Aug;36(4):2129-40.
PMID: 21384267 DOI: 10.1007/s10916-011-9675-4

Studies related to healthcare ICT integration in Malaysia are relatively little, thus this paper provide a literature review of the integration of information and communication technologies (ICT) in the healthcare sector in Malaysia through the hospital information system (HIS). Our study emphasized on secondary data to investigate the factors related to ICT integration in healthcare through HIS. Therefore this paper aimed to gather an in depth understanding of issues related to HIS adoption, and contributing in fostering HIS adoption in Malaysia and other countries. This paper provides a direction for future research to study the correlation of factors affecting HIS adoption. Finally a research model is proposed using current adoption theories and external factors from human, technology, and organization perspectives.

Matched MeSH terms: Hospital Information Systems/organization & administration*
Fulltext FSM-F: Finite State Machine Based Framework for Denial of Service and Intrusion Detection in MANET

N Ahmed M, Abdullah AH, Kaiwartya O

PLoS One, 2016;11(6):e0156885.
PMID: 27285146 DOI: 10.1371/journal.pone.0156885

Due to the continuous advancements in wireless communication in terms of quality of communication and affordability of the technology, the application area of Mobile Adhoc Networks (MANETs) significantly growing particularly in military and disaster management. Considering the sensitivity of the application areas, security in terms of detection of Denial of Service (DoS) and intrusion has become prime concern in research and development in the area. The security systems suggested in the past has state recognition problem where the system is not able to accurately identify the actual state of the network nodes due to the absence of clear definition of states of the nodes. In this context, this paper proposes a framework based on Finite State Machine (FSM) for denial of service and intrusion detection in MANETs. In particular, an Interruption Detection system for Adhoc On-demand Distance Vector (ID-AODV) protocol is presented based on finite state machine. The packet dropping and sequence number attacks are closely investigated and detection systems for both types of attacks are designed. The major functional modules of ID-AODV includes network monitoring system, finite state machine and attack detection model. Simulations are carried out in network simulator NS-2 to evaluate the performance of the proposed framework. A comparative evaluation of the performance is also performed with the state-of-the-art techniques: RIDAN and AODV. The performance evaluations attest the benefits of proposed framework in terms of providing better security for denial of service and intrusion detection attacks.

Matched MeSH terms: Information Systems
Flow and sediment yield simulations for Bukit Merah Reservoir catchment, Malaysia: a case study

Hasan ZA, Hamidon N, Yusof MS, Ghani AA

Water Sci Technol, 2012;66(10):2170-6.
PMID: 22949248 DOI: 10.2166/wst.2012.432

Bukit Merah Reservoir is the main potable and irrigation water source for Kerian District, Perak State, Malaysia. For the past two decades, the reservoir has experienced water stress. Land-use activities have been identified as the contributor of the sedimentation. The Soil and Water Assessment Tool (SWAT) was used to simulate and quantify the impacts of land-use change in the reservoir watershed. The SWAT was calibrated and two scenarios were constructed representing projected land use in the year 2015 and hypothetical land use to represent extensive land-use change in the catchment area. The simulation results based on 17 years of rainfall records indicate that average water quantity will not be significantly affected but the ground water storage will decrease and suspended sediment will increase. Ground water decrease and sediment yield increase will exacerbate the Bukit Merah Reservoir operation problem.

Matched MeSH terms: Geographic Information Systems
Fulltext Future malaria spatial pattern based on the potential global warming impact in South and Southeast Asia

Khormi HM, Kumar L

Geospat Health, 2016 11 21;11(3):416.
PMID: 27903054 DOI: 10.4081/gh.2016.416

We used the Model for Interdisciplinary Research on Climate-H climate model with the A2 Special Report on Emissions Scenarios for the years 2050 and 2100 and CLIMEX software for projections to illustrate the potential impact of climate change on the spatial distributions of malaria in China, India, Indochina, Indonesia, and The Philippines based on climate variables such as temperature, moisture, heat, cold and dryness. The model was calibrated using data from several knowledge domains, including geographical distribution records. The areas in which malaria has currently been detected are consistent with those showing high values of the ecoclimatic index in the CLIMEX model. The match between prediction and reality was found to be high. More than 90% of the observed malaria distribution points were associated with the currently known suitable climate conditions. Climate suitability for malaria is projected to decrease in India, southern Myanmar, southern Thailand, eastern Borneo, and the region bordering Cambodia, Malaysia and the Indonesian islands, while it is expected to increase in southern and south-eastern China and Taiwan. The climatic models for Anopheles mosquitoes presented here should be useful for malaria control, monitoring, and management, particularly considering these future climate scenarios.

Matched MeSH terms: Geographic Information Systems
Fulltext GIS based assessment on landslide hazard zonation: case study of Cameron Highlands – Gua Musang road Kelantan, Malaysia

Mohamed M. GahGah, Juhari Mat Akhir, Abdul Ghani M. Rafek, Ibrahim Abdullah

Sains Malaysiana, 2009;38(6):827-833.

The aim of this study is to investigate the factors that cause landslides in the area along the new road between Cameron Highlands and Gua Musang. Landslide factors such as lineaments have been extracted from remote sensing data (Landsat TM image) using ERDAS software. A soil map has been produced using field work and laboratory analysis, and the lithology, roads, drainage pattern and rainfall have been digitized using ILWIS software together with the slope angle and elevation from the Digital Elevation Model (DEM). All these parameters, which are vital for landslide hazard assessment, have been integrated into the geographical information system (GIS) for further data processing. Weightage for these landslide relevant factors related to their influence in landslide occurrence using the heuristic method has been carried out. The results from this combination through a modified ‘index overlay with multi class maps’ model was used to produce a landslide hazard zonation map. Five classes of potential landslide hazard have been derived as the following: very low hazard zone 17.27%, low hazard zone 39.35%, medium hazard zone 25.1%, high hazard zone 15.35% and very high hazard zone 2.93%. The results from this work have been checked through the landslide inventory using available aerial photos interpretation and field work, and show that the slope and elevation have the most direct affect on landslide occurrence.

Matched MeSH terms: Geographic Information Systems
GIS-based air quality modelling: spatial prediction of PM10 for Selangor State, Malaysia using machine learning algorithms

Tella A, Balogun AL

Environ Sci Pollut Res Int, 2022 Dec;29(57):86109-86125.
PMID: 34533750 DOI: 10.1007/s11356-021-16150-0

Rapid urbanization has caused severe deterioration of air quality globally, leading to increased hospitalization and premature deaths. Therefore, accurate prediction of air quality is crucial for mitigation planning to support urban sustainability and resilience. Although some studies have predicted air pollutants such as particulate matter (PM) using machine learning algorithms (MLAs), there is a paucity of studies on spatial hazard assessment with respect to the air quality index (AQI). Incorporating PM in AQI studies is crucial because of its easily inhalable micro-size which has adverse impacts on ecology, environment, and human health. Accurate and timely prediction of the air quality index can ensure adequate intervention to aid air quality management. Therefore, this study undertakes a spatial hazard assessment of the air quality index using particulate matter with a diameter of 10 μm or lesser (PM10) in Selangor, Malaysia, by developing four machine learning models: eXtreme Gradient Boosting (XGBoost), random forest (RF), K-nearest neighbour (KNN), and Naive Bayes (NB). Spatially processed data such as NDVI, SAVI, BU, LST, Ws, slope, elevation, and road density was used for the modelling. The model was trained with 70% of the dataset, while 30% was used for cross-validation. Results showed that XGBoost has the highest overall accuracy and precision of 0.989 and 0.995, followed by random forest (0.989, 0.993), K-nearest neighbour (0.987, 0.984), and Naive Bayes (0.917, 0.922), respectively. The spatial air quality maps were generated by integrating the geographical information system (GIS) with the four MLAs, which correlated with Malaysia's air pollution index. The maps indicate that air quality in Selangor is satisfactory and posed no threats to health. Nevertheless, the two algorithms with the best performance (XGBoost and RF) indicate that a high percentage of the air quality is moderate. The study concludes that successful air pollution management policies such as green infrastructure practice, improvement of energy efficiency, and restrictions on heavy-duty vehicles can be adopted in Selangor and other Southeast Asian cities to prevent deterioration of air quality in the future.

Matched MeSH terms: Geographic Information Systems
Fulltext GIS-based intelligent planning approach of child-friendly pedestrian pathway to promote a child-friendly city

Fang K, Azizan SA, Huang H

Sci Rep, 2024 Apr 07;14(1):8139.
PMID: 38584168 DOI: 10.1038/s41598-024-58712-5

Pedestrian safety, particularly for children, relies on well-designed pathways. Child-friendly pathways play a crucial role in safeguarding young pedestrians. Shared spaces accommodating both vehicles and walkers can bring benefits to pedestrians. However, active children playing near these pathways are prone to accidents. This research aims to develop an efficient method for planning child-friendly pedestrian pathways, taking into account community development and the specific needs of children. A mixed-methods approach was employed, utilizing the Datang community in Guangzhou, China, as a case study. This approach combined drawing techniques with GIS data analysis. Drawing methods were utilized to identify points of interest for children aged 2-6. The qualitative and quantitative fuzzy analytic hierarchy process assessed factors influencing pathway planning, assigning appropriate weights. The weighted superposition analysis method constructed a comprehensive cost grid, considering various community elements. To streamline the planning process, a GIS tool was developed based on the identified factors, resulting in a practical, child-friendly pedestrian pathway network. Results indicate that this method efficiently creates child-friendly pathways, ensuring optimal connectivity within the planned road network.

Matched MeSH terms: Geographic Information Systems*
Fulltext Geographic Information System (GIS) modeling approach to determine the fastest delivery routes

Abousaeidi M, Fauzi R, Muhamad R

Saudi J Biol Sci, 2016 Sep;23(5):555-64.
PMID: 27579003 DOI: 10.1016/j.sjbs.2015.06.004

This study involves the adoption of the Geographic Information System (GIS) modeling approach to determine the quickest routes for fresh vegetable delivery. During transport, fresh vegetables mainly deteriorate on account of temperature and delivery time. Nonetheless, little attention has been directed to transportation issues in most areas within Kuala Lumpur. In addition, perishable food normally has a short shelf life, thus timely delivery significantly affects delivery costs. Therefore, selecting efficient routes would consequently reduce the total transportation costs. The regression model is applied in this study to determine the parameters that affect route selection with respect to the fastest delivery of fresh vegetables. For the purpose of this research, ArcGIS software with network analyst extension is adopted to solve the problem of complex networks. The final output of this research is a map of quickest routes with the best delivery times based on all variables. The variables tested from regression analysis are the most effective parameters to make the flow of road networks slower. The objective is to improve the delivery services by achieving the least drive time. The main findings of this research are that Land use such as residential area and population as variables are the effective parameters on drive time.

Matched MeSH terms: Geographic Information Systems
Fulltext Geographic information system mapping in Pedro Vicente Maldonado Ecuadorian Scientific Station Antarctica Base (Greenwich Island) Antarctic Peninsular

Fauzi, R., Salazar, D.M., Kadzim, R.M., Hussin, A., Burbano, L.

ASM Science Journal, 2009;3(2):161-167.
MyJurnal

In this project, a Geographic Information System (GIS) was used to collect and compile various field data in the Pedro Vicente Maldonado Ecuadorian Scientific Station Antarctica Base area. The main source of data was obtained from a global positioning system (GPS) survey using kinematic GPS (GPS-RTK) which allowed continuous point mapping in the terrain. GPS units were utilized in the collection of spatial data for all field work. The co-ordinates obtained were used to produce a point map which was then exported into GIS software where the proximity of cartographic phenomena and boundaries were mapped. All the collected data were subsequently gathered to develop the GIS database which was then used to generate and compile different maps to test for spatial and temporal relationships. The output of the project comprises a GIS database, spatial maps and 3D terrain model of the area. The developed GIS database can be used with other ecological datasets to provide biogeographical information, potential range distribution and sampling adequacy. The database is also applicable to geographical management and multi-disciplinary research projects.

Matched MeSH terms: Geographic Information Systems
Fulltext Geographical information system (GIS) application in tuberculosis spatial clustering studies: a systematic review

Norazman Mohd Rosli, Shamsul Azhar Shah, Mohd Ihsani Mahmood

Malaysian Journal of Public Health Medicine, 2018;18(1):0-0.
MyJurnal

Tuberculosis (TB) is known as a disease that prone to spatial clustering. Recent development has seen a sharp rise in the number of epidemiologic studies employing Geographical Information System (GIS), particularly in identifying TB clusters and evidences of etiologic factors. The aim of this systematic review is to determine evidence of TB clustering, type of spatial analysis commonly used and the application of GIS in TB surveillance and control. A literature search of articles published in English language between 2000 and November 2015 was performed using MEDLINE and Science Direct using relevant search terms related to spatial analysis in studies of TB cluster. The search strategy was adapted and developed for each database using appropriate subject headings and keywords. The literature reviewed showed strong evidence of TB clustering occurred in high risk areas in both developed and developing countries. Spatial scan statistics were the most commonly used analysis and proved useful in TB surveillance through detection of outbreak, early warning and identifying area of increased TB transmission. Among others are targeted screening and assessment of TB program using GIS technology. However there were limitations on suitability of utilizing aggregated data such as national cencus that were pre-collected in explaining the present spatial distribution among population at risk. Spatial boundaries determined by zip code may be too large for metropolitan area or too small for country. Nevertheless, GIS is a powerful tool in aiding TB control and prevention in developing countries and should be used for real-time surveillance and decision making.

Matched MeSH terms: Geographic Information Systems
Geologic hazard risk assessment of slopeland villages in southern taiwan using remote sensing techniques

Yang SR, Yeh YL

Sains Malaysiana, 2015;44:1677-1683.

Countering the dangers associated the present extreme climate not only requires continuous improvement of local disaster
prevention engineering infrastructure but also needs an enhanced understanding of the causes of the disasters. This study
investigates the geologic hazard risk of 53 slopeland villages in Pingtung county of southern Taiwan. First, remote sensing
(RS) techniques were utilized to interpret environmental geology and geologic hazard zonation, including dip slope, fault,
landslide and debris flow. GIS map overlay analysis was used to further identify the extent of the geologic hazard zonation.
As a final step, field investigation is used to comprehend geologic, topographic conditions and the geologic hazard risk
specific to each locality. Based on data analysis and field investigation results, this study successfully integrates RS, GIS
and GPS techniques to construct a geologic hazard risk assessment method of slopeland village. The results of this study
can be used to promote support for future disaster prevention and disaster mitigation efforts.

Matched MeSH terms: Geographic Information Systems
Fulltext Geospatial Tuberculosis Information System for Airborne Disease Management

Abdul Rauf Abdul Rasam, Noresah Mohd Shariff, Dony, Jiloris F., Saiful Aman Sulaiman

Jurnal Inovasi Malaysia, 2018;2(1):75-88.
MyJurnal

An innovative health information system can be used to support the control of tuberculosis (TB) in Malaysia. The existing system of MyTB has helped in the national TB information management and decision-making process. However, the system can be further enhanced by producing a prototype of Geospatial Tuberculosis Information System (GeoTBiS). It is a geospatial decision support system that was initially proposed in Shah Alam, Selangor. Geospatial data has spatio-temporal characteristics that can be used to understand the basic elements of TB aetiology, while geospatial operations are employed to collect, manage and disseminate the data in a geographical information system (GIS) environment. The disease map and epidemiological risk analysis are produced using a global positioning system (GPS), satellite imagery, geostatistical analysis and web mapping services. This GeoTBiS has demonstrated the geospatial capabilities in enhancing the current system functions, and several recommendations towards a practicable application.

Matched MeSH terms: Geographic Information Systems; Health Information Systems
Fulltext Geospatial analysis of distribution of community pharmacies and other health care facilities providing minor ailments services in Malaysia

Tew MM, Hatah E, Arif F, Abdul Wahid MA, Makmor-Bakry M, Abdul Maulad KN

J Pharm Policy Pract, 2021 Feb 24;14(1):24.
PMID: 33627199 DOI: 10.1186/s40545-021-00308-9

BACKGROUND: Minor ailments are defined as common, self-limiting, or uncomplicated conditions that may be diagnosed and managed without a medical intervention. Previous studies reported that pharmacists were able to help patients self-manage minor ailments that led to a reduction of health care burden in other facilities. Nevertheless, public access to community pharmacy and other health care facilities offering services for minor ailments has not yet been explored in Malaysia. Hence, this study aims to determine population access to the above-mentioned services.
METHOD: According to the reported practice address in 2018, the spatial distribution of health care facilities was mapped and explored using the GIS mapping techniques. The density of health care facilities was analyzed using thematic maps with hot spot analysis. Population to facility ratio was calculated using the projection of the population growth based on 2010 census data, which was the latest available in the year of analysis.
RESULTS: The study included geographical mapping of 7051 general practitioner clinics (GPC), 3084 community pharmacies (CP), 139 public general hospitals (GHs) and 990 public primary health clinics (PHC). The health care facilities were found to be highly dense in urban areas than in the rural ones. There were six districts that had no CP, 2 had no GPC, and 11 did not have both. The overall ratio of GPC, CP, GH, and PHC to the population was 1:4228, 1:10,200, 1:223,619 and 1:31,397, respectively. Should the coverage for minor ailment services in public health care clinics be extended to community pharmacies, the ratio of facilities to population for each district would be better with 1:4000-8000.
CONCLUSIONS: The distribution of health care facilities for minor ailment management in Malaysia is relatively good. However, if the scheme for minor ailments were available to community pharmacies, then the patients' access to minor ailments services would be further improved.

Matched MeSH terms: Geographic Information Systems
Geospatial techniques for assessment of bank erosion and accretion in the Marala Alexandria reach of the River Chenab, Pakistan

M. Hamid Ch, M. Ashraf, Qudsia Hamid, Syed Mansoor Sarwar, Zulfiqar Ahmad Saqib

Sains Malaysiana, 2017;46:413-420.

Remote Sensing (RS) and Geographical Information Systems (GIS) are widely used for change detection in rivers caused
by erosion and accretion. Digital image processing techniques and GIS analysis capabilities are used for detecting
temporal variations of erosion and accretion characteristics between the years 1999 and 2011 in a 40 km long Marala
Alexandria reach of River Chenab. Landsat satellite images for the years 1999, 2007 and 2011 were processed to analyze
the river channel migration, changes in the river width and the rate of erosion and accretion. Analyses showed that the
right bank was under erosion in both time spans, however high rate of deposition is exhibited in middle reaches. The
maximum erosion was 1569843 m2
and 1486160 m2
along the right bank at a distance of 24-28 km downstream of the
Marala barrage in the time span of 1999-2007 and 2007-2011, respectively. Along right bank mainly there is trend of
accretion but erosion is much greater between 20 and 28 km reach. Maximum accretion was 5144584 m2
from 1999-2007
and 2950110 m2
from 2007-2011 on the right bank downstream of the Marala Barrage. The derived results of channel
migration were validated by comparing with SRTM data to assess the accuracy of image classification. Integration of remote
sensing data with GIS is efficient and economical technique to assess land losses and channel changes in large rivers.

Matched MeSH terms: Geographic Information Systems
Groundwater potential mapping using C5.0, random forest, and multivariate adaptive regression spline models in GIS

Golkarian A, Naghibi SA, Kalantar B, Pradhan B

Environ Monit Assess, 2018 Feb 17;190(3):149.
PMID: 29455381 DOI: 10.1007/s10661-018-6507-8

Ever increasing demand for water resources for different purposes makes it essential to have better understanding and knowledge about water resources. As known, groundwater resources are one of the main water resources especially in countries with arid climatic condition. Thus, this study seeks to provide groundwater potential maps (GPMs) employing new algorithms. Accordingly, this study aims to validate the performance of C5.0, random forest (RF), and multivariate adaptive regression splines (MARS) algorithms for generating GPMs in the eastern part of Mashhad Plain, Iran. For this purpose, a dataset was produced consisting of spring locations as indicator and groundwater-conditioning factors (GCFs) as input. In this research, 13 GCFs were selected including altitude, slope aspect, slope angle, plan curvature, profile curvature, topographic wetness index (TWI), slope length, distance from rivers and faults, rivers and faults density, land use, and lithology. The mentioned dataset was divided into two classes of training and validation with 70 and 30% of the springs, respectively. Then, C5.0, RF, and MARS algorithms were employed using R statistical software, and the final values were transformed into GPMs. Finally, two evaluation criteria including Kappa and area under receiver operating characteristics curve (AUC-ROC) were calculated. According to the findings of this research, MARS had the best performance with AUC-ROC of 84.2%, followed by RF and C5.0 algorithms with AUC-ROC values of 79.7 and 77.3%, respectively. The results indicated that AUC-ROC values for the employed models are more than 70% which shows their acceptable performance. As a conclusion, the produced methodology could be used in other geographical areas. GPMs could be used by water resource managers and related organizations to accelerate and facilitate water resource exploitation.

Matched MeSH terms: Geographic Information Systems
Habitat characterization and mapping of Anopheles maculatus (Theobald) mosquito larvae in malaria endemic areas in Kuala Lipis, Pahang, Malaysia

Rohani A, Wan Najdah WM, Zamree I, Azahari AH, Mohd Noor I, Rahimi H, et al.

Southeast Asian J. Trop. Med. Public Health, 2010 Jul;41(4):821-30.
PMID: 21073056

In Peninsular Malaysia, a large proportion of malaria cases occur in the central mountainous and forested parts of the country. As part of a study to assess remote sensing data as a tool for vector mapping, we conducted entomological surveys to determine the type of mosquitoes, their characteristics and the abundance of habitats of the vector Anopheles maculatus in malaria endemic areas in Pos Senderot. An. maculatus mosquitoes were collected from 49 breeding sites in Pos Senderot. An. maculatus preferred to breed in water pockets formed on the bank of rivers and waterfalls. The most common larval habitats were shallow pools 5.0-15.0 cm deep with clear water, mud substrate and plants or floatage. The mosquito also preferred open or partially shaded habitats. Breeding habitats were generally located at 100-400 m from the nearest human settlement. Changes in breeding characteristics were also observed. Instead of breeding in slow flowing streams, most larvae bred in small water pockets along the river margin.

Matched MeSH terms: Geographic Information Systems
Health information systems adoption: findings from a systematic review

Yusof MM, Stergioulas L, Zugic J

Stud Health Technol Inform, 2007;129(Pt 1):262-6.
PMID: 17911719

Earlier evaluation studies on Health Information Systems (HIS) adoption have highlighted a large number of adoption problems that were attributed to the lack of fit between technology, human and organisation factors. Lessons can be learned from these evaluation studies by identifying the most important factors of HIS adoption. In order to study the adoption issue, a qualitative systematic review has been performed using a recently introduced framework, known as HOT-fit (Human, Organisation and Technology fit). The paper identifies and highlights the following critical adoption factors: technology (ease of use, system usefulness, system flexibility, time efficiency, information accessibility and relevancy); human (user training, user perception, user roles, user skills, clarity of system purpose, user involvement); organisation (leadership and support, clinical process, user involvement, internal communication, inter organisational system, as well as the fit between them. The findings can be used to guide future system development and inform relevant decision making.

Matched MeSH terms: Information Systems/utilization*
Heterogeneity of generalized pustular psoriasis in multiethnic Johor Bahru, Malaysia

Tsai TF

Br J Dermatol, 2023 Sep 15;189(4):361-362.
PMID: 37379585 DOI: 10.1093/bjd/ljad197
Matched MeSH terms: Information Systems
Fulltext How does exposure to pesticides vary in space and time for residents living near to treated orchards?

Wong HL, Garthwaite DG, Ramwell CT, Brown CD

Environ Sci Pollut Res Int, 2017 Dec;24(34):26444-26461.
PMID: 28948535 DOI: 10.1007/s11356-017-0064-5

This study investigated changes over 25 years (1987-2012) in pesticide usage in orchards in England and Wales and associated changes to exposure and risk for resident pregnant women living 100 and 1000 m downwind of treated areas. A model was developed to estimate aggregated daily exposure to pesticides via inhaled vapour and indirect dermal contact with contaminated ground, whilst risk was expressed as a hazard quotient (HQ) based on estimated exposure and the no observed (adverse) effect level for reproductive and developmental effects. Results show the largest changes occurred between 1987 and 1996 with total pesticide usage reduced by ca. 25%, exposure per unit of pesticide applied slightly increased, and a reduction in risk per unit exposure by factors of 1.3 to 3. Thereafter, there were no consistent changes in use between 1996 and 2012, with an increase in number of applications to each crop balanced by a decrease in average application rate. Exposure per unit of pesticide applied decreased consistently over this period such that values in 2012 for this metric were 48-65% of those in 1987, and there were further smaller decreases in risk per unit exposure. All aggregated hazard quotients were two to three orders of magnitude smaller than one, despite the inherent simplifications of assuming co-occurrence of exposure to all pesticides and additivity of effects. Hazard quotients at 1000 m were 5 to 16 times smaller than those at 100 m. There were clear signals of the impact of regulatory intervention in improving the fate and hazard profiles of pesticides used in orchards in England and Wales over the period investigated.

Matched MeSH terms: Geographic Information Systems

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