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  1. Noramira SM, Dom NC, Samsuri A
    Med J Malaysia, 2024 Mar;79(Suppl 1):122-127.
    PMID: 38555896
    INTRODUCTION: The SARS-CoV-2 virus, responsible for the global COVID-19 pandemic and its associated high morbidity and mortality, continues to be a significant public health concern. This study investigates the influence of temperature variables on COVID-19 transmission in Terengganu, Malaysia, which, despite having experienced a comparatively lower number of cases, presents a unique environment for understanding how temperature factors may play a critical role in virus transmission dynamics.

    MATERIALS AND METHODS: We conducted a descriptive analysis to assess the spatial distribution of COVID-19 cases in our study area. To explore the relationship between temperature variables and COVID-19 transmission, we employed Pearson correlation analysis, examining the correlations between daily average, minimum, and maximum temperature data and the temporal distribution of COVID-19 cases as reported by the Ministry of Health, Malaysia. This approach allowed us to comprehensively investigate the impact of weather on the transmission dynamics of COVID-19.

    RESULTS: Our findings reveal a noteworthy correlation (p<0.05) between average and maximum temperatures and COVID-19 transmission, highlighting the influence of weather on disease dynamics. Notably, exceptions were observed in the Hulu Terengganu district, where fewer than 10 cases occurred in each sub-district throughout the study period, warranting special consideration.

    CONCLUSION: In summary, our study highlights the significance of temperature in shaping COVID-19 transmission. This stresses the importance of including weather variables in pandemic strategies. We also suggest comparing various cities to broaden our understanding of how weather affects disease spread, aiding future public health efforts.

  2. Mahfodz Z, Dom NC, Abdullah S, Precha N
    Med J Malaysia, 2024 Mar;79(Suppl 1):148-157.
    PMID: 38555900
    INTRODUCTION: Surveillance of mosquito breeding sites is essential because it provides the information needed to assess risks and thus respond to dengue outbreaks. This article aims to review existing research on the viability of using unmanned aerial vehicles (drones) to identify potential breeding sites for Aedes mosquitoes and highlight the issues related to their implementation.

    MATERIALS AND METHODS: The authors conducted a literature search in four databases (Scopus, Web of Science, Science Direct, and IEEE Xplore) and completed it in December 2022. Articles that do not directly address the application of drones for surveillance and control of mosquito breeding sites were excluded.

    RESULTS: The initial search using the keywords yielded 623 documents. After screening abstracts and reviewing the full text, only 17 articles met the inclusion criteria. Most of the studies were in the proof-of-concept stage. Many studies have also incorporated drone technologies and machine learning techniques into surveillance efforts. The authors have highlighted seven key issues related to the operational aspects of using drones. Those are hardware, software, law and regulation, operating time, expertise, geography, and community involvement.

    CONCLUSION: With rapid developments in drone technologies and machine learning techniques, the viability of drones as surveillance tools can be enhanced, thus effectively responding to global public health concerns.

  3. Dom NC, Ahmad AH, Latif ZA, Ismail R
    Trans R Soc Trop Med Hyg, 2013 Nov;107(11):715-22.
    PMID: 24062522 DOI: 10.1093/trstmh/trt073
    Dengue has emerged as one of the major public health problems in Malaysia. The Ministry of Health, Malaysia, is committed in monitoring and controlling this disease for many years. The objective of this study is to analyze the dengue outbreak pattern on a monthly basis in Subang Jaya in terms of their spatial dissemination and hotspot identification.
  4. Dom NC, Alhothily IA, Camalxaman SN, Ismail SNS
    Data Brief, 2020 Aug;31:105882.
    PMID: 32642511 DOI: 10.1016/j.dib.2020.105882
    In this article, data on the demographic parameters of the Aedes albopictus were collected from those areas in Shah Alam, Malaysia that had experienced a dengue outbreak. The surveys were conducted from March to December 2017. The eggs of the Ae. albopictus were collected using ovitraps, and were analysed based on the demographic parameters in a controlled environment in an insectarium. The data were comprised of four types of biological information on the life demographic parameters of the Ae. albopictus that were monitored based on specific localities. The data were inferred information regarding egg productivity (n), egg development (%), immature development (days), and survivorship (days).
  5. Ali A, Hussain RM, Dom NC, Md Rashid RI
    Noise Health, 2018 4 21;20(93):53-59.
    PMID: 29676296 DOI: 10.4103/nah.NAH_14_17
    Introduction: Motorcycle riders with noise sensitivity (NS) may suffer from degraded health-related quality of life (HRQOL) because they are exposed to acute noise levels on a daily basis.

    Materials and Methods: This study was aimed to identify the relationship between NS and HRQOL among young motorcycle riders (undergraduate university students) aged between 19 and 25 years (n = 301) through a cross-sectional questionnaire-based study, that is, Weinstein noise sensitivity scale and the World Health Organization Quality of Life. The effects of NS on HRQOL were assessed based on gender, the years of motorcycle driving experience, and noise sensitive among groups using one-way analysis of variances with an alpha value of 0.05.

    Results: The results showed no significant difference in NS between males and females. On the other hand, motorcycle driving experience for <4 years displayed a higher tendency toward NS. Moreover, a significantly (P = 0.004) decreasing trend among low, moderate, and high NS with their respective HRQOL was observed, while a high NS showed significantly (P = 0.015) lower scores on the social domain of the quality of life.

    Conclusion: The overall premise of the study has statistical significance and shows that individuals with high NS tend to have degraded HRQOL compared to individuals with low NS. Furthermore, in-depth studies are required from the other demographical background of participants to investigate the motorcyclist's NS and HRQOL as an integral requirement for the rider's safety and health.

  6. Precha N, Totem K, Nuychoo L, Dom NC
    Rocz Panstw Zakl Hig, 2023;74(3):345-354.
    PMID: 37698275 DOI: 10.32394/rpzh.2023.0273
    BACKGROUND: Indoor airborne fungi are a significant health concern that can cause respiratory symptoms and other health problems. Indoor fungi are influenced by various factors such as meteorological conditions and dwelling characteristics.

    OBJECTIVE: This study aims to evaluate the association between indoor airborne fungi and environmental factors in a student dormitory in southern Thailand.

    MATERIAL AND METHODS: The study was conducted at Walailak University in southern Thailand from September toDecember 2020. Air samples were collected from rooms in thirteen dormitories, and the fungal load was determined using the passive air sampling method. The study also measured meteorological parameters and gathered data on occupant behaviors and exposure-related symptoms through a self-administered questionnaire.

    RESULTS: In a total of 135 student rooms, the average concentration (mean ± SD) of indoor airborne fungi was 409.72±176.22 CFU/m3, which showed the highest concentration on the first floor. For meteorological parameters, the averages of RH (%), temperature (°C), and CO2 (ppm) were 70.99±2.37, 31.11±0.56 and 413.29±76.72, respectively. The abundance of indoor airborne fungi was positively associated with an increase in RH (β=0.267, 95% CI: 5.288, 34.401) and building height (β=0.269, 95% CI: 16.283, 105.873), with values of 19.845 and 61.078, respectively. Conversely, temperature exhibited a negative effect on indoor airborne fungi (-92.224, β=-0.292, 95% CI: -150.052, -34.396).

    CONCLUSION: The findings highlight the influence of RH, temperature and building height on indoor airborne fungi in the student dormitory. Therefore, effective management strategies are necessary to improve indoor air quality and reduce associated health risks in student dormitories.

  7. Ismail NA, Dom NC, Ismail R, Ahmad AH, Zaki A, Camalxaman SN
    J Am Mosq Control Assoc, 2015 Dec;31(4):305-12.
    PMID: 26675451 DOI: 10.2987/moco-31-04-305-312.1
    A study was conducted to establish polymorphic variation of the mitochondrial DNA encoding the cytochrome oxidase subunit 1 (CO1) gene in Aedes albopictus isolated from 2 hot spot dengue-infested areas in the Subang Jaya District, Malaysia. A phylogenetic analysis was performed with the use of sequences obtained from USJ6 and Taman Subang Mas (TSM). Comparison of the local CO1 sequences with a laboratory strain (USM), alongside reference strains derived from the GenBank database revealed low genetic variation in terms of nucleotide differences and haplotype diversity. Four methods were used to construct a phylogenetic tree and illustrate the genetic relationship of the 37 Ae. albopictus populations based on the CO1 sequences, namely neighbor-joining (NJ), maximum parsimony (MP), maximum likelihood (ML), and Bayesian method, which revealed a distinct relationship between isolates from USJ6 and TSM. Our findings provide new information regarding the genetic diversity among morphologically similar Ae. albopictus, which has not been reported to date.
  8. Rahim MH, Dom NC, Ismail SNS, Mulud ZA, Abdullah S, Pradhan B
    One Health, 2021 Jun;12:100222.
    PMID: 33553566 DOI: 10.1016/j.onehlt.2021.100222
    This study has highlighted the trend of recently-reported dengue cases after the implementation of the Movement Control Orders (MCOs) caused due to COVID-19 pandemic in Malaysia. The researchers used the dengue surveillance data published by the Malaysian Ministry of Health during the 3 phases of MCO (which ranged between 17th March 2020 and 28th April 2020) was used for determining the cumulative number of dengue patients. Thereafter, the dengue cases were mapped using the Geographical Information System (GIS). The results indicated that during the 42 days of MCO in Peninsular Malaysia, 11,242 total cases of dengue were reported. The daily trend of the dengue cases showed a decrease from 7268 cases that occurred before the MCOs to 4662 dengue cases that occurred during the initial 14 days of the COVID-19 pandemic (i.e., MCO I), to 3075 cases occurring during the MCO II and 3505 dengue cases noted during MCO III. The central peninsular region showed a maximal decrease in new dengue cases (52.62%), followed by the northern peninsular region (1.89%); eastern coastal region (1.25%) and the southern peninsular region (1.14%) during the initial MCO implementation. However, an increase in the new dengue cases was noted during the MCO III period, wherein all states showed an increase in the new dengue cases as compared during MCO II. The decrease in the pattern was not solely based on the MCO, hence, further investigation is necessary after considering different influencing factors. These results have important implication for future large-scale risk assessment, planning and hazard mitigation on dengue management.
  9. Abdullah NAMH, Dom NC, Salleh SA, Salim H, Precha N
    One Health, 2022 Dec;15:100452.
    PMID: 36561711 DOI: 10.1016/j.onehlt.2022.100452
    Although previous research frequently indicates that climate factors impact dengue transmission, the results are inconsistent. Therefore, this systematic review and meta-analysis highlights and address the complex global health problems towards the human-environment interface and the inter-relationship between these variables. For this purpose, four online electronic databases were searched to conduct a systematic assessment of published studies reporting the association between dengue cases and climate between 2010 and 2022. The meta-analysis was conducted using random effects to assess correlation, publication bias and heterogeneity. The final assessment included eight studies for both systematic review and meta-analysis. A total of four meta-analyses were conducted to evaluate the correlation of dengue cases with climate variables, namely precipitation, temperature, minimum temperature and relative humidity. The highest correlation is observed for precipitation between 83 mm and 15 mm (r = 0.38, 95% CI = 0.31, 0.45), relative humidity between 60.5% and 88.7% (r = 0.30, 95% CI = 0.23, 0.37), minimum temperature between 6.5 °C and 21.4 °C (r = 0.28, 95% CI = 0.05, 0.48) and mean temperature between 21.0 °C and 29.8 °C (r = 0.07, 95% CI = -0.1, 0.24). Thus, the influence of climate variables on the magnitude of dengue cases in terms of their distribution, frequency, and prevailing variables was established and conceptualised. The results of this meta-analysis enable multidisciplinary collaboration to improve dengue surveillance, epidemiology, and prevention programmes.
  10. Agyemang-Badu SY, Awuah E, Oduro-Kwarteng S, Dzamesi JYW, Dom NC, Kanno GG
    Environ Health Insights, 2023;17:11786302221146890.
    PMID: 36620305 DOI: 10.1177/11786302221146890
    BACKGROUND: For centuries malaria infection remains a public health burden globally as well as in the Sunyani Municipality. This exploratory qualitative study aimed to assess the prospects of environmental management and sanitation (EMS) as a malaria vector control strategy among key stakeholders involved in the prevention and control of malaria in Sunyani Municipality, Ghana.

    METHOD: We used an exploratory qualitative study and a designed focus group discussion (FGD) guide (with specific research questions) to solicit opinions and/or views among Malaria Control Focal Persons, Environmental Health Officers (Health Inspectors), and Honourable Assembly Members. Data were collected between December 2019 and February 2020. The responses were analyzed according to the specific research questions.

    RESULT: Findings from this study shows that high government support and/or political will by investing in environmental sanitation infrastructure, creating the enabling environment for strict enforcement of environmental sanitation bye-laws by Environmental Health Officers/Health Inspectors, effective and efficient collaboration among key stakeholders and organization of communal labor activities is likely to help reduce the majority of the mosquito breeding sites.

    CONCLUSION: The prospects of environmental management and sanitation (EMS) as a vector control strategy, look promisingly very high, pertinent, and workable and a likelihood game changer of winning the fight against malaria due to the residual transmission that is happening outdoors. However, EMS can be employed as a supplementary method to the current core vector control methods if the following conditions and bottlenecks are addressed and in place: (a) Effective collaboration among key stakeholders at all levels; (b) Adequate allocation of funds to the Environmental Health and Sanitation Department; (c) Enactment of robust educational campaigns across all educational levels and via different media; (d) Recognition, empowerment, and adequate resourcing of Environmental Health Officers; (e) Adherence to the building regulations to prevent encroachment of natural wetlands; (f) Revision of fees/fines and prosecution of sanitary offenders; (g) Enactment of an Environmental Sanitation Day (ESD), and establishment of the Environmental Health and Sanitation Fund (EHSF).

  11. Brohan MA, Dom NC, Ishak AR, Abdullah S, Salim H, Ismail SNS, et al.
    Environ Sci Pollut Res Int, 2021 Dec;28(46):66501-66509.
    PMID: 34665420 DOI: 10.1007/s11356-021-17049-6
    This study intends to deal with the environmental consequences of the COVID-19 pandemic in Malaysia, by providing a summary of the effects of COVID-19 on municipal solid waste (MSW). In this analysis, the data on domestic waste collection were collected from the Solid Waste Management and Public Cleaning Corporation (SWCorp) from 1 January 2020 to 31 December 2020 to evaluate the relative changes in MSW percentage via a waste weighing method. The data consisted of the cumulative tonnage of MSW for every local authority in Peninsular Malaysia and was classified according to MCO phases; before the MCO, during the MCO, during the conditional MCO (CMCO) and during the recovery MCO (RMCO) phases. The results indicated that the enforcement of the early MCO showed a positive effect by decreasing the volume of MSW. This decrease was noted across 41 local authorities, which accounts for 87.23% of Peninsular Malaysia. However, the amount of MSW began to increase again when the MCO reached the conditional and recovery stages. From this, it can be concluded that the implementation of the MCO, in its various incarnations, has shown us that our lifestyles can have a harmful impact on our environment. While the pandemic was still spreading and limitations were still in place in Malaysia, local governments and waste management companies had to quickly alter their waste management systems and procedures. The current circumstance allows us to rethink our social and economic structures while improving environmental and social inclusion.
  12. Dapari R, Bashaabidin MSM, Hassan MR, Dom NC, Rahim SSSA, Wan Mahiyuddin WR
    Int J Environ Res Public Health, 2022 Nov 21;19(22).
    PMID: 36430081 DOI: 10.3390/ijerph192215362
    Depression, anxiety, and stress (DAS) among adolescents have become a public health concern. The aim of this study was to develop, implement, and measure an IMB-based health education intervention module for reducing DAS among adolescents in boarding schools in the state of Negeri Sembilan, Malaysia. A single-blinded cluster randomised control trial (RCT) was conducted among students with abnormal DASS-21 scores. They were divided into an intervention group (three schools, 62 participants) and a control group (three schools, 57 participants). Participants in the intervention group received IMB-based health education, while participants in the control group underwent the standard care session. To determine the effectiveness of the intervention, the Generalised Linear Mixed Model (GLMM) analysis was conducted. A total of 119 students participated in this study, and no loss to follow-up was reported. Both intervention and control groups showed significantly reduced DAS scores (p < 0.005). However, the reduction of these scores was greater in the intervention group. The GLMM analysis revealed that the intervention was effective in reducing depression (ß = -2.400, t = -3.102, SE = 0.7735, p = 0.002, 95% CI = -3.921, -0.878), anxiety (ß = -2.129, t = -2.824, SE = 0.7541, p = 0.005, 95% CI = -3.612, -0.646), and stress (ß = -1.335, t = -2.457, SE = 0.536, p = 0.015, 95% CI = -2.045, -0.266) among adolescents. The IMB-based health education module was effective in reducing DAS among adolescents in boarding schools.
  13. Precha N, Sukmai S, Hengbaru M, Chekoh M, Laohaprapanon S, Makkaew P, et al.
    PLoS One, 2024;19(1):e0296822.
    PMID: 38180959 DOI: 10.1371/journal.pone.0296822
    Antibiotic-resistant bacteria (ARB) have been recognized as one of the global health issues affecting humans, animals, and the environment. A lack of knowledge, negative attitudes, and irrational drug use can make significant contributions to the spread of ARB. This study aimed to assess the knowledge, attitudes, and practices (KAP) regarding antibiotic use and resistance among health science (HS) and non-health science (NHS) students and to determine the factors that influence their KAP concerning antibiotic use and resistance. A cross-sectional study was conducted among 404 HS and NHS students in Southern Thailand from December 2021 to March 2022. The students who fulfilled the study inclusion criteria responded to a questionnaire that had five dimensions. Descriptive statistics were used to analyze the qualitative variables, and Fisher's exact test was applied to compare the demographic variables, KAP responses between the HS and NHS students. The KAP regarding antibiotic use and resistance for each variable were compared using the Mann-Whitney U test and Kruskal-Wallis H test. Spearman's correlation test was used to estimate the correlation between the variables and KAP. A total of 404 (HS,162; NHS,242) students completed the self-administered questionnaire. The students' highest score was for attitude, followed by practice and knowledge. Our findings revealed that the HS students had higher levels of KAP correlated with antibiotic use and resistance than the NHS students (P < 0.001). The higher KAP scores were among the more senior students, which indicates that instruction on antibiotics was effective in their curriculum. Antibiotic use and resistance knowledge and attitudes should be conveyed to all university students via academic curriculum. Such interventions could set the standard for rational antibiotic use as well as long-term prevention and control of antibiotic-resistant bacteria.
  14. Sidek SS, Yatim SRM, Abdullah S, Shafie FA, Ishak AR, Dom NC, et al.
    Med J Malaysia, 2024 Mar;79(Suppl 1):104-109.
    PMID: 38555893
    BACKGROUND: Indoor air quality is an important concern for kindergartener because young children are more vulnerable to the effects of poor air quality. Poor indoor air quality can cause respiratory problems and other health issues, which can negatively affect a child's ability to learn and grow. Aim of this study is to determine the trend and status of indoor air pollutants in study areas by using descriptive statistics and cluster analysis.

    MATERIALS AND METHODS: Air temperature (T), relative humidity (RH), air movement (AM), carbon dioxide (CO2), formaldehyde (HCHO), and particulate matter (PM) are the monitored parameters. Monitoring was carried out in the kindergarten for three consecutive days starting from 8.00am to 12.00pm.

    RESULTS: Indoor carbon dioxide readings were higher at 0800 when parents drove to kindergarten to drop off their children without turning off the engine. In addition to this, the PM10 reading at 1000 was high but still within the standard range according to ICOP-IAQ 2010.

    CONCLUSION: The findings highlight the importance of indoor air quality improvement measures for kindergarten buildings which can be used to improve indoor air quality in kindergarten environments.

  15. Noorazlan NAA, Camalxaman SN, Mohamed E, Haron N, Rambely AS, Dom NC, et al.
    Med J Malaysia, 2024 Mar;79(Suppl 1):203-208.
    PMID: 38555906
    INTRODUCTION: Dengue fever, a vector borne disease transmitted primarily by Aedes albopictus and Aedes aegypti mosquitoes, has triggered a significant global resurgence. While many vector control programs depend on the use of chemical insecticides to curb outbreaks, its heavy reliance raises environmental concerns and the risk of insecticide resistance. Alternatively, botanically derived insecticidal agents with larvicidal properties offer an ecofriendlier option. This review aims to analyze scientific reports that described the effectiveness of plant-derived extracts for vector control.

    MATERIALS AND METHODS: A literature search was performed to analyze studies that focused on plant-based extracts used for larvicidal purposes using databases such as Science Direct. Springer, PubMed, and Scopus. The inclusion criteria for publications were larvicidal effects, published in English from the year 2017 and availability of full-text articles. The available literature was further characterized by the value of larvicidal activities of LC50 and LC90 (< 50 ppm), of 22 different parts of plant species from 7 plant families namely Apiaceae, Asteraceae, Lauraceae, Magnoliaceae, Myrtaceae, Piperaceae and Rubiaceae.

    RESULTS: When comparing the values of LC50, 12 plants species (Artemisia vulgaris, Crassocephalum crepidioides, Echinops grijsii, Melaleuca leucadendra, Neolitsea ellipsoidea, Pavetta tomentosa, Piper betle, Piper caninum, Piper Montium, Piper muntabile, Piper ovatum, Tarenna asiatica) showed promising larvicidal efficacies with LC50 < 10 ppm.

    CONCLUSION: This review emphasizes the effective alternatives of plant extracts for the potential production of larvicides. Piper betle extract and chloroform extract of Tarenna asiatica reported the most significant larvicidal activity (LC50 < 1 ppm) against mosquito vectors. Further reviews focusing on the mode of actions of its phytochemically constituents are essential for the future development of potentially significant plant-based larvicides.

  16. Ismail NA, Adilah-Amrannudin N, Hamsidi M, Ismail R, Dom NC, Ahmad AH, et al.
    J Med Entomol, 2017 11 07;54(6):1573-1581.
    PMID: 28981849 DOI: 10.1093/jme/tjx126
    The global expansion of Ae. albopictus from its native range in Southeast Asia has been implicated in the recent emergence of dengue endemicity in Malaysia. Genetic variability studies of Ae. albopictus are currently lacking in the Malaysian setting, yet are crucial to enhancing the existing vector control strategies. The study was conducted to establish the genetic variability of maternally inherited mitochondrial DNA encoding for cytochrome oxidase subunit 1 (CO1) gene in Ae. albopictus. Twelve localities were selected in the Subang Jaya district based on temporal indices utilizing 120 mosquito samples. Genetic polymorphism and phylogenetic analysis were conducted to unveil the genetic variability and geographic origins of Ae. albopictus. The haplotype network was mapped to determine the genealogical relationship of sequences among groups of population in the Asian region. Comparison of Malaysian CO1 sequences with sequences derived from five Asian countries revealed genetically distinct Ae. albopictus populations. Phylogenetic analysis revealed that all sequences from other Asian countries descended from the same genetic lineage as the Malaysian sequences. Noteworthy, our study highlights the discovery of 20 novel haplotypes within the Malaysian population which to date had not been reported. These findings could help determine the genetic variation of this invasive species, which in turn could possibly improve the current dengue vector surveillance strategies, locally and regionally.
  17. Adilah-Amrannudin N, Hamsidi M, Ismail NA, Ismail R, Dom NC, Ahmad AH, et al.
    J Am Mosq Control Assoc, 2016 Dec;32(4):265-272.
    PMID: 28206858 DOI: 10.2987/16-6579.1
    This study was performed to establish the genetic variability of Aedes albopictus within Subang Jaya, Selangor, Malaysia, by using the nicotinamide adenine dinucleotide dehydrogenase 5 subunit (ND5) mitochondrial DNA (mtDNA) marker. A total of 90 samples were collected from 9 localities within an area of the Subang Jaya Municipality. Genetic variability was determined through the amplification and sequencing of a fragment of the ND5 gene. Eight distinct mtDNA haplotypes were identified. The evolutionary relationship of the local haplotypes alongside 28 reference strains was used to construct a phylogram, the analysis of which revealed low genetic differentiation in terms of both nucleotide and haplotype diversity. Bayesian method was used to infer the phylogenetic tree, revealing a unique relationship between local isolates. The study corroborates the reliability of ND5 to identify distinct lineages for polymorphism-based studies and supplements the existing body of knowledge regarding its genetic diversity. This in turn could potentially aid existing vector control strategies to help mitigate the risk and spread of the dengue virus.
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