Soil-transmitted helminthiasis is a common problem in communities with poor socio-environmental conditions. This study was undertaken to identify important socio-environmental predictors of soil-transmitted helminthiasis in Bachok, a rural community in Kelantan for the development and implementation of an effective prevention and control program. Of 363 children randomly sampled, 38.8% were infected with soil-transmitted helminthiasis. Risk predictors of soil-transmitted helminthiasis found to be significant after adjustment included poor household hygiene score and large household size. The probability of being infected was 0.58 amongst children with both of these risk factors.
A survey was conducted to document and bring attention to the use of smokeless tobacco among rural Kadazan women in Sabah, East Malaysia. Of the 472 women interviewed, 59.5% had used tobacco among the ingredients that they habitually chewed. Women with low education were more likely to be chewers. The chewing habit was usually acquired during the teenage years and the practice was perceived mainly as a cultural norm. 73.3% of these smokeless tobacco users were unaware of any adverse health effect of this type of tobacco use as compared to 53.9% of the non-tobacco users. The high prevalence of smokeless tobacco use is easily maintained as tobacco is cheap, locally produced and its use is socially accepted. The low level educational status of the women compounds the problem and intervention programs to curb this form of tobacco use is warranted.
Kuala Lumpur is the capital city of Malaysia with an estimated population of 1.55 million. Approximately 12% of the population live in squatter settlements occupying about 7% of the city total area. The squatter settlements generally are provided with basic amenities such as piped water, toilet facilities and electricity. Health indicators for the overall population of Kuala Lumpur are better off than for the rest of the country; however, intra-city differentials prevail along ethnic and socio-economic lines. Malays and Indians have higher rates for stillbirths, and neonatal, infant and toddler mortality than the Chinese. The wide disparity in the socio-economic status between the advantaged and the poor groups in the city is reflected in the dietary practices and nutritional status of young children from these communities. The percentage of preschool children from urban poor households with inadequate intakes of calories and nutrients is two to three times higher than those from the advantaged group. Compared to rural infants, a lower percentage of urban infants are breastfed. A lower percentage of Malays from the urban advantaged group breastfed, compared with the urban poor group. The reversed trend is found for the Chinese community. Growth attainment of young children from the urban poor is worse than the urban advantaged, though better than the rural poor. Health and nutritional practices implications related to both undernutrition and overnutrition are discussed, to illustrate the twin challenges of malnutrition in the city.
Various studies on toxoplasmosis in Malaysia have shown that specific antibodies to Toxoplasma gondii are common among Malaysians. Among the ethnic groups, the Malays have the highest prevalence rate followed by Indians, Orang Aslis (aborigines) and Chinese. Antibody is acquired early in life and increases with age. There is no significant difference in the prevalence rate between males and females. The disease is apparently more prevalent among rural dwellers and those in the lower socioeconomic group. It appears that the prevalence rate is also influenced by environmental conditions, occupation, diet and cultural habits. Studies with animals have shown the presence of antibody to T. gondii, but this does not seem to be the source of infection since Malaysians normally cook their meat well.
One of the main characteristics of urbanization in Asia is the very rapid increase in population movement from rural to urban centers. This phenomenon has led to changing population structure, its composition and lifestyles in the cities and its fringes. As a consequent of population pressure on urban system and infrastructure, compounded by the nature of the composition of the in-migrant population, the urban concentrates are faced with several social and socio-economic problems. Although there has been a lot of interests among researchers to study the causes and effects or urbanization, there is a vacuum in the area of health implications. Planners and administrators usually give priority to the physical aspects of the urban and urbanities. Social problems and health implications thereof receives very little attention either at the level of administration or research. This paper therefore is a brave attempt to focus and draw some attention to this neglected area by looking at selected social problems and the health consequences.
Analysis of diarrhoeal disease patterns in Malaysia from 1981-1986 suggested that infectious hepatitis ranked as the most predominant diarrhoeal disease followed by typhoid, food poisoning, dysentery and cholera. Although these five major food and water-borne diseases are still endemic in this country, diarrhoeal diseases per se no longer become an important public health problem in Malaysia. Enforcement of the cholera control program brought the incidence of the disease to a minimal. Unfortunately, this fatal form of diarrhoeal disease caused the greatest mortality compared to the others. Seasonal influence also played a part in controlling the occurrence of the disease. There was a preponderance of diarrhoeal diseases during the rainy season implicating contaminated water as a source of transmission. Although greater than half of the population has been supplied with piped water and sanitary latrines, a lot more has to be done before diarrhoeal diseases could be eliminated from this country.
With Malaysia independence in 1957, development in the country changed from system maintenance to development planning. Environmental and health perspectives are discussed in relation to current development as reflected in the Second Malaysia Plan 1971--1975 and the Third Malaysia Plan 1976--1980.
This study presents clinical observations in pregnancy made on aborigines of the deep jungle and "outside" populations. Migration out of the jungle results in lowered nutritional status as a result of low socio-economic status in the "outside" aborigine. This, together with food habits, increased family size and higher incidence of helminthic infestations, results in lower mean values of Hb, PVC and MCHC and a higher prevalence of anaemia in pregnancy in the migrant aborigine. A higher population density in the "outside" population resulting in frequent intermingling and increased chances of cross-contamination probably explains the increased vaginal bacterial growth in the "outside" Aborigine women. A higher prevalence of vaginal candidiasis in the "outside" aborigine woman is probably related to exposure to oral contraceptives and broad-spectrum antibiotics. On the other hand, better medical and obstetrical services become more readily available to the "outside" aborigine and this results in a favourable influence on perinatal health.
Using data from the Third National Health and Morbidity Survey (NHMS III) in 2006, this study examined the association between socio-demographic factors and physical inactivity in a sample of 33,949 adults aged 18 years and above by gender. Physical activity levels were measured using the Global Physical Activity Questionnaire (GPAQ vers 1). Physical inactivity was defined as having a total physical activity level of less than 600 metabolic equivalents-minutes per week (METs-minutes/week) contributed by all three different life domains.Logistic regression analyses were conducted.The prevalence of overall physical inactivity was 43.7% (95% CI: 42.9-44.5). The mean total physical activity level was 894.2 METs-minutes/ week. The means METs-minutes/week for the domain of work, travelling, and leisure time were 518.4, 288.1, and 134.8, respectively. Multivariable logistic regression analyses indicated that females were more likely to be physically inactive than males were (aOR=1.62; 95% CI: 1.53-1.72). Among women, being a housewife (aOR = 1.78; 95% CI: 1.56-2.03), widow/divorcee (aOR = 1.23; 95% CI: 1.05-1.43), and those with no formal education (aOR = 1.20; 95% CI: 1.01-1.43) were found to be significantly associated with physical inactivity.Urban residents, older adults aged 65 years and above, private employees, nonworking group, and those with a monthly household income level of MYR5,000 and above appeared to be consistently associated with physical inactivity across men, women, and combined group (both). Specific health intervention strategies to promote physical activity should be targeted on population subgroups who are inactive.
Study name: National Health and Morbidity Survey (NHMS-2006)
The need for water continues to become more acute with the changing requirements of an expanding world population. Using a logistical analysis of data from 301 respondents from households that harvest rainwater in Uganda, the relationship between dependent variables, such as water management performed as female-dominated practices, and independent variables, such as years of water harvesting, family size, tank operation and maintenance, and the presence of local associations, was investigated. The number of years of water harvesting, family size, tank operation and maintenance, and presence of local associations were statistically significantly related to adequate efficient water management. The number of years of water harvesting was linked to women's participation in household chores more than to the participation of men, the way of livelihoods lived for many years. Large families were concurrent with a reduction in water shortages, partially because of the availability of active labour. The findings also reveal important information regarding water-related operations and maintenance at the household level and the presence of local associations that could contribute some of the information necessary to minimise water-related health risks. Overall, this investigation revealed important observations about the water management carried out by women with respect to underlying safe-water shortages, gender perspectives, and related challenges in Uganda that can be of great importance to developing countries.
Fire is one of the major issues facing Southeast Asian peatlands causing socio-economic, human health and climate crises. Many of these fires in the region are associated with land clearing or management practices for oil palm plantations. Here we study the direct post-fire impacts of slash-and-burn oil palm agriculture on greenhouse gas emissions, peat physico-chemical properties and nutrient concentrations. Greenhouse gas (GHG) emissions were measured using Los Gatos ultraportable greenhouse gas analyser one month after a fire in dry season and five months after the fire event, in wet season. Surface soil samples were collected from each individual GHG measurement points, along with 50 cm cores from both burnt and non-burnt control areas for lab analyses. As an immediate post-fire impact, carbon dioxide (CO2) and methane (CH4) emissions, pH, electrical conductivity, and all macronutrient concentrations except nitrogen (N) were increased multi-fold, while the redox potential, carbon (C) and N content were greatly reduced in the burnt region. While some of the properties such as CO2 emissions, and electrical conductivity reverted to normal after five months, other properties such as CH4 emissions, pH and nutrient concentrations remained high in the burnt region. This study also found very high loss of surface peat C content in the burnt region post fire, which is irreversible. The results also show that surface peat layers up to 20 cm depth were affected the most by slash-and-burn activity in oil palm agriculture, however the intensity of fire can vary widely between different oil palm management and needs further research to fully understand the long term and regional impacts of such slash-and-burn activity in tropical peatlands.
Climate change is one of the major challenges societies round the world face at present. Apart from efforts to achieve a reduction of emissions of greenhouse gases so as to mitigate the problem, there is a perceived need for adaptation initiatives urgently. Ecosystems are known to play an important role in climate change adaptation processes, since some of the services they provide, may reduce the impacts of extreme events and disturbance, such as wildfires, floods, and droughts. This role is especially important in regions vulnerable to climate change such as the African continent, whose adaptation capacity is limited by many geographic and socio-economic constraints. In Africa, interventions aimed at enhancing ecosystem services may play a key role in supporting climate change adaptation efforts. In order to shed some light on this aspect, this paper reviews the role of ecosystems services and investigates how they are being influenced by climate change in Africa. It contains a set of case studies from a sample of African countries, which serve the purpose to demonstrate the damages incurred, and how such damages disrupt ecosystem services. Based on the data gathered, some measures which may assist in fostering the cause of ecosystems services are listed, so as to cater for a better protection of some of the endangered Africa ecosystems, and the services they provide.
Current worldwide projections of sea-level rise show a staggering increase in water level of up to 2 m by 2100 owing to global warming exacerbated by anthropogenically induced climate change. While amplified rates of sea-level rise is an immense hazard to coastal communities, storm surges are expected to increase in intensity and frequency making it an equally significant threat to coastal populations. In France, these hazards are not uncommon with records of extreme tempests every thousand years in the Holocene. Despite these recurring devastating events, in the Bay of Saint-Brieuc, Brittany, legislated laws for coastal management do not entirely focus on protecting littoral zones from such calamities. 130,739 people are concentrated in 21 municipalities with major cities located at close proximity to the shoreline with numerous socio-economic activities, which increases the vulnerability of the coastal population and infrastructures; thus, affirming the indispensable need of a thorough vulnerability assessment. Here, we conduct a mechanistic appraisal of the vulnerability of the bay considering thirteen parameters within three governing sub-systems that demonstrate the multidimensional dynamics in these municipalities. In the occasion of an extreme climatic event, our results of total vulnerability show risks in the sub-systems highlighting erosional processes due to augmented hydrodynamics, socio-economic and administrative vulnerabilities associated with anthropogenic development. Eight municipalities of the bay portray moderate to very high vulnerability and the remaining exhibits a lower risk; however, not devoid of high vulnerabilities for certain sub-systems. We posit that a more accurate fit for predicting the total vulnerability of the region can be achieved by exclusively integrating physical-natural and administrative sub-system vulnerabilities. We propose generic but requisite recommendations for Integrated Coastal Zone Management such as surveillance of urban development along the coast, implementation of coastal defense systems and appropriate industrial corridors to attenuate and dispose hazardous refuse.