Displaying publications 1 - 20 of 70 in total

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  1. Growth pattern of urban Malaysian infants
    Hashim Z
    J Trop Pediatr, 1992 Aug;38(4):204-5.
    PMID: 1527822
  2. Fulltext Evaluation of trace trace elements iron, zinc, copper and lead in the diet of female university students
    Hashim Z, Abdhamid R
    Malays J Nutr, 1995 Mar;1(1):31-40.
    PMID: 22692012
    Food consumption of 50 female students in Universiti Kebangsaan Malaysia was recorded for 7 days. Foods and drinks most frequently consumed were selected for analysis of iron, zinc, copper and lead content. The mean daily intakes of energy, protein, carbohydrate and fat among the students are 6.5±1.4 MJ (1550±335 kcal), 59.8±18.5g, 227.1±54.6 g and 46.0±11.5 g respectively. This diet contributed 19.6-6.4 mg Fe, 7.0-2.0 mg Zn and 1.6-0.6 mg Cu per day which were lower than the Malaysian RDA for Fe and US RDA for Zn, while Cu is within the recommended range. The main sources of these minerals in the student's diet were rice, rice products, meat and animal products. Lead concentration in the diet (134±77 ug/day) is below the acceptable daily intake (ADI) value suggested by Codex Alimentarius Commission (1984). This study indicated concern regarding the low intake of the essential trace elements on long term basis among the students.
  3. Climate Change, Extreme Weather Events, and Human Health Implications in the Asia Pacific Region
    Hashim JH, Hashim Z
    Asia Pac J Public Health, 2016 Mar;28(2 Suppl):8S-14S.
    PMID: 26377857 DOI: 10.1177/1010539515599030
    The Asia Pacific region is regarded as the most disaster-prone area of the world. Since 2000, 1.2 billion people have been exposed to hydrometeorological hazards alone through 1215 disaster events. The impacts of climate change on meteorological phenomena and environmental consequences are well documented. However, the impacts on health are more elusive. Nevertheless, climate change is believed to alter weather patterns on the regional scale, giving rise to extreme weather events. The impacts from extreme weather events are definitely more acute and traumatic in nature, leading to deaths and injuries, as well as debilitating and fatal communicable diseases. Extreme weather events include heat waves, cold waves, floods, droughts, hurricanes, tropical cyclones, heavy rain, and snowfalls. Globally, within the 20-year period from 1993 to 2012, more than 530 000 people died as a direct result of almost 15 000 extreme weather events, with losses of more than US$2.5 trillion in purchasing power parity.
  4. Energy intake and activity pattern during pregnancy in relation to infant birth weight
    Hashim Z, Noor MI
    Asia Pac J Public Health, 1994;7(1):34-8.
    PMID: 8074944
    The study was designed to determine if the activity pattern of pregnancy women on an intake of energy lower than that recommended will affect fetal growth. Subjects who volunteered were either attending public or private hospitals. Pregnant women in the "private" group were significantly older (p < 0.001) weighed somewhat less and significantly taller (p < 0.001) when compared to the "public" group. Differences in energy intake during the second and third trimesters between the "public" and "private" groups were small; 1608 +/- 334, 1726 +/- 271 kcal and 1627 +/- 367, 1778 +/- 260 kcal, respectively. However, daily activity patterns revealed that the "public" group was more active as reflected by the higher energy expenditure of 1412 +/- 74 kcal and 1578 +/- kcal during the second and third trimesters respectively. There was a significant difference (p < 0.01) in birth weight between the "public" and "private" groups; 2951 +/- 377 g and 3173 +/- 357 g respectively. This study indicates that energy intakes lower than recommended and sedentary lifestyles have no direct influence on birth weights of babies.
  5. Fulltext Bioavailability of heavy metal in rice using in vitro digestion model
    Omar, N. A., Praveena, S. M., Hashim, Z., Aris, A. Z.
    International Food Research Journal, 2013;20(6):2979-2985.
    MyJurnal
    Rice is a carbohydrate, one of the plant-based foods that can accumulate heavy metal from soil and the irrigation water. Since total heavy metal always overestimates the amount of heavy metal available in rice, bioavailability of heavy metal is always preferred. Many studies have been done and found that in vitro methods offer an appealing alternative to human and animal studies. They can be simple, rapid, low in cost and may provide insights which not achievable in the in vivo studies. In vitro digestion model for rice may differ from other in vitro digestion models applied in soil or other type of foods studies. This review aims to provide an overview of in vitro digestion model used to determine bioavailability of heavy metal in rice, summarize health risk assessment application of heavy metal in rice studies and highlight the importance of health risk assessment to be included in the studies. Future exploration of in vitro digestion model and health risk assessment application on the bioavailability of heavy metal in rice was also suggested.
  6. Interindividual variation in circulating zinc concentrations among healthy adult men and women
    Hashim Z, Woodhouse L, King JC
    Int J Food Sci Nutr, 1996 Sep;47(5):383-90.
    PMID: 8889623
    Circulating zinc concentrations were measured in 73 healthy adult males and females 19-52 years of age who were volunteers for eight different metabolic studies at the University of California, Berkeley. The interindividual variation in the eight studies varied from 5 to 20%; the global coefficient of variation for all studies was 12 +/- 7% (mean +/- SD). The analysis of a reference plasma sample on six different days showed a mean coefficient of variation of 3.8%. Thus, only a small portion of the intraindividual variation is due to day-to-day analytical differences. There was no relationship between circulating zinc concentrations and age, height, or body mass index. Nor were there any significant differences due to gender. Information regarding dietary zinc and protein intakes was available from three-day weighed food intake records from 44 of the subjects. Plasma zinc concentrations were unrelated to the intake of either zinc or protein in those subjects. The results of this study show that the impact of age, gender, body size and dietary zinc or protein on circulating zinc concentrations are too small to be detected in the presence of the analytical and endogenous factors that influence plasma/serum zinc concentrations. Also, within a population of healthy adults, circulating zinc concentrations may vary by as much as 15%.
  7. Second-hand smoke in public spaces: how effective has partial smoke-free legislation been in Malaysia?
    Abidin EZ, Hashim Z, Semple S
    Asian Pac J Cancer Prev, 2013;14(11):6845-50.
    PMID: 24377615
    BACKGROUND: This study was performed to gather data on second-hand smoke (SHS) concentrations in a range of public venues following the implementation of partial Smoke-Free Legislation in Malaysia in 2004.

    MATERIALS AND METHODS: PM2.5 was measured as a marker of SHS levels in a total of 61 restaurants, entertainment centres, internet cafes and pubs in Kuala Lumpur, Malaysia.

    RESULTS: Under the current smoke-free laws smoking was prohibited in 42 of the 61 premises. Active smoking was observed in nearly one-third (n=12) of these. For premises where smoking was prohibited and no active smoking observed, the mean (standard deviation) indoor PM2.5 concentration was 33.4 (23.8) μg/m3 compared to 187.1 (135.1) μg/m3 in premises where smoking was observed The highest mean PM2.5 was observed in pubs [361.5 (199.3) μg/m3].

    CONCLUSIONS: This study provides evidence of high levels of SHS across a range of hospitality venues, including about one-third of those where smoking is prohibited, despite 8 years of smoke-free legislation. Compliance with the legislation appeared to be particularly poor in entertainment centres and internet cafes. Workers and non-smoking patrons continue to be exposed to high concentrations of SHS within the hospitality industry in Malaysia and there is an urgent need for increased enforcement of existing legislation and consideration of more comprehensive laws to protect health.

  8. Impact of Climate Change on Air Quality and Public Health in Urban Areas
    Hassan NA, Hashim Z, Hashim JH
    Asia Pac J Public Health, 2016 Mar;28(2 Suppl):38S-48S.
    PMID: 26141092 DOI: 10.1177/1010539515592951
    This review discusses how climate undergo changes and the effect of climate change on air quality as well as public health. It also covers the inter relationship between climate and air quality. The air quality discussed here are in relation to the 5 criteria pollutants; ozone (O3), carbon dioxide (CO2), nitrogen dioxide (NO2), sulfur dioxide (SO2), and particulate matter (PM). Urban air pollution is the main concern due to higher anthropogenic activities in urban areas. The implications on health are also discussed. Mitigating measures are presented with the final conclusion.
  9. Blood lead levels of urban and rural Malaysian primary school children
    Hashim JH, Hashim Z, Omar A, Shamsudin SB
    Asia Pac J Public Health, 2000;12(2):65-70.
    PMID: 11836921
    The objective of this article is to study the influence of exposure and socio-economic variables on the blood lead level of Malaysian school children. Data on respirable lead and blood lead of 346 school children were obtained from Kuala Lumpur (urban), Kemaman (semi-urban) and Setiu (rural). Respirable lead and blood lead were highest for Kuala Lumpur (95 ng/m3 and 5.26 micrograms/dL) followed by Kemaman (27 ng/m3 and 2.81 micrograms/dL) and Setiu (15 ng/m3 and 2.49 micrograms/dL), and the differences were statistically significant. The percentage of school children with excessive blood lead of 10 micrograms/dL or greater was 6.36% overall, and highest for Kuala Lumpur (11.73%). Regression analyses show that urban children are at higher risk of exhibiting excessive blood lead levels. Kuala Lumpur's school children have a 25 times greater risk of having excessive blood lead levels when compared to Kemaman's and Setiu's school children. Respirable and blood lead were correlated (r = 0.999, p = 0.021). Urban school children acquire higher blood lead levels than their rural and semi-urban counterparts, even after controlling for age, sex, parents' education and income levels. In conclusion, it is time that lead in the Malaysian environment and population be monitored closely, especially its temporal and spatial variability. Only then can a comprehensive preventive strategy be implemented.
  10. Fulltext The Impact of Heat on Health and Productivity among Maize Farmers in a Tropical Climate Area
    Sadiq LS, Hashim Z, Osman M
    J Environ Public Health, 2019;2019:9896410.
    PMID: 31061664 DOI: 10.1155/2019/9896410
    Background: Heat stress disorders may cause negative health outcome and subsequent productivity reduction especially in those who work under direct sunlight for an extended number of hours.

    Objective: This study assessed the impact of heat on the health and productivity among maize farmers in a hot tropical country.

    Methods: A cross-sectional study was conducted among 396 maize farmers, randomly selected across Gombe province, Nigeria. The wet bulb globe temperature monitor (WBGT) Model QuesTemp036 was used in determining the heat index. Health was determined using a validated questionnaire, while productivity was determined by recording work output based on the number of ridges cultivated during the working hours.

    Results: The farms recorded mean heat index with standard deviation (SD) of 31.56 (2.19) and 34.08 (1.54) in the hours of 9 am to 12 pm and 12-3 pm respectively, which exceeded the threshold level set by the ACGIH. Heavy sweating (93.2%), tiredness (48.5%), dizziness (34.1%), and headache (40.4%) were experienced by the respondents almost on daily basis. The finding further showed a significant difference in the farmers' productivity during the three time duration of the work day (p < 0.001). The productivity was significantly higher between the hours of 6-9 am (p < 0.001) and 12-3 pm (p < 0.001), compared to the hours of 9 am to 12 pm (p < 0.001). The factors that significantly predict the productivity outcome include temperature (p < 0.001), gender (p < 0.001), age (p=0.033), and BMI (p=0.008).

    Conclusion: The farmers were frequently experiencing heat exhaustion which decreased their productivity.

  11. Fulltext Puerperal acquired factor VIII inhibitor causing a von Willebrand-like syndrome in a patient with anti-DNA antibodies
    Jackson N, Hashim ZA, Zainal NA, Jamaluddin N
    Singapore Med J, 1995 Apr;36(2):230-1.
    PMID: 7676276
    A 30-year-old Malay lady, with no previous or family history of bleeding, presented with severe gum bleeding 25 days post-partum. The factor VIII:c was 0.03 iu/ml with evidence of a slow-acting factor VIII inhibitor. Von Willebrand factor antigen (VWF:age) varied from less that 0.05 to 0.17 iu/ml, and there was absent ristocetin-induced platelet aggregation. Anti-nuclear and anti-DNA antibodies were present, but there were no other features of systemic lupus erythematosus. There was some clinical response to cryoprecipitate and tranexamic acid, and slight improvement with corticosteroid. Fifteen months later, the patient has no active bleeding problem, and her VWF-ag is increasing spontaneously. However, factor VIII:c is less than 0.01 iu/ml and her factor VIII inhibitor titre is still > 20 Bethesda units/ml.
  12. Quality of Kelantan drinking water and knowledge, attitude and practice among the population of Pasir Mas, Malaysia
    Ab Razak NH, Praveena SM, Aris AZ, Hashim Z
    Public Health, 2016 Feb;131:103-11.
    PMID: 26715317 DOI: 10.1016/j.puhe.2015.11.006
    Information about the quality of drinking water, together with analysis of knowledge, attitude and practice (KAP) analysis and health risk assessment (HRA) remain limited. The aims of this study were: (1) to ascertain the level of KAP regarding heavy metal contamination of drinking water in Pasir Mas; (2) to determine the concentration of heavy metals (Al, Cr, Cu, Fe, Ni, Pb, Zn and Cd) in drinking water in Pasir Mas; and (3) to estimate the health risks (non-carcinogenic and carcinogenic) caused by heavy metal exposure through drinking water using hazard quotient and lifetime cancer risk.
  13. Mercury contamination in the estuaries and coastal sediments of the Strait of Malacca
    Looi LJ, Aris AZ, Yusoff FM, Hashim Z
    Environ Monit Assess, 2015 Jan;187(1):4099.
    PMID: 25380712 DOI: 10.1007/s10661-014-4099-5
    Sediment is a great indicator for assessing coastal mercury contamination. This work profiled the magnitude of mercury pollution in the tropical estuaries and coastal sediments of the Strait of Malacca. Mercury was extracted through the ultrasound-assisted mercury extraction method and analyzed using the flow injection mercury system. The mean concentration of mercury in the sediment samples was 61.43 ± 23.25 μg/kg, ranging from 16.55 ± 0.61 to 114.02 ± 1.54 μg/kg. Geoaccumulation index revealed that a total of 13% of sampling sites were moderately enriched with mercury. The northern part of the Strait of Malacca had the highest mean mercury (Hg) concentration (76.36 ± 27.25 μg/kg), followed by the southern (64.59 ± 16.09 μg/kg) and central (39.33 ± 12.91 μg/kg) parts. Sediment mercury concentration in the current study was lower than other regions like Japan, China, Indian, east Mediterranean, and Taiwan. When compared to the Canadian interim marine and freshwater sediment, China's soil interim environmental guidelines, mercury contamination in the Strait of Malacca was found to be below these permissible limits. Sediment organic matter content was found to have significant correlation with sediment mercury concentration. This study could provide the latest benchmark of mercury pollution and prove beneficial to future pollution studies in relation to monitoring works in tropical estuaries and coastal sediments.
  14. Relationship between blood lead concentration and nutritional status among Malay primary school children in Kuala Lumpur, Malaysia
    Elias SM, Hashim Z, Marjan ZM, Abdullah AS, Hashim JH
    Asia Pac J Public Health, 2007;19(3):29-37.
    PMID: 18330402
    A cross-sectional study was conducted to identify the relationship between blood lead concentration and nutritional status among primary school children in Kuala Lumpur. A total of 225 Malay students, 113 male and 112 female, aged 6.3 to 9.8 were selected through a stratified random sampling method. The random blood samples were collected and blood lead concentration was measured by a Graphite Furnace Atomic Absorption Spectrophotometer. The nutrient intake was determined by the 24-hour Dietary Recall method and Food Frequency Questionnaire. An anthropometric assessment was reported according to growth indices (z-scores of weight-for-age, height-for-age, and weight-for-height). The mean blood lead concentration was low (3.4 +/- 1.91 ug/dL) and was significantly different between gender. Only 14.7% of the respondents fulfilled the daily energy requirement. The protein and iron intakes were adequate for a majority of the children. However, 34.7% of the total children showed inadequate intake of calcium. The energy, protein, fat and carbohydrate intakes were significantly different by gender, that is, males had better intake than females. Majority of respondents had normal mean z-score of growth indices. Ten percent of the respondents were underweight, 2.8% wasted and 5.4% stunted. Multiple linear regression showed inverse significant relationships between blood lead concentration with children's age (beta = -0.647, p < 0.001) and per capita income (beta = -0.001, p = 0.018). There were inverse significant relationships between blood lead concentration with children's age (beta = -0.877, p = 0.001) and calcium intake (beta = -0.011, p = 0.014) and positive significant relationship with weight-for-height (beta = 0.326, p = 0.041) among those with inadequate calcium intake. Among children with inadequate energy intake, children's age (beta = -0.621, p < 0.001), per capita income (beta = -0.001, p = 0.025) and protein intake (beta = -0.019, p = 0.027) were inversely and significantly related with blood lead concentration. In conclusion, nutritional status might affect the children's absorption of lead and further investigation is required for confirmation.
  15. Fulltext Environmental Toxicology in Addressing Public Health Challenges in East Asia
    Guo HR, Hashim Z, Su SB, Bundschuh J
    Biomed Res Int, 2015;2015:920518.
    PMID: 26064966 DOI: 10.1155/2015/920518
  16. Health Risk Assessment using in vitro digestion model in assessing bioavailability of heavy metal in rice: A preliminary study
    Omar NA, Praveena SM, Aris AZ, Hashim Z
    Food Chem, 2015 Dec 1;188:46-50.
    PMID: 26041162 DOI: 10.1016/j.foodchem.2015.04.087
    Little is known about the bioavailability of heavy metal contamination and its health risks after rice ingestion. This study aimed to determine bioavailability of heavy metal (As, Cd, Cu, Cr, Co, Al, Fe, Zn and Pb) concentrations in cooked rice and human Health Risk Assessment (HRA). The results found Zn was the highest (4.3±0.1 mg/kg), whereas As showed the lowest (0.015±0.001 mg/kg) bioavailability of heavy metal concentration in 22 varieties of cooked rice. For single heavy metal exposure, no potential of non carcinogenic health risks was found, while carcinogenic health risks were found only for As. Combined heavy metal exposures found that total Hazard Quotient (HQtotal) values for adult were higher than the acceptable range (HQTotal<1), whereas total Lifetime Cancer Risk (LCRTotal) values were higher than the acceptable range (LCRTotal values >1×10(-4)) for both adult and children. This study is done to understand that the inclusion of bioavailability heavy metal into HRA produces a more realistic estimation of human heavy metal exposure.
  17. Fulltext Drinking water studies: a review on heavy metal, application of biomarker and health risk assessment (a special focus in Malaysia)
    Ab Razak NH, Praveena SM, Aris AZ, Hashim Z
    J Epidemiol Glob Health, 2015 Dec;5(4):297-310.
    PMID: 25944153 DOI: 10.1016/j.jegh.2015.04.003
    Malaysia has abundant sources of drinking water from river and groundwater. However, rapid developments have deteriorated quality of drinking water sources in Malaysia. Heavy metal studies in terms of drinking water, applications of health risk assessment and bio-monitoring in Malaysia were reviewed from 2003 to 2013. Studies on heavy metal in drinking water showed the levels are under the permissible limits as suggested by World Health Organization and Malaysian Ministry of Health. Future studies on the applications of health risk assessment are crucial in order to understand the risk of heavy metal exposure through drinking water to Malaysian population. Among the biomarkers that have been reviewed, toenail is the most useful tool to evaluate body burden of heavy metal. Toenails are easy to collect, store, transport and analysed. This review will give a clear guidance for future studies of Malaysian drinking water. In this way, it will help risk managers to minimize the exposure at optimum level as well as the government to formulate policies in safe guarding the population.
  18. Fulltext Asthma symptoms and respiratory infections in Malaysian students-associations with ethnicity and chemical exposure at home and school
    Norbäck D, Hashim Z, Ali F, Hashim JH
    Environ Res, 2021 06;197:111061.
    PMID: 33785322 DOI: 10.1016/j.envres.2021.111061
    Little is known on respiratory effects of indoor chemicals in the tropics. We investigated associations between asthma and respiratory infections in Malaysian students and chemical exposure at home and at school. Moreover, we investigated differences in home environment between the three main ethnic groups in Malaysia (Malay, Chinese, Indian). Totally, 462 students from 8 junior high schools in Johor Bahru participated (96% participation rate). The students answered a questionnaire on health and home environment. Climate, carbon dioxide (CO2), volatile organic compounds (VOC), formaldehyde and nitrogen dioxide (NO2) were measured inside and outside the schools. Multilevel logistic regression was applied to study associations between exposure and health. Totally 4.8% were smokers, 10.3% had wheeze, 9.3% current asthma, and had 18.8% any respiratory infection in the past 3 months. Malay students had more dampness or mould (p 
  19. Volatile organic compounds (VOC), formaldehyde and nitrogen dioxide (NO2) in schools in Johor Bahru, Malaysia: Associations with rhinitis, ocular, throat and dermal symptoms, headache and fatigue
    Norbäck D, Hashim JH, Hashim Z, Ali F
    Sci Total Environ, 2017 Aug 15;592:153-160.
    PMID: 28319702 DOI: 10.1016/j.scitotenv.2017.02.215
    This paper studied associations between volatile organic compounds (VOC), formaldehyde, nitrogen dioxide (NO2) and carbon dioxide (CO2) in schools in Malaysia and rhinitis, ocular, nasal and dermal symptoms, headache and fatigue among students. Pupils from eight randomly selected junior high schools in Johor Bahru, Malaysia (N=462), participated (96%). VOC, formaldehyde and NO2 were measured by diffusion sampling (one week) and VOC also by pumped air sampling during class. Associations were calculated by multi-level logistic regression adjusting for personal factors, the home environment and microbial compounds in the school dust. The prevalence of weekly rhinitis, ocular, throat and dermal symptoms were 18.8%, 11.6%, 15.6%, and 11.1%, respectively. Totally 20.6% had weekly headache and 22.1% fatigue. Indoor CO2 were low (range 380-690 ppm). Indoor median NO2 and formaldehyde concentrations over one week were 23μg/m3 and 2.0μg/m3, respectively. Median indoor concentration of toluene, ethylbenzene, xylene, and limonene over one week were 12.3, 1.6, 78.4 and 3.4μg/m3, respectively. For benzaldehyde, the mean indoor concentration was 2.0μg/m3 (median<1μg/m3). Median indoor levels during class of benzene and cyclohexane were 4.6 and 3.7μg/m3, respectively. NO2 was associated with ocular symptoms (p<0.001) and fatigue (p=0.01). Formaldehyde was associated with ocular (p=0.004), throat symptoms (p=0.006) and fatigue (p=0.001). Xylene was associated with fatigue (p<0.001) and benzaldehyde was associated with headache (p=0.03). In conclusion, xylene, benzaldehyde, formaldehyde and NO2 in schools can be risk factors for ocular and throat symptoms and fatigue among students in Malaysia. The indoor and outdoor levels of benzene were often higher than the EU standard of 5μg/m3.
  20. Mercury accumulation in marine fish most favoured by Malaysian women, the predictors and the potential health risk
    Jeevanaraj P, Hashim Z, Elias SM, Aris AZ
    Environ Sci Pollut Res Int, 2016 Dec;23(23):23714-23729.
    PMID: 27619374
    We identified marine fish species most preferred by women at reproductive age in Selangor, Malaysia, mercury concentrations in the fish muscles, factors predicting mercury accumulation and the potential health risk. Nineteen most preferred marine fish species were purchased (n = 175) from selected fisherman's and wholesale market. Length, weight, habitat, feeding habit and trophic level were recognised. Edible muscles were filleted, dried at 80 °C, ground on an agate mortar and digested in Multiwave 3000 using HNO3 and H2O2. Total mercury was quantified using VP90 cold vapour system with N2 carrier gas. Certified reference material DORM-4 was used to validate the results. Fish species were classified as demersal (7) and pelagic (12) or predators (11), zoo benthos (6) and planktivorous (2). Length, weight and trophic level ranged from 10.5 to 75.0 cm, 0.01 to 2.50 kg and 2.5 to 4.5, respectively. Geometric mean of total mercury ranged from 0.21 to 0.50 mg/kg; maximum in golden snapper (0.90 mg/kg). Only 9 % of the samples exceeded the JECFA recommendation. Multiple linear regression found demersal, high trophic (≥4.0) and heavier fishes to accumulate more mercury in muscles (R (2) = 27.3 %), controlling for all other factors. About 47 % of the fish samples contributed to mercury intake above the provisional tolerable level (45 μg/day). While only a small portion exceeded the JECFA fish Hg guideline, the concentration reported may be alarming for heavy consumers. Attention should be given in risk management to avoid demersal and high trophic fish, predominantly heavier ones.
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